Madeline Schilder/AEG Live
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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 prindpal 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 dty board or committee; or any action, decision or recommendation of 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 dty commission, or a dty board or committee. The term spedfically includes the prindpal as well as any employee engaged
in lobbying activities. lbe term "Lobbyists" has specifie exclusions. Please refer to Ordinance 2004-3435.
Schilder
Madeline
L.
NAME OF LOBBYIST:
AEG Live LLC
{~~J (first)
5750 Wilshire Blvd. Suite 501
(M.I)
Los Angeles Ca 90036
BUSINESS NAME AND ADDRESS
(Number and Street)
(City) (State)
mschilderUi2ael!live.com
EMAIL:
(Zip Code)
323-930-5760
TELEPHONE NUMBER:
323-930-5785
FAX NUMBER:
I. LOBBYIST RETAINED BY:
AEG Live LLC
NAME OF PRINCIPAl/CUENT:
AEG Live LLC 5750 Wilshire Blvd. Suite 501
Los Angeles Ca 90036
BUSINESS NAME AND ADDRESS
(Number and Street)
(City)
(State)
(Zip Code)
TELEPHONE NUMBER:
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (e)l
. 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:
U. SPECIFIC LOBBY ISSUE:
Jackie Gleason Theatre
Issue to be lobBied (Describe in detail):
UI. CITY AGENCIEs/INDMDUALS TO BE LOBBIED:
A) Full Name of Individualrntle B) Any Finaneial, Familial or Professional Relationship
Mayor, City Commissioner N/A
And City Staff
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYISf DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBYISf COMPENSATION): (Required).
Part of regular compensation
Part ofree111ar compemmtion
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
II Yes 0 No: Are YOU lobbyinG on a Dresent or oendinG bid for Goods. eauiDment or services. or on a
Dresent or oendinG award for GOods. eauiDment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
IYes 0 No: Are you lobbyinG on a oendinG aDDlication for a DeyeloDment AGreement with the City or
aDDlication for chanGe of zoninG maD desiGnation or chanGe to the City's Future Land Use
Hu1
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..
o Yes rII No: Are yOU reDresentinG a not-for-Drofit COrDoration or entity without sDeCial comoensation
or reimbursement. .
V. SIGNAlURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEA~ EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FO E PRECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN/ EXPENDITURES OR,7COMPENSATION DURING THE
REPORTING PfRIOD'UiJ ittiAL (j / JdL1
, Sign~~~yist
PRINCIPAL IDENTIFICATION:
I do solemnly swear tha
familiar with the provi .
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI.
LOBBYIST IDENTIFICATION:
D Produced ID
D Produced ID
Form of Identification
Form of Identification
1 Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
)('Personally known (Principal)
State of Florida, County of Miami-Dade
sworlio~nd subscri~ ':T!.oreJ~e_
This day of ~LO.fIp
State of Florida, County of Miami-Dade
Sworn and subsc~.~~?~~.~e /"v_
This ~day or~ 20~
Signature of Public Notary - State of Florida
Notarization of Lobbyist's signatu
Signature of Public Notary - State of Florida
Notarization of Principal's signature
FORC
Annual Registration fee: [ ] Yes [ ] No Am
Lobbyist Registration Form received and verified b .
F: \CLER\$ALL \MARIA-M\Lobbyist\LOBBYISf fO
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH
286815
No.
D Cash D Credit Card
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$3ZJD. OU ~
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Received of
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(THIS INFORMATION MUST BE COMPLETED)
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Prepar: ~ Dept: c!-,(!
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