Andrew Frey/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 city 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 enga~
/n lobbying activities. The term "lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Frey, .Andrew W.
NAME OF LOBBYIST: (LAS) (Fi~t) (M.T)
Gunster, Yoakley & Stewart, P.A., 2 S. Biscayne Blvd. #3400, Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 376-6069 (305) 376-6010 afrey~gunster.com
IELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Mallory Kauderer
NAME OF PRINCIPAL/CLIENT:
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 [SecUon 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:
SPECIFIC LOBBY ISSUE:
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Zndividual/Title
Planning Department
Historical Preservation Board
Planning Board
B) Any Financial, Familial or Professional Relationship
None
None
None
~V. DZSCLOSURE OF TERMS AND AMOUNTS OF LOBBYZST COIqPENSAT~ON (DXSCLOSE WHETHER HOUR£~
FLA T RA TE OR OTHER,):.
A) LOBBYIST DISCLOSURE: (Required) $1 80/hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYiST COMPENSA'I~ON): (Required). $1 80/hour
The following information must be answered:
l)
Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
[] Yes I~ No: Are you Iobbyinq on a present or pendinq bid for qoods, equipment or services, or on a
Dresent or ~endina award for aoods, eauioment or service?
2)
Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
oYes E~No: Are you Iobbyinq on a pendinq application for a Development Agreement with the City or
ao~lication for chanae of zonina ma= desianation or chanae to the City's Future Land Use
lqap?
3)
Pursuant to Miami 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 ~; No: Are you representin.q a not-for-profit corporation or entity without special compensation
or reimbursement..
V. SIGNATURE UNDER OATH:
ON OCTOBER :Lsr OF EACH YEAR, EACH LOBBY]ST SHALL SUBI~IZT TO THE C~TY CLERK A SIGNED
STATEMENT UNDER OATH, LiSTiNG LOBBYING EXPENDTTURESf AS WELL AS COMPENSATION
RECE:[VED, iN THE CiTY OF MiAMi BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN iF THERE HAVE BEEN NO EXPENDTTURES OR COMPENSATION DUI~NG THE
REPORTING PER]OD.
f ' Signature of L~yi~ at ] ~~a re
! do solemnly swear that all of the foregoing facts are true and correct and th ad or am
familiar with the provisions contained in Section 2-482 of the Miami Beach City Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Pdncipal/Clien .'~
VZ. LOBBY]ST ZDENT~F[CATZON: PRiNCiPAL ZDENI'~F[CAI~ON:
[] Produced ID
Form of Identification
~//Personally known (Lobbyist)
ViZ. S:[GNATURE AND STAMP OF NOTARY:
State of Flodda, County of Miami-Dade
Sworn to and subscribed before me
,,//
I' / FOR CI~E~NLY
Annual Registration fee: (t~¥es£ ]No Amou~tP~t:l~
Lobbyist Registration Form received and verified by:
F:\CLER\$^LL\MAR~A-M\Lobbyist\LOBBY~ST ~ORM 0~:~~ ~Z)
[] Produced 1~D
Form of 1Identification
~..Personally known (Pri
State of Florida, Couoty of Miami-Dade
Sw~n-a~d"subscribe~"~before me ~
Signature of Public/NtS~ - State of Florida
Notarization of~rincipal's signature
Date PaidRevl~ 12/,08/~r