Maxim Szarf/Maxson Investments
.. M'Ami ~h lQ
,
1.CIC/3 ""'-'"
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.
Gonzalez Alfredo J
NAME OF LOBBYIST: (Last) (First) (M.!)
Greenberg Traurig 1221 Brickell Avenue, Miami FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-579-0588 305-961-5588 gonzalezaj@gtlaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Maxim Szarf
NAME OF PRINCIPAL/CLIENT:
Maxson Investments, LLC
BUSINESS NAME AND ADDRESS
(305) 864-4803
TELEPHONE NUMBER:
7124 Abott Avenue, Suite A Miami Beach, FL
(Number and Street) (City)
(305) 864-4803
FAX NUMBER: (Optional)
33141
(State)
(Zip Code)
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:
Maxim Szarf
· IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
Maxim, Szarf, Maxson Investments, LLC, Sonia Gruenwurzel and Leo Gruenwurzel
II.
SPECIFIC LOBBY ISSUE:
"
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Any Financial, Familial or Professional Relationship
Design Review Board / Board Of Adjustment
Building Department
Planning Department
:g 10
o N
u:: ~
- ,...,
o C"')
~N8a:l
b3 ~g8
g .3 .~ ~
~ 3l -- N
6:.55~~
~.~8~
~~~~
~c. . ~o..<<
~~~
\: u~o
o.....~
A
It
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLA T RA TE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $290.00 Hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $290.00 Hourlv
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":
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
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-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..
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST 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 FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITY.~S. COMPENSATION DURING THE
REPORTING PERIOD. .// J / 7
I do solemnly swear that all of, e foregoing facts are tr e and c rect and that I have read or am
familiar with the Provisionsco, ' ined n Section 2-482 of the Miami Beach City Code and all reporting
requirements. //".H. >.;' i !
.'
Signature of Lobby' t:
VI.
..~~
PRINCIPAL IDENTIFICATION:
LOBBYIST IDENTIFICATION:
;] Produced ID
Produced ID
~.""O.l'
~:fw\
';1~~~
""oA ..,~
Form of Identification
Form of Identification
"LN>ersonally known (Principal)
~ Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
m~s:z
X'<Q)O
~ ~ ip- ~
~~~"U
~_.~ ~
w g: r _.
~ ~r~ ~
OOgN~
W 0
...., -
W 11
~ 0-
(J'o is:
Q)
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This d 20~
FORCLERK'S2EONLY _
Annual Registration fee: -rJ Yes [ ] No Amount Paid 2<=j MCR # ~95'FJpate Paid () /I,?P"--
Lobbyist Registration Form received and verified by: \c""'__ ,~ ~
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05~ Revised 12/08/04