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Steve Brodie/Live Nation Worldwide, Inc. m ...... MIAMI BEACH RECEIVED CITY CLERK'S DEPT, AI-'r\ ~ U 2007 City of Miami Beach Office of the Ci~S:lerk 1700 Convention Center Drive, Miami Beach, FL tf~9 LOBBYIST REG ISTRA nON 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 surn action, decision or recommendation that foreseeably will be heard or reviewed by the city commission, or a city board or committee. The term specifically indudes the principal as well as any employee engaged in lobbying activities, The term -Lobbyistsn has specific exclusions. Please refer to Ordinance 2004-3435. Brodie NAME OF LOBBYIST: Steve J. (Last) (First) (M.!) Carlton Fields, P.A. BUSINESS NAME AND ADDRESS 100 S.E. Second Street (Number and Street) (City) Mi (State) (Zip Code) (305) 530-0050 TELEPHONE NUMBER: (305) 530-0055 FAX NUMBER: sbrodie@carltonfields.com EMAIL: I. LOBBYIST RETAINED BY: Live Nation Worldwide, Inc. NAME OF PRINCIPAL/CUENT: 9348 Civic Center Drive BUSINESS NAME AND ADDRESS (Number and Street) (310) 867-7000 TELEPHONE NUMBER: Beverly Hills (City) CA (State) 90210 (Zip Code) FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (e)] NAME OF CHIEF OFFICER, PARTNER, OR BENEFlCIARY: Michael Rabino, Chief Executive Officer IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Live Nation, Inc. II. SPECIFIC LOBBY ISSUE: Negotiating Contract: Future use and operation of the Jackie Gleason Theatre Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDMDUALS TO BE lOBBIED: A} Full Name of Individual/Title B} Any Financial, Familial or Professional Relationship Tim Hemstreet/Assistant City None Manager; Anyone else who will be negotiating the agreement with L~ve Nation IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) Hourly B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required), $480.00 The following information must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": ment or services or n a 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": 3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481 above) who only appears as a representative of a not-for-profit corporation or entity without special compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or opposition to any item, shall register with the clerk as required by this section but, shall not be required to pay any registration fees.. V, SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE RECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO E ENDITU S 0 COMPENSATION DURING THE REPORTING PERIOD. VI. LOBBYIST IDENTIFI PRINCIPAL IDENTIFICATION: Signature of Lobbyist: Signature of Principal/Client: o Produced ID o Produced ID Form of Identification ~OnallY known (Lobbyist) Form of Identification VersonallY known (Principal) State of Florida, County of Miami-Dade Swor'hto and subscribe befC?r.) me <~ _ (2' IJ@;<<-\ ,,'ot> 1 ( 'tS/ .'2-K.. '-"" Signature of Public Notary - State of Florida Notarization of Lobbyist's signature ........-....--------- ''''\~~~'~::'''' ERICA s, BROUSSA~D .$'",,~....!,.. ~:i . t:~ Notary Public, State at Texas ;':" ...~ff My Commission Expires ~~;;ni\~1~':- July 03,2007 'I'"n,'" VII. SIGNATURE AND STAMP OF NOTARY: Signature of Public Notary - State of ~ 'r Notarization of Principal's signature PATRICIA ANNE WATSON MY COMMISSION # DD 214699 EXPIRES: June 21, 2007 Sonded Thru Notary Public Underwriters 2 112tfi Date Paid FOR Annual Registration fee: es [ ] No Amo Lobbyist Registration Form received and verified by: F:\CLER\$ALL\MARIA.M\Lobbyist\LOBBYIST fORM 0 .doc Revised 12/08/04