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Clifford A. Schulman/NWSG? MI,4MIBEACH ~~~~(u~a City of Miami Beach Office of the City ~?~~OV 20 ~~ (0: 46 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 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. SCHULMAN CLIFFORD A. NAME OF LOBBYIST: (Last) (First) (M.I) GREENBERG TRAURIG, P.A. 1221 Brickell Avenue, Miami FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-579-0613 305-961-5613 Schulmanc@gtlaw.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: New World Symphony NAME OF PRINCIPAL/CLIENT: New World Symphony 541 Lincoln Road Miami Beach FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zp Code) 305-673-3330 305-673-6749 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: HOWARD HERRING, President • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: N/A II. SPECIFIC LOBBY ISSUE: NEGOTIATIONS FOR LICENSE AGREEMENT FOR NON EXCLUSIVE USE OF PARKING SPACES Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title Ci of Miami Beach Ci Commission B) Any Financial, Familial or Professional Relationship All City of Miami Beach Land Use Boards and Committees. ~~~~ ~~~~~~~ ~~~,~ y~(,U/ti ~ l ,! ~ y~ ,~~,~ 7 ~` ~9~1 S~ - ~ ~ /~'~ . IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER). A) LOBBYIST DISCLOSURE: (Required) $580.00 B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $580.00 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 ENO' Are you lobbvina on a present or Dendina bid for aoods equipment or services or on a present or Dendina award for aoods eauioment or service 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": ^Yes No• Are you lobbying on a Dendina aaDlication for a Develoament Agreement with the City or -plication for change of zoning maD designation or chance 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 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 ~No• Are you representing anot-for-arofit coraoration 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 LENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES C~PENSATION DURING THE REPORTING PERIOD. ~ ~ / _~ Signature bf Lobbyist o~•~~ oc° ",aq , a~ x K'~ o ~, ~~~~~ 03 ~~~ ~~.~ mow. ~i n N ~ ~ ~ ~ ~ (D A O T v C I do solemnly swear that all of the for of g facts are true and correct and that I have read or am familiar with the provisi ns contained i S ctio -482 of the Miami Beach City Code and all reporting requirements. Signature of Lobbyist: ~ 9C` CLIFFORD .SCHULMAN Signature of Principal/Client: HOWARD HERRING, President VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: _~ Produced ID ~ Produced ID Form of Identification Form of Identification ~ersarrally known (Lobbyist) -~ Personally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: State Florida, County of Miami-Dade State of Florida, County of Miami-Dade Swo o nd subscribg~before n Sworn and subscribed before me Th~ day of /l/ , 20~/~ This day of , 20_ of Pubic Notary -State of Florida Notf~ization of Lobbyist's signature Signature of Public Notary -State of Florida Notarization of Principal's signature FOR CLERK~E ONLY ~~~ Q /~ Annual Registration fee: [ ]Yes [ ] No Amount P MCR # L1 ~ / Date Paid r~ ~ ~ Lobbyist Registration Form received and verified by: F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.doc ~ ~ %~ Revised 12/08/04 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, PLAT RATE OR OTHERf A) LOBBYIST DISCLOSURE: (Required) $580.00 B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $580.00 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 ~ No: 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": oyes ~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 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 .No: Are you representing anot-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 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: CLIFFORD A. SCHULMAN Signature of Principal/Client: HOWARD HERRING, VI. LOBBYIST 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 PRINCIPAL IDENTIFICATION: ~ Produced ID Form of Identification ^ Personally known (Principal) State of Florida, County of Miami-Dade Sworn and subscribed before me This 141 day of IydvGtilDrl , 20Qa' Signature of PubAc Notary -State o~ Florida Notarization of Principal's signature FOR CLERK'S USE ONLY Annual Registration fee: [ ]Yes [ ] No Amount Paid ~- ~ S MCR # Date Paid Lobbyist Registration Form received and verified by: F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.doc Revised 12/08/04 .~ .qS; •; T. ~ r m ~ `~'~ x ca ~~ -n m s m ~ ~ ~ n Z o z Z m N ~ N ~ ° °~ Gj f ~ ~ cn ~ ~o> 1~