Allan Shulman/Plaza Hotel, LLcm NiIAMIBEACH
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 specific exclusions. Please refer to Ordinance 2004-3435.
Shulman Allan T-
NAME OF LOBBYIST: (Last) (Frst) (M.I)
Allan T. Shulman Architect, P.A. 100 NE 365treet Miami, Florida 33137
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 438-0609 (305) 438-0170 allan@shulmanarchitect.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Plaza Hotel, LLC
NAME OF PRINCIPAL/CLIENT:
1691 Michigan Avenue, Suite 320 __ _ Miami Beach _____ _. FL._ __ 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership orTrust [Section 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Eric Margules
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATIDN, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Redevelopment of 418-422 & 426 Meridian Avenue
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
Planning Dept., HPB, BOA, Planning Board, City Commission
None
s~ a~ ~~ ~ .s V~ ,~
IV. DISGLOSURE OF TERMS ANP AMOUNTS OF LOBBYLST COMPENSATION (DI5GLOSE WHETHER HOURLY,
FLAT RATE OR OTHE'RJ: `^/ rr-, //~1 /~~
A) LOBBYIST DISCLOSURE: (Required) s~r+~v .' '~ `~' --
B) PR]NCIPAL'S DISCLOSURE (CIF LOG6YIST CCiM~ENSATION): (Required). t
The following information must be answered
1) Pursuant to Miami Beach Clty Cade Section 2-488 Entitied'~Prohibited Campaign Contributions 6y Lobbyists
On Procurement Issues":
2) Pursuant to Miami Beach City Code 290 Entitled "Prohibited Campaign Contributions ey Lobbyists On Real
Estate Development Issues":
3} Pursuant to Miami Beach City Code 284 (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 spedal 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 OATIi:
ON OCTOBER 1n OF EACH YEAR, EACH LOBBYIST SHALL Sl16MIi' 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\vLob'byist
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 2-982 of the Miami Beach City Gode and all reporting
requirements. ~ y ~ ~~
Signature of Lobbyist:
Signature of Principal/C.lient: _,~„ %/~/ ~ :'%~/
~l.t,....e_ 1V.Cc,~C.~,~,,.~, n
VI. LOBBYIST IDENTIFICATION: PRINCIPAL
^ Produced ID
~ ~ Form of Identification
Ff Personally known (Lobbyist)
VII. SIGNATURE ANb STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Swom o a d subscri b fore me
This da f 20„Q~
Signature of Public otary -State of Florida
Notarization of obbyist's signature
NOTARY PL',! h::-~1:~'~TE OF FLORID/
E~iza~eth Cox
Commission # DD531412
Expires: 11~AR. 22, 2010
Bonded Thru Atlantic Ronding Co., II1C.
/I1Ci ~~r~su, Ll L
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Produced ID
Form of Identific ti OFFiClAL SEAI-
#~-Personally known (Principal) F°~id~E $UTOR
NOTARY PU6LIC, STATE OF ILLINOIS
MY COMMISSION EXPIRES 8.24.2011
it,U~1DtS C~X]K:
5~te of Ftvrida, County of-PQiartni=Bade
Swom apCttsubscribed before me
This c~ r da of bi~cr~ 20 ~~
(~
Signature of Publie Notary -State of Florida
Notarization of Principal`s signature
03~~6/t~'
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
SLAT RATE DR OTHER):
A) LOBBYIST DISCLOSURE: (Required) ~
8) PRINCIPAL'5 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":
^ Yes X No• Are Vou Iobbyina 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 290 Entitled "Prohibited Campaign Contributions By Lobbyists On Rea!
Estate Development Issues":
Map?
3) Pursuant to Miami Bead City Code 2-484 (h) Any person (except those exempt from the definition of
"IobbyisY' as set forth in Section 2-481 above) who only appears as a representative of anot-for-profit
corporation or entity without spedal 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 X No• Ar° you representing anot-for-profit comoration 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 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:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
,.,_9, ~
~~ PRINCIPAL
/I?Ci~ /~/i ;«u; Ll G
^ 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_
Signati,re of Public Notary -State of Florida
Notarization of Lobbyist's signature
Produced ID ~ • l_.-
Form of Identific
OFFICIAL SEAL
:~-Personally known (Principal) RENEE SUTOR
NOTARY PUBLIC, STATE OF ILLINOIS
MY COMMISSION EXPIRES 8.24.2011
1u,1-~1~t5 C~~CK
State of flori~a, County of-P4iamt~ade
5wom apd~subscribed before me
This d da of b+~ r , 20 ~g
~~~ ~~ `.
Signature of Public Notary -State of Florida
Notarization of Principal's signature