Andrew Frey/Luis Useche BLV Group~~
City of Miami leach Office of the City Clerk
371)D Convantion Center Drive, Miaml Beach, FI.33339
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 boazd 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 terra "Lobbyists"
has specific exelasioas. Please refer to Ordinance 20043435.
Frey Andrew W.
NAME OF LOBBYIST: (Last) {First) (M.n
Akerman Senterfitt, P.A. One SE 3'~ Ave., Suite 2500 Miami FL 33131
BUSINESS NAME AND ADDRESS {Number and Street) (City} (State) (2;ip Code)
(305) 374-5600 (305) 374-S09S andrew.frey~akcrman.com
TELEPHONE NUMBER: FAX NUMBER: ~EMA1L:
I. LOBBYIST RETAINED 13Y:
Useche Luis Fernando
NAME OF PRINCIPAL/CLIENT: {Last) (First) (M.I)
BLV Group 13780 S.W. 26s' St.
NAME AND ADDRESS
Suite 201 Miami
FL 33175
(Number and Street)
221-6000, Ext. 201 (305) 221-6010
(Cif}')
TELEPHONE NUMBER: FAX NUMBER: (optional)
Fill oat 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% O~
MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP .~.i
OR TRUST:
1~. JYl;(:LN'1t: LVKBY l~~u'UE: ~
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3651 Ocean ~;
Issue to be lobbied (Describe in detail): o
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iiI. CITY AGI~NCIp:.'aliNDMDUALS TD BE L0I3BIEDs
A. i7uff Name of
YndividaattTitlo !#. Any Finanei=1, Familial or
I'rofesaiortat Robttioaship
NIA
IV. pISCLOSURE t3F TERMS ANI? AM{iLTNTS OF LOBBYIST CUMPk,NSATLON
(i11SCLOSE WHETHERHOURI.i', F~irRATE ttR t71'HER)r
A. LOBBYIST DISCLt35URE: (f~equired} `~ ~~' ~E3~1~
B. 1''RiNCif'AL'S UISCLt]SURE {4P LOBBYIST COMPENSATION): (Required}
~~.~3t~t~-.
The following infozmation must be answered:
(i} Pursuant to Miami Beach City Coda Section 2-48$ Entitled "Prohibited
Campaign Contributions By Lobbyists On Practtrement lssues":
QYes ~No Are you Mbbying an a present or pending bid for goads,
equipment ar services, or on a present or pending award for
gaols, equipment ar servisx?
~2} Pursuant to Miami Beach City Code 2-44U Entitled "Prohibited Campaign
Carrtributians Fay Lobbyists t)n Real Estate Devolapment Issues":
QYes ®Nos Arc yaet lobbying on s pending application for a Devettrpment
Agreement with tltc City ar application for chance of zoning
Hasp designation or cbanct to the City's Future Land Use
Map?
(3} Pursuant to Miami :Beads City Code 2-484 {h} Any person (except those
exempt fiani the da:6nition of "iobbyist" as set forth in Section 2-481 above}
who only appears as $ representative of a rxat-for-profit corporation or entity
without special compensation or reimbursernerrt for the appearance, whether
dis+ect, or indirect, tv express support of or opposition tcs any item, shah
register with tine clerk as requirsd by his section but, shall not be required to
.pay any registration fees.
QYes ~Na. Are you representing aHat-for-profit corpora~tfon ur entity
without specfa~l canapensatian ar reimbursement.
