Anne Cotter - Donahue Peebles

8/15/2019 Anne Cotter - Donahue Peebles

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A1AMd

City of

M ia m i B ea ch

Office of th e C ity C le rk

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

w ho se eks to

encourage t he passage, de fea t o

modification of

an y

ordinance, resolution, action

o r dec is ion

of

an y

commissioner;

any act ion,

decision, recommendation of the Ci

Manager

or an y city boa rd or

committee; or an y

action,

decision

or

recommendation of any

city

personnel dur ing the

t ime per iod

of th

entire

decision-

making

process

on such

action,

de cisio n or re co mm e nd atio n th at

foreseeably

will

be

heard

or

reviewed by th

city

commsson, or

a

city

board or

commttee.

T he te rm

specif ically includes

th e

principal as

well

as a ny e m plo ye e e ng ag ed

lobbying

activties.

The

term Lobbyists

has specfic

excusons.

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

TELEPHONE NUMBER:

FAX

NUMBER:

EMAIL:

Pleasenotify

this

office

ifyour

contact information changes: address, phone, or

e-

mail address.

I.

LOBBYIST

RETAINED

BY:

Donahue Peebles

NAME OF PRINCIPAUCLIENT:

6747

Property

Holdings,

LLC

5937

Collins Avenue

Miami Beach

Florida 33140

BUSINESS

NAME

AND ADDRESS 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)]

NAME OF

CHIEF OFFICER, PARTNER,

OR BENEFICIARY:

Donahue Peebles 100%

ry

IDENTIFYALL

PERSONS

HOLDING,

DIRECTLY

OR

INDIRECTLY,

A

5%

OR

MORE OWNERSHIP INTEREST

IN

SUCH COBIDORATION,

PARTNERSHIP OR TRUST:

I i. SPECIFIC LOBBY ISSUE:

b

Development Board Approvals

for

6747 Collins Avenue, Miami Beach

Issue

to

be lobbied(

Describe

in

detail):

Ill. CITYAGENCIES/INDIVIDUALS TO BE

LOBBIED:

Pursuant to

City

Code

Section 2-482(

a)(

4)

include the

commssoner

or

personne

sough to

be

lobbied,

and

whether-

he )jbyistlas entere

into

any

contractua

relationship (

pad or

unpad)

wth

sad

city

commssoner or personne from

12 months. preceding suc

person

s

commencement of service

with

the

city

to the present

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

title of person to be lobbied

Planning

Department and

Building

Department

Staff

None

X

B,

HPB, BOA,

City

Commission, as

necessary*

None

X

Pursuant toCityCode Section 2- 482(g) Every registrant shall be required tostate theextent

of

any business, financial, familial or professiona

relationship, orother relationship giving rise toan appearance of an impropriety, with any

current

city commissionerorcity personnel who i

sought to

be lobbied

as

identified on the

lobbyist

registration

form

filed.

Sec

2-482

Any Financial, Familial or Professional Relationship

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ist Registration

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IV.

DISCLOSURE

OF TERMS

AN D AMOUNTS

OF

LOBBYISTCOMPENSATION( DISCLOSEWHETHER HOURLY, FLAT

RATE

O R OTHERr

A) LOBBYIST

DISCLOSURE:(

Required):

Hourly

rate

of$ 220 per

hour.

B)

PRINCIPAL'S

DISCLOSURE( OF LOBBYIST

COMPENSATION):

REQUIRED).

The

following

information must be answered:

1

Pursuant to

Miami

B ea ch C ity C od e S ec tio n 2- 488 Ent it led Prohib i ted Campaign

Contributions By

Lobbyists

On

Procurement

Issues :

Yes

X

No:

Are you lobb3dng

on a present or mending bid for goods, eguipment or services. or

on

a

present or

pending

award for goods. eguipment or service?

2)

Pursuant

to Miami

Beach

City

Code Sec ti on 2- 490 En ti tl ed Proh ib it ed Campa ign

Contribut ions By Lobbyists On Real

Estate

Development Issues :

Yes X No:

Are you

lobbldng

on a

pending

application for a

Development

Agreement with

the Cityor

application

fa

change

of

zoning map

designationor change to the Cityes

Future Land

Use

Maw

3)

Pursuant

to Miami

B ea ch C ity C od e S e ctio n 2- 482(

h) An y

person ( except

those

e xe m p t f ro m t he d e fin it io n of lobbyist

as

se

forth

in

Section

2-481

above)

wh o only

appears

as a

representative of

a not- for-

profit corporation

or

entity withou

speca

compensaion

or

rembursement

for

the

appearance,

whether

direct,

or indirect, to express support of

o

opposition to any i tem,

shall

register

with

th e clerk as required by this section but, shal l no t be required

to

p ay a ny registratio

fees.

