Amanda Quirke/LBMP Holdings, LLC/Michael Popkin~,,,.-.... £ a
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 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
boazd 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 boazd or
committee. The temp 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.
NAME OF LOBBYIST: (Last) (First) (M.I.)
Qtzirke Amanda
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
TewCardenas, LLP 1441 Brickell Avenue, 15~ Floor, Miami, Florida 33131
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
(305) 536-8216 (305) 536-1116 AQ@tewlaw.com
I. LOBBYIST RETAINED BY:
LBMP Holdings, LLC/Michael Popkin
NAME OF PRINCIPALCLIENT:
277 West End Avenue, #15E New York New York 10023
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(212)877-8464
TELEPHONE NUMBER: FAX NUMBER: (Oprional) EMAIL: (Optional)
out this section if principal is a Corporation, Partnership or Trust (Section
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Mlchael POpklri
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: Mlchael POpk1n; Louise Popkin
II. SPECIFIC LOBBY ISSUE:
Variance Application
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of IndividuaU'I'itle B) Any Financial, Familial or Professional Relationship
Richard Lorber, Planning and Zoning Manager None
Diana Rio, Senior Planner None
Antoinette Stohl, Secretary None
Jorge Gomez, Director None
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $215 hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required) $215 hourly
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement
Issues":
^ Yes ~No Are you lobbying on a aresent or pending bid for goods eauiament or services or on a aresent or pending award for
foods, eauiament or service?
2) Pursuant to Miami City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues":
o Yes L°J'~io• Are you lobbying on a sending aaalication for a Development Agreement with the City or aanlication for change of zoning
man designation or change to the City's Future Land Use Maa?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "lobbyist"asset 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..
^ Yes (~No• Are you rearesenting a not for-arofit corporation or entity without special compensation or reimbursement?
IV. 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 sweaz that all~o~f theme fore ing facts aze true and correct and that I have read or am familiaz with the provisions contained in Section
2-482 of the Miami Beach//(/f', od • id al p rting requirements.
Signature of Lobbyist: G
Signature of PrincipaUClient:
LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
N ~ E
^ Produced ID ~
a^ N i
Form of Identification
O p ~ o
`s~ersonally known (Lobbyist) ~ qk w Z
~ •o ~
N
VI. SIGNATURE AND STAMP OF NOTARY ~ •E ~ Q
o a
State of Florida, County of Miami-Dade ~
Sworn and subscri ed lfefore me ~~..+`~'yo.,~
This ~ d of ( 20~~ QoOJ' •'bo~:
, ~d _ K.~_
i,.I~ ,Ctr J.
Signature of a of Florida '•.,;~,~~?~PO'
Notarizat obbyist's signature
^ Produced ID
Form of Identification
^ 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's signature
OR CLERK' E Y ~ ~1
Annual Registration fee: [ Yes [ ] No punt Paid MCR ~ J' 1 Date Paid
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\LobbyistU.OBBYIST F oc Revised 12/08/04
~~
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $215 hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required) $215 hourly
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement
Issues":
^ Yes `O~No• Are you lobbvine on a present or aendine bid for goods equipment or services or on a aresent or pendine award for
goods, eQUlpment or SerVICe?
2) ~~ //Pursuant to Miami City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues":
^ Yes ~3'No• Are you lobbvine on a pendine aaalication for a Development Aereement with the City or aaplication for chanee of zonine
map desienation or chanee to the Citv's Future Land Use Maa?
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 appeazs 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 1~IVo• Are you rearesentine a not for-profit corporation or entity without special compensation or reimbursement?
IV. 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
Signature of Principal/Client: ~V ~-t
V. LOBBYIST IDENTIFICATION:
^ProducedID
Form of Identification
^ Personally known (Lobbyist)
PRINCIPAL IDENTIFICATION:
^ ProducedID
Form of Identification
~i Personally known (Principal)
VI. 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
State of P ~ County of 1~41rIN~R6e /~IN~' S'
PAUTA M. SAHRAOUI Sworn and subscribed be~ore me
Notary Public, 51ote of New York This ~ day of ~ , 20~
No. 015A6075908
Quolified in IGngs County ,/
Commission 6~ires lone 10, 2010 Signature of Publi Notary - S to of-Fiefida 1~ Ir
Notarization of Principal's signature
CLE ~ E Y
Annual Registration fe . ]Yes [ ] No u t Paid MCR # Date Paid
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST F 0 . do Revised 1 /08/04