Safar, Gaston/Miami Beach LLC
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drivel Miami Beach, Fl33139
LOBBYIST REGISTRATrON FORM
Lobbyist means all persalls employed or retained, whether paid or not. by a prlndpat who seeks to encourage the passage, defeat
or modifiGllion of any ordinance, resolution, actIOI1 or deds!cn of any commissioner; any attion, decision, recornTlcndation of the
City ~lanagcr or any dty board or Commiltee; or any actlon, dedsion or recommendation of any city personnel during lhe time
period of !he entire decision-maktng precess on such action, decision or recommendation that roreseeallly wiU be heanl or reviewed
by the city commission, or a city ooard or comnliltee. The term speclrlcaUy Includes the prlnclpal ilS welf as any employee (!~
in lobbying activWes:. The term "lgbbyists~ has specific; eXduslon"l, Pleasa rlilfor to 01lfillllllee: 2004-34.):;.
NAME OF LOflSYlST:
2 South Biscayne
BUSINESS NAME AND AOOR1;SS
KASDIN NEISEN
(I.,)st) (FI/'St)
Eoulevard, Suite 3400 Miami,
(Number and Street) (City)
(305) 376-6010
FAX NUr~BER:
(M.l)
FL 33131
(State) (Zip Code)
nkasdin~gunster.com
EMAll;
(305) 376-6062
TELEPBONE NUMBER:
L LOBBYIST RETAJNED 8Y:
Safar, Gaston
NAfolE OF PRrNOPAl/OlENT:
Miami Beach, LLC
SUSlNESS NAME AND ADDRESS
132 Newberry Street
(Number and Street) (City)
(617) 267-3686
FAX NUMBER; (Optional)
Boston,}~ 02116
(State) (Zip Code)
gastonsafa~earthlink.net
EMAIl: (Optional)
(857) 891-4262
TaEPHONE NUMBER:
Fill out this section It principal is a Corporation, P:ll'tnership or Trust [Section 2-482 (en
NAME OF CHIEF OFF1CER, PARTNER, OR BENEFlOARY:
Gaston Safar
IDENTIFY ALll'ERSONS HOLDING, OIRECTt. Y OR INDIRECll Y, A S% OR MORE OWtlERSHlP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR iRUST: Gaston Safar 60~; Alexander Safar 10\;
Noelle Safar 10~: Allison Safar 10~n Stephane Safar 10%.
II. SPECIFIC lOBBY ISSUE:
Dis ute regarding access across a city parcel.
Issue to be lobbied (Oesalbe In detail):
ID. crrv AGENOES/INDIVICUALS TO BE LOBBIED:
A) Full Name of !ndividual/Title 8) Any Finanda', Familial Or Professional Relatlonship
City !>lanager No
Plamling Board No
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IV. DISCLOSURE OF TERMS AND AMOUrnS OF L08BYIST COtolPENSATION (DXSCLOSE WHETHER HOURLY,
FLATRATEOR OTHER).
A) lOBBYlST DISCLOSURE: (Required) Hourly - $400. 00
a) PRlNCI?AL'S DISCLOSURE (Of LOBBYIST COMPENSAllON): (Required). $400 - hourly
The following information must be answered:
1) Pursuant to Miami Beach City COde Section 2-488 Entitled "Prohibited Campaign Contributions By LobbyIsts
On Procurement Issuesn:
n Yes rxNo: Are yOU lobbvinCl on a pre....ent 01" pendin9 bid tOI" C1oods. eouipment or services. or on a
present or pendinCl award for C1oods. eQuipment or service?
2) Pursuant to ~1iami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development rssuesn:
'':Yes ;<; No: Are YOU Jobbvina on a pendinq aD plication for a Development Aareement with the City or
aoplication for change of zoni"" map desiCl"ation Dr ch<tnae to the City's Future Land Use
MaD?
3) Pursuant to Miami Beach City Code 2.4&; (h) Any person (except those exempt from the definition of
~robbyist" as set forth in section 2-"lB1 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 derk as required by this
section but, shall not be required to pay any registration fees..
n Yes Tl No: Are YOU reprcsentinQ a not-for-orofit corporation or entity without special compensation
or reimburs.!l!!lJm.!;.
V. SlGNATURE UllDER OATH:
ON OCTOBER 1ST OF EACH YEAR. EACH LOBBYIST SHAU. SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTJNG LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
StiALL BE i".!.UiD fliEI1i if crieR!; nAVe BeEN NO fXPENDITURES/lli! ;=OtPfNSATION DURING THE
REPORTING PERIOD. f II JI V I
. Signature of Lo byist
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 Sectio 482 of the I\1lami Beach City Code and all reporting
requirements.
Signature of Lobbyi::;l;
Signature of Prlndpal/Client:
VI.
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LOBBYIST IDENTIFlCATION:
PRINOPAL IDENTInCATlON:
:J Produced to
_ Form of IdenUfication
~ Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
C Produced 10
Form or Identification
;: Personally known (Principal)
State of Florida, County or Miami'Oade
Sworn and subscribed before
This ~day of "'^ O;:S- \
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Signature of PubRc Notary - Stale 0 - -
Notarization of Principal's signature
o
SI ature of Public Notary - f
Notarization of LobbyiSt'lf
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I - .... ).. FOR CLE~.IJSE ONLY
'I Annual Registration fee; l )<JJYes [ J No Amount P(.id~.:s HeR #:2..~C
lobbyist Registration form received ilnd ven1ied by: a I.::--S'
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