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Wayne Pathman/Alan Lieberman 2380 Flamingo DriveMIAMIBEACH City of Miami Beach Office of the City Clerk 9700 Convention Center Drive, Miami Beach, FL 33'!39 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 an 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 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 331 1 _ _ BUSINESS NAME AND ADDRESS (Number of Street) (City) (State) (Zip Code) 305- 7 - 425 305-379-2420 wnathmanlewisna,pathmanlewis.com TELEPHONE NUMBER: FAX NUMBER: EMACL: 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 (CYumber 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 Trast [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 CN SUCH CORPORATION, PARTNERSH[P OR TRUST: Alan Lieberman !I. SPECIFY LOBBY ISSUE: Mitigation of Code Violations/Liens/Fines at: 2380 Flamingo Drive Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A Full Name of Individual/Title B An Financial, Familial or Profession Relationshi Assistant Cit Mana er, Robert Middau No Buildin De dCode Com liance Re resentative No City Finance Dept and any other appropriate City De ts/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 following information must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited campaign Contributions By Lobbyists on Procurement Issues": Yes ~ No: Are you lobbyin¢ on a uresent or pending bid for Soods. equipment or services or on a uresent or pendin¢ award for goods. equipment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited campaign Contributions By Lobbyists on Real Estate Development Issues. Yes ~ No• Are you lobbying on a pend~na application for a Development Aereement with the City Of application for change of zoning map designation or change to the City's Future Land Use Ma°? 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 clerk as required by this rr~~ section but, shall not be required to pay any registration fees. Yes w~No: Are you representine a pat-for-profit 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 PRECE>11jN6~6~ ~ NDAR YE TEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR CDIFI~P ATIO~ URING THI REPORTING PERIOD. bbyist I do solemnly swear that all of the fo going fact familiar with the provisions eontain~d~t Section requirements. ll ~~ Signature of Lobbyist: Signature of PrincipaUClient: _ V~,I~~ 1 IDENTIFICATION: JEAN C. MCLEgI) MY COMMIS5IQN i~~be D EXPIRES: November t, 2008 Form of Identification Bonded Ttrcu Notary Public Undenrtllere ~- ~ ersonally known (Lobbyist) ~(Il. SIG T RE NI~ST ~QF OT State of Flo ' a County o % e Swom to bscrib fore This y of ~ , 20 (, true and corn and that I have read or am golf the ' mi Be,~ch City Code and all reporting ~~ PRINCIPAL IDENTIFICATION: tlllltt ^ Produced ID `~~e~tt rrr/f//r ~~ ~~ ~ 6no~gj ~~ti AO'. Form of IdentificatiQ~tQ : ~a`S . p#d°ds• to {Pri pal) = a ; ~• q~: *; '~~• s Q~Z ~~ o° No ;; ;r~~.~ ~.~c .~ unty of Miami-Bade ~~~////j/rrN'~'~6N~~~~~~° rihda hrsnro ~,r ~rw FOR CLERK'S USE ONLY Annual registration fee: [ ]Yea [ ] No Amount Paid MCR # Date Paid Lobbyist Regishation Form received and verified by: F:ICLER1aALLUvtARIA-M\Lobb 'stV.AHBYIST Form OS.doc Revised 12/08/04