Wayne Pathman/Alan Lieberman 318 20th Street
MIAMIBEACH
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 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 cify board or committee. The term specifically induces the
principal as well as any employee engaged In lobbying activities. The term "Lobbyists" has specific
exclusions. Please refer to Ordinance 2004-3435.
Pathman Wayne M
NAME OF LOBBYIST: (Last) (First) (M.I.)
Pathman Lewis LLP 2 South Biscayne Boulevard Suite 2400 Miami FL 33131
BUSINESS NAME AND ADDRESS (Number of Street) (City) (State) (Zip Code}
~Q~ 379-2425 305-379-2420 wpathmantewislu,~,pathmanlewis com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. 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)
786-27 ] -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 IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Alan Lieberman
II. SPECIFY LOBBY ISSUE:
Miti anon of Violations/Lien /Fin t: 318 20'" S re t
Issue to be lobbied (pescrlbe in detail):
II[. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A Full Name of Individual/Title $ An Financial Familial or Profession Relationshi
Assistant Cit Mana er, Robert Middau h No
Buildin De t/Code Com Rance Re 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} PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourly Rate - $400
The lollowing information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited campaign Contributions By Lobbyists
on Procurement Issues":
^ Yes K~ No: Are you lobbyin¢ on a present or pending bid for ¢oods equipment or services or on a
present or pendine award for ¢oods. equipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited campaign Contributions By Lobbyists
on Real Estate Development Issues.
Yes 4~ No• Are you lobbviag on a ending apnllcatlon for a Development A¢reement with the Ciri Of
aRplkatloa for change of zoning map desienation or change to the Clri's Future Land Use
a ?
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 snot-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¢ snot-for-prolit 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 PRECED '~E,ENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR PEN THE
REPORTING PERIOD.
Sign a of Lobbyist
I do solemnly swear that all of the foregoing facts are true and correct that I have read or am
Signature of PrincipaUClient:
:R~` :UidMISSION gR 367805 v
E.XnIRES: Novetrtir~ced
i?u~~;xd 7hru Notary Public Underwriters Form of Identification
rsonal known (L yist)
~ ~~~~~
VII. SIGNA U AND STAMP OF NOTARY:
State of Florida, Cou of Miami-Dade
Swom to an subscribed ~for~~
This,~_ day of i~~`-~`-' 20v Y
---PRINCIPAL IDENTIFICATION: ~~~etttlaaul~~~~
~`\z~~v~~~p,FIN ~~~~e,'i
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Fotm of Identification; ; o~ off' `"~
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e ovally known rin al) ~ ~ vUg~~06 ~ •: `°
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Slate of Florida, County of Miami-Dade
Swom nd subscribe before e
This ~ day o, 20
FOR CLERK'S USE ONLY S~
Annual registration fee: [ ]Yes [ ] No Amount Paid • t) O MCR # ~ Date id
Lobbyist Registration Form received and verified by:
F:ICLERISALLUNARIA-MU.obb 'stUABBYIST Form OS.doc Revised 12!08/04
familiar with the provisions contained in Section 2-482-ef is each City Code and all reporting
requirements. ~
Signature of Lobbyist: ~" ~~ ,~: