Carter N. McDowell/Sandy Lane Residential LLC, Amended-~ ~ H n1 ~~ ~'- dJ ~~ OGC- I~-~
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.
McDowell Carter N.
NAME OF LOBBYIST: (Last) (First) (M.I)
Bilzin Sumberg Baena Price & Axelrod LLP 200 So. Biscayne Blvd., Miami, Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-350-2355 305-351-2239 cmcdowellCc~bilzi n. com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
Sandv Lane Residential LLC
NAME OF PRINCIPAUCLIENT:
2399 Collins Avenue Miami Beach Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)604-6796 (305)747-6408
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
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Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] --1 0
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• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:Morton's of Chicago Florida Holding, Ir~ ~
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• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5%.OR MORE OWNERSHIPU~NTF.I~ST_IDI
SUCH CORPORATION, PARTNERSHIP OR TRUST: ~. ~ ,~
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SPECIFIC LOBBY ISSUE: - ~ CIt
Land Use and zoning issues involving the Gansevoort South
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Nan:e cf Irdividua!/Title B) Any Financial, Familial or Professional Relationship
Planning and Zoning Department none
Building Department; Planning Board none
Historic Preservation Board; Special Master
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 aer hour
~~
The folpbwing 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 aendina bid for aoods eauipment or services, or on a present or
aendina award for aoods eauipment 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 lobbving on a pendina application for a Development Agreement with the City or
application for chanae of zoning map designation or chanae 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 snot-for-profit corporation or entity without special
compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or opposition to any
item, shall register with the clerk as required by this section but, shall not be required to pay any registration fees..
^ Yes ®No: Are you representing snot-for-profit 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 STAT ENT UNDER
OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF I 1 BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF HAVE BEEN NO ENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
it _ ~. ~ i
Signature of Lobbyist -Carter N. McDowell
I do solemnly swear that all of the fo
in Section 2-482 of the Miami Beach
Signature of Lobbyist:
true and correct and that/I ha read or am familiar with the provisions contained
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rep/'i~' d~1'~ e A -=t c~
Carter N. McDowell
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
,.'Produced ID
Form of Identification
Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Swo n to and subsc ibe before me
Thi~ day of , 20~
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PRINCIPAL IDENTIFICATION: ~,~ °°ry•-
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^ Produced ID
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Form of Identification ., ~ ~ `~
^ Personally known (Principal) c~ N
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State of Florida, County of Miami-Dade
Sworn and subscribed before me
This day of , 20
Signature of Public Notary -State of Florida
Notarization of Principal's signature
Annual Registration fee: [ ]Yes [ ] No Amount Paid MCR
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST FORM 05.doc -,
>R CLERK'S USE ONLY
Date Paid
Revised 12/08/04
dIAMI 1643063.1 7645223517
The following Informatlon must be answered:
1) Pursuant to Aliieml Beach City Code Section 2.488 Entitled "Prohibited Campaign Contrtbutfons By Lobbyists On Procurement
Issues'
^ Yea ~ No: Are you lobbving o a present or pending bid for goods equipment or services or on a present o
2} Pursuant to Miami Beach Clty Code 2.490 Entiged "Proh>bited Campaign Contributions By Lobbyists On Real Estate
Development issues`.
^ Yes ~ NO: Are you IODDL ILIA do a pending appllcatlon for a 13eveloprnerrt ;Agreement with the City or
3) Pursuant to Miami Beach City Code 2.484 (h) Any person (except those exempt from the definition of "lobbyist" asset forth in
Sectioon 2-481 above) who only appears as a representative of a not for-prot7t corporation or entity without apectai
compensation or reMnbun:ement for the appearonce, whether direct, or indirect, to express sappi ~~ nr~88osifion to any
item, shag register with the clerk as required by this sect~n but, shall not be required to pay y reg
^ Yes ®No: - .--resentlna a not~or-profit coporatlon or entity without special comvensatio» or
reimbursement?
V. SIGNATURE UNDER OATH:
ON OCTOBER 1„ OF EACH YEAR, EACH LOBBYIST SHALL SUBlWR 70 THE CITY CLERK A SIGNED STA ENT UNDER
OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVE , IN THE CITY OF I BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN tF HAVE BEEN NO ENDITURES OR
COMPENSATION bURiNG THE REPORTIN<y PERIOD.
Signature of Lobbyist--Carter N. McDowell
1 do solemnly swear that all of the foregoing fe re true and correct and that I ha read or am familiar with the provisions contained
in Section 2.482 of the Miami Beach Ci d re u c°:~ na
--i c,°
Signaturo of LobbYlst:
a r N. Dowel ~-, rr i .
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Signature of Principal/Cq `~' tV ~~
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VI. LOBBYIST IDENTIFICA710N• PRINCIPAL IDENTIFICATION: ~„
D Produced ID 0 Produced ID r-- ~'
Form of Identitic~tfon / Form of Identtflcation '~ .,,,, i~'1
Personally known {Lobbyist) f~ Personalty known {Principaq `^J ~ ~,7
V!L SIONATtJRE AND STAMP OF NOTARY: ~ ~
State of Florida, County of Miami-Dade State of Florida, County of MlamWade
Swo to and subs gibe before me Swom and subscribed before me
Th' of ~ 20,~: This „~ day of-~`~~~ _2~0QQ~,
Signa>ure Signature of Public Notary -State of Florida
NotalizaGo _ _ ~, Notarization of Principal's signature
Annuat Registration tee: [ ]Yes [ ] No Amount Paid MCR # Date Paid
Lobbyist Ragiefration Form received and verified by: Revised t2/08l04
F:ICLERI$At.LWIARiA-M1LobbyiatlLOBBYIST FORM 05.doa
`OTAR~' PLTiLIC-STATE OF FLORIDA
~~~ Eileen T. Morales
Commission # DDg81031
. Expires: OCT. 12, 2009
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