Amanda Quirke/Arthur Kline.~.
m
-- 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 heazd or reviewed by the city commission, or a city boazd 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.
NAME OF LOBBYIST: (Last) (First) (M.I.)
Quirke 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:
Arthur Klein
NAME OF PRINCIPALCLIENT:
Kline, Moore & Klein 2665 South Bayshore Drive Coconut Grove Florida 33133
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 285-9793
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section it principal is a Corporation, Partnership or Trust [Section 2~82(c)]
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Arthur Kleln
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: M1Chae1 POpkin; Louise Popkin
II. SPECIFIC LOBBY ISSUE:
Variance Application
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
Jorge Gomez, Director None
Richard Lorber, Planning and Zoning Manager None
Diana Rio, Senior Planner None
Antoinette Stohl, Secretary None
r
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) X215 hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required) $21$ 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 !3'No: Are you lobbvine on a present or pending. bid for eoods, eauiament or services, or on a present or aendin¢ 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":
^ Yes ,ElNO: Are you lobbvine on a aendine aaatication for a Develoament Aereement with the City or aoulication for chanee of zoning
maa 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 defmition 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 ~IVo: Are you rearesentine snot-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. i
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 mall j~epo_rting requirements.
Signature of
Signature of PrincipaUClient:
V. LOBBYIST IDENTIFICATION: PRINCIPAL H)ENTIFICATION:
^ Produced ID c~i ~ c ^ Produced ID
Fonn of Identification ~ ^ N ~ Form of Identification
~a~~
Personally ]mown (Lobbyist) C7 c ~ z ^ Personally known (Principal)
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VI. SIGNATURE AND STAMP OF NOTARY y ~
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State of Florida, County of Miami-Dade c 'Q 3
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~ State of Florida, County of Miami-Dade
Sworn to and subscribed fore me ~ u
S Sworn and subscribed before me
This ~ ~
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'~ This day of , 20
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p Signature of Public Notary -State of Florida
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F CL 'S E Y
Annual Registration fee: Yes [ ] No punt P i C MCR # V ate Paid V
Lobbyist Registration Fonn received and verified
F:\CLER\$ALL\MARIA-M\LobbyistUABBYIST ORM 0 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 C~'Iyo• Are you lobbvin on a present or pending bid for goods equipment or services or on a present or pending award for
eoods• equipment or service?
2) //Pursuant to Miami City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues":
O Yes B'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 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 6LNo: Are you representing snot-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 PrincipaUClient: (r`l/"4
V. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identifcation
^ Personally known (Lobbyist)
VI. SIGNATURE AND STAMP OF NOTARY
State of Florida, County ofMiami-Dade
Sworn to and subscribed before me
This day of , 20
Signature of Public Notary -State of Florida
Notarization of Lobbyist's signature
PRINCIPAL IDEN'PI~AT
[Produced ID
Form o l tification
^ Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This ~ day of 3KG , 20,0 +~'~ ~ y~~ 14icbelle I,oshusan~Duy:
-~~~' ~ •~":Commisslan # QD28E127~
Signature is Notary- State o , .~@~ Expires; Feb. 08, 200E
Notarization of Principal's signature'n,~H,''~,~.~` A3fOf1 K4t3i}I 1.600.35(I•~16'
FOR CLERK'S USE ONLY
Annual Registration fee: [ ]Yes [ ] No Amount Paid MCR # Date Paid
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST FORM O5. doc Revised 12/08/04