Carter McDowell/Di Lido 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.
McDowell Carter N.
NAME OF LOBBYIST: (Last) (First) (M.I.)
Bilzin Sumberg Baena Price & Axelrod LLP 200 S. Biscayne Blvd. Suite 2500 Miami, Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305 -350-2355 305-351-2239 cmcdowell~bilzin, com
TELEPHONE NUMBER:
I. LOBBYIST RETAINED BY:
Di Lido Beach Resort Ltd
FAX NUMBER: EMAIL:
NAME OF PRINCIPAL/CLIENT:
605 Lincoln Road, 5th Floor
Miami Florida 33139
BUSINESS NAME AND ADDRESS
305-672-5466
(Number and Street) (City) (State) (Zip Code)
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%
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
OR
MORE
II. SPECIFIC LOBBY ISSUE:
Si~nVariance ~L4FI ~,.~ ~~~ /~ ~
Issue to be iobbied (Desc~ib-e in-detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Any Financial, Familial or Professional Relationship
MIAMI 972173.1 7594920980
Yes
yes
Yes
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE
WHETHER HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) c.t~~~ ~
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). t-(. 'Z~ ~
' Are you representing a not-for-profit corporation or entity without special compensation or
bursement. Pursuant to Ordinance No. 2004-3435.
1) Pursuant to Ordinance NO. 2003-3393 Amending Miami Beach City Code Chapter 2. Article VII. Division
5 Thereof Entitled "Campaign Finance Reform" Via Thc Addition Of Code Section 2-488 Entitled
"Prohibited Campaign Contributions By LobbYists On Procurement Issues":
nd Are you lobbying on a oresent or pending bid for goods, equipment or services~ or on a present or
lng award for goods, equipment or service?
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 Campaign Contributions By Lobbyists On Real Estate Development Issues":
~ Are you lobbvin~ on a. vending application for a Development Agreement with the City or
aoolication for change of zoning map designation or change to the City's Future Land Use Map?
~ V. SIGNATURE UNDER OATH:
ON OCTOBER 1 ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDIT~ AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECE~I~G/CALENDA~R YEAR. A,~ATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENOI'TUgE~ DR CONJ,/rENSATJoO~URING THE
Signature of Lobbyist
I do solemnly swear that all of the for~ing facts are true and correct and that I have read or am familiar with the
provisions contained in Secti on 2-4~~eac, h~ffTO de and all reporting re nuire me nra.
Signature of Lobbyist:
Signature of Principal/Client:'-'~~~~/
VI. LOBBYIST IDENTIFICATION: (/ PRINCIPAL IDENTIFICATION:
[~ Produced ID [] Produced ID
Form of Identification Form of Identification
Personally known (Lobbyist)
Personally known (Principal)
State of Florida, County of Miami-Dude State of Florida, County of Miami-Dade
Sworn to. and subscribed before me Sworn and subscl:ibed before me
This ~2.~V~ay of ~"1[t~~ ,~__~ Thit~_~ay o~~ , 20 o~
~Sig~~f Rblic~w- St~t~lorida ~na~e of Pub~ Notary- State of Florida
I ~izaffon ~bbyist's signa~e ~ation of Principal's signature
A~ual Regis~ation fee: ~Yes [] No Amount ea~, & MCR
Lobb~st Regis~ation Fo~ received and verified b~'
Revised 02/10/04 F: CLER~LL~A~-MNLOBBYIST~OBBYIST FO~ 04
MIAMI 972173.1 7594920980