Bob de la Fuente/Michael Muskat
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MIAMI BEACH
City of Miami Beach Office of the CIty Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
lobbyist means all persoos employed or retained, whether paid or not, by a prindpal who seeI<s to encourage the passage, defeat
or modification of any ordinance, resolution, action or dedsion of any commissioner; any action, declsion, recommendation of the
City Manager or any dly board or committee; or any action, decision or recommendation of any city pelSOl1ne1 during the time
period of the entire decision-making process on sudl action, decision or recommendation that roreseeably will be heard or reviewed
by the city commission, or a dly board or committee. The lenn spedfically Indudes the principal as well as any employee engaged
In lobbying activities, lbe term "lobbyists" has .peclflc exduslon.. Please refer to Ordinance 2004-3435.
NAME Of LOBBYIST:
Tewcardenas, LLP
i'le la Fuente
(Last)
1441 Brickell
Bob
(Arsl)
Avenue,
(M.I)
15 Floor Miami, FL 33131
(Slale) (Zip Code)
BDF@TewLaw.com
EMAll:
BUSINESS NAME AND ADDRESS
(305) 536-1112
TELEPHONE NUMBER:
(Number and Street) (Oly)
(305) 536-1116
FAX NUMBER:
I. LOBBYIST RETAINED BY:
Michael Muskat
NAME OF PRlNClPAl./CUENT:
10775 SW 133rd Terrace Miami Florida
BUSINESS NAME AND ADDRESS (Number and Street) (CIly)
(786) 286-2491 (305) 253-3200
TELEPHONE NUMBER: FAX NUMBER: (Optional)
33176
(Stale) (Zip Code)
EMAIL: (Optional)
Fill out this sec:tlon if principal is a Corporation, Partnership or Trust [Sec:tion 2-482 (cll
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
. IDENTIFY ALL PERSONS HOLDING, DIREcrLY OR INDlREcrLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
u. SPECIFIC LOBBY ISSUE:
Board of Adjustment~pplication
Issue to be lobbied (Describe In detail):
10. CITY AGENClES/INDMDUALS TO BE LOBBIED:
A) Full Name of individual/nile B) Any Flnandal, Familial or professlona' Relationship
Richard Lorber ,Manager None
Diana Rl0 I None
.Jorge Gomez , Director None
Antionette Stohl None
IV, - DISCLOSURE OF TERMS AND AMOUNTS OF LOllBYIST COHPENSAnON (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER):
A) LOBBYIST DISClOSURE: (Required)
$345.00 hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSAnO~): (Required).
$345.00 hourly
The following infonnation must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
zocurement Issues":
o Ves . Are vou lobbvina on a Dresent or ae,dlna bid for aoods. eauiament or servic:es. or on a
Dresent or nendina award for GOods. eauiament or !lel'Vic:e?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes 9XC;; Are YOU lobbvina on a Hndina aDDlptlon for a Develoament AGreement with the Cltv or
aDDlleation for chaRae of zonino maD desiGnation or manae to the City's FubJre Land Use
HIR1
3) Pursuant to Miami Beach CIty Code 2-484 (h) Any person (except those exempt from the deftnltllon of
"lobbyist" as set forth in Section 2-481 above) who only appears as a representative of a noHor-proftt
corporation or entity without spedal compensation or reimbursement for the appearance, whether direct, or
indirect, to express support of or opposition to any item, shall register with the c1erll as required by this
section but, shall not be required to pay any registration fees..
o Yes 0 ~ YOU reDresentlna a not-for..orofjJ: carGaration or entitY without sDedal comoensatlon
, - b
or relm ursement. .
V. SIGNAlVRE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBlIYING 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 EXPENDITU S OR SATION DURING THE
REPORTING PERIOD.
