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Clifford A. Schulman/Fisher Island Holdings, LLCbli.~mi Brach i>t~ ~~ +~ 241UJ City of Miami Beach office of the City Clerk 170D Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained, whether paid or not, by a principal wha seeks to encourage the passage, defeat or modification of any ordinance, resolution, action or dedsion of any commissioner; any anion, decision, recommendation of the City Manager or any aty board or committee; or any action, dedsion or recommendation of any aty personnel during the time period of the entire dedsion-making process on such action, dedsion or recommendation that foreseeably will be heard or reviewed by the dty commission, or a city board or committee. The term spedfically 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 L088YIST: (Last) (First) (M.I) Greenberg Traurig, P.A., 1221 Brickell Avenue, Miami, Florida 33131 BU51NS5 rlAME AND ADDRE55 (Number and Street) (City) (Stake) (Zip Code) 305-579-0613 305-_961-5613 schulmanc@gtlaw.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: LOBBYIST RETAINED BY: Fisher Island Holdings, LLC NAME OF PRINCIPALJCLIENT: One Fisher Island Drive, Miami Beach, Florida 331 BUSINESS NAME AND ADDRE55 (Number and Street) ~ (City) (State) (Up Cone} (305)535-6009 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) • 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: Sea Wall Repair Matters Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDMDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship City Commission/City Staff n/a <-, ~A C:% rV Q ~' 1 -' ~' C.7 ~. _~ ~ `7"1 =-J N C10 ,P.n ~~ I'~ iiV. DISCLOSURE OF TERMS AND AMOUN75 OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATP OR OTfIERr A) L08BYIST DISCLOSURE: (Required) $620/hOUr B) PRINCIPAL'S DISCL05URE (OF LOBBYIST COMPENSATION): (Required). $6201hoUr The following information must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists Dn Procurement Issues": } v~N~. e.o via labbvina on a Dyes@nt or Dendina bid tQlggg~~, equipment or services or on a Dresent or pen Ina awar~pygoods, eauioment ~ service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Devebpment Issues": 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 deck as required by this section but, shall not be required to pay any registration fees.. 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 NDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITUREC~MPENSATION DURING THE REPORTING PERIOD. .. I // l1 Signature of Lobbyist _~. .g ~ N p Y ~' n ,y~ '~ ~ z~~~; r ~~y~'t 5 ~OM . s++p facts are true and correct and that I have read or am n 2-482 of the Miam( Beach City Code and all reporting Mate of Florida signature //~~ .~~ PRINCIPAL IDENTIFICATION: ^ Produced ID ~~ Form of Identification 'Personally known (Principal) "~ P "~• SOMA BRINGAS State of Florida, County of Miami- '~= 5wom and subsaf bed before me " *. MY COMMISSION # DD 745190 This~day/pf F,abruaM .2 ~Q~a e~neeammNoauyn~rcu~ SignatUre~bf Public Notate State bf Flor NotaHzatlon of Principal's signature I do solemnly swear that all of the forE familiar with the provisions contained in requirements. Signature of Lobbyist: Signature of Principal/Client: VI. LOBBYIST IDEHTIFICI ^ Produo~ ID Form of Identification .personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Swom to and saibed before me This da of T~~-~<w.. 20+~ 8