Allan Shulman/Seth Gadinsky/745 Collins Avenuem MIAMIBEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
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 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 includes the principal as well as any employee engaged
in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Shulman Allan
NAME OF LOBBYIST: (Last) (First) (M.I)
Shulman + Associates 100 NE 38 Street, Space 2 Miami Florida 33137
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)438-0609
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
.Seth Gadinsky, President
NAME OF PRINCIPAL/CLIENT:
Matacumbe Enterprises Inc 325 South Biscayne Blvd Suite 1724 Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 347-5415 SethC~Gadinskyrealestate.com
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, PARTNER, OR BENEFICIARY:
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Development approvals for property located at 745 Collins Avenue.
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
Planning and Zoning Department Staff, DRB, BOA, Planning
Board, City Commission
B) Any Financial, Familial or Professional Relationship
None
IV. DISCLOSURE OF TERMS AND AMOUNTS QF LOBBYIST COMPENSATION (DISCLOSE WHETHER HD//RLY,
PLATRAIL~ OR OTNER~k
A) LOBBYIST DISCLOSURE: (Required) 4 250 00 ce~ hour
$) PRINCIPAL`S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). S 250.00 cer hour
The f+olbwing infarmadon must be answered:
1) Pursuant to Miami Beach City Code Sectbn 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
g„Yes X No: I'~~ y~rw ~ a nr+esent or____n~erlcC a bid for q, eauioment ar ~Itviaea. ar on a
or Dendinsi award for aeoeis. aouiulrletlt or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
3) Pursuant to Miami Beach City Code 2-484 (h) Arty person (except those exempt from the detinitbn of
"lobby~t" as set forth in Section 2.481 above) who only appears as a representative of anot-for-profit
corporatbn or entity without special compensation or reimbursement far the appearance, whether direct, or
indirect, to express support of or opposition 13o any item, shall register with the clerk as required by this
section but, shat! not be required to pay any registration fees..
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~ Oil: EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECENED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO ~XPENDIiURES OR COMPENSATION DURING THE
REPORTING PERIOD. 1%~~ ~
Signature of Lobbyist
I do solemnly swear that atl of the foregoing facts are true and correct and that I have read or am
familiar with the provisions contained in Section 2-482 of the Miami Beach City Code and all reporting
requirements. ~ ~ ~ ~, ~ .
Signature of Lobbyist:
Signature of Principal/Client:
vI. LOBBYIST IDENTIFICATION:
~ ~ ^ Produced ID
Form of Identification
~•~ ^ Personally known (Lobbya~t)
~ ~ VII. ~ SIGNATURE AND STAMP OIF NOTARY:
State o Ida, County of Miami-Dade
z~i~~;'e Swom and subscri e
~~. ~ % ,day of 20~~ ,
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identificatbn
personally known (Pried 1
~r Notary Publlc State of Florida
Moro R Halp®m
~ ~ My Commission DD769014
State of Florida, County f~ ~ires o31zs~2olz
Swom and subscribed
This ~'' day of ~/ V . 20o Y
of Publlc Nattily -State Kf Fbrida
lion of Lobbyist's slgrtsture
Signature of Publlc Nita"ry -State of Fbrida
Notarizatbn of PMndpal's signature
FOR CLERK'S USE ONLY ~~
Annual Registration fee: [ ]Yes [ ] No Amount Paid .~ $ •~"'~ MCR #
lobbyist Registration Form received and verified by: Entered By:
F;\CLER\;ALL\MARIA-M\LobbyfshlO88YLST FORM OS.dot
~b Date Paid Z' ~~
RM9ad 12/08/04
EXHIBIT B
DISCLOSURE OF INTEREST
Matacumbe Enterprises, Ltd.
325 S. Biscayne Blvd, #1724
Miami Beach, FL 33131
NAME OF INTEREST HOLDER
1. Matacumbe Enterprises, Inc.
Seth Gadinsky, President
325 S. Biscayne Blvd, # 1724
Miami Beach, FL 33131
Seth Gadinsky 50%
325 S. Biscayne Blvd, #1724
Miami Beach, FL 33131
Lyle Stern 50%
1665 Washington Avenue, PH
Miami Beach, FL 33139
Subtotal
2. Seth Gadinsky
325 S. Biscayne Blvd, #1724
Miami Beach, FL 33131
3. Lyle Stern
1665 Washington Avenue, PH
Miami Beach, FL 33139
4. Marylyn Gadinsky
325 S. Biscayne Blvd, #1724
Miami Beach, FL 33131
5. Bruce Koniver
1665 Washington Avenue, PH
Miami Beach, FL 33139
100%
INTEREST
1.0
24.5
24.5
25.0
25.0
TOTAL 100.0