Carter McDowell/Indian Creek Inn
AUG. -07' 06 (MON) 11: 08
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Mian1i Beach, FL 33139
LOBBYIST REGISTRATJON FORM
Lobbyist 1l1C~I1S all pt~rsons clllploycd or n:loined, whether pnicl Or' not, by 0 principQI who seeks III encoLII'~gc the pll~5UgC, delea[
01' ll1odifil::lllil1ll or any orclillllnce, ,'esoILltion, lll::lion or decision of :IIlY CClI11Il1;ssiol1t:rj lmy OCtiol1, derision, recoml11el1d~lion of
the Ciry MilllUgft 01' any city baura Ot c011lmittee; or ony oetion, decision or recOl11ll1endltlil)n ofony cily pcrsClnoel defined in any
manner in this section, during lhe time period of lhe entire dccision-muking J>.'ocess on 5UClt omiol1, decision Or recollllllendation
tlla[ forcsl:l:l.lbJy will be he:lrd or reviewed by the city commission, or a CilY board or commince. The term s[1l:cificolly includes
Ihe principal as well as any employee engaged in lobbying activities. The term "l.obbyists" h~s spccil1c exclusions, Please refer
to Ordinallce 2004-3435.
NAME or LOBBYIST:
MCPOWELL
(Labt)
CARTlm
(F j r~~)
N.
(M.L)
Bjlzin Sumbel g,J~!I~'1 PriL:l' 8: I\} 11.1 lI!.J I.L1'. ~(JO S.q,,.B.isL:aync nlwl..,Sl1i\L: :),5110 1\ I j:lllli,_'ylmic!ll 3) \ J I
BUS1NESS NAME AND ADDRESS (NLIlnbL:r and Street) (City) (Sl~le) (Zip Code)
305-350-2355
TELEPHONE NUMBER:
305.351.2239
FAX NUMBER:
cmcuowe Il@hi17-iLl.com
EMAIL:
1. LOBBYIST RETAINED BY:
INDTAN X-:REEK INN. L. L,r:.
NAME OF PRINCIPAL/CLIENT:
1.;13 E. Wli St.
nUSINESS NAMI~ AND ,\DURESS
N~w Yorl" NY
(NlImbel' Elnd Street)
(C ity)
10016
(Srate) (Zip Code)
212.S45-mOC)
TELEPHONE NU MBER:
305-531-565\
FAX NUMDER: (OpUonal)
EMAIL: (Op[ional)
Fill oullhis section if principal is II CllrporoHloll, Pal.tncrship or Trust rScl:lioll 2-482 (e)]
NAMJ:: OF CHTRF OFFICER, PARTNER, OR BENEFICIARY; noney O\'cd and .J11c1~ Avcd
rDENTJFY ALL PERSONS HOT.PING, IJIRECTL Y OR INDlRECTL Y, A 5% OR MORE
QWNERSIUP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFJIC LOBBY ISSUE:
Applicati!ln (Variance) Board of AcjjustmenT - 2727 Tmliun Creek Drive + HPJ::j ~)I\""
Issue 10 be lobbied (DlJ~crjbe in detail):
111. ern' ,V;RNCWS/INIllV/DUALS TO HE LOIiUIIW:
An Fiuoncilll, Famililll or l)rofessionl1l Relatlonshi
MIAMI 1126389.1 '1696425798
AUG, -07' 06 (MON) II: 08
P. 003/006
IV, DISCLOSURE OF TERMS AND AMOUNTS OF LOnnYJST COMPENSA,!'!ON (DISCLOSE
WHETHER HOURLY, FLAT RATE OR OTHER):
A)
B)
LomWIST DISCLOSURE: (Requir~d)
$455.00 ner.hc:!!.lI._ _,._
PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Recluircd).
