Thomas Pagnotta~~~~~ ~~~~~
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 bond 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.
Pagnotta Thomas
NAME OF LOBBYIST: (~ast) (First) (M.I.)
Altos Del Mar, Ltd... 8500 SW 8~h Street Suite 238 Miami, FL 33144
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 262-6533 305-262-1703 tpagnotta@greccorp.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
Altos Del Mar, Ltd. - For property located at 7801 Collins Avenue.
NAME OF PRINCIPAUCLIENT:
Altos Del Mar, Ltd. 8500 SW 8`h Streex, Suite 238 Miami, FI 33144
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 262-6533 305-262-1703 TPAGNOTTA GRECCORP.COM
TELEPHONE NUMBER: FAX NUMBER: (Optional) 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: AGUSTIN HERRAN
IDENTIFY ALL PERSONS HOLDING, DIRECTLY CR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
See Exhibit "A" attached.
II. SPECIFIC LOBBY ISSUE:
Certificate of Appropriateness for demolition of existing single family house and Certificate of Appropriateness for
Design of New Single Family House
Issue to be lobbied (Describe in detail):
II1. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to City Code Section 2-482(g) include a
statement of the extent of any business, financial, familial, professional or other relationship, giving rise to an
appearance of an impropriety, with any City personnel sought to be lobbied; further, pursuant to City Code Section 2-
482(a)(4) include a statement of any contractual relationship (paid or unpaid) from 12 months preceding the
commencement of service of City personnel to be lobbied.)
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
City of Miami Beach Planning Board None
City of Miami Beach Mayor/Commissioners None
Cit of Miami Beach Committees None
MIADOCS 3317000 1
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT R.4TE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
Hourly - Normal compensation
E3) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). Normal Compensation
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":
^Yes ~ No: Are vou lobbvin4 on a present or pendinct bid for qoods, equipment or services, or on a
present or pendinq award for Goods, equipment 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 vou lobbvinq on a pendinq application for a Development Aqreement with the Citv or
application for chance of zoninca map desiqnation or chance to the Citv's Future Land Use Map?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"IobbyisY' 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..
I-1Yes 6~ No: Are vou representinq a not-for-profit corporation or entitv without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 15L OF EACH YEAR EACH LOBBYIST SHALL SUBMIT O THE CITY CLERK A SIGNED
STATEMENT UNDER OATH LfSTING LOBBYING EXPENDITURES S WELL AS COMPENSATION
RECEIVED IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CAL A YEAR. A STATEMENT SHALL
BE FILED EVEN IF_THERE HAVE BEEN NO EXPENDITURES OR COMP N A ION/DURI T.I~"REPORTING
PERIOD.
Signature of Lob'byi~ Thomas Pagnotta
I do solemnly swear that all of the foregoing facts are true and correct and tha I h e read or am familiar with the
provisions contained in Section 2-482 of the M+~ni Beach ~~-~ode ~d all reporting quirements.
~_ _.~_.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST I
^ Produced ID
Form of Identification
~ Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This~-l~~ay of '~~`c ~T,~., 2009
Signature of Public Notary lo 'd~~~aRAM1REz
Notarization of Lobb isY COMMISSION # DD 560527
:?~, : ~ EXPIRES: June 16, 2010
annual Registration fee: ~'] Yes [] No Amount Paii
Lobbyist Registretion Form received and verified by:
----/ Thomas Pa notta
7'~'-s'
rner
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
~ Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This ~~ay of~r2b~ . 2009
" nature of Public Not ~~ e o o~ ARAMIREZ
tarization of Princi ~~s~ ~~' ~,~' t~ OMMI SIGN a Di~ ~0527
~'~ ~# ~X •S:Ju~~ 16,2010
LERK'S ~'~,R%~ • B0^d+~~ru!votrryp~wlicUnd~nvmers
_ MCR # $ a e ai
p _ ~ Revised 03/27/2008
MIADOCS 3317000 1
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,
www. miamibeachfl.gov
CITY CLERK office CityClerk(a~miamibeachfl.gov
Tel: 305.673.7411, Fax: 305.673.7254 .
Thomas Pagnotta
LOBBYIST NAME:
I understand that no later than October 1St of each vear, I must file the following forms,
pursuant to Section 2-485 of the Miami Beach City Code, with the City Clerk's Office for
all active lobbying issues.
~~ Lobbyist Expenditure Form
2~ Disclosure Form
Failure to file these forms on a timely basis will result in my name being transmitted to
the Miami-Dade County Commission on Ethics and for code violation evaluation.
In addition/ o~e an issue I have registered to lobby on has been resolved, I am
required to~~n ediately notify the City Clerk's Office for lobbyist withdrawal in writing.
Sign
Pagnotta
~ `~ D
Date
MIADOCS 3317000 1
Altas del Mar, Ltd.
_ Gen ral Partt'~sC . ... .~. _ . . ... '.-~n~u!1~~!~~~-S.~_ .
Victoria & 4sabeUa Raai Estate Managemerit, inc, ~•~'`~'~D~4
Agustin Herran -1 ~0 %
Al~xdex Go~poration G.333°/a
Osear 9arbara -1 q4 p/o
FS~ lnvestments, fnc, ~~~'~
James A, Darsy • 1 Qd %
5ubkotaL 1 °~~
i Sn,iFwA P~r4nPr ~,.,.J.E` 1 2~~ f ~ @ St
Ge~eral Real Estat~