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Steven Wenick/Minnie Properties, Inc.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. Wernick Steven J. NAME OF LOBBYIST: (Last) (First) (M.I) Bilzin Sumberg Baena Price & Axelrod LLP 200 South Biscayne Boulevard Suite 2500 Miami FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) Zip Code) 305-350-7377 305-351-2275 swernickCc~bilzin.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: LOBBYIST RETAINED BY: MINNIE PROPERTIES INC. NAME OF PRINCIPAUCLIENT: 1680 MICHIGAN AVENUE PH 6 MIAMI BEACH FLORIDA 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-672-5670 305-532-0867 omclaughlinCc~theschecterfoundation.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: Leroy Schecter • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: Application to the Historic Preservation Board and to the Board of Adjustment and associated permitting and code compliance issues Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of IndividuaUTitle B) Any Financial, Familial or Professional Relationship ~ Q Planning and Zoning Department Staff none ...~ c~ m ~ ~- /~'„ ~~ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER hIOUR~', Fl~' RATE OR OTHER) =.' ut ;~ A) LOBBYIST DISCLOSURE: (Required) ___ _ _ $225/oer hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $225/per hour Jun~~i3-08 11:56am From-Bilzin 305 3T5 6146 T-616 P.003/005 P-404 The following Information must be answered: 9) Pursuant to Miami f3each City Code Section 2~t3$ Entitled "Prohibited Campaign ConttibWons 13y Lobbyists On Procurement Issues": © Yes Q No: A~LOU labb}t•!n.~pn a oresent or pendino bid far cods a ui rr~ent or serv_fae$, or on d yresent gr pending award far gods ui ment or service? ' 2} Pursuant to Miami IBeach City Code 2-+190 Entitled "Prohibited Campaign Contributions By Lobbyists on Real Es#ate Development Issues": ^ Yes Q No: Are au lobb In on a endin a ticatlon far a Develo meat A reememt With the Ci o a Ilcatian for change of zoning maa designation or change fio the Cltv'S Future Land Use Maw? 3} Pursuant to Miami Beach City Code Z~t34 {h} Any person (except those exempt from the definition of "-obbyist" as set forth in Section 2-481 above) who only appears as a reprnsentative pf a not for-profrt corporation or entity without speraal Compensstian ar reimbursement for the appearance, whether direct, ar indirect, to express support of or opposition t0 any item, shau register with the Berk as required by this section but, shall not be required to pay any registration fees.. C7 Yes ~ No: A're you Yeptesentlnq a not-for+~orofit Corvoratlon Or entity without soecidt ComaensatlOn_orrelmbursement? V. SIGNATURE TINDER OATH: ON OCTOBER 1°~ OF EACH YEAR, EACH LOBEtYIST SHALL SUBMIT TO THE CITY CLERIC A SIGNED STATEMENT UNDER OATH, LISTING LOBEYING EXPENDITt 1RES, AS WELL AS COMPENSATION R<;CEIVE!}, IN THE GtTY QF MtAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL DE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERtOp, ~, Steven J. wemick 1 da solemnly swear that ail of the fonegcing fads are true in Section 2-da2 of the Miami Beach City Code and all reo~ carrect~an1d that I have read ar am familiar with the provisions corrtained Signature of Lobbyist: Signature of Prinrdpal/E;Ger>t:~,,,__ VI. LOBBYIST~IDENTIFlCATlON: ~ Produced ID Form of ldentificaticn ~ Personally known {Lobbyist) Vii, SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-[}acts Swom to and subscribed before me This day of June, 2DO¢~ Sign of Public Notary - Sta o Florida Nate Ilan of Lobbyist's sign FoR Annual Registration fee; [ ] Yes j ] No Amount P Lobbyist Registration Fpm1 received and verified by:~ F:ICLERI$ALLU~tf~ARiA-M1LobbyistlL4EtBYl57 FORM p5,c ~~ Ery~; ELIZABETH OHTIZ ,, ,~ MY COMMISSION # DD 608767 ~~p~ sondedlRrnru~P~Cnard nsurance~w ~oY A,MI 1566850.1 7782329495 i PRINCIPAL IDENTIFICATION: Leroy Schecter 0 ProduC~d ID Fenn of Identification /t~` PersonaUy known (Principal) N~ J~.R.Sc~/ Pl 1~x7~s~ State ofe; C:ou of Miarni-F,~Is- Swo ~nd subscribed before me Thi ~ day of June, 2008 ,M J 1,.~.,~.~ _ SigrTeture of Publi N ry -State of t~FCFIdlf Nataraation of rpal's signature ONLY -gyp a MGR #~l ~~Date J ~~~ ~ ~~ .: ~ ~~ 9~ Nnc a©ai ~~ -~ rya ~~~~~~~ LORIN J. HAGEDORN N®fiARY PUBLIC OF NEW JERSEY. ID. No. 2207054 My ~otnml~~lon Exp. Oct. 30, 2012 MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl. ~o_v LOBBYIST NAME: STEVEN J. WERNICK I understand that no later than October 1st of each 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 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. c Steven J. Wernick (o-J `J~ Date: MIAMI 1579647.1 7770529103