Yes X

No:

Are you representing

a

not-for-

profit

corporation or

entity

without special compensation or

reimbursement.

V.

SIGNATURE UNDER OATH:

ON

EE113

Y

28

OF EACH YEAR, EACH

LOBBYIST

SHALL SUBMIT TO

THE

CITY

CLERK A SIGNED

STATEMENT UNDER

EM

TIJE

REQEDING CALENDAR YEAR, A STAIEMEbIT

SHALL

B

rw

1E

MERE

HAVE

BEEN

NO

EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.

Signature of Lobbyist

I do

solemnly

swear

that alof the

foregoing

fa are

true

an orrect

and

th

have read or am

familiar

with

the

provisions contained

in

Section

2-

482

of

the

Miami

Beach

City

Cod nd a

epo

i requremen

Signature

of

Lobbyist:

Signature of

Principal/Client:

VI. LOBBYIST IDENTIFICATION:

PRINCIPAL IDENTIFICATION:

Produced ID

Produced ID

Form of

Identification

Form

of Identification

Personally

known( Lobbyist)

y `

Personally known( Principal)

VII.

SIGNATURE

AND

STAMP

OF

NOTAR

State

of

Florida,

County

of

Miami-

Dade

a:'

Sta te o f F lo ri da , Coun ty

of Miami-

Dade

Sworn

t nd

subscrbed

befog

me

Sworn and subscribed before

me

This

dav

of

ttS

2013

This

day

of

2013

LA;

o .

Signature

of

Public

Notary—

e

of

Florida

Signature

ofPublic

Notary—

State

of

Florida

Notarization of

Lobbyist'

s

sgnatu

4.

Notarization of

Princil2al' s signature

e

TO

BE

COMPLETED BY CITY CLERK'

S

ST

AF O

LY

4 `

Annual

Registration

fee: [ ]

Yes[ ] No

Amount

Paid$

MCR#

Date Paid

Lobbyist Registration Form received and verified by:

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IV.

DISCLOSURE OF

TERMS AND

AMOUNTS OF LOBBYIST

COMPENSATION(

DISCLOSEWHETHER HOURLY, FLATRATEOR

OTHER):

A)

LOBBYIST

DISCLOSURE:(

Required):$

B)

PRINCIPAL'

S

DISCLOSURE(

OF

LOBBYIST

COMPENSATION):

REQUIRED). $

The following information must

be

answered:

1

Purs uan t to

Miami

Beach

City

Code Sec ti on 2- 488 Ent it led Prohib i ted Campaign

Contribut ions By

Lobbyists On Procurement

Issues :

Yes X

No: Are you

lobbying on a present or nendina bid for

goods.

eauiument or

services,

or

on a oresent

or

pe, d d * 1 3 g

award

for goods.

eauioment

or service?

2)

Pursuant to M ia mi B ea ch C ity C od e S ec tio n 2- 490 Ent it led P roh ib it ed Campa i gn Contributions By Lobbyists On R ea l E s ta te

Development

Issues :

Yes

X

No:

Areyou lobbying on

a pending

application

for a Development

Agreement with the City oranplication

fgr

ghamae of zoning map designationorchange to

the City'

s Future Land

Use

Map?

3)

Pursuant

to M iam i B ea ch City Code Section

2-

482 ( h) Any person (

except

those

exempt

from

the

definition of

lobbyist

a s se

forth

in

Section 2-481

above)

who only

appears

as a representative of a not- for-

profit

corporation or

entity

withou

speca compensaion or

rembursement

for

the

appearance,

whether direct, or indirect,

to express support of o

opposition to

any

i tem,

shal l

register

with

th e

c le rk a s r eq u ir ed by this

section

but, shall

n ot be

required

to

p ay a ny

registratio

fees.

Yes

X Now

Are

you representing

a

not-for-profit corporation orentity

without

special compensation or reimbursement.

V. SIGNATURE

UNDER

OATH:

ON

FEBRUARY

28 OF

EACH

YEAR, EACH LOBBYIST

SHALL

SUBMIT TO

THE CITY CLERK

A

SIGNED

STATEMENT

UNDER

OATH, LISTING LOBBYING EXPENDITURES, AS

WELL

AS COMPENSATION RECEIVED.

