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Alexandra Deas/Mathew L & Debra K. Leibowitz City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FI. 33139 Email: cityclerk@ci.miami-beach.fl.us LOBBYIST REGISTRATION FORM (City of Miami Beach, 3505 o Check Box if an Amendment Deas, Alexandra NAME OF LOBBYIST: (Last) (First) (M.I) DATE QUALIFIED AS LOBBYIST 200 South Biscayne Boulevard, Suite 2500, Miami, Florida 33131 BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) (305) 350-7241 TELEPHONE NUMBER: (305) 351-2176 FAX NUMBER: adeas@bilzin.com EMAIL I. LOBBYIST RETAINED BY: Matthew L. and Debra K. Leibowitz NAME OF PRINCIPAL/CLIENT: 8 West Rivo Alto Drive, Miami Beach, Florida 33139 BUSINESS ADDRESS: (Number and Street) (City) (state) (Zip Code) (305) 530-1322 TELEPHONE NUMBER: (305) 530-9417 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: Not applicable · LIST ALL PERSONS HOLDING, DlRECTL Y OR INDlRECTL Y, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORA TION, PARTNERSHIP OR TRUST Not applicable . 2~~ II. SPECIFIC LOBBY ISSUE: ....... ..<~, Application for side setback variance to allow pool/deck and BBQ to be connected t<ijvalf? U1 C'. (n Pl i'n f'''....,.....; , .. Issue to be lobbied (Describe In detail): III. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title Board of Adjustment & Staff B) Relationship IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) Lobbyist Disclosure: $240.00 per hour B) Principal's Disclosure (of Lobbyist Compensation): $240.00 per hour I) 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 Entitle "Prohibited Campaign Contributions By Lobbyists on Procurement Issues": Are you lobbying on a present or pending bid for goods, equipment or services, or on a present or pending award for goods, equipment or services? 0 Yes X No 2) Pursuant to Ordinance 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 lobbying on a pending application for a Development Agreement with the City or Application for change of zoning map designation or change to the City's Future Land Use Map? OYesXNo V. SIGNATURE UNDER OATH: ON OCTOBER 1st OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. 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 as amended, and all reporting requirements. ~Nr^- 7x~ Alexandra Deas Signature of Lobbyist: Signature of Principal/Client: Matthew L. Leibowitz Signature of Principal/Client: Debra K. Leibowitz VI. LOBBYIST lDENTlFICA TlON: Form of Identification ~ersonally Known o Produced ID VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK: State of Florida, County of Miami-Dade Sworn to and subscribed before me ThisJ day of ~ ff'....-t- 2006 Registration [.~ted FOR CLERK'S USE ONLY [ ] Rejected Date: MIAMI I If ,ejected, ,t,to ,,~oo ~ "og;,"",;OO roo po;d [~ [INO DATA ENTRY DA'fE "ifj "f Jo V / 2nd Revision 1/27/03 [ ] Cash [IJ;<O~MCR# ;J 'iJfP ~DBY: .--1e.c~LER\HATL \Lobbyists\registration03 .doc ,2003 08-02-2006. 01 :40[}m From-LEIBOWITZ & ASSOC, From: 3053756146 UI-JI-UQ Il:uopm rrom-~llzln +3055309417 T-962 P.003/003 F-139 P~ge: 3/4 Date: 7/31/2006 12:17:25 PM ~U~ J(O 0140 I-tUb r.UUJ/~U4 ~-~tb "tV. DISCLOSURE OF TImMS AND AMOUNTS OF LOBUYIST COMl'l!:NSATJON (DISCLOSE WliETHER HOURty. FLAT R.'\TE OR OTHER): A) Lobl>yisl Di&\:losure: ~O.OQ oer h.2!!!. B) Principal's Disclosure (of Lobbyist Compensflrlon): ~240,OO Fer hour I) Putsuant to Orclina1ce No. 2003.3393 Amending Mi~mi Beach City Code Chapter 2. Article VII, DivIsion 5 ThereMEntltled "Campaign Fin:mct< Refo:m" Via The Addition arCade Section 2.488 Enritle "Prohiblted Campaign COntributions '8y Lob1;Jyist:; on PrOClJ'f~ment Issues"; Arc )'OU lobbyi(J~ on a presenf or pelldine: bid for ~QCld;,;. equipment Or scrviees, or on ~ pre~cnt Or pending award for goods, equipment or services? 0 Yes X No 2) PurS\.lant to Qrdinance 2003.3)95 Amendiog Miami Beach City Code Cll"pter 2, anicle VlJ. Division 5 thereof Entitled "Campaign Fjn~ce R~form" Via The Addition cfcode Section 2-490 El1ti~led "Prohib!ted Campaign Conlributians By Lobbyis~ on Relll Estll(e Dev~lopmcnt Issues"; Arc you lobbying on a pending upplicatioll for ~ :Oev~lopll)ent Agreement with tho City or Applic:nlolJ for change orzoning map de~lgnatlon Or cllllllgc to Clle City's Future Lllnd U:;e J\IL1p'~ q Yes X Nu V. SIGNATURE UNDER OATH: ON OCTOBER. ht OF EACH YEAR, EACH LOBBYIST SHALL SUBJ\.nT TO THE ClTY CLERK A SICNED STATEMENT UNDER OATH, LISTING LOE8YING EXPENDITURES IN Tr-U: CITY OF MIAMI !'lEACH :FOR THE f'RECEDlNG CALENbAR YEAR. 1 do solemnly swear that all of !:he foregoing faers are lJ'ue and com~ct and that I haY~ macl Or arn familiar With th~ pro\1slons cop~~ilJC'd in See-tiQl] 2-4&2 of the Miami Beach Clry Code;!S amended, and Illl reporting reqllircml:nls. Slg,natur~ of Lobby i",(: Alexandra D~as Signarure Of?rlnCipal/CJi(;n!:~ ~ Slgnamre ofPrincipaJ/Client; ~ t: ~-=_ - D;Dra K. Lelbo~ vr. LOBBYIST IDENTIFICATION: o Produced 10 Form ofldelltlfieation r.~rs(JlJ;;llly Known vrr. SIGNATURE AND STAMP OF NOTARY OR DE? Statl: of Florida, CO\loty ofMiamj-Dade . Sworn to IInd subscribed before m~ Tb Is e: d~y of .4v') ~;s.,... 2006 1/)~~ . . My CommlMlon 00272&44 \; ~ E:.plrH o.c:.mber07 2007 Prim. ~tan:p Or type name of Not my Pub!k FOR CLli:RI('S us);: ONLy RGglstratlon [ J Ae<:eplea f J R~jC>;ter:l nate~ If r.::iec(~d. Sla!c rc::lSon; Rc~is:rll\iQ!1 r",r; paid [ ) y~s ( 1 No MIA I DATA ENTRY DATE: [ ] Ca,1h ( J Ch<:ek MeRl1 2003 ENTERED "y; 2"'1 Rcyi~icl1 1127/03 r;\CLF.R\HATL\LobbYist.s\te~isrra;looQldQc This fax was received by GFI FAXmaker fax server. For more inform~tjon, visit: http://IW/IiV.gfLcom