Clifford A. Schulman/Fisher Island Holdings, LLC One Fisher IslandMla.ru Burch
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~ City of Miami Beach Office of the City Clerk
170 Convention Center Drive, Miami Beach, FL 33139
LOB$YIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by a princpal who seeks to encourage the passage, defeat
or modlficatlon of any ordinance, resolution, action or derision of any rnmmissioner; any action, derision, recommendatlon of the
Gty Manager or any dty board or committee; or any action, derision or recommendation of any city personnel during the time
period of the entire derision-making process on such action, derision or recommendatlon that foreseeably will be heard or reviewed
by the dty commission, or a dty board or committee. The term specifically indudes the principal as well as any employee engaged
in lobbying actlvltles. Tha term `Lobbyists" has spedflc exdusbns. Please refer m Ordinance 2D04-3435.
Schulman, Clifford A.
NAME OF LOBBYIST: (Last) (Frst) (M•>7
Greenberg Traurig, P.A., 1221 Brickell Avenue, Miami, Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-579-0613 305-961-5613 schulmanc(d~gtlaw.com
LOBBYIST RETAINED BY:
Fisher Island Holdings, LLC
NAME OF PRINCIPAL/CLIENT:
One Fisher Island Drive, Miami Beach, Florida 33109 _
BUSINESS NAME AND ADDRESS {Number and Street) (Gty) (State} (Zp Code)
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:
n. SPECIFIC LOBBY ISSUE:
Mansur property zoning investigation
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOB6YED:
A) Full Name of Indlvldual/Tltie B) Any Finandal, Familial or Professional Relatlonship
City Commission/City Staff/Boards 8 Committees ~~
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TV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
Fc~raar~oa onr~al
A) 1.oBSYIST DISCLOSURE: (Requlrad) $620/hour
B) pRINCIPAI•S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $62i)IhOUr
The following information must be answered:
1) Pursuant to Miami Beach City Code Sectian 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
• o_resent or Wending award for goods enuioment or servi~3
Z) Pursuant tD Miami Beach City Code 2-490 Entltied "Prohibited Campaign Contributions BY Lobbyists On Real
Estate Development Issues":
3) Pursuant to Miami Beach City Code 2484 (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 oppositlon to any item, shalt register with the dark as required by this
section but, shall not be required to pay any registration fees..
^^ YrS •^•~ ~p reSen lna a no -for-profit rporation or entity without special compensation
or reimburseinenL ,
V. SIGNATURE UNDER OATH:
ON OCTOBER_,iST 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. L / 1
~" `Signature oYLobbyist
I do solemnly swear that all of the forego facts are a and correct and that I have read or am
familiar with the provisions contained In on ?x$82 a Miami Beach City Code and all reporting
requirements. ~ ~ J ~
Signature of Lobbyist: C~ /lam
Signature of Principal/Client:
VL LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
t~ersonally known (Lobbyist)
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~ VII. SIGNATURE AND STAMP OF NOTARY:
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a ~ ~ a County of Miami-Dade
State of Florida
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Sworn and subscribed before me
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~`' Nobri~ bb 'it's signatur®
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Annual Registration fee: [ ]Yes [ ] No Amount Pald
Lobbyist Reglstratlon Form received and verified by:
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
dPersonally known (Principal}
State of Flarlda, County of Mlaml-Da ~; SONIABRINGAS
Sworn and subsa~ibed before me ?#~ ''~s
This 5 da of b~ua r 200 °"~ +- ~` COMMISSION 1+ DD 745190
g` EXPIRES: January 92012
~,~,~ ,.n ~ ~, of v~,~ Bonded firu Notary PuMc UndetwrRers
Signature of Public Notary - StateUbf Florida
Notarization of Principal's signature
McR #~ /Date Paid ~' I ~L?.X
Revised 12/08/04