Robert Brown/Seth Gadinskym MIAMIBEACH
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 actlon, 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 aty board or committee. The term specifically includes the principal as well as any employee engaged
in lobbying activities. The berm "Lobbyists" has specific exdusions. Please refer to Ordinance 2004-3435.
Brown Robert
NAME OF LOBBYIST: (Last) (First) (M.I)
Robert Brown Architect 6710 SW 80°i Street, Suite 101 Miami Florida 33143
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 662-1940 o4dare@aol.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Seth Gadinsky
NAME OF PRINCIPAL/CLIENT:
1680 Michigan Avenue, Suite 1001 Miami Beach Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(786) 276-2387 (305) 675-7759 SethC~Gadinskyrealestate.corri
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this sedaon 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:
Certificate of Appropriateness/Variances ~ ; ; a ', r ~, ~
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
Planning and Zoning Department Staff, HPB, BOA, City None
Commission
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HO[1RLY
FLAT RATE OR OTHERj.
A) LOBBYIST DISCLOSURE: (Required) $ 100 00 Der hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $ 100.00 cer hour
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 X No• Are you lobbying on a present or pending bid for goods equipment or services or on a
present or cending 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 X No• Are you lobbying on a cending application for a Development Agreement with the Citv or
application for chance of zoning map designation or chance to the City's Future Land Use
Ma°?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist" as set forth in Sed9on 2-481 above) who only appears as a representative of anot-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 derk as required by this
section but, shall not be required to pay any registration fees..
^ Yes X No: Are you representing coot-for-profit corporation or entity without special compensation
or reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~ 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 PRECED NG CALEND R YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEND C ENSATION 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 contaiyfe~ in 2-482 of the Miami Beach City Code and all reporting
requirements. ~ //
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
~_.a. --°
~t~0.Y (~,QdUC~{~~i' MAY DUFhY
r coM,~issior~
~° ,;~` ` F~f~~ entification
~' '~`~4 " ~>~p,r r,~ nor Q6.2QQ7
~ Personally knoww (Lebbyisil)
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
^ Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed~efQre me
This coq IL day of LQ. w7 lE , 20~.
Signature of Public Notary `state of Florida
Notarization of Lobbyist's signature
State of Florida, County of Miami-Dade
Swom 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 Sv MCR # ~~~~~n Date Paid ~ 0
Lobbyist Registration Form received and verified by: Entered By:
F:\CLER\;ALL\MARIA-M\Lobbyist\LOBBYISi fORM OS.doc Revised 12/08/04
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYISt COMPENSATION (DISCLOSE WHETHER NOl1RLY, ~' 8~
FLAT RATE OR OTHER).
A) LOBBYIST DISCLOSURE: (Required) $~Od00 per hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $J~~00 ner hour
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 X No: Are Vou lob vino on ~ ,present or pending bid for goods. eauipmerLt or services, or on a
present or pending avy~rd fora s, eauiament Qr' service?
2) Pursuant to Miami Beath City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Devebpment 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 anot-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 X,No: Are you re~~:~:sentina a not-for-profit corooration or entiiv without special comuensation
or reimbursernent. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~ 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 PrincipalJGient:
YI. LOBBYIST IDENTIFICATION:
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
^ 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,
Signature of Public Notary -State of Florida
Notarization of Lobbyist's signature
^ Produced ID
Form of Identification
~-Personally known (Principal~,r Mara Ha~pem
'~~ ~ My Commission DD301094
~o*F,,d~ Expires March 29, 2008
State of Florida, County of Miami-Dade
Sworn and subscribed re me
This ~ day of 0'
<.
Signature of ublic Nota -State of Florida
Notarization of Prind 1's signabir+e
FOR CLERK'S USE ONLY ~ ~~~ .~-~9,
Annual Registration fee: ~'`~ ]Yes [ ] No Amount Paid ~ ~'7 MCR # Date Paid vJ
Lobbyist Registration Form received and verified by: _ Entered By: