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Carter N. McDowell - Golden Palms, LLC L((94 l AA I AM I BEACH RECEIVED Office of the City Clerk 1700 Convention Center Drive JUL 21 2022 Miami Beach, FL 33139 305.673.7411 CITY OF MIAMI BEACH LOBBYIST REGISTRATION FORM OFFICE cIF THE CITY CLERK 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 "Lobbyist" has specific exclusions. Please refer to City Code Chapter 2, Article VII, Division 3, entitled "Lobbyists," for additional information. Instructions: Please complete all sections of this form and submit the completed form, with the applicable fee, to the Office of the City Clerk. If you need more space to complete an answer, use a separate sheet(s) of paper. If you have nothing to report in a particular section, you must write "none" or "n/a" in that section. Any change to any information originally filed, or any additional City Commissioner or personnel who are also sought to be lobbied shall require that the lobbyist file an amendment to the registration form. The lobbyist has a continuing duty to supply information and amend the forms filed throughout the period that the lobbying occurs. Separate registration forms shall be required for each principal represented on each specific issue. I. LOBBYIST INFORMATION: McDowell Carter N. NAME OF LOBBYIST (Last) (First) (Middle Name) Bilzin Sumberg 1450 Brickell Ave, 23rd Floor Miami FL 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-350-2355 cmcdowell@bilzin.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Golden Palms LLC Springer Robert NAME OF PRINCIPAL (Last) (First) (Middle Name) Golden Palms LLC 200 Spectrum Center Drive, 21st Floor Irvine CA 92618 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-350-7202 c/o Javier Avino-javino@bilzin.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant to City Code Section 2-482(h)(1)(a): A principal of any corporation, partnership, or other entity who appears as a lobbyist on behalf of that entity,without special compensation or reimbursement for the appearance,whether direct, indirect, or contingent,to express support of or opposition to an item shall register with the Clerk as required by this subsection but shall not be required to pay any registration fees. If the principal is a Corporation, Partnership or Trust, the following information MUST be provided pursuant to City Code Section 2-482(c): • NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARY(if none,write N/A): See attached • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST(if none,write N/A): See attached Page 1 of 5 III. ISSUE TO BE LOBBIED: Describe with as much detail as is practical, including but not limited to a specific description where applicable of a pending request for proposal, invitation to bid, or public hearing number. Land use, zoning, design and development approvals from the historic Preservation Board, and permitting issues, associated with property located at 4041 Collins Ave, Miami, Beach 33140 IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(a)(4), list the City Commissioner or City personnel sought to be lobbied, and whether the lobbyist has entered into any contractual relationship (paid or unpaid) with said City Commissioner or City personnel from 12 months preceding such commencement of service with the City to the present date, stating the general nature of the subject contractual relationship. Full Name of Individual and Contractual Relationship (If yes, explain) YES NO Title of Person to be Lobbied Planning Director X Planning and Zoning Department staff X Historic Preservation Board members and staff X Planning Board members and staff X City Commission X X Pursuant to City Code Section 2-482(g), every registrant shall be required to state the extent of any business, financial, familial or professional relationship, or other relationship giving rise to an appearance of an impropriety, with any current City Commissioner or City personnel who is sought to be lobbied as identified on the lobbyist registration form filed. List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an appearance of impropriety (if none, write N/A): N/A V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a contingency fee is prohibited pursuant to City Code Sec. 2-485.3): $975/hour Page 2 of 5 The following six(6)questions MUST be answered: 1) Pursuant to City Code Section 2-488,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues": _Yes XNo: Are you lobbying on a present or pending bid for goods, equipment or services, or on a present or pending award for goods,equipment or service? 2) Pursuant to City Code Section 2-490, entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": —Yes XNo: Are you lobbying on a pending application for a Development Agreement with the City or application for change of zoning map designation or change to the City's Future Land Use Map? 3) Pursuant to City Code Section 2-482(h), any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481) who only appears as a representative of a not-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 city clerk as required by this section,but shall not be required to pay any registration fees. _Yes X_No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement? 4) Pursuant to City Code Section 2-481, the term "lobbyist" specifically excludes the following persons: Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings;any person who only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether direct, indirect or contingent,to express support of or opposition to any item;and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. YesX No: Are you providing only scientific, technical or other specialized information: appearing as a representative of a neighborhood association without special compensation or reimbursement or representing a not-for-profit based organization for the purpose of requesting a grant without special compensation or reimbursement? 