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Alexandra Deas/Savoy Hotel "W'lmJ ~ I. lD 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, 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, 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. NAME OF LOBBYIST: Deas (Last) Alexandra (First) L. (M.I. ) 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) 305-350-7241 TELEPHONE NUMBER: 305-351-2176 FAX NUMBER: adeas(cV,bilzin.com EMAIL: I. LOBBYIST RETAINED BY: Savoy Hotel Partners. LLC NAME OF PRINCIP AL!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: Savoy! 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 910058.1 7319011125 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY , FLAT RATE OR OTHER): . .. A) B) LOBBYIST DISCLOSURE: (Required) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourlv. $220.00 Hourly. $220.00 Yes 1) Pursuant to Ordinance No. 2003-3393 Amending Miami Beach City Code Chapter 2. Article VII. Division 5 Thereof Entitled "Campaign Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Campaign Contributions Bv Lobbvists 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 Call1lJaign Contributions By Lobbvists On Real Estate Development Issues": Yes Cit or V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK 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 EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. ~... A ~ Signa Te 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 contained in Section 2-482 of the Miami Beach City Code and all reporting requirements. VI. Signature of Lobbyist: Signature of Principal/Client: D ,,,"\~'r~c~ Albarradn ,~...~.. ~ . . ff:'"tb,- ~1:;' commifRmI!~lJlicatJ.on ..a ;i..6:~J E.xpirts: AUG, 221 20~ ~ ~~~'or~ ;h~l1v kli1ownJ.I.l\hhvid) """1111\\ " '"WWW:1tllON.N~wm" rr- ~ Annual Registration fee: es [ ] No ~:'~:';~dRK'S U O~~~&)sDate Paid cf~ Lobbyist Registration Form received and verified by: Revised 02/10/04 F: CLER\ALL\M OBBYIST\LOBBYIST FORM 04 MIAMI 910058.1 7319011125