Carter Mcdowell / HSDC, LLC
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat
or modification of any ordinance, resolution, action or decision of any commissioner; any action, derision, recommendation of
the City Manager or any city board or committee; or any action, decision or recommendation of any city personnel defined in any
manner in this section, during the time period of the entire decision-making process on such action, decision or recommendation
that foreseeably will be heard or reviewed by the city commission, or a city board or committee. The term specifically includes
the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer
to Ordinance 2004-3435.
NAME OF LOBBYIST:
MCDOWELL
(Last)
CARTER
(First)
N.
(M.I.)
Bilzin Sumberg Baena Price & Axelrod LLP 200 So. Biscavne Blvd. #2500. Miami. Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-350-2355
TELEPHONE NUMBER:
305-351-2239
FAX NUMBER:
cmcdowelllaibilzin.com
EMAIL:
I. LOBBYIST RETAINED BY:
HSDC.LLC
NAME OF PRINCIPAL/CLIENT:
55 EAST SUPERIOR SL 3RD FLR.. CHICAGO. IL 60611
BUSINESS NAME AND ADDRESS (Number and Street) (City)
(State) (Zip Code)
312-266-2000
TELEPHONE NUMBER:
312-266-2062
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c))
.
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: THEORDORE NETZKY
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
SEE ATTACHED EXHIBIT "A" MADE PART OF THIS FORM
MORE
II. SPECIFIC LOBBY ISSUE:
Land Use and Zoning issues associated with 315 & 321 Ocean Drive
Issue to be lobbied (Describe in detail):
III.
CITY AGENCIESIINDIVIDUALS TO BE LOBBIED:
A
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, .-
,.
MIAMI 843032.17319010200
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE
WHETHER HOURLY, FLA T RATE OR OTHER):
A)
B)
LOBBYIST DISCLOSURE: (Required)
hourlv
J l..f 2S" /PO
PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
hourlv
Yes No:X Are vou representin!! a not-for-profit cOrPoration or entity without special compensation or
reimbursement. Pursuant to Ordinance No. 2004-3435.
1) Pursuant to Ordinance No. 2003-3393 Amending Miami Beach City Code Chapter 2. Article VII. Division
5 Thereof Entitled "Campaign Finance Reform" Via The Addition Of Code Section 2-488 Entitled
"Prohibited Campaign Contributions Bv Lobbvists On Procurement Issues":
Yes No:X Are yOU lobbvin!! on a present or pendin!! bid for !!oods. eQuipment or services. or on a present or
pendin!! award for !!oods. eQuipment or service?
2) Pursuant to Ordinance No. 2003-3395 Amending Miami Beach City Code Chapter 2. Article VII Division
5 thereof Entitled "Campaign Finance Reform". Via The Addition Of Code Section 2-490 Entitled
"Prohibited Campaign Contributions Bv Lobbvists On Real Estate Development Issues":
Yes No: X Are yOU lobbvin!! on a pend in!! application for a Development A!!reement with the City or
application for chan!!e of zonin!! map desi!!nation or chan!!e to the City's Future Land Use Map?
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDIT OR COMPENSATION DURING THE
REPORTING PERIOD.
LOBBYIST IDENTIFICATION:
d correct and that I have read or am familiar with the
ity Code and all reporting requirements.
I do solemnly swear that all of the
provisions contained in Sectio
Signature of Lobbyist: ~
Signature of Principal/Client:
VI.
PRINCIPAL IDENTIFICATION:
,2~
o Produced ID
Form of Identification
X Personally known (Principal)
~'-LINt:TS
State ofFl",;dd, County ofMiltl'l'li Dud6 COOl<
Sworn and subscribed before me
This 1114 day of ~l\tlUA~'1 ,20 O~
Si~~~~UUINNS
Notarization of Princi aI's si nature
:"'FFTCIALS~)<i~' ~
, 1~:\,~~J~~~~~V~;~;;~~~:;~~n~1
o
Produced ID
Form of Identification
~
Personally known (Lobbyist)
MY COMMISSION # DO 113548
EXPIRES: May 18, 2000
Bcndelj Thru Plchard Insurance Agency
. _~ FOR CLERK'S U
Annual Registration fee: [-fYes [] No Amount Pai
Lobbyist Registration Form received and verified b
Revised 02/10/04 F: CLER\ALL
ONLY /"I 2-"7/ --
MCP.::R/J)/b Date Pa~"" /-&1