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HomeMy WebLinkAboutNeisen Kasdin / Euroamerican btltd liiiT' ~ "11 , . "1 Ii,. ~,., ~IV3 - 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, decision, recommendation of the aty Manager or any city board or committee; or any action, decision or recommendation of any city personnel 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 dty board or committee. The term specifically includes the prindpal as well as any employee engaged in lobbYing activities. The term "lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. Kasdin Neisen O. NAME OF LOBBYIST: (last) (First) (M.I) Gunster, Yoakley & Stewart, P.A., 2 South Biscayne Blvd., Suite 3400, Miami, FL 33131 BUSINESS NAME AND ADDRESS (305) 376-6062 (Number and Street) (Qty) (305) 376-6010 (State) (Zip Code) TELEPHONE NUMBER: FAX NUMBER: EMAIl: I. LOBBYIST RETAINED BY: Euroamerican Group NAME OF PRINCIPAl/CLIENT: Euroamerican Group, 407 Lincoln Road, #502, Miami Beach, FL 33139 BUSINESS NAME AND ADDRESS (305) 672-0805 (Number and Street) (City) (305) 532-4130 (State) (Zip Code) TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIl: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] . NAME OF CHIEF OFACER, PARTNER, OR BENEACIARY: . IDENTIFY All PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A S% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: Monte Carlo site plan approval Issue to be lobbied (Describe in detail): III. CITY AGENCIE5/INOJVIDUALS TO BE LOBBIED: A} Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship Planning Department City Managers Office City Conunission IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RA TE OR OTHER) A) LOBBYIST DISCLOSURE: (Required) Hourly, $400.00 per hour Hourlv, $400.00 per hour B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required), The following information must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": D Yes )I No: Are YOU lobbyinG on a Dresent or oendinG bid for Goods. eGUiDment or services. or on a Dresent or oendinG award for GOods. eauiDment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": DYes rKNo: Are YOU lobbyinG on a oendinG aDDlication for a DeyeloDment AGreement with the City or aDDlication for chanGe of zoninG maD desiGnation or chanGe to the City's Future Land Use .MuZ 3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481 above) who only appears as a representative of a not-fer-profit corporation or entity without special compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or opposition to any item, shall register with the clerk as required by this section but, shall not be required to pay any registration fees.. DYes gNo: Are you reDresentinG a not-for-Drofit corooration or entity without SDecial comDensation or reimbursement. . 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, 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 EXPEND OR COMPENSATION DURING THE REPORTING PERIOD. I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions contained in ' ion 2-482 of the Miami Beach City Code and all reporting requirements. Signature of Lobbyist: Signature of Principal/Oient: VI. LOBBYIST IDENTIFICATION: ihl Z'3~ .<ro-'i ~Iig 8i'Li~ ~ ~ PRINCIPAL IDENTIFICATION: ! I Produced ID : I Produced ID Form of Identification X"PerSOnallY known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: Form of Identification ,'" !\PerStJnaIlY known (Principal) FOR CL Annual Registrati(ll1 fee: [ Yes [ ] No Amo nt Lobbyist Registration Form received and verified by: F:\a.ER\$All\MARIA-M\Lobbyist\LOBBYIST roRM 0 State of Florida, County of Miami-Dade Sworn and subscribed before me This , 'Z"!' day qf .1; IYu. v (! f Public Notary tate of Florida .on of Lobbyist's signature Revised 12/0B/04