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Mathew Amster/Plaza Hotel, LLCm MIAMI BEACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST RECISTRATiON 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. Amster Matthew NAME OF LOBBYIST: (Last) (First) (M.I) Bercow, Radell & Fernandez P.A. 200 South Biscayne Blvd., Suite 850 Miami, Norida 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 377-6236 (305) 377-6222 mamster@brzoninglaw.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) out • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Eric Margules • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 596 OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: Redevelopment of 418-422 & 426 Meridian Avenue to be lobbied (Describe in detail): III. GTfY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name ofindividual/Title B) Any Financial, Familial or Professional Relationship Planning Dept., HPB, BOA, Planning Board, City Commission ~ None IV. DIS,GLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, SLAT RATE OR OTHERr A) LOBBYIST DISCLOSURE: (Required) $ 230 00 per hour 6) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $ 230.00 per hour 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 you lobbying on a present or pending bid for goods, equipment or services, or on a present or pending award for goods, eauipment or service? 2) Pursuant to Miami Beach City Code 290 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": ^Yes X No• Are you lobbying on a pending application for a Development Agreement with the City or application for chance of zoning map designation or chance to the CitV's Future Land Use Map? 3) Pursuant to Miami Beach City Code 284 (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 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 X No• Are Vou representing anot-for-profit corporation 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. /~ -s~l1GC>-~ 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. /f, , ~~ ; dr~ Signature of Lobbyist: l $ Signature of Principal/Client: `y~ ' ~ ~ VI_ LOBBYIST IDENTIFICATION: _3 ~ n Produced ID ~'. ~ Form of Identification ~ ~ Personally known (Lobbyist) u~ VII. SIGNATURE AND STAMP OF NOTARY: ~~`~~ ~'S State of FI 'd , Cou~~~ Miami-D e ~. s~ Swo s grin ib+~~5efgre ~y~'~7 Safe of Public Notary -`State of f~1br Notarization of Lobbyist's signature ~~ d% i~i euti ~ CLC_ I~.m,bt v ~F ~~E-1~ 1,1,~~ t~Pnxluced ID ~• ~ /` Form of Identifica OFFICIAL SEAL ,~+.1?ersonally known (Principal) RENEE SUTOR NOTARY PUBLIC, 5TATE OF ILLM141S ~~ ll~~ MY COMMISSION EXPIRES 8.24-2011 State offlerlda~County of P4+a~a~ Sworn and subscribed before me This ;Sri day of ~~G~r~, 20~~ < ~' Signature of Public Notary -State of Florida l~~-~ N~~ S Notarization of Principal's signature