Carter McDowell/UIA Management LLC
By.
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeksllH'~II\';uUli:lyt:: lilt:: 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.
City of Miami Beach Office of the City Clerk ~~2E~J'YD~P~
1700 Convention Center Drive, Miami Beach, FL 33139
JUN 7 - 2007
LOBBYIST REGISTRATION FORM
(First)
N.
(M.I)
NAME OF LOBBYIST:
McDowell
(Last)
Carter
Bilzin Sumberq - 200 South Biscavne Boulevard. Suite 2500. Miami. Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City)
(State)
Zip Code)
305-350-2355
TELEPHONE NUMBER:
305/351-2239
FAX NUMBER:
cmcdowell@bilzin.com
EMAIL:
I. LOBBYIST RETAINED BY:
UIA Manaqement. LLC. MBeach 1, LLLP. MBeach 3. LLC, and Robert Wennett
NAME OF PRINCIPAUCLlENT:
c/o UIA Manaqement. LLC 1111 Lincoln Road, Suite 760,
BUSINESS NAME AND ADDRESS (Number and Street)
Miami Beach, Florida
(City) (State)
:::> <
::J: rn
C{.I 0
n W
rr.
305/538-9320
TELEPHONE NUMBER:
305/552-0016
FAX NUMBER: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Robert Wennett
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
, .
II. SPECIFIC LOBBY ISSUE:
Development Aqreement for propertv at 1111 Lincoln Road
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
City Commission, City Manager, City Attorney None
Department Staff "
"
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLA T RA TE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required)
Hourly $500
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
Hourly $500
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":
D Yes [KINo: 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":
[KI Yes D 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..
D Yes [KINo: 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 LERK A SIGNED STATEMENT
UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSAT ~ECEIVED, IN THE CITY OF MIAMI
BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALLBE FILED EVEN IF THERE HAVE BEEN NO
EXP~NOITURES DR COMPENSATION DURING THE REPORTI~ERI~ j
Signatu~bYlst
I do ~olem.nly sw~ar that all of the .for~going fac.~s a. re t.:!}l7'.".and correc.t and th~~~~.ha e read or am familiar with the provisions
contained In Section 2-482 of the Miami Beach ~Ity ~~).nd all repqrtlng/r'~J ts.
Signature of Lobbyist: ~/ .~,/
Signature of Principal/Client:
VI.
LOBBYIST IDENTIFICATION:
PRINCIPAL IDENTIFICATION:
D Produced ID
~ Form of Identification
IV' Personally known (Lobbyist)
D Produced ID
Form of Identification
D Personally known (Principal)
State of Florida, County of Miami-Dade
worn and subscribed before me
his _ day of , 20_
Signature of Public Notary - State of Florida
Notarization of Principal's signature
Y -Jr?aCI.r--
MCR ~ Date Paid
'7
IAMI133
;/30/07
I
1
,I
I
I
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, '.
FLA T RA TE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required)
Hourlv $500
- B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
Hourlv $500
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": '
I J Yes l8INo: 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 Entitl~d "Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
18I Yes II 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'definltlon 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.. ' .
!'! Yes l&INo: 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 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 familiar with the provisions
contained in Section 2-482 of the Miami Beach City Code and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client ~ \. ~
.. ~~. ~~l~
VI. LOBBYIST IDENTIFICATION:' .\ ..
i ~ ----=-
, ... , ~'-I::
PRINCIPAL IDENTIFIC TION:
II produced 10
Ll Produced 10
Form of Identification
I~ Personally known (Principal) A Leigh
,\\\I''''tt Heather .
,,"l;l::.'V.~!'l", . 9185-'
:~",:" "~~Commisslon #DD4 '.
-~. . . - 17 2"'\1.1
. . ;0.:. ..:~gExpires: NOV. , \'U7
State of Flonda, County of Mlal11'l:; 'If-.~':- , " !\ 'r."";~OT\R'i, 1;
Sworn Wd subscribed before me "t""",,\' WI,"i,,, ro
This b y a. 20 0 T
Form of Identification
II Personally known (LobbyIst)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Swom to and subscribed before me
This _ day'of ,20_
Signature of Public Notary - State of Florida
Notarization of Lobbyist's signature
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\Lobbylst\LOBBYIST FORM OS.doc
Date Paid
Revised 12/08/04
.11AMI125