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Patricia Welles/New World Symphony <9. ~I~MIBEACH ~/:fif ~ City of Miami Beach Office of the City Clerk Ql~ If{. 1700 Convention Center Drive, Miami Beach, FL 33139 I LOBBYIST REGISTRA nON FORM C::l ()'\ U) rq .U :n .,~) Ul ~. , -C) -- -" ,..,. 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, dedsion, recommenda~n of\~ City Manager or any dty board or committee; or any action, decision or recommendation of any city personnel during_the t.i!!!.e period of the entire decision-making process on such action, decision or recommendation that foreseeably will be heard O!)'evie~ by the city commission, or a city board or committee. The term spedfically includes the principal as well as any employee "engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. NAME OF LOBBYIST: Welles (Last) Patricia (First) 150 West Flaqler street, #2200 BUSINESS NAME AND ADDRESS (Number and Street) Miami. (City) Florida (State) G. (M.!) 33130 (Zip Code) (305) 789-3420 TELEPHONE NUMBER: (305) 789-2680 FAX NUMBER: pwelles@swmwas.com EMAIL: I. LOBBYIST RETAINED BY: New World Symphony, a not-for-profit corporation NAME OF PRINCIPAL/CLIENT: 541 Lincoln Road BUSINESS NAME AND ADDRESS Miami Beach, Florida (Number and Street) (City) 33139 (State) (Zip Code) (305) 673-3330 TELEPHONE NUMBER: (305) 673-6749 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-for-profit . IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: Soundspace-Ground Lease negotiations and Development Aqreement Issue to be lobbied (Describe in detail): negotiations between City and New World Symphony III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship See Attached . .IV. , DISCtOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLATRATEOR OTHER): A) LOBBYIST DISCLOSURE: (Required) hour 1 y $ 4 0 0 . 00 B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). h:>urly $400.00 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": D Yes ~ No: Are YOU lobbyinG on a Dresent or DendinG bid for Goods. eGuiDment or services. or on a Dresent or DendinG 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": DYes iXNo: Are YOU lobbyinG on a DendinG 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 .M.uZ 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.. D Yes ~ No: Are you reDresentinG a not-for-Drofit corDoration or entity without sDecial comDensation or reimbursement. v. SIGNATURE UNDE1l OATH: ON OCTOBER 1 Sf OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN ND~NDITURES OR COMPENSATION DURING THE REPORTING PERIOD. V~ ~. Signature of Lobbyist 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 ntained in Section 2-482 of the Miami Beach City Code and all reporting requirements. (j J, J Signature of Lobbyist: I ~R. YftK1 Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: D Produced ID D Produced ID Form of Identification ~erSOnallY known (Lobbyist) Form of Identification ~rSOnallY known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: nty of Miami-Dade d bef me J -"-'i) Tam a1lIClk - 20.flP.F'\.. . MvQ,nmMlon~ ~ or;1 &pres Ap1124, 'JJm Signature 0 b Nota - te of Florida Notarization of Principal's signature Annual Registration fee: [ ] Yes [ ] No Lobbyist Registration Form received and verifie F: \CLER\$ALL \MARIA-M\Lobbyist\LOBBYIST . . ATTACHMENT Jorge M. Gonzalez/City Manager Timothy Hemstreet/Assistant City Manager Hilda Fernandez/Assistant City Manager Robert C. Middaugh/Assistant City Manager Jose Smith/City Attorney Donald M. Papy/ChiefDeputy City Attorney Jean Olin/Deputy City Attorney Raul J. AguilaIFirst Assistant City Attorney Kelli CohenlFirst Assistant City Attorney Rhonda Montoya HasanIFirst Assistant City Attorney Gary M. HeldlFirst Assistant City Attorney Sheri A. SacklFirst Assistant City Attorney Debora J. TurnerIFirst Assistant City Attorney Judith L. WeinsteinIFirst Assistant City Attorney Jeffrey T. Donner/Senior Assistant City Attorney Steve H. Rothstein/Senior Assistant City Attorney David Dermer/Mayor Saul GrossNice Mayor Matti Herrera Bower/Commissioner Simon CruZ/Commissioner Luis R. Garcia, Jr.lCommissioner Jerry Libbin/Commissioner Richard Steinberg/Commissioner Kent Bonde/City Center Coordinator - Redevelopment Agency Patricia D. Walker/Chief Financial Officer (City Finance Director) - Redevelopment Agency Alexandra RolandellilSouth Pointe Coordinator - Redevelopment Agency Stacy Kilroy/Redevelopment Specialist - Redevelopment Agency Manuel Marquez/Financial Coordinator - Redevelopment Agency Sandra Ortiz/Office Manager Redevelopment Agency 1\ If. ~'-' " .~ N '~ricia G. Welles ~~ :rect Line: (305) 789-3420 'ax: (305) 789-3395 Email: pwelles@swmwas.com " STEARNS WEAVER MILLER WEISSLER ALHADEFF & SITTERSON, P.A. Miami . Ft. Lauderdale . Tampa Museum Tower, Suite 2200 150 West Flagler Street Miami, Florida 33130 305-789-3200 September 13,2006 City of Miami Beach City Clerk's Office 1700 Convention Center Drive Miami Beach, Florida 33139 Re: New World Symphony, a not-for-profit corporation City of Miami Beach Lobbyist Registration Form Gentlemen: Enclosed please find the fully executed Lobbyist Registration Forms for Patricia G. Welles and Mark C. Alhadeff for registration as a lobbyist with the City of Miami Beach. Should you require any additional information, please feel free to contact our office. I,Jj ~:,~ o. ':;;:-;;J S 1..1. If) ( C, t, v: PGW:zs Enclosures G:\W-PGW\31605\085\Letters\Miami Beach City Clerk Itr.doc . www.stearnsweaver.com . STEARNS WEAVER MILLER .... WEISSLER ALHADEFF & SITTERSON, P .A. Miami . Ft. Lauderdale . Tampa Patricia G. Welles Direct Line: (305) 789-3420 Fax: (305) 789-3395 Email: pwelles@swmwas.com Museum Tower, Suite 2200 150 West Flagler Street Miami, Florida 33130 305-789-3200 September 18, 2006 City of Miami Beach City Clerk's Office 1700 Convention Center Drive Miami Beach, Florida 33139 Attention: Ms. Elizabeth Gibson Re: New World Symphony, a not-for-profit corporation City of Miami Beach Lobbyist Registration Form Dear Ms. Gibson: Enclosed please find check number 144746, payable to the City of Miami Beach, in the amount of $300.00. This check represents payment as follows: Annual registration fee for Patricia G. Welles Registration fee for Patricia G. Welles Annual registration fee for Mark C. Alhadeff Registration fee for Mark C. Alhadeff $125.00 25.00 125.00 25.00 TOTAL: $300.00 Thanking you in advance for your assistance with this matter. .~~ PGW:zs Enclosure G:\W-PGW\31605\085\Letters\Miami Beach City Clerk Itr 9.l8.26.doc . www.stearnsweaver.com . ., Miscellaneous Cash Receipt CITY OF MIAMI BEACH ,- MeR-Miscellaneous 286927 $300.00 286827' No. D Cash D Credit Card )J 2~' Received of . if 'It By Offi3:nance Director EXT: ~/'f3 (THIS INFORMATION MUST BE COMPLETED) Preparer: Dept: ~(Y ..