Santiago D. Echemendia/Michael Muskat
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tv\IAMIBEACH
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 dry board or committee; or any action, decision or recommendation of any city personn~ 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 spedficaUy includes the principal as well as any employee engaged
in lobbying activities. ~e term "lobbyists" has spedfic exclusions. Please refer to Ordinance 2004-3435.
NAME OF LOBBYIST:
TewCardenas,
Echemendia Santiago
(Last) (First)
LLP 1441 Brickell Avenue, 15 Floor Miami,
BUSINESS NAME AND ADDRESS
(Number and Street) (City)
(305) 536-1116
FAX NUMBER:
(State)
D
(M.I)
FL 33131
(Zip Code)
(305) 536-1112
TELEPHONE NUMBER:
SDE@TewLaw.com
EMAIL:
I. LOBBYIST RETAINED BY:
Michael Muskat
NAME OF PRINCIPAl/CLIENT:
10775 SW 133rd Terrace Miami Florida
BUSINESS NAME AND ADDRESS (Number and Street) (City)
33176
(State)
(Zip Code)
(786) 286-2491
TELEPHONE NUMBER:
(305) 253-3200
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:
. IOENTIFY ALL PERSONS HOLDING, DIREffi Y OR INDIRECfL Y, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Board of Adjustment Application
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
Richard Lorber ,Manager None
Diana Rio, None
.Jorge Gomez , Director None
Antionette Stohl None
---/------.------ - ---
----- -----
~
, TN. DISCLOSURE Of TERMS AND AMOUNTS Of LOBBYIST COMPENSA1l0N (DISCLOSE WHETHER HOURLY,
FlATRATE OR OTlfER):
$400.00 hourly
$400.00
A) ~ST DISCLOSURE' (Required)
B) P.8.INQPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
hourly
The following Information must be answered:
1) pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign contrlbutions By Lobbyists
On Procurement Issues":
DYes I\.K<" A::,,::~ :b::~: ~n ::.,~,:=t or _ncllno, bid far =::.: :;iament or service.. or on a
n n II r r aoods. .UIDment Dr urvlee?
2) pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contrlbutlons By Lobbyists On Real
Estate Development Issues":
DYes WIG: ::~:~:~,:~n.::.::::.. ":,n::~n:a;:~~~o':~t~o~:~~~::~;:e;.~~ ;''::r~~~~
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 2-4B1 above) who only appears as a representative of a not.for-proflt
corporation or entity without special compensa~on or reimbursement for the appearance, whether direct, or
Indirect, to express support of or opposition III any Item, shall register with the clerk as required by this
section but, shall not be required to pay any registration fees..
n Yes ~o: Are vou reoreeentlno a not-for-Drom corooration Dr entity wit:ltout sDocia. comnensmon
or reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBVIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, UmNG LOBBYING EXPENDnuRES, AS WELL AS COMPENSAUON
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
REPORUNG PERIOD.
/
Signature of Lobbyist ./
I do solemnly swear that all of the foregoing filets are true and correct and that I have read or am
familiar with the provisions contained In SectIon 2-482 of the Miami Beach aty Code and all reporting
requirements.
Sign~ture of Lobbyist:
Signature of Prlncipal/Oient:, ~ ~
VI. LOBBYIST IDENTlFICA1l0N~" ' PRINCIPAL IDENTIfICA1l0N:
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Form of Identffication
~sonally known (Principal)
Form of Identification
br i'ersonally known (Labbylst)
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SIGNATURE AND STAMP OF NOTARY'
State of Florida, County of Miami-Dade
swom to ~nd subscrlb.<:/l befol"\! ~~
This _. ; _day of ~ --" 20_
State of Florida, COunty of Miami-Dade
Sworn 8{1d sub or e
This ~day of 2
Signature of PubHc Notary - State of Aorlda
NotllrtZlltion of lobbyist's slgnlltUre
FOR~LY UKlif(";,
AnnUllI Registration fee: [] No Amount Pai MeR # Date Paid
Lobbyist Reglstratlon Form celved and verified by:
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IV. . DISCLOSURE OF 'nRMS AND AMOUNTS OF LOBBVIST COMPENSATION (DISCLOSE WIIETHER HOURLY,
RATRATfOR 071lER):
A) LOBBYIST DISCLOSURE: (Required)
B) PRlNOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
$400.00 hourly
$400.00
hourly
The following information must be answered:
1) pursuant to Miami Beach City Code Section 2-48l1 Entitled "Prohibited Campaign Contributions By Lobbyists
On ProCUrement Issues":
o Yes ~o: A::': :b=:.::.n ~~r:'=:: oencll~ ~~::.~ ::ioment or .e<VI,.... or on a
!!_ _ r ___ __, __ :-o.ts. 8GUlDm!nt or urv~ce?
2) pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
[lYes -dNO: ::~:::':~:::.. ":,n:;n:o;:~:~~:::~~~~:: ~::~:~ ;''::~~U':e
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3) Pursuant to Miami Beach City Code 2-484 (11) MY 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 spedal compensaljon or reimbursement for the appearance, whether direct, or
Indirect, to express support of or opposition l.ll any Item, shall register with the clerk as required by this
section but, shall not be required to pay any registration fees..
n Yes JNO: Are you reoresentina a not-for-Drof"1t eorooratian Dr entity without sDee;al eom....nsation
or reimbursement. w
V. SlGNAlVRE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTlNG LOBBYING EXPENDITURES. AS WELL AS COMPENSAUON
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 COMPENSAUON DUllING THE
REPORUNG PEIlIOD.
~
Signature of Lobbyist
I do solemnly swear that all of the foregoing filets 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.
--t.Signature of Lobbyist:
~ ~ lSlgnature of Prlnclpal/aient:
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LOBBYIST IDENTIFICATION:
PRINCIPAL IDENllFlCATION:
L1 Personally known (Principal)
SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This _day of .20_
Signature of Public Notary - State of Florida
Notarization of Principal's signature
FOR CLERK'S USE ONLY
Annual RegIstration fee: [ ] Yes [ ] No Amount Paid MeR #
lobbyist Registration Form received and ve!ified by:
F:\CUR\$ALL\MARIA-M\lDbbylst\LOBBYlST fORM OS.doc
Oate Paid
Revised 12/08/04
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--------- -
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IV. . Dl5CI.OSURE Of TERMS AND AMOUNTS Of lOBB'(1ST COMPENSAllotl (Dl5CI.OSE WlIETHU HOURL Y,
.FlAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
B) PRlNOPAL'S DISClOSURE (OF LOBBYIST COMPENSATION): (Required).
$400.00 hourly
$400.00
hourly
The following information must be answered:
I) pursuant to Miami Beach City Code Section 2-4811 Entitled "Prohibited Campaign Contributions By Lobbyists
On PrOCUrement Issues":
D Yes ~o: A::::': ::::::.::.n :.== or ......~"".::.::: ~.:;-Dment or ......vices. or on a
2...-- _ __ __ a __ IIftftlfIs. .lHllm!!d; nr set'V!ce1
2) pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes .dNO: ~:~~:';:~::::.. ,,;:;..:o:=,::::::::'':'':~;''7''a:: :::~~U-:'
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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 2-4B1 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..
n Yes -dNO: Are YOU reoresentino a not-for-oroflt cornoration or entity without soecial comoensation
or reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 15" OF EACH YEAR, EACH lOBBYIST SHAll SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNOER OATH, usnNG lOBBYIlIG EXPENOIlURES, 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
REPORTING PERIOD.
/[/
Signature of Lobbyist
I do solemnly swear that all of ll1e foregoing facts are true and correct and that I have read or am
familiar with the provisions contained in Section 2-482 of ll1e Miami Beach Oty Code and all reporting
requirements.
SIgnature of Lobbyist:
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.:'",-!".~~",,_. YO. SIGNATURE AND STAMP OF NOTAR:_-'1if'......-':'b}~_
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~'>j" ;,i!;, State of Florida, County of Miami-Dade \~...::...~j State of Florida, COunty of Miami-Dade
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"hmll'" Swam to and subsai ed fore,)T1, I, . ........ ... swom and subscribed before me
This d of ([ 'c 2 . This _day of ' 20_
ignature of Public Notary - State of Florida
Notarization of Principal's signature
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FOR Cl,.ERK'S USE ONLY
Annual Registration fee: [ 1 Yes I ] No AmoUnt Paid MCR #
Lobbyist Registra~on Form received and velified by:
F:\CLER\$ALL\MARlA-M\LObbylst\LOBBYIST fORM OS.doc
Date Paid
Revised 1<108/04
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