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Carter McDowell/Cabi DevelopersCity 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 Sumbera Baena Price & Axelrod LLP 200 South Biscayne Boulevard Suite 2500 Miami Beach. FL 33131 BUSINESS NAME AND ADDRESS (Number and Street} (City) (State) Zip Code) 305 350 2355 (305) 351-2239 cmcdowellCa~bilzin.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: LOBBYIST RETAINED BY: Cabi Develoaers NAME OF PRINCIPAL/CLIENT: 19950 West Country Club Drive #900 Aventura FL 33180 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-466-1810 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: Elias Amkie • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: SPECiFiC LOBBY ISSUE: Land use and zonins~ issues for property located at 4100 and 4120 Pinetree Drive and 340 West 42"d Street. Miami Beach Florida Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of IndividualITitle B) Any Financial, Familial or Professional Relationsf~i r.a ca Planning Board, Historic Preservation Board -< "' ~ ~. none Board of Adjustment rn ~ ~7 none Design Review Board °` ~..... none ~'~ s- -*-, ~~ ~ ~ rn o iV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION {DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER) A) LOBBYIST DISCLOSURE: {Required) $535 00 per hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION}: {Required}. $535.00 per hour 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 lobbvina on a present or pendina bid for aoods equipment or services, or on a present or pendina award for Qoods, 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 pendinst application for a Development Aareement with the Citv or application for chance of zonina map designation or chance to the City's Future Land Use Map? 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 a not-#or-profd corporation or entity without special compensation or reimbursement #or the appearance, whether direct, or indirect, to express support of or opposition to any item, sha11 register with the clerk as required by this section but, shall not be required to pay any registration fees.. ^ Yes ~~ No: Ana you representing a nat-for-arofit corporation or entity without special compensation or reimbursement? V. SIGNATURE UNDER OATH: ON OCTOBER 1't OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPEN TION RECENED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHAL FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PER . / ~ /e Carter N. McDowell I do solemnly swear that alt of the foregoin is are true and coSfand that I have read or am familiar with the provisions contained in Section 2-482 of the Miami City_~,o~ and a-i'r ng requirements. Signature of Lobbyis#: ~~ Signature of PrincipallClient: _ VI. LOBBYIST IDENTIFICATION: I Produced ID Personally VII. SIGNATURE Form of Identification State of Florida, 200$ Signature'a#-R-~iic Notary -'State of F Notarization of Lobbyist's signature i DD 529254 ES: May 18, 2010 i tlo6Md gaur+~ AerwY PRINCIPAL IDENTIFICATION: Produced ID Form of Identificati C: Personally kno MERCEDE3PADRON ". ~, ~?';; MY CAMMISSION # DD 609108 EXPIRES: November 9, . :r'r gp~d ThN Plchnrd Insunra~ W~n6y State of Florida, County of Mia Swo d subscn d e re me Tpis day of , 2008 Notatiization of Principal's signature FOR CLERK'S U E ONLY ~ D Annual Registration fee: [ ]Yes ( ] No Amount Paid ° MCR # Date Paid Lobbyist Registration Form received and verified by: F:ICLERI$ALL1MARiA-M\Lobbyist\LOBBYIST FORM 05.doc + Revised 12/08/04 MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov LOBBYIST NAME: CARTER N. McDOWELL 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 t ity Clerk's Office f lobbyist withdrawal in writing. Carter N. McDowell D e: MIAMI 1603642.1 7644823491