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Savoy Hotel Partners, LLC . .....,c ""l- ...~,;;.J Jli4.i,;,..,... ~'f::'-::::: t.u S:2 t..... It... ';j') m U) ~.. ......"..... City oflV&ami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 Q LJ..! C/) tr) o 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, derision, recommendation of the City 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 city commission, ora 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. NAME OF LOBBYIST: McDowell (Last) Carter (First) M. (M.L) Bilzin Sumberg Baena Price & Axelrod LLP 200 S Biscavne Blvd. Suite 2500 Miami. Florida 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-350-2355 TELEPHONE NUMBER: 305-351-2239 FAX NUMBER: cmcdowell(Q),bilzin.com EMAIL: I. LOBBYIST RETAINED BY: Savoy Hotel Partners. LLC NAME OF PRINCIPAL/CLIENT: Savoy Hotel 425 Ocean Drive. Miami Beach. Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 786-866-0071 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: Savov/ Arlington Hotels- Historic Preservation Board. Certificates for Demolition and Appropriateness Issue to be lobbied (Describe in detail): III. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship Miami Beach Historic Preservation Board MIAMI 924384.1 7653024060 IV. DISCLOSiJRE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RATE OR OTHER): A) B) LOBBYIST DISCLOSURE: (Required) Hourly. $425.00 PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourly. $425.00 Yes 1) Pursuant to Ordinance No. 2003-3393 Amending Miami Beach City Code Chapter 2. Article VII. Division 5 Thereof Entitled "Cam1'aign Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Campaign Contributions By LobbYists On Procurement Issues": Yes 2) Pursuant to Ordinance No. 2003-3395 Amending Miami Beach City Code Chapter 2. Article VII Division 5 thereof Entitled "Campaign Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited Camoaign Contributions By LobbYists On Real Estate Develo1'ment Issues": Yes V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITU S, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECE G CALENDA iYEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HA VE BEEN NO EXPE S OR COM SA TION DURING THE REPORTING PERIOD. Signature of PrincipaVClient: I do solenmly 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 ~~~}I..j ~,'tf. ~\..O AGU/Il ~/~ Signature of Lobbyist: ~ CJ~.....s,.....~~ ~ ... "C5 ~\)er 1 ~.. ~ .~ ~'iI I~O_~. ~ .~ ClI -e2 (I)~ ::: =*: .... . = PRINCIPAL IDhlFItDilDrZel: l~i ~;;..\ ..1k ~~ .,...~~ ~ ~;...;~PubiiC Und'~.. ~# Produced ~~'''.d''; !f~ r. ''fl' catIOn LOBBYIST IDENTIFI VI. o Produced ID Form of Identification o y) Personally known (Lobbyist) x Personally known (Principal) State of Florida, County of Miami-Dade woT?'.tIA and s~ me .s ~ day - :J..7 , 20~ M /' FOR CLERK'S U~NL Y Annual Registration fee: lU'Yes [.] No Amount Paid ~ MCR # fI- 79 113 Date Paid Lobbyist Registration Form received and verified by: Revised 02/10/04 F: CLER\ALL\MARI. \LOBBYIST\LOBBYIST FORM 04 / ~/t07t?5 - I MIAMI 924384.1 7653024060