IN

THE CITY OF MIAMI BEACH

EM

THE

PRECEDING

CALENDAR

YEAR,

A

STATEMENT

SHALL

BE

FILED

EVEN

IF

THERE

HAVE BEEN

NO

EXPENDITURES OR

COMPENSATION DURING THE

REPORTING

PERIOD.

Signature

of

Lobbyist

I do

solemnly

s w ea r th a t all

of

th e fo re go in g fa cts a re

true and correct

an d that I have read or am

famil iar

with

th e

prov is ions containe

in

Sect ion

2-

482

of th e

Miami Beach City C od e a nd al l reporting

requirements.

Signature of

Lobbyist:

Signature of

Principal/

Client:

VI.

LOBBYIST

IDENTIFICATION:

PRINCIPAL

IDENTIFICATION:

Produced

ID Produced ID

Form

of

Identification

U ° > > >

i,,

Form of Identification

0 .....

of

Personally

known(

Lobbyist)

1

Personally

known(

Principal)

S A Y

rrM

Expires

o

VII. SIGNATURE AND STAMP

OF

NOTARY:

r:

Novem

bp938q

0

State

ofFlorida,

County

of

Miami-

Dade

j••°

vgL

G•'

Q ,-

M a t e of Florida,

County

of

Miami -Dade

Sworn

to

andsubscrbedbefore me

9)`••°••,

0+`

Sworn

a

subscribe

befor

me

This

day

of 2013

a d e 4 s l , ®

F

Ee`

e++`

Ths7

6

day

of 2013

7 /

Signature of

Public

Notary—

State

of

Florida

Sg4u-

Pubiblvotary—

State

of

Florida

Notarization

of

Lobbvist'

ssgnature

Notarization

of

Erin®

sgnature

TO

BE

COMPLETED

By,,

PITY

CLERK'

S

S T

FY

J 3

Annual

Registration

fee: [ ]

Yes[ { ]/

No Amount

Paid$

MCR#

a 7

ae

Paid

l

Lobbyist

Registration

orm received and

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y:

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F:

CLE

istration

Form.doc

Revised 04/ 27/

2012

MIAMIBEACH

City

oMam

Beach,

1700 Convention Center Drive, Miami Beach,

Florida

33139, www.miamibeachFl.

gov

CITY CLERK Office

Rafael

E.

Granado,

City

Clerk

CityClerk

@miamibeachfl.gov

Tel:

305.

673.

7411 ,

Fax: 305.673.7254

LOBBYIST

NAME:

Anne S. Cotter

I

understand

that no

later

than

February

28 of

eachyear,

I must file th e

following

form

pursuant to Section 2-

485

of

the

Miami

Beach

City

Code,

with the City Clerk's Office for a

active lobbying issues.

1

LOBBYIST EXPENDITURE AND COMPENSATION

FORM

Failure to file th ese fo rm s

on

a tim e ly b as is will result in m y name being transmitted

to

the

Mami-Dade

County Commission

on

Ethics

and

for codeviolation evaluation.

In

addtion, once

an

issue

I

have regsteredto

lobby

on

has

been

resoved, or

I am

no

longe

lobbying

on

that

issue

or

for

that

princpa,

I am required to

immediately

notify th e C ity Clerk

Office

of lobbyist

withdrawal in writing.

Pursuant

to

Section

2-

485 (d),

the

City

Clerk

shal

notify

any

lobbyist (

or

princpa)who

fails to

timely

file

a Statement and in

addition

to any other

penalties which

may be

imposed as

provded

in Section

2-

485. 1,

a

fine

of $

50.00 a day shall be

assessed

for a

Statement(s)

filed

after the due

date. The

City

Clerk

shal

notify

the

Miami-Dade

County

Commission on

Ethics and

Public Trust of

the

failure

ofa

lobbyist (

orprincpa

to

file

theStatement or

pay

theassessed fines after

notification.

Any

lobbyist,

who fails to file the

requred

Statement

by

April 30th, 2012,

shal be

automatically

suspended

from

lobbying

until

al

fines are

pad, unless the fine

has been

appeaed

to the m-

Dad

unty Commission on Ethics and Public

Trust.

2I

2a

Signature:

Da

t4:'/

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Anne Cotter - Donahue Peebles