HomeMy WebLinkAboutCarter McDowell / 900 Collins
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: cityclerk@ci.miarnl-beach.f1.us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
McDowell
NAME OF LOBBYIST:
(Last)
Carter
(First)
N. 12/04
(M.I) DATE QUALIFIED AS LOBBYIST
200 South Biscavne Boulevard. Suite 2500. Miami. Florida 33131
BUSINESS ADDRESS: (Number and Street) (City) (State)
(Zip Code)
(305) 350-2355
TELEPHONE NUMBER:
(305) 351-2239
FAX NUMBER:
cmcdowell@bilzin.com
EMAIL:
I. LOBBYIST RETAINED BY:
900 COLLINS AVENUE. LLC
NAME OF PRINCIPAL/CLIENT:
1434 Collins Avenue. Suite 200 Miami Beach.
BUSINESS ADDRESS: (Number and Street) (City)
FI
(State)
33139
(Zip Code)
(305)534-5664
TELEPHONE NUMBER:
305-534-5556
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)l
? NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Michael A. Stem, Rita Starr, and Ivor Hano Rose
? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP
INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
Michael A. Stem, Rita Starr, and Ivor Hano Rose
II. SPECIFIC LOBBY ISSUE:
~"R~
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of IndividuallTitle
B) Relationship
MIAMI 841732.1 7319010200
12/13/043:28 PM
.
.
.
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: $400.00 nib
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): $400.00 nib
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE
PRECEDING CALENDAR YEAR.
at I have read or am familiar with the provisions
tl all reporting requirements.
Signature of Lobbyist:
Signature ofPrincipal/Clie t:
VI. LOBBYIST IDENTIFICATION:
~J~'
Form of Identification
~
Produced ID
X Personally Known
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This ~ day of~~ ,2004.
FOR CLERKS USE ONLY
rc- J 1-- 0 c/-
Registration:
[~TED
REJECTED
DATE:
ri'
-----/
~Yes
[] Cash
DATA ENTRY DATE: I L.-rr:..U <.i
1 ,
Ifrejected, state reason:
Registration fee paid:
[] No
[] Check
, 200.i
MCR~ /~td- S-
ENTERED BY~
1 First Revision - 05/17/02
MIAMI 841732.1 7319010200
12/13/043:30 PM
JAN. -19' OSfTUE) 10:22
BILZIN SlJMBERG ET. AL
P.002
(V. DISCLOSURE OF TERMS AND AMOUNTS Of LOBBYTST COMFENSATION (DISCLOSE WHETHER
I10URLY, PLAT RA.TR OROTn~R);
A)
LOBRVlST DTSCLOSURE: (Requln::u)
8) PRlNCrPAL1S DISCLOSURE (Of LOBBYIST COM?ENSA TION): (Uequlred).
Yes No: l' An: YOU rcnr~entin(! 11. nu('.for-lJrofit comm'atio" 01' enli~' without sl,eci:t' cnrnocl1sation or "timhurs~""ent.
PursuanllCl Onlinancc No. 2004-3435,
1) PlIriiLlZlnt to Ordin.lnce No. 1003-3393 Amendin~ Milll11i 8~ch CitY Code Ch:rotel'1. Arricle VII. D1Vj~lon 5 ThcTCOr
llil.led. IIC:~1)'loaiE'Tl r;"ancc Reform" Via The Addition OrCode Section ~-4B8 El1tltlc-d "Prohihited C;~~
f,onrrlbuliMS Bv r.C'\bbv\gl~ 01'1 Procurement lsslll::~I/:
Yc~ Nu: x Are YOU lohbvint! em n Dfc!'cnt or Ilendin~ bid fill" f!ood.<i< cQuinment or !iervice!\, or or, :l.llr~ent or Dendine.
award for good~. eauiDment or scrvicc'~
2) Pursuant !i.) Ordin:lIIce NIl. 2003-3~9S AmendinE Mtami Bco.ch CilV Cod~ Chaoter 1. Article VII l1ivision 5 thereof
~ntltl~i.1 '"C:lmD~I~n Pin.",ce RcrMln". Via. The A(ldltion Of Code Sectiol1.2-490 flltitlcd "Prohibited Camo.ill.ml
~lribu[iQns f3v Lobbvis:ts On Reol Esl:J.[e Dc.:'JcloomC:!)f ls~uc!i~::
Yes No; x AI'e ,,"olllnbbvinf! nn a Dllndlne ;lPfllic11.ticm for:t OeveloDrn~nt Al!recment with,lhe City or ~Pl)ljcation frrr
cl1ane,C! of ZOOiD/! nl:lp tlcsll!.\lation or ch4m~e to the Citv's Future Land U"e Man;!
v. SIGNATlIRE UNDER OATH:
ON OCTOB15R 1ST OF EACH YEAR, I3ACH L0138VIST SHALL SL'BMlT TO THE CITY CLERK SIGNED STATEMENT
UNDER. OA.TH, LISTING LOBBYING liXPENDlTURTIS, AS W~LL AS';; P~NSATIOS RECEiVED, rN THE CITY OF
MIAMl BEACH fOR THE PRECEDfNG CALENDAR YEAR. A ST:rgM ~T SHALL BE FILED EVEN IF THERE HA VB
SEEN NO EXPENDITUR~S OR COMPENSATION DIJRlNCi T ~p TfNG PER D.
SignutLlfe of Lobbyist:
I do ~Qlemnly swear that i:111 ofthc rl.)r~BPJI1g ro.ct~ :lrc true::m con'ect :md th:1t I have rC~id or am familiar with the provision!:i
con\ained in Section 2-481 at'the . JrBcachty Cod ~ d nIl rcporLing rcqUlrements. ..., .'. . . . . . _
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S ign:lrur~ or' Principal/Client:
VI.
LOnBYIST lDENTU'ICA TION:
l:tRINCWAL IPI!:NTIFICATlON:
/0 . Produced tn
Form of Ldcntirictltion
. perl>onal1y k.nown (Lobbyist)
o
Produced ro
Form of {den titiclltion
LJ
Personally lcnov.m (Prlnc:ip:tl)
Sr~~ll: l'lfFloridl.l, County ofMio.mj.D~\dc
SWIm' to ~nd ~ub ribed before me
Thi~ - of _, 10~.
..........
.".......
. . ...............
Sl:\te of Florida, COll'nlY of Mlarl"1l-D3dc
SW(ll".' Jnd subscribed before me
Tnis _ day of _._..__.,,20-
. . . .. . .
.......
....4..........
....1...........
SI.E~m\lul.e ofPublJL: -r~O[~uy- Sr::l.lc orrlol~~'- ...
~ntart'at~nn orPrin~ipal's siC1\llturc . __
FOR ClERJ('S USE ONt y
Annu:l1 Rcgl~lraljQn rec~ [ ] Yes (J No Amount Paid_. _ MeR #_....__ Dllte Pald _.._
LobbYl~t R~Sis[1"~tion rQr..~ recc\wd o.nd veriIied by__.__ .._,.__.
Revllied 02/10/04 f: CLt:R.\ALI..\MAR.{A-M\LOBBYIS"I\LOBBYlS'r FORM 04
Mr"Ml~417n.1731l)1l102()O
1 ~/21/04 1\:27 AM