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Mathew Amster/Seth Gadinskym MIAMIBEACH City of Miami Beach Offyce of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM Lobbyist means ali persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat or modification of any ordinance, resolution, anion or derision of any commissioner; airy acton, decision, recommendation of the City Manager or any rity board or committee; or any action, decision or recommendation of any city personnel during the time period of the entlre decision-making process on such anion, derision or recommendation that foreseeabiy will be heard or reviewed by the city commission, or a city board a committee. The term speriflcally includes the prinripal as well as any employee engaged In lobbying acdvitles. The term "Lobbyists" has spedfk exdusions. Please rofer to Ordinance 2004-3435. Amster Matthew NAME OF LOBBYIST: (Last) (First) _. _ (M.I) Bartow, Radetl & Fernandez, P.A. 200 S. Biscayne Blvd., Suite 850 Miami Florida 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 377-6236 (305) 377-6222 mamster(a~brzoninglaw corn TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: Seth Gadinsky NAME OF PRINCIPAL/CLIENT: 1680 Michigan AvenL~+ Suite 1001 Miami Beach Fkxida 331'9 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 276-2387 (305)675-7759 NUMBER: (Optional) FlII out thb section N prindpal is a Corporation, Partnership or Trust [Section 2-482 (c)j • 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: Certlficate of AppropriatenessNariance / ~;p~.Q ~>~.@ ~ ~ / ~,~^_ ~ ~~ _ ~ ~Q~' 1 Issue to be IobWed (Describe m detail): III. CITY AGENCIES/INDIVIDUALS TO 8E LOBBIED: A) Full Name of Individual/Title Planning and Zoning Department Staff, HPB, BOA, City Commission B) Any Flnancial, Familial or Professional Relationship None IV. DISCLOSURE OF TERMS AND AMOUNTS OF L086YIST COMPENSATION (DISCLOSE WHETHER 110!/RtY, FLAT RATF OR OTNERx A) LOBBYIST DISCLOSURE: (Required) __ S 185.00 oer hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).. 4 185.00 oer hour The iFollowing information must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributbns BY Lobbyists On Procurement Issues": Dr~sent or vending awa_~ for goods. eau nrne~nt or sa. ~~ 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Devebpment Issues": 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 Section 2-481 above) who only appears as a representative of snot-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 1~ OF EACH YEAR, EACH LOBBYLST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED. IN THE CiM 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 ail reporting requirements. ,/J, , _ Signature of Lobbyist: Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: ^ Produced ID / Form of Identi I~ Personally known (LobbyNt) VIL SIGNATURE AND STAMP OF State of Florida, County of Miami-Dade Sworn to and subscri fore me Thi~_da~--Qf~ , 200'1 of Pubi~"Irrol$lor -State of of ^'o i~ x ~_' ~ °' ~~ Q a ? N . ~a•~ o p ~~ m W w PRINCIPAL IDENTIFIGTION: ^ Produced ID ~,,~ Marc r+apem Form of Identificati ~ p,h, ~ ~ ~rsonally known (Principal) ~w~ ' ~. s State of Florida, County of Miami-Dade Swom and subscribed fore me °~ This L- day ~, 20 a,.~ Signature of Public ry -State of Fbrida Notarization of Prindpal's signature FOR CLERK USE ONLY ((~~ Annual Registration fee: ]Yes [ ] No Amount Paid ,~~ MCR #c~/~Date Paid