5) Pursuant to City Code Section 2-491(1), no campaign consultant shall lobby the City Commission for a period of 12 months following the swearing in of any elected official(s) for whom the campaign consultant provided campaign consulting services within the past election cycle. See Section 2-491 for more information. Yes XNo: Have you provided campaign consulting services to an incumbent member of the City Commission — _ within the past election cycle?If yes,please list the incumbent member(s)of the City Commission: _Yes XNo: If yes. has It been less than 12 months since the elected officlal(s) whom you provided campaign consulting services was sworn In? 6) Pursuant to City Code Section 2-482(a)(4)a., a lobbyist who has within the past election cycle provided campaign consulting services to an incumbent member of the City Commission (which lobbying activity is not otherwise prohibited by Code section 2-491) shall disclose such particular service on his/her lobbyist registration form and shall orally disclose such particular service before lobbying the City Commission at a public meeting. _Yes XNo: Have you provided campaign consulting services to an incumbent member of the City Commission within the past election cycle?If yes,please list the incumbent member(s)of the City Commission: _Yes XNo: If yes, were you promised or did you receive economic consideration In exchange for campaign consulting services? TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes p(]No Amount Paid$ °*OC (13°°" Date Paid Lobbyist Registration Form received and verified by: _' -\ F:\CLER\$ALL\aFORMS\LOBBYIST FORMS Lobbyist Registration Form Revi 03-11-2 G.doc Revised 03/11/2020 Page 3 of 5 VI. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.' G- 4- N. /HlcDoweir Signature of Lobbyist: Date 07/15/2022 Carter N.McDowell I do solemnly swear or affirm that all of the foregoing facts, statements, and disclosures in this form are true and correct, and that I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and all reporting requirements. Gwllu N_ /4cDowd( Signature of Lobbyist: Date o7/15/7027 Carter N.McDowell Signature of Principal: Date Robert Springer VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Texas State of County of: Harris County of: Sworn to (or affirmed) and subscribed before me, Sworn to (or affirmed) and subscribed before me, by means of 0 physical presence by means of 0 physical presence or L 'online notarization, or 0 online notarization, this 15th day of July ,20_22 by this_day of ,20 , by Carter N. McDowell Robert Springer NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID DRIVER LICENSE _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION _Personally Known _Personally Known Signature of Public Signature of NotaryPublic 9Y 9 Notarized online using audio-video communication Joshua Jones Notary Public, State of Texas Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped ,dB (NOTARY SEAL) _`�-7‘ JoshusJoms (NOTARY SEAL) /\# ID NUMBER 133035])B .Of��+ COMMKSION F%MRES 7AB 1 The term"lobbyist"specifically excludes the following persons: Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings;any person who only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance, whether direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. Page 4 of 5 VI. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.' Signature of Lobbyist: Date Carter N. McDowell I do solemnly swear or affirm that all of the foregoing facts, statements, and disclosures in this form are true and correct, and that I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and all reporting requirements. Signature of Lobbyist: Date Carter N.McDowell Signature of Principal: la Date le 7 2_ Robert Spri er VII. NOTARY SIGNATURE AND SEFIL: LOBBYIST: PRINCIPAL State of State of f AA-KAttf , County of: County of: f Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of 0 physical presence by means of 0 physical presence or 0 online notarization, or 0 online notarization, this day of ,20l, by this—day of ,20 , by Carter N. McDowell Robert Springer NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID Produced ID FORM OF IDENTIFICATION FO M OF I ION Personally Known Personally Kno 0 % Signature of Notary Public Signature I'r otary Public Name of Notary, Typed, Printed or Stamped Nam Notary, Typed. Printed or Stamped (NOTARY SEAL) (NOTARY SEAL) 1 The term"lobbyist"specifically excludes the following persons: Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings;any person who only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance, whether direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. Page 4 of 5 THE CONFIDANTE MIAMI BEACH Organizational Chart PUBLICLY TRADED I SUNSTONE HOTEL INVESTORS, INC., a Maryland corporation ("REH°') EIN 20-1296886 100% SUN CHP I, INC, 9.0908% 90.9092% a Delaware corporation EIN 20-3761692 I SUN SHP II, LLC, 98.9% a Delaware LLC EN 20-3761744 1.1% SUNSTONE HOTEL PARTNERSHIP, LLC, a Delaware limited liability company ("OP") EN 20-1646175 I00io SUNSTONE HOTEL TRS LESSEE,INC., a Delaware corporation 1 00°t, ("TRS") BIN 20-1620867 100"4, GOLDEN PALMS,LLC., GOLDEN PALMS LESSEE,INC., a Delaware limited liability company a Delaware corporation EN:XX-XXXXXXX EN:XX-XXXXXXX Land,Building,FF&E Vehicles,Inventory,Supplies / ManagemenP,Agreement Operating Lease , The Confidante Miami Beach FF&E t r i 4041 Collins Ave Hyatt Corporation 1 1 Miami Beach,FL 33140 n ci lg. MBF IF 1 mari 1 o Q City Hall i 1700 Convention Center Dr. ! z : z = ir Miami Beach , FL 33139 ! _ Cl 305-673-7420 Welcome li 11 OD 005599-0006 Adrian V. 07/21/2022 10:27AM , n F R MISCELLANEOUS `'s. 40 a _ ? Reference 1: MCR430065 f -..__ to MCR OPEN (MCR) �" m r 3 2022 Item: MCR -„ ii ±.:. la 1 @ 700.00 1 MCR OPEN (MCR) 700.00 (..) .�, . . o.{ 700.001( _ 'T',. Subtotal 700.00 ``, Total 700.00 .ss-ss CHECK 350.00 I T_., . Check Number021467 ; CHECK 350.00 ., Check Number021468 , r ' Z Change due - 0.00 o Paid by: BILZIN SUMBERG BAENA PRICE & ; 2 y,_ w AXELROD LLP CD CD IIII!IIIIIIIIII HIIIIIIIIIININNIIIIiIIIIIIIIIIIINIIIIIII , I ....u. .- f .rnnr..f�n iw..wt 1.MAYW.M•.wn� . "'a hly If..i Iff f>! ..r C.r:Y•'.�a.a. Thank you for your payment CUSTOMER COPY