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Clifford Schulman/AEG Live IolQni llc:oth 'lft11 ~ - - ... ZW3 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 modiftcation of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendation of the Oty Manager or any oty ooara or comllllttee; or any acbOn, CIeCISIOI'I or reconvnen<latJo at any city personnel during 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 dty board or committee. The term spedfIcaIly includes the principal as well as any employee engaged in lobbying actMties. The term -Lobbyists'" h_ specific exclusions. ....... refer to Ordinance 2004-3435. SCHULMAN, CLIFFORD A NAME OF LOBBYIST: (Last) (Arst) GREENBERG TRAURIG, P.A., 1221 BRICKELL AVENUE, MIAMI, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (CIty) (State) (M.I) (Zip Code) 305-579...Q613 TELEPHONE NUMBER: 305~961-5613 FAX NUMBER: schulmanC@gtIaw.com EMAIL: I. LOBBYIST RETAINED BY: AEG Live NAME OF PRINOPAl/CUENT: 5750 Wilshire Blvd Suite 501, Las Angeles. CA 90036 BUSINESS NAME AND ADDRESS (Number and Street) (aty) (323) 930-5760 TELEPHONE NUMBER: (State) (Zip Code) FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this aec:tlon If principal Is a Corporation, hrtn.......lp or Trust [Section 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: D. SPEaRe LOBBY ISSUE: Jackie Gleason Theater Issue to be lobbied (Desoibe in detail): m. CITY AGENaES/INDMDUALS TO BE LOBBIED: A) Full Name of Indlvldualrntle B> Any Financial, Familial or ProfessIonal Relationship Mayor, City Commission and City Staff n/a 110 _a."'o ~n \ ~~ ~~i~ 1 "I ~! ~ o~~ ~ ol)ll'i ~i I ~ i IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOtJRL Y, FLAT RATE OR OTHER): A) LOBBYIST DISUOSURE: (Required) $535.00/hr B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (ReqUired). $535.00Ihr The following Information must be answered: 1) Pursuant to Miami Beach Oty Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": lQ Yes 0 No: Are YOU Iobbvina on II Dresent or Dendina bid for aoods. eauimnent: or services. or on a oresent or Dendlna award for GOOds. eaulDment or service? 2) Pursuant to Miami Beach Oty Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real E&ate Development Issues": J/JYes n No: Are YOU lobbvina on a aendina aDDlication for a Develooment AGreement with the CitY or aDDlIcation for chanae of zonlna maD desianlll:ion or chanae to the CitY's Future Land Use tI&l 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 enUty without special compel1SdUufI or r~illltJur5elnent foto the appearanc;e, 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.. II Yes D![ No: Are YOU reD.........t1na a not-for-DrDnt coruoration or entity without lIiDedal a>>mDell5Dtion or reimbursement. . V. SIGNAlURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE cnv CLERK A SIGNED STATEMENT UNDER OATH, USTlNG LOBBYING EXPENDITURES, AS L AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEAat FOR THE PRECEDING CALE ~STATEMENT SHALL BE fILED EVEN If THERE HAVE HEN NO EXPI!NDRURU OR :nON DURING THE REPORTING PERIOD. NNAl ~~ 8 roo- -. >-.N C") 0.... . o-~CCXl zr-..(j::lt; o~uOo f- U'" (/)'*Io'",Q) 3:CUQ).!i: UJ .Q D Q) It -J ~ ::l Ol~ ..-!:LCE <(E <(E E~"'o ooou u....-J o >- Z ~ Signature of PrIncipal/Client: I do solemnly swear that all of the foregoing facts are true and correct and that I have read or a familiar with the provisions contained In SectIon 2-482 of the Miami Beach City Code and all reportln requirements. Signature of Lobbylst: ~ VI. LOBBYIST IDENTIfICAnON: PRINCIPAL IDENTIfICATION: :J Produced ID ~/ Form of Identification ~rsonally known (lobbyist) :J Produced 10 Form of Identification -APersonally known (Prlndpal) VII. SIGNATURE AND STAMP OF NOTARY: ~ FOR Annual Registration fee: L L J No Lobbyist Registration eceived and verified by: F: \ClER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM Revised 12/08/04