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David Sacks/Scott Robins~~i ~~ City of Miami Beach office of the City Clerk 17ti(} Cc~nventian Center ©rive, Miami Beach, FL 33139 L.OBI3YIST ILEGISTItATION Ft3Rhi lottbyist means ai persans emptayed a' retained, whether paid or nnt, by a prfnctpai who seeks to encourage the passage, defeat or modrtimbon of any ordkoance, resolution, action or derision of any commissbner; any adian, decision, recnrvrnendatbn pf the qty Manager ar any arf boartt or cammittea; or any aGion, tiedsion ar remmmendatlon e# any city personnel during the time pettod of the ent}re dectsion•making process on such ac#lon, dedsinn ar recommendatbn that foresaeabiy will be heard or reviewed by the dry wmmfsslon, or a city tward Vr oonWnittee. The term spedfica#y Irdudes the printipai as wet as awry empioyee engaged Fn tobhying actlvitfes. The farm "t.aibyists" has specific exclusions. Pieria refer to Ondinarrte 2t31M-3495, Seeks David E. NAME OF lOH9YISr: (Last) (first) {M.I} Pathman Lewis, LLP, 2 South Biscayne Blvd., Suite 2400, Miami, FL 33131 BUSINESS NAME AND ADDRESS (Number etsd Street} (City) (State} (~ Code} 305-379-2425 305-379-2420 daacksC~pathmanlewis.com 7T1EPH4NE ttUMiiER: FAX NUMBER: EF1RIl: Y. tO86YIS7 FC~T'ATNEI! t3Y: Scott Robins NAME OF PRINCIPA!(ClIENT: Purdy Partners, LLC, 230 5th Street, Miami Heach, PL 33139 BUSINESS ttAME AP1D ADDRESS (Number and Sheet} (sty) (State} {7.Sp code} 305-674-0600 TEIEP}iQNE NUM6Eti: FAX NUMBER: (Optional) EMAIL: (Optlonai} s NAME t}F CHIEF OFF3CER, PART'lffR, C+R 9ENEFICL4RY: Scott tZcbins TDE#i7iFY AL! PERSONS HOllJING, RIRECTLY OA ItiDIRECTLY, A 54t, OR MQRt S3WfiFItSHIP INTEREST IN SUCH CORPORATICiN, PARTNERSHIPCFRTT2USi': Scott Robins, Philip Levine iI. SFECIrFIt:lASSYXSSUEr Sale/Development of Properties bounded by 18th Street, Purdy Avenue, 20th Street and Bay Road Issas to ba tohlsled (Describe in detail}: IYI. CTI3(AGENCtESfdHDIVIDUALSTOBElO88YED: A} fuR testa of IrufividvallTitis a}Any Finatrdai, Farnltial or Prafessknal Ralatlonshlp Assistant City Manager, Tim Hemstreet No Building Department Flanning Departmen Finance Dept., and other departments o No offices that may be appropriate No 6 i :z ~d i E ~~~$aoa c~~~~~J~ Iif, pISCLOSUi2E OFTERMS AND AMOUNTS OF lt~BYlST COFSPEHSATXON (DISCLOSE WNETNER HDURIY fla9TRATEUR 4TNRd~k A} LOBSYISC DISCLOSURE: (Raqutrad) $375 hourly 6) PRItrICI~AL'SDIS(x.OSURE~(OFLQBBY]5i'i70MPEHSATIONj:{R®gttlrod). ~"37S hourly The fdtowing Iniarmatlan muai ba answered: 1} Pursuant io Mtarnt beach City Code Seaton ~-488 EnNNed "ProhiMUed Campai4n ConiribuNons 8y l.ubbylsts fan Procurement Issues`: 2) Pursuant to Miami Beath City Cade 2-494 EntlNed "Prohibited Canspaign Co~rihutlons gy lobbyists 4n Real EKate peveioprne:tt Issues": Y. Sit9t~ATURE LlNDEROATB: ON OC7'08ER i~ OF EACCH YEAR, EACH LO$BYIST SHALL. SUBMIT TO THE CITY CLERK A SIGNED STATEMENT tlNDER OATH, LISTINUI LOiBBYING EXPENQI'ri,}RES, AS WIB.L AS COMPENSATION RECiEIVED, IN THE CITY OF 1~4IAMY BEACH iwR THE PRECEt'llCt CALENDAR YEAR. A STATEMENT SHALL SE FILED EVEN IF 'THERE HAYS ilgEN„Nd•~FR~NC~7,TU~(~~ COb'1P~NSkTTON OUR%NO T7dE REP08'iTNG PERIOt). /' ~ J /~"'~ I da soiemniy swear that alt of the fore familiar with the provisl talried in requlr$mersts. ~ Signature of lobbyist. Signature of Princtpat/tent: VL 4OSBYT5TIDFSdiIFICATiON: facts are and correct and that I have read or am n 2- of the Mt~Y Beach City Code and aiC reporting QaiNCIPA4 %DENTIFi!:ATtON: Sibte #~ Ftottrta, of Miami-fSatta ir`U3:~R3' PUBid~-STATE Ol• FL4l 'VlarcePa Corral C,oramission # D-54s ~~lpires: APR. 24, . '"uu Atlsuitic Bonding Co iJ Praluaed ID t7 Produced ID Form of TdeniNlcat3or- ~ Form of Isienifitptian Persortaily tcnotivrt (Loisbyistj 6vFersanaAy known (Prb-etl~si) YII~SIGNATURE AND STAMP OF Nt?TARY: ! a~"w City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CIN CLERK Office CityClerkC~miamibeachfl.gov Tel: 305.673.7411 ,Fax: 305.673.7254 LOBBYfST NAME: David E. Sacks i understand that no later than October ~stt of each year, (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. 3/28/2008 Date: F:ICLER\LOBBYIST1Lobbyist Registration Form 32708.doc