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Neisen O. Kasdin/Live Nation Worldwide lD ..... MIAMI BEACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 WBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained, whether paid or not, by a principal 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 atv Manager or any city 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 city board or committee. The term specifically indudes the principal as wen as any employee engaged in lobbying activities. 11Ie term "Lobbyists'" has specifiC exdusions. Please refer to Ordinance 2004-3435. TELEPHONE NUMBER: FAX NUMBER: NEISEN (First) #3400, Miami, Florida 33131 (Oty) (State) (Zip Code) nkasdinegunster.com EMAIL: O. (M.!) KASDIN NAME OF LOBBYIST: (Last) GUnster Yoakley, 2 S. Biscayne Blvd., BUSINESS NAME AND ADDRESS (Number and Street) 305-376-6062 305-376-6010 L LOBBYIST RETAINED BY: NAME OF PRINOPAL/CUENT: LIVE NATION WORLDWIDE, INC., 9348 Civic Center Dr., Beverly Hills, CA90210 BUSINESS NAME AND ADDRESS (Number and Street) (atv) (State) (Zip Code) 310-867-7000 TEL.EPHONE NUMBER: 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 BENEFIaARY: MICHAEL RAPINO . IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: LIVE NATION, INC. ~. I SPEaFlC LOBBY ISSUE: l-U-tUfe 11$€- n-:J" NlnDi--l/()1::l} Issue to be lobbied (Desaibe in ~~~ m. CTY AGENaES/INDMDUALS TO BE LOBBIED: rf ~~; ~ GJpa"w Wu~ A) Full Name of Individual(ntle B) Any Financial, Familial or Professional Relationship Mayor None Commissioners None City Administration None G MIAMIBEACH 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 modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendation of the City Manager or any city 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 city commission, or a dty board or committee. The term specifically 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: (Last) (First) (M.I) It A[ll:A/ /V'E1:f' E/I/ BUSINESS NAME AND ADDRESS (Number and Street) (aty) (State) (Zip Code) li-Ul/S~~ YtJdt.4q f fN5fJ/J(..ll-'IJj ~ fou:fllllJ:[(!./4 y,vtCBLI/f)-SC(.1:~1~ TELEPHONE NUMB R~3 _ FAX NUMBER: EMAIL: n/ 1'lIf1l1".!=l 'ill ()~... ~76 -6062 'oS: 37'-6010,/f/R,, f J/ I. LOBBYIST RETAINED BY: 17Jl'"v1l ~IS~. t lA?t NAME OF PRINOPAl/CUENT: LXI/If:. RA t-~ ~(JfJ/Mg ];ve!, BUSINESS NAME AND ADD~ESS (Number and Street) I (City) (State) (21p Code) 9'}~~ {fl:Vlt eft!.A-~/t I)t.. gct/cG/tCr ({L'aJ: f# fO;{(O TELEPHONE NUMBER: 0 6"" - ..J'AX NUMBER: (Optional) I EMAIL: (Optiona) , ~f, ...3" {-7000 Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)) NAME OF CHIEF OFFICER, PARTNER, OR BENEACIARY: IO./1't., -f.u.. ~tt/tfifLDIN!o1.t;[, ~DIREcrl Y, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: '$: M r-Jl:;.iV ~ " t u. SPECIFIC LOBBY ISSUE: Issue to be lobbied (Describe in detail): m. CITY AGENCIES/INDMDUALS TO BE LOBBIED: A) full Name of Individual/TItle B) Any financial, Familial or Professional Relationship tJ4/~ t7,t//E /f/O;///E. .. IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOIJRLY, FLATRATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) ~(;It./.A ( B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). tJ :i),tolli1. ( 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": r n 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By lobbyists On Real Estate Development Issues": 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-proflt 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 derk as required by this section but, shall not be required to pay any registration fees.. '0 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, AS WELL AS COMPENSAnON RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSAnON DURING THE REPORnNG PERIOD. 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 contained In Section 2-482 of the Miami Beach Oty Code and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: ~ VI. LOBBYIST IDENTIFICATION: U PRINCIPAL IDENTIFICATION: o Produced 10 0 Produced ID ~~ Form of Identification execuftve VIce President and Chief Accounting Officer Form of Identification o Personally known (Lobbyist) )rPersonally known (Principal) VII. SIGNATURE AND STAMP Of NOTARY: Signature of Public Notary - State of Florida Notarization of LobbVist's signature State of Florida, County of Miami-Dade Sworn to and subscribed before me This day of .20_ FOR CLERK'S USE ONLY Annual Registration fee: [ ] Yes [ ] No Amount Paid MCR # Lobbyist Registration Form received and verified by: F:\ClER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM OS.doc Date Paid Revised 12/08/04 ~...\\~V~::'"" . . ,:I'..~"....#<-~ i".- ..~'; ! ! : E \1i,;..\~::I """'~I{"\"~ KATHERINE WETMORE Notary Public. State of Texas My Commission Expires March 16, 2010 ,. .li~1 Ng o C\/ 0." .- >.:1 e~a. wi-~' ~ ~~ f~uJ! e.lt..... ~ ... . ~ . "J''It\1f 'ii..'" ~ IV. DISCLOSURE OF TERMS AND AMOUNlS OF LOBBYIST COMPENSAll0N (DISCLOSE WHElHER HOlJRL Y, R.A T RA 1E OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $550YHr. B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $550/Hr. 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": o Yes ~ No: Are YOU 10bbvinG on a oresent or oendinG bid for GOods. eauioment or services. or on a oresent or oendinG award for Goods. eauioment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": DYes ~No: Are YOU lobbYinG on a oendinG aoolication for a Develooment AGreement with the City or aoolication for chanGe of zoninG mao desiGnation or chanGe to the CitY's Future Land Use Mao? 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-proflt 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 reoresentinG a not-for-orof"1t corooration or entitY without soecial comoensation or reimbursement. 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, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECED N ENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEND COMPENSATION DURING THE REPORTING PERIOD. I do solemnly swear that all of the foregoing fa familiar with the provisions contained in Section requirements. Signature of Lobbyist: Signature of PrindpaljClient: true and correct and that I have read or am the Miami Beach City Code and all reporting VI. LOBBYIST IDENTIFICAll0N: PRINQPAL IDENTIFlCAll0N: D Produced ID . Form of Identification ~ersonaJIy known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: D Produced ID Form of Identification o Personally known (Principal) State of Rorida, County of Miami-Dade Swom and subscribed before me This _day of . 20_ Signature of u. otary State of Florida Notarization Lobbyist's signature Signature of Public Notary - State of Rorida Notarization of Principal's signature / ......FOR CLERK'S_USE ONLY l t Annual Registration fee: [V] Yes [ ] No Amount Paid 2.S ./ MCR # ~(6t<:'X Date Paid )0 I? ~ Lobbyist Registration Form received and verified ~ ~ F: \CLER\$ALL \MARIA-M\Lobbyist\LOBBYIST fORM Revised 12/08/04