Stephen Moss / IHC
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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, dedsion, recommendatIon of the
City Manager or any city board or commIttee; or any action, decision or recommendation of any dty 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 dry 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 Orcinance 2004.3435.
NAME OF LOBBYIST:
Moss
(Last)
Stephen
(First)
B.
(M.I)
Holland & Knight LLP I One E. Brcward Boulevard, Suite 1300, Ft. Lauderdale, FL 33301
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
954-525-1000
TELEPHONE NUMBER:
954-463-2030
FAX NUMBER:
stephen.moss@hklav rom
EMAIL:
I. LOBBYIST RETAINED BY:
IHC;Miarri Beach CarpJratian
NAME OF PRINCIPAL/CLIENT:
1950 Stemrons Freeway, Suite 6001r Dallas, Texas 75207
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State)
(Zip Code)
214-863-1285
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, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION. PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Challenge to p?ssib1e designation .of Wyndham Hiami Beach Resart
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
Jorge Gomez, Director .of Planning None
-
William Cary, Director, Design, PrE :oervatian and Neigh1::orhood Plarming Di Iv
I 'lhanas I>boney, Design and Preservation ~1anager None
isian - None
Historic Preservat~on Board - Nane
Plarming Board - None
City Commissian and Staff - None
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WH!THER HOURL Y,
FLAT RATE OR OTHER):
Hourly
$395.00/hour
Hourly
$395.00/hour
A) LOBBYIST DISCLOSURE: (Required)
_ Yes
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
~ Are vou reDresenting a not-for-Droflt corDoration or entity without soecial comDensation or
. bursement. Pursuant to Ordinance No. 2004-3435.
1)
Yes (;)
2)
Yes 9
v.
Pursuant to Ordinance No. 2003-3393 Amendino Miami Beach City Code Chaoter 2. Article VII. Division 5
Thereof E~titied "Ca moaion Rnance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaign Contributions Bv Lobbvists On Procurement Issues":
Are vou lobbying on a Dresent gr oending bid for goods. eauiDment or services. or on a Dresent
or oendlng award for goods, eaulDment or service?
pu:~~nt to ~inance No. 2003-3395 Amendino Miami Beach Citv Code Chaoter 2. Article VII Division 5
th r f Entitl "Camoaion Finance Reform". Vla The Addition Of Code Section 2-490 Entitled "Prohibited
Camoalon Contributions Bv Lobbvists On Real Estate Develooment Issues":
Are YOU lobbying on a Dending aDDlication for a DeveloDment Agreement with t~~ or
aD~Ii~tion for change of zoning maD designation or change to the City's Future Land Use MaD?
SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR. EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, UmNG LOBBYING EXPENDITURES, AS WELL AS COMPENSAnON
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE
REPORTING PERIOD.
/~ ..zs.
, Signature or 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 contained in Section 2-482 of the Miami Beach City Code and all reporting
requirements.
Signatu re of Lobbyist:
Signature of Principal/C1ien't:
VI.
LOBBYIST IDENTIFICATION:
PRlNCIPAL IDENTIFICATION:
o Produced ID
o Produced ID
Fonn of IdentifICation
Form of Identification
~ Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
~ Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn tQ and subscribed before me
This '1~ day of. Fe.-h rv.<Y!if 20l2..5
~IiC Notary - State' orida
Notarization of lobbyist's signa ure
State of~, County of ~
Sworn i}J}d subscr~d before me
This ..LLday of. 20b5
ElAlNE STARlING
MY COMMISSION # DO 110866
EXPIRES: April 22, 2006
Ioni8d Thru Notary Public UndeJWriters
Annuai ReQistration fee: [~ ] No Amo
Lobbyist Rl!\llstration Form received and verified by'
Revised 02/1 0/04
SE ONLY ;''2 Pcr-
, MCR r5!.<:;J'V Date Paid
\MARIA-M\LOBBYIST\LOBBYIST FORM 04
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
Hourly $395.00;hour
Hourly $395. OO;hour
1) Pursuant to Ordinance No. 2003-3393 Amendino Miami Beach Citv Code Chapter 2, Article VII. Division 5
Thereof Entitled "Campa ion Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Campaion Contributions Bv Lobbvists On Procurement Issues":
2) Pursuant to Ordinance No. 2003-3395 Amendino Miami Beach Citv Code Chapter 2. Article VII Division 5
thereof Entitled "Campaion Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Campa ion Contributions Bv Lobbvists On Real Estate Development Issues":
Yes
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING 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 EXPENDITURES OR COMPENSATION DURING THE
REPORTING PERIOD.
Signature OT 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 contained in Section 2-482 of the Miami Beach City Code and all reporting
requi rements.
Signature of Lobbyist:
Signature of Principal/Client:
VI.
LOBBYIST IDENTIFICATION:
PRINCIPAL IDENTIFICATION:
o Produced ID
o Produced ID
Form of Identification
Form of Identification
jl Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
~Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn to. and subscribed before me
This day ok _---' 20~
T<:-~ p~s.
State of FIorftja, County of Mia . ai:lt::
Sworn ~lJd subscr~ before me
This lLday of 20t:f)
- -
Signature of Public Notary - State of Florida
Notarization of Lobbyist's signature
FOR CLERK'S USE ONLY
Annual Registration fee: [ ] Yes [ ] No Amount Paid MCR # Date Paid
Lobbyist Registration Form received and verified by:
Revised 02/10/04 F: CLER\ALL\MARIA-M\LOBBYIST\LOBBYIST FORM 04