Gerald Schwartz/Linda Binderm 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 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 spec/if~ic-e-xclusions. Please refer to Ordinance 2004-3435.
NAME OF LOBBYIST: (Last) (First) (M.I)
i?~~,~-~' ~ ~~ ~ ca.~-rL t t t c Ltitcr-~. ~ ~b~,~ 3 ~/3~i
NAME AND ADDRESS (Number and Street)
-- l1 b l 3~S- Gr13 - S'SbS
FAX
I. LOBBYIST RETAINED BY:
~ ~.~
EMAIL:
~ ~!
EMAIL:
Fill out this section 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:
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
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Via` G,'7 Z '~' ~~ Z ~ ~ Z~"' l ~Z '~ ~l~ L ~ ii/c~G~.R Z ~~i>~a
N. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHERf ~ ~ or
A) LOBBYIST DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required . ~ ~
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":
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development 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 iTT 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 DITURES OR OMP ION DURING THE
REPORTING PERIOD.
Sig ture of Lobbyist
I do solemnly swear that all of the foregoi g facts are true and correct and that I have read or am
familiar with the provisions conta~ in Section~82 th Iii Beach ~ Code and all reporting
requirements. /~
Signature of Lobbyist:
Signature of Principal/Clieri4!
VI. LOBBYIST IDENTIFICATION:
Produced ID ~ ~-
Form of Identification
1e/Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to,and subscribed. efor me
This,~~1~ day of ~' w~~y , 20 ~!~
9fgnature of PubF(c Nofary - ~
Notarization of Lobbyist's
S510N # DD 677189
September 20, 2011
PRINCIPAL IDENTIFICATION:
~roducedID 1.~ ,~ :~Iā2,1~ .~~? ~~~--`~~lG,o
Form of Identification
~ Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn a~ci subscribed before me
This day of,/~~ c!, .~_-ZO~~ S
~ 1. l~ti ' J t~ ,' ā~y`ā¢"ā¢"'Y~~: ION # DD 742222
is Nota to _~~' .l. ~ ~a EicP1RES: December 17, 2011
of Pri ipal's si 'a~i~~, BoncedThtiNOtaryPUbllcUnOeiwriters
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 05.doc Revised 12/08/04
Page 1 of 1
Prieto, Silvia
From: Gerald K. Schwartz [gks@southbeachlaw.com]
Sent: Monday, March 10, 2008 7:12 PM
To: Prieto, Silvia
Subject: LOBBYIST REGISTRATION
Thank you for getting back to me..... the matter for the Application was to object to the Zoning
Variances requested by the owner of 4492 North Bay Road.....BOA item 3344........... Let me
know if there is anything else you need .... Thank you... Jerry
Gerald K. Schwartz, Esq.
Beloff and Schwartz
1111 Lincoln Road
Suite 400
Miami Beach, FI 33139
PH 305-673-1101
Fax 305-673-5505
Cell 305-799-1101
E-Mail ks southbeachlaw,co___m
This message contains information which may be confidential and privileged. Unless you are the addressee (or
authorized to receive for the addressee), you may not use, copy or disclose to anyone the message or any
information contained in this message. If you have received this message in error, please advise the sender by
reply email or reply to gks@southbeachlaw,com, and delete the message. Thank you very much.
03/11/2008