William Riley/Miami Beach Marina Associates Ltd.
.~~~
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 city 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:
Riley
(Last)
William
W.
(First)
(M,I)
Bilzin Sumberq - 200 South Biscayne Boulevard, Suite 2500, Miami. Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City)
(State)
Zip Code)
305-375-6139
TELEPHONE NUMBER:
305/351-2285
FAX NUMBER:
wriley@bilzin,com
EMAIL:
I. LOBBYIST RETAINED BY:
Miami Beach Marina Associates Ltd.
NAME OF PRINCIPAL/CLIENT:
300 Alton Road, Suite 303, Miami Beach. FL 33139
BUSINESS NAME AND ADDRESS (Number and Street)
(City)
(State)
(Zip Code)
305/672-5588
TELEPHONE NUMBER:
305/673-5995
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:
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Development Review Board - entrance renovation
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Any Financial, Familial or Professional Relationship
Development Review Board and staff
None
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLA T RA TE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required)
Hourly $255.00
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
Hourlv $255.00
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":
Yes [R]No: Are you lobbying on a present or pending bid for goods, equipment or services, or on a present or
pending award for goods, equipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
Yes [R]No: Are you lobbying on a pending application for a Development Agreement with the City or application for
change of zoning map designation or change to the City's Future Land Use Map?
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..
I' Yes [R]No: Are you representing a not-for-profit corporation or entity without special compensation 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 PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTINGW '0
Signa re of Lobbyis
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
,~
Produced ID
~oduced ID
Form of Identification
.' Personally known (Principal)
Form of Identification
Personally known (Lobl?yist)
VII. SIGNATURE AND STAM
~ERCEDES pN>RON
MY COMMISSION # 00 608768
EXPIRES: November 9, 2010
P'~aTd Insurance /o.geoey
eondedThru "'''
Sig ature of Public Notary - State of Florida
Notarization of Lobbyist's signature
Signature of Public Notary - State of Florida
Notarization of Principal's signature
/ FOR CLE..B,K~ J1SE ONLY
Annual Registration fee: ['rYes [ ] No Amount Pa~ ~ MCR tt2~D_
Lobbyist Registration Form received and verified by: 'J~QJ
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST FORM 0 . oc
Date paidJb} v{ae....
Revised 12/08/04
lAM! 121
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CITY OF MAIMI BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
1. CORPORATION
If the property which is the subject of the application is owned or leased by a CORPORATION, list the
principal stockholders and the percentage of stock owned by each, Where the principal officers or
stockholders consist of another corporation(s), trustee(s), partnership(s) or other similar entity, further
disclosure shall be required which disclosed the identity of the individual9s) (natural persons) having the
ultimate ownership interest in the entity).*
Miami Beach Marina Associates, Ltd. a Florida limited liability company
CORPORATION NAME
NAME, ADDRESS,AND OFFICE
% OF srOCK
SoBe Marina, Inc" General Partner [owned by Robert
W. Christoph, individually - 100%1
1%
99%
Christoph Family Trust Limited Partner [beneficiaries
Hunter Christoph and Robert Christoph, Jr.1
[trustees - Robert W, Christoph and Carter McDowel1l
% OF STOCK
IF THERE ARE ADDITIONAL CORPORA nONS, LIST OTHERS, INCLUDING CORP. NAME(S) AND
EACH INDIVIDUAL'S NAME, ADDRESS, OFFICE AND PERCENTAGE OF STOCK, ON A SEPARATE
PA GE.
NOTE: Notarized signature required on page 8
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