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Clifford Schulman/Terra Beachsd City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGI$'i KA lION FORM Lobbyist means all persons employed or retained, whether paid or not, by a pdndpal 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 Monegcr or any city board or committee; or any action, derision c~~ recommendation ot' arly oily p~fsu~a~el dumiHg Ule [lille 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 spedT~cally includes the prindpal as well as any employee engaged in lobbying activities. The term 'Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435, SCHULMAN, CLIFFORD A NAME OF LOBBYIST: (Last) (Erst) (M.I) GREENBERG TRAURIG, P.A., 122i BRICKELL AVENUE, MIAMI, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) ' (Statei (Zip Co~'~) 305-579-0613 305-961-5613 schulmanc@gtlaw.com TELEPHONE NUMBER: PAX NUMBER; EMA[L: I. LOBBYIST RETAINED BY: TERRA BEACHSIDE VILLAS, II NAME OF PRINCZPAL/CI.[ENT: Development Corporation, 5996 ,.~.W. 70th Street, Miami, FL 33143 BUSINESS NAME AND ADDRESS (305) 274-2702 (Number and Street) (City) (305) 274-2887 (state) (Zip Code) TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) I Fill out this section if prindpai is a Corporation, Partnership or Trust [Section 2-482 (c)] · NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: · II')FNrTTFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 50/0 OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: TT. SPECZFZC LOBBY ISSUE: TERRA, II [ssue to be lobbied (Describe in detailil ' III. CITY AGENC/ES/INDTV/DUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Profe.~ionnl Kelatimt~hip City Commission and City Staff IV. D;LSCLOSURE OF TERMS AND AMOUNTS OF LOBBY/ST COMPENSATION (DISCLOSE WHETHER HOIJRL ~ FL4 T RA TE OR OTHER). A) LOBBY[ST D]SCLOSURE: (Required) $535.00/hr B) PR/NC[PAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). ~b~b.uu/nr The following information must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 EntiUed "Prohibited Campaign Contributions By Lobbyists On Procurement Issues': YeS ~O: Are you Iobbvirm on a aresent or nendina bid foe aoods, e~uioment Qr services, or on a ~" present or aendina award for re)ods, eeuioment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real E~/ate L~velopm~nt l~lme~': E~Yes ~19: Are you Iobbvine on a oendlna aoolication for a Develooment A~reement with the City or apptir, alUQn for chance of zonine mao desienaUon or chance to the City's Future Land Use Mare? 3) Pursuant to Miami Beach Oty Code 2-484 (h) Any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481 above) who only appears as a representative of a not-for-profit corporation or entity without special compensation or reimburgement for the appearance, whether dim. ct, or indirect, to express support of or opposition to any item, shall register with the clerk as required by this section but, shall not be required to pay any registration fees.. Li Yea Ld~lo; Are You reo~acntJna, not-for-Drolrd: c~rpgrati, on or entity wiehout ~r~acial comr~n~aHort  or reimbursement. V. SIGNATURE UNDER OATH: ON OCTOBER 1~r OF EACH YEAR, EACH LOBBY/ST SHALL SUBMTT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LTSI'JNG LOBBY/NG EXPENDITURES, AS WELL AS COMPENSATiON RECEIVED, IN THE CITY OF MIAM! BEACH FOR THE PRECEDZNG CALENDAR YEAR. A STATEMENT REPORT!NG~flALL BE F!PER~oD,LED EVEN ZF THERE H AVE BEEN NO EXP~TU~~/~ R~DURZNG THE 1~/$ignature'of Lobbyist ! cio solemnly swear that all of the foregoing fa~are true and correct and that ! have read or am familiar with ~he provisions contained in Section j~-qJ82 of/l~e Miami Beach Cib/Code and all reporting Signature of Lobbyist: V[. LOBBY[ST IDENTZFZCAllON: PRINCIPAL IDENTZFICATZON: ~ Produced ID Form of Identification ~f Personally known (Lobbyist) State of Florida, Coua~ of MiamFDade Produced ID Form of Identif'~.ation x.~_~Pemonally known {Prin¢itml) State of Florida, County of Miami-Dade and subscribecLbefom me 5worl~ ana subscnl;~a before me ~ vane&sa C. B~mco ~J~d~r Expires ~ 12, 2007 5 natu ig UbllC N~:R:~I~ - 5rate or Florida  u~ c~ P{Jbli'c I~ota~y - State of Florida zation of Lobbyist's s~gnature Notarization of Principal's signature Lobbyist Registration Form received and verifiedb~ -- F;\CLER~ALL\IUlAR/A-N\Lobbyist\LOBBYIST fORM~5.~ /~ Revised ~2/08/04