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Carter McDowell/Minnie PropertiesCity 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. McDowell Carter N. NAME OF LOBBYIST: (Last) (First) (M.I) Bilzin Sumbero Baena Price & Axelrod LLP 200 South Biscayne Boulevard Suite 2500, Miami, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) Zip Code) 305-3F0-2355 305-351-2239 cmdowell(c~bilzin.com TELEPHONE NUMBER: FAX NUMBER: EMAIL LOBBYIST RETAINED BY: MINNIE PROPERTIES INC ~ i~a NAME OF PRINCIPAUCLIENT: ~ ~° BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) TELEPHONE NUMBER: FAX NUMBER: (Optional) ": ~ Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] ~' "'' n ..,_ -T~ .. • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Leroy Schecter r=-; CJ7 O • 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 permittin4 and code compliance issues !slue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title ~ B) Any Financial, Familial or Professional Relationship and Zoning Department Staff ~ none IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER) A) LOBBYIST DISCLOSURE: (Required) $535/per hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $535/per hour Jun-03-06 , 11:59am From-Bilzin ThG following information must be answered: 305 375 6146 T-816 P.005/005 F-404 ~) Pursuant to Miami beach City Code SECtIOn 2ats8 Entitled "Prohibited Campaign Contributions $y Lobbyists On Procurement issues": ' ^ Yes ~ No: Ara you Io6bvina on a present ar aendima 4id for goods equiomemt or servfce5 or on a vresent or oendlng award for goods, eauiprnent or servir.®? 2} Pursuant to Miarni Beaah Gity Code 290 Entitled "Prohibited Campaign Contributions gy Lobbyists on Reat Estate Development Issues": ^ Yes 0 No; Are ou lobb in on a endin4 application for 8 Uevelopmenf Agreement with the City or application for chance of zoning map deslanation or ahansre to the Citv's Future Land Use Maul 3} Pursuant to Miami Beach City Code 2-484 (h} Any person (except those exempt from the definition of "lobbyist" as set faRh in Section 2181 above} who only appears as a representative of snot-far-profit corporation or enti#y without specie! compensation or reimbursement far the appearance, whether direct, or indirect, to express support of or opposition to any item, shah ;register with the clerk as required by this section bug shah not ire required to pay any registration fees.. ^ Yes H No: Are ou re resentfn anot-for-profit Cprooratlon or entity wittrout saecial cpmoensatipn or relmbuesement4 V. SIGNATURE UNDER OATH ON OC7OE3ER iu OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE crrY CLERK A SIGN la S7ATEIyEN7 UNLIER OATH, LISTING LOBBYING EXPENDITURES, A5 WELL AS COMPENSATION IYED, IN THE MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILEp EV I ERE HAVE B EXPENDITURES OR Ct]MPENSATiQN DURING THE hEPORTING PERIOD. i i ~ r C?arier tr!1V71bd t do solemnly swear that alt of the for i facts are true an ed and that 1 have read or am familiar with the provisions contained in Section 2.482 of the Miami Bea de d rep r#' r quirgments. Signature of Lobbyist: Signature of PrtncipatlClient; roy e r VI. Ld86YISTIDENTIFICATION: pRINClpAL IDENTIFICATION: Leroy Schecter D Produced ID ^ Producod ID Form of Identification Form of Ider>t~cation ,>~ Personalty known {Lobbyist) ~ Personalty known {principal} V(I. SIGNATURE AND STAMP OF NOTARY: State of Florida, Caunty of Miami-Dade Swam to and subscribed be re me This day of June, 2 Signa of Public Notary - Florida Nota lion of Lobbyists signature r16W ~ER9Ey MtUpuESb~ State of Ffer+da; Courrty of Mierni.gedG Swo nd subscribed before me This p" day of June, 2008 ' ' J. Sign re of Pub1iC ry-&~-rsFffeddrt. 5.{p,TE o NYcrJ .I~.QSby Notarization of Prt rpal's signature 1 rc~R Gti..Ei2tc•S USE ONLY Annual Registration fee: j ~ Yes [ ] No Amount Paid MCR # Date Paid Lobbyist Registration Form received end verified by: ~---, F:1CLEfit~A1.LWWRIA~-MlLobbyistiLOBBYIST FORM 45.doo Revised 12/08/04 :~.~p,Y'Py~cl EULpuE'?NORTiZ ~: ,~ MY CG~,9MiSSIGN # DD 608767 ~~;•, ?~ ~ eo uedRThm Picnam mbu~atnce ~t~v PF eft AMI I566$52. 17782329495 =~~t 3:.1~ S.'`t?,~-~~ }`ilk 15 ~1 41d 9- Ni1C 8002 ~~ ~r~ ~~ LORIN J. HAGEDORN NOTARY PUBLIC OF NEW JERSEY ID. No. 2207054 My Commission Exp. Oct. 30, 2012 MIAIVIi BEACH City' of 41ian~i Beach, 170U Conveirtior~ Center Drive, Miami F3each, Florida ; i t ~9, ~>.v... miami.beachfl.~ov LOBBYIST NAME: CARTER N. MCDOWELL I understand that no later than October 1st 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 !have registered to lobby on has been resolved, 1 am required to immediately notify ity Clerk's Office of lobbyist withdrawal in writing. G Signa e: D '