{MZesa~s~z,~ } 2
V. SIGNATURE, ITNDER OATH:
t3N OCTCIBER IsT OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY
CLERK A SIGNED STATEMENT UNDER OATH, LISTING LCJ-BBYING EXPI~NDITURES,
A3 WELL AS COMPENSATION RECEIVED, IN THE CITY UI~' MIAMI .BEACH FUR TAE
PRECLt€iIl\TG CALLNiIAIt YEAR, A STATEMENT SHALL BE FILED EVEN II+' THERE
HAVE BEEN NU 'EXPEND[TUI2E~3 OR CUMPENSATIUN [?(TRING THE REPORTING
PERIOD. ~ A
I do solemnly swag that all of the foragaing facts are true and correct and that Nave read ar am
familiar with the provisions cantainad in Section 2-482 of ~ iami Ilsaeh City Code and all
reporting rcquiremcnts. ~~
Signature of Lobbyist:
Signature. of PtincipaUCiiatr~
VI. LOBBYIST IDENTIFICATION:
^ Produced [D
~.__
. Fcxxrt afidentificadan
PRINCIPAL IDENTIFICATION':
^ Produced ID
Form of Identification
($,~Personatly k~rown {i~abby~} ~ p
VII. SIGNATURE ANTI STAMP t3F ~"'"""~ I~ARtA t41. VELAZQUEZ
MY C'C~?AdiS5i0N # DD3iM1839
~ r.~r~atcl>s 1
~
NOTARY: ,,~
~~,
txu,~_r;~~7.µy F7~ot8iytiia~„mAisi+c.Ca.
State of Florida, County of Miami~Dade State of Florida, County afMiami-Dade
Sworn~p and subs
This/~~tay of ibed before me
ri 2 Sw subsc '~ b~` a me
This~_ _. day of ~ ! , 20
Signature of Public Nota
-State of 1<l
id
ry
or Signature of Public Notary - Stafle on
Notarization of Lo E. FERNANDEZ Notar#iatlon oiPrincipsl's signature
MY COMMISSION # DD312914
E70'IRES: Jttt~ 25, 2008
`
~,
. `?! A'~.o~ Fl. Notary Dismount Assoc _Co-
Fox czaeR~~s cs$ olvLY ~'~
0~
Annaat Rcgistratson rte: Yes (~TTo Amount Paid ~~ CR ~ v ' Date Paid ~ ~~
Lobbyist J,ttgistratlon Farm rCacvCd and vcritted by.
Ravl~ed ]21081p~4
{M266g942;J l ~
Page 1 of 2
Prieto, Silvia
From: Prieto, Silvia
Sent: Thursday, April 17, 2008 10:05 AM
To: 'Fernandez, Blanca'
Subject: RE: Lobbyist Registration
Blanca
I will apply the additional information to Mr. Frey's Lobbyist Registration form.
Thank you,
MIAMI BEACH
Silvia Prieto, Administrative Aide I
CITY CLERK'S OFFICE
1700 Convention Center Drive, Miami Beach, FL 33139
Phone: 305-673-7000 ext. 6269 / Fax: 305-673-7254
vvww.m iamibeachfl.gov
We are committed to providing excellent public service and safety to al! who live, work and play in our vibrant, tropical, historic community.
From: Fernandez, Blanca [mailto:blanca.fernandez@akerman.com]
Sent: Thursday, April 17, 2008 9:59 AM
To: Prieto, Silvia
Subject: Lobbyist Registration
Hi Silvia,
Here's the info you requested.
II. Specific Lobby Issue: 3651 Collins Avenue Site Plan Approval.
III. City Agencies: A} Planning Department and B) should be None
Any questions, please contact me. Thank you.
Blanca
Blanca Fernandez
Legal Administrative Assistant to
Neisen O. Kasdin, Esq. and Augusto E. Maxwell, Esq
Akerman Senterfitt
One SE Third Avenue, 25th Floor
Miami, Florida 33131
Direct Line: (305) 679-5478
Fax: (305) 374-5095
blanca.fernandez@akerman.com
04/17/2008
City of Miami Beoch, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miomibeachfl.gov
CITY CLERK Office
Tel: 305.673.741 1 ,Fax: 305.673.7254
LOBBYIST NAME:
V'lz..t/V -1 ~/
C ityClerk~miami beachfl.gov
`~
I understand that no later than October 1st of each xear, I must file the following
forms, pursuant to Section 2-485 of the~Miami Beach City Code, with the City Clerk's
Office for all active lobbying issues.
1) lobbyist Expenditure Form
2) Disclosure Form
Failure to file these forms on a timely basis will result in my name being transmitted to the
Miami-Dade County Commission on Ethics and for code violation evaluation.
In addition, once an issue I have registered to lobby on has been resolved, I am required
to immediately notify the City Clerk's/Office of lobbyist withdrawal in writing.
Signature:
E~avisad o2~oar2oos
~-~~_og
Date: