Neisen O. Kasdin/E.D.Y. Inc.
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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 prindpal 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
Oty 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 dty commission, or a city 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.
NAME OF LOBBYIST:
(Last)
(Arst)
O.
(M.!)
Kasdin
Neisen
Gunster, Yoakley & Stewart, P.A., 2 South Biscayne Blvd., Suite 3400, Miami, FL
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 331 31
(305) 376-6062 (305) 376-6010
TELEPHONE NUMBER:
FAX NUMBER:
EMAIL:
I. LOBBYIST RETAINED BY:
E.D.Y. Inc.
NAME OF PRINCIPAL/CLIENT:
1051 Washington Avenue, Miami Beach, FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City)
(305) 538-2273 (305) 538-5309
TELEPHONE NUMBER: FAX NUMBER: (Optional)
(State) (Zip Code)
EMAIL; (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
. NAME OF CHIEF OFACER, PARTNER, OR BENEAOARY:
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
n. SPEOFIC LOBBY ISSUE:
Temporary Parking Lot 1155 Collins Avenue
Issue to be lobbied (Describe in detail):
m. CITY AGENOES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
Planning Board
Planning Department
City Managers Office
,.
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
$400.00 Hourly
$400.00 Hourly
1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach Otv Code Chaoter 2. Artide VIT. Division 5
Thereof Entitled "Campaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Campaign Contributions By lobbYists On Procurement Issues":
Yes
2)
Pursuant to OrdinanO! No. 2003-3395 Amendina Miami Beach Otv Code Chaoter 2. Article VIT Division 5
thereof Entitled "Camoaian Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Campaian Contributions By Lobbvists On Real Estate Development Issues":
Are u lobb i on a i a lication for a Develo nt A reement with the C' or
aDoIication for chanae of zonina maD desianation or chanae to the CitY's Future Land Use MaD?
SIGNATURE UNDER OATH:
Yes
v,
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL 5UBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, UmNG LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CA R YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES PENSATlON DURING THE
REPORTING PERIOD.
I do solemnly swear that all of he foregoing facts are true and correct and that I have read or am
familiar with the provisions i eel in Section 2-482 of the Miami Beach City Code and all reporting
requirements.
Signature of lobbyist:
Signature of Principal/Client:
Produced ID
Form of Identification
PUNap~I~R~~TION:
Produced ID ----k4---- Q \~ ,.,
Form of Identifi ion
VL
LOBBYIST IDENTIFICATION:
Personally known (Principal)
VII.
AND STAMP OF NOTARY:
(.
\
NYDIA R. MARTIN
MY COMMISSION # DD 031308
EXPIRES: July 17, 2005
Bonded ThN Notaly Public Unde!wflt8l$
NYDIA R. MARTIN
MY COMMISSION # DD 031308
EXPIRES: July 17, 2005
Bonded ThN Notaly Public UndtlWf1ltfl
Annual Registration fee: [~NO Ani
Lobbyist Registration Fonn received and verified
Revised 02/10/04
ONML~ ~~te Paid
\MARIA-M\LOBBYISl\LOBBYIST FORM 04
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