A1AMd City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM Lobbyist means al l persons employed or retained, whether paid or not, by a principal who se ek 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 commsson, or a city board or comttee. The term specifically includes the principal as well as any employee engaged in lobbying activties. The term Lobbyists has specfic excsns. Please refer to Ordinance 2004- 3435. Cotter Anne NAME OF LOBBYIST: Last) First) M. 1 Arquitectonica 2900 Oak Avenue Miami Florida 33133 BUSINESS NAME AND ADDRESS Number and Street) ( City) State) Zip Code) 305) 374- 5300 305) 377- 6222 TELEPHONENUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes: address, phone, or e- mail address. I. LOBBYIST RETAINED BY: DonahuePeebles NAMEOF PRINCIPAUCLIENT: 6747 Property Holdings, LLC 5937 Collins Avenue Miami Beach Florida 33140 BUSINESS NAME ANDADDRESS Number and Street) ( City) State) Zip Code) 305) 372-1812 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: ( Optional) Fill out this section if principal is a Corporation, Partnership orTrust[ Section 2- 482( c)] NAMEOF CHIEFOFFICER, PARTNER, OR BENEFICIARY: DonahuePeebles 100% y IDENTIFYALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCHCOBIDORATION, PARTNERSHIP OR TRUST: I i. SPECIFIC LOBBY ISSUE: b Development Board Approvals for 6747Collins Avenue, Miami Beach Issue to be lobbied( Describe in detail): Ill. CITYAGENCIES/INDIVIDUALS LOBBIED: Pursuant to City Code Section 2- 482( a)( 4) include the commssoner or personne sough to be lobbied, and whether- he ) jbyistlas entered into any contractua relationship ( pad or unpad) wth sad city comssoner or personne from 12 months. preceding such person s commencement of service with the city to thepresent date, stating the general nature of the subject contractual relationship. Sec 2- 482( a)( 4) Full Name of Individual and Contractual Relationship( Explain) YES NO titleof personto be lobbied Planning Department and Building Department Staff None X B, HPB, BOA, City Commission, as necessary* None X Pursuant to City Code Section 2- 482( g) Every registrant shall be required to statethe extent of any business, financial, familial or professional relationship, orother relationship gi ving rise to an appearance of an impropriety, with any current citycommissionerorcitypersonnel who is sought to be lobbied as identified on the lobbyist registration form filed. Sec 2- 482 Any Financial, Familial or Professional Relationship C:\ Users\ cerhal\ AppData\ Local\ Microsoft\ Windows\ Temporary Internet Files\ Content.Outlook\83LGQDDH\ Lobb ist Registration l p 1 ormrevised 5- 30- 2012.
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