have read or am
e and all reporting
I do solemnly swear that all of the foregoing facts are true and correct and
familiar with the provlslons contained in Section 2-482 of the Miami Beach CI
requlremen!::->
Signature ~bbYI5t:
~ 5 & Signature of Principal/Client:
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~'to,...~~~tate of florida, County of Miami-Dade
~",,~;f.\,'" Sworn to and subsoi bef re e
This yof. ,2
LOBBYIST IDENTlFICAnON:
PRINCIPAL IDENTIFlCAnON:
! J Produced 10
[] Produced ID
Form of Identification
Form of Identification
tY'"Personally known (Lobbyist)
[] Personally known (Principal)
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'. signature
FOR CL
Annual Registration fee: [ [] No Amount
lobbyist ReglslraUon Fonn received and verified by:
F:\CLER\$ALL\MARlA-M\Lobbyist\LOBBYIST fORM Os.db<:
ON~iR # 1Jirt7 <Jr.;:;ald Q
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOIIBYlST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLATRATEOR orneR):
~
A) LOBBYlST DISCLOSURE: (Required)
$345.00 hourly
$345.00 hourly
B) PRlNOPAL'S DISCLOSURE (OF LOBBYlST COMPENSATION): (Required),
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":
n Yes 0 No: Are vou Iobbvina on a D-aftto or De9d1na bid for aoods. aaulament or servil'.AS. or on a
Dresent or uendina award for ~r eauiDment or servloe7
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributlons By lobbyists On Real
Estate Development Issues":
DYes 0 No: Are YOU lobbvina on a oendlna aODllpltlon for a DeveloDment AGreement with the CitY Dr
aoollcation for chanGe of zonlna maD desiGnation or chanGe to the City's Future Land Use
HIRZ
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the deflnitlon of
"lobbyist" as set forth In Section 2-481 above) who only appears as a representative of a not-for-profit
corporatlon or entity without special compensatlon 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 n No: Are vou rBDresentina a not-for-aro(!,t corDoration or entitY without SMd.. 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, USTING LOBBYI,.G 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 EXPENDITURE OR COMPENSATION DURING THE
REPORTING PERIOD.
Signature of Lobbyist
I do solemnly swear that all of the fDregoing facts are true and correct and
familiar with the provisions contained in Section 2-482 of the MiamI Beach Oty
requirements,
Signature of Lobbyist:
Signature of Principal/Client:
VI.
LOBBYIST IDENTIFICATION:
'J Produced 1D
Form of Identificatlon :::: ~ ~
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SIGNATURE AND STAMP OF NOTAIlY:~ ~ ~
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State of Florida, County of Miami-Dade ;!>y!. 'E e ;,;
Sworn to and subscribed before me 15]- ;.
This day of . 20 ,~"', ;:
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" Personally known (Lobbyist)
VII.
Signature of Public Notary - State of Aorlda
Notarization of Lobbyist's signature
t I have read Of am
e II reporting
PRlNCIPAlIDENllFICATION:
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[J Produced ID
Form of Identification
~rsonally known (Principal)
FOR CLERK'S USE ONLY
Annual Registration fee: [ ] Yes [ ] No Amount Paid MeR #
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL \MARlA-M\Lobbyisl\LOBBYIST fORM OS.doc
Dale Paid
Revised 12/08/04
IV,' DISCLOSURE OF TERMS AND AMOUNTS OF LOIIBYIST COMPENSATION (DISCLOSE WHETHER HO/JRLY,
FIATRATEOROTHERJ,
A) LOBBYIST DISCLOSURE: (Required)
B) PRINQPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
$345.00 hourly
$345.00 hourly
The following Information must be answered:
I) Pursuant to Miami Beach City Code Section 2-.88 Entitled "Prohibited Campaign Contrlbutlons By Lobbyists
On Procurement Issues":
n Yes 0 No: Are you lobbYInG on a Druent or De~dlna bid for aoods.. eaulament or services. or on a
DreII8nt Dr and.no award for DOods.. eauioment or service?
2) Pursuant to Miami Beach City Code 2-490 Entl~ed "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes [1 No: Are vou lobbvina on II aendina aaDII~tlon for a DeveloDment Aareement with the Cltv Dr
aaallcation for chanae of zonlna maD deslanation or chanae to the City'. Fubue Land Use
HIRZ
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 aboye) who only appears as a representative of a not-for-profit
corporation or entity without spedal compensation or reimbursement for the appearance, whether direct, or
Indirect, to express support of or opposition 'to any Item, shall register with the c1er1< as required by this
section but, shall not be required to pay any registration fees..
n Ves n No: Are vou reDregntlna a not.for-Dr~t cumuratlon Dr entitY without sl'Mldal comnensatlon
or reimbursem.nt.
V. SIGNATURE UNDER OATH:
ON OCTOBER lor OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNEO
STATEMENT UNDER OATH, UmNG 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
REPORTING 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
famlll .th the provisions contained In Section 2-482 of the Miami Beach City Code and all reporting
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Signature of Lobbyis . /111 ~
Signature of Principal/Client: ~~.
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
! J Produced ID
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Form of Identification
Form of Identification
~sonally known (Principal)
" Personally known (Lobbyist)
VII, SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
SWorn to and subscribed before me
This day of , 20_
State of Florida, County of Miami-Dade
swor)at sUbsc~~e I]
This day of , 2oQ...
Signature of Public Notary - State of Florida
_rizatlon of lobbyist's signature
Signature of Public Notary - State of Florida
Notarization of Principal's signature
FOR CLElRK'S USE ONLY
Annual Registration fee: [ ] Yes [ ] No Amount Paid MCR #
lobbyist Registration Fonn received and verified by:
F:\CLER\$ALL\MARlA-M\Lobbyist\LOBBYIST fORM 05.doc
Dale Paid
Revised 12/08/04
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