$455 plJr 11011,L-
Yes No: X A.1'e ynu. rcnresenling II I1M-fllr-llroI11 cornorlltion or cfllih' without ~pednl cUlllpens:\iioll or
reimhurscment. Pmsuanr 10 Onlinllnce No. 2004-3435,
1) EbIL'iilll!ll.!P Ordil1nn'~c Nil. 2003-3393 Amending Miami fkuch City Code Ch~ptcr 2, Arliclt: VII. Division
5 Thereot..'p'lllitlud "Carnp~iSll FiniIP-cc Relorm" Vi~ The ^-c!.rJjliun or Code Secr;Oll 2::188 Entitled
"Prohibite!~Il;lil!n Conlriblltions ~y l.obbyiSlS On PI'OClIl'elllem Is~~;
YI:!~ No: X Arc you 1.1lhllYilll' Oil l\ l)1'cscnt III' penllinl! bid 1'01' ~oolls, I:!tluiplllCilt or services. nr Illl :Ul.'CSCllt 01'
lllJnllil1t! :1W:lrd for ~1l1lC1s- equiplIll.'1I1 Ill" ~~r"i"L~'!
2) f,lLrstlanIIJ) Ordinance No, 2003-3395 Amenc\.iJlg.Migllli Bt:ach City Cflcje C\llll1tcr 2, Article VII l1iviii!lll
5 thewol' Enlilled '~raI1111::jign Finanl~l~ Hel'ilJ:Lll". Via Thi.l Addilion nLrfldll Se-:tion 2.4~)[1 FnILI!gct
"Prohibitc:d Cil111p"i~n COIHrilmtions By Lobbyists nIl f(e:J I Estati.l ()t:veIOrml~llr lsslles":
Yes No; X Arc VOll lohhyinC IIn a uendinll llVpliclllillfl for :\ ))evclopmen~ Aerccnllmt with the C.Uv or
:IOOliclltillll I'llr Challl!l'lIl' tUllilH! 'HolP ucsiuu:llilll1 fll' Chlllll,:C [lllhe Cilv'!> ~'lIH1I'C Lnlul Use M:IU'!
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUAMIT TO THE ClTV CLERK SIGNlm
STATEMENT lJl\'DER OATI-T, LISTING LOllTW1NG EXPENDlTURES, AS WELL AS COMPENSATION
RECEIVED, IN Tile CITY OF MIAMI HEACll fOrt HiE PRECEI)!NG \LENrMR YEAR, A STATEMENT
SHALL AE FILED EVliN IF THERE HAVE BEEN NO EXPRNDIT R COM )ENSATION lUNG TilE
REPORTIN(, PERIOD
I do solemnly SWC.lr \hllt .111 or Ih,;: loregoi
provisions contained in Sllclion 2- 8')
VI.
RPlll..':' ()\'L'd
LOllll\'JST IIH::,~'nF~~'lSO~~.r2.['"~
X · fe,
r I 'u '
1 0 denll Icallon
SignaIlll'e of l,ohbyist:
CllrL~r N. Ie )\\.
Signaturll or Principal/Client:
PH. 'ClI',\L WEf'\TIFlCATl
V Pl'odllccdlD ~ ~
Form of IdlJnlification
n
Pcrsoll,llly known (1.obhyisl)
n
pnsumdly knowll (Princip:lJ)
State of Florida, Q:lUllty of Miami-Dade
Sworn to 8ml subscribed bL.lfo~u mc
This 07 day or r.:J U!jUf'f ,10 () 6
-,~ ~~ -
SignuLilrt: of Public Mary - Stale of (;Iorldll
Not:l1-i:lalion ll' hh" I. " lure
Slale of Flodda. Cou11lY of Miami-Dade
Swum ~d suhscribt:i.I bdo'e me
This t!!.. Clay of., ' 2~
FOR CU:R "S USB ONLY , ~.
AnllulllRegislraliollfee: csl)No Amountl)"i () 1-, MCR#:JWbl. DUlel.[lid__~f}rJ__
LobbYIst Registratiun Form rllccivcd and verillcc.J by; , '
Revisci.I 02/10/04 F: CLER\ALL\ A.M\LOBBYIST\LOn IWIST FORM 04