Neisen Kasdin / Wyndham Int'l
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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, decision, recommendation of the
City Manager or any city board or committee; or any action, decision or recommendation of any city personnel during the time
period of the entire declsion-makmg 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.
Kasdin Neisen O.
NAME OF LOBBYIST: (Last) (First) (M.!)
Gunster, Yoakley & Stewart, P.A., 2 South Biscayne Blvd., Suite 3400, Miami, FL 33131-1897
BUSINESS NAME AND ADDRESS
(305) 376-6062
TELEPHONE NUMBER:
(Number and Street) (City)
005} 376-6010
FAX NUMBER:
(State)
(Zip Code)
EMAIL:
I. LOBBYIST RETAINED BY:
Wyndham International, Inc.
NAME OF PRINCIPAl/CLIENT:
Wyndham International, Inc., 1950 Stemmons Freeway, Suite 6001, Dallas, TX 75207
BUSINESS NAME AND ADDRESS
(Number and Street)
(City)
(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 OFFICER, PARTNER, OR BENEFICIARY:
. IDENTIFY ALL PERSONS HOLDING, DIREffi Y OR INDIREffi Y, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPEaFlC LOBBY ISSUE:
Historic designation and site plan approval for Wyndham Miami Beach
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
Planning Department
City Managers Office
Historic Preservation Board
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
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourly, $400.00 per hour
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 ~No: Are YOU lobbyinG on a oresent or oendinG bid for Goods. eGuioment or services. or on a
oresent or oendinG award for Goods. eauioment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled 'Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes '9"'0: Are you lobbyinG on a oendinG aoolication for a Deyelooment AGreement with the City or
aoolication for chanae of zonina ma~ desiGnation or chanGe to the City's Future Land Use
M.uZ
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-for-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..
D Yes .'9""0: Are you rearesentina a not-for-orant corooration or entity without saecial comoensation
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 EXPENDIT OR COMPENSATION DURING THE
REPORTING PERIOD.
lure of Lobbyist
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 n ined in Section 2-482 of the Miami Beach City Code and all reporting
requirements.
Signature of Lobbyist:
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Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
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Sworn and subscribed fore me
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ON;~ # [i1 '1f?9 Date Paid
PRINCIPAL IDENTIFICATION:
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Form of Identification
'~rsonaIlY known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
FOR C :E
Annual Registration fee: [ Yes [ ] No Amou
Lobbyist Registration Form received and verified by:
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Revised 12/08/04