Neisen Kasdin/Mallory Kauderer 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, decision, recommendation of the
City Manager or any dty board or committee; or any action, decision or recommendation of any city personnel dudng 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 en.qa.qed
in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Kasdin Neisen O.
NAMEOFLOBB~ST: (Last) (R~) (M.I)
Gunster, Yoakley & Stewart, P.A., 2 South Biscayne Blvd., S. te. 3400, Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City)
(305) 376-6062 (_305) 376-.6010
TELEPHONE NUMBER: FAX NUMBER:
(State) (Zip Code)
EMAIL:
I. LOBBYIST RE'rAINED BY:
Mallory Kauderer
NAME OF PR/NCIPAUCUENT:
3701 Chase Avenue, Miami Beach_, FL 33140
BUSINESS NAME AND ADDRESS (Number and Street) (City)
(State) (7ip 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:
· IDENTIPf ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP IN'FEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
SPECTFZC LOBBY ISSUE:
Site Plan Approval for 635- 643 JefferSon AvenUe and Related Matters
Issue to be lobbied (Describe in detail):
~ AGENC/ES/INDZV~DUALS TO BE LOBBIED:
A) Full Name of Individual/Title
Planning Department
Historic
Preservation Board
B) Any Financial, Familial or Professional RelaUonship
None
None
Planning Board None
DZSCLOSURE OF TERMS AND AMOUNTS OF LOBBY[ST COlqPENSAT~ON (DZSCLOSE WHETHER HOURI
FLA T RA TE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required) $400. O0 pez' b. ottz'
B) PRINCIPAL'S DISCLOSURE (OF LOBBY[ST COMPENSATLON): (Required). $400. O0 pez' hot~z'
The following information must be answered:
Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
[] Yes Il/No: Are you Iobbyinq on a present or pendinq bid for goods, equipment or services, or on a
present or pendinq award for qoods, equipment or service?
2)
Pursuant to HJami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
aYes ~;~1~o: Are you Iobbyinq on a pendinq application for a Development Aqreement with the City or
application for chanqe of zoninq map desiqnaUon or chanqe to the City's Future Land Use
Hap?
3)
Pursuant to Hiami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist" as set forth in Section 2-481 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 clerk as required by this
section but, shall not be required to pay any registration fees..
Yes Ei~io: Are you representinq a not-for-profit corporation or entity without special compensation
or reimbursement. .
v. SZGNATURE UNDER OATH:
ON OCTOBER Isz OF EACH YEAR, EACH LOBBYIST SHALL SUBf4TT TO THE cTrY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDTFURES, AS WELL AS COMPENSATION
RECEZVED, IN THE C:[TY OF f4IAMI BEACH FOR THE PRECEDII~it~ CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITUJ~E~ ~(/COHPENSAT~ON DUI~NG THE
REPORTING PERIOD. //~//~//.
"Signature of Lobbyist
! do solemnly swear that all of the foregoing facts are true and correct and that ! have read or am
familiar with the provisions contained in Section 2-482 of the Hiami Beach City Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
LOBBYiST ZDENT~F[CAI~ON:
State of Florida, County of Miami-Dade
Sworn tc~ md subscribed before me /
Signatu~ of~ublic Notary - St~ of Florida
Notarization of Lobbyist's si ature
~,~.../~ FOR
Annual Registration fee: [ ] Yes [ ] No Amount
PRZNC[PAL ZDENT~F]CAT~ON:
[] Produced ID
Form of Identification
ersonally known (Principal)
I~..~' ~ t~"~ MY COMMISSION # DD 409709 II
· I1,~~ EXPIRES' May 14, ~:X)9
State o~ Florida, ~unW o~ ~i~~-- ~~u~ ~
Sworn ~~r~'~fore ~ ~'-¥~ ...... -; :~'"" ' ~:~ _._ :_' _~_ ~','T" :", ,. II
~~ay of ~ ,20~ ..............
Signature of ~~~ o~ Florida
No~riza~on of~incipal's signa~re
CLEI~I)'S. USE~ONLY ~A~/~ '~ //_~~../~ I
Lobbyist Regi~afion ~rm r~eived and vedfi~ by: ~ HC~Date Paid ~
F: ~CLER~$ALL~MA~-M~Lob~i~LOBB~ ~RM 05.d~ '~ R~i~ ~2/08/~