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Wayne Pathman/Alan LiebermanMIAMIBEACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 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 declsion 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 induces the principal as wail as any employee engaged In lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. Pathman Wavne M. NAME OF LOBBYIST: (Last) (First) (M.I.} ~athman Lewis. LLP. 2 South Biscayne Boulevard._ Suite 2400. Miami, FL 33131 BUSINESS NAME ANA ADDRESS (Number of Street) {City) (State) (Zip Code) 305-379-2425 305-379-2420 wpathmanlewistu7.pathmanlewis.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: LOBBYIST RETAINED BY: Alan Lieberman NAME OF PRINCIPAL/CLIENT: Alan Lieberman Properties, 1680 Meridian Avenue, Suite 102. Miami Beach, FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 786-271-3458 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c) ] • NAME OF CHIEF OFFICER, PARTNERS, OR BENEFICIARY: Alan Lieberman • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST 1N SUCH CORPORATION, PARTNERSHIP OR TRUST: Alan Lieberman and Nathan Lieberman II. SPECIFY LOBBY ISSUE: Mitigation of Code Violations/Liens/Fines at: 635 Collins Avenue Issue to be lobbied (Describe in detail): [li. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A Full Narne of Individua]/Title B An Financial, Familial or Profession Relationshi Assistant Ci Mana er, Robert Middau h No Buildin De t/Code Com liance R resentative No City Finance Dept and any other appropriate City De is/Offices No .. IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION {DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) Hourly Rate - $400 B) PRINCII'AL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). _Hourly Rate - $400 The following information must be answered: Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited campaign Contributions By Lobbyists on Procurement Issues": ^ Yes ~ No: Are you lobbvia¢ on a present or pendine bid for Foods. eauipment or services, or on a present or pending award for Soods. equipment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited campaign Contributions By Lobbyists on Real Estate Development Issues. Yes 1~ No: Are you lobbvine on a nendiag aRp~~Fation for a Development Aereement with {,ate City Of application for change of zonln¢ map designation or chance to the City's Future Land Use Man? 3) Pursuant to Miami Beach City Coda 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 arepresentative 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 ~NO: Are you representin¢ anot-for-profit corporation or entity without special compensation or reimbursement. 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 EXPENDIT S, AS WELL AS COMPE AT[ON RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDI DAR YE TATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR A N DURING THE REPORTING PERIOD. t I do solemnly swear that all of the foregoing facts are true nd cor~eet and that I have r o am familiar with the provisions contained i~t-.section 2-482 the ity a all reporting requirements. ~ ~ ~ _ , Signature of Lobbyist: Signature of PrincipaUClient: VI. ~...~. ENTIFICATION: V PRINCIPAL IDENTIFICATION: JEAN G. MCLEOD MY COMMISSIC6R+k1~IbTC9M I 0 Produced ID ~ttttttuuet~~~ EXPIFES: Novemt~er 1,2008 Form of Identification ~ d1S CI18nd Form of ldentifica~ ~~>i~ Banded Thru Notary Public arwriters ~ ~ ~~~~` ~~~ 1s14Eao~~ • 6b~p yoi i ~S ~ rsonal y own (Lobbyist} ~ a A ly known (Princlpal~~ o , ;~`` gd~o•. L~~ ~ ~ ~ L99L n ;~ VH. SI NA U A D P OF OT = '~ ~~ ,jog; ~~ p ~ State of on a, o n a ode om an sub e a rr a~o~,8~ a ~ State of Florida, County ofMiami-Dade ••'~~~ NOtSS~~;~•~ .~`~ m a su c befor qee ~~• b i ~of Thi ~/ c 20at1' 20Q~f`,i ~~ ~~ \```~~ d a~ b This , '' ~'~t ~ FOR CLERK'S USE ONLY Annual registration fee: [ ]Yes [ ] No Amount Paid ~~S• y a MC ~ '~~~ Date Paid ~ 2 O Lobbyist Registration Form received and verified by: ,~ ' F:ICLER~SALLIMARIA-MV..obb 'stU.OBBYIST Form OS.doc -~~ ~^-'`~ Revised 12/08/04 m N','AMiBEACH Cify of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, vrww.miamibeachFl.gov CITY CLERK Office CilyClerk~miamibeachfl.gov Tel: 305.673.7411 ,Fax: 305.673.7254 LOBBYIST NAME: Wayne M. Pathman I understand that no later than October '1st of eat year, 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 wit) 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. ''`~ / ~~ 3/28/2008 Date: F:ICLERILOBBYI511Lobbyist fiegfstration Form 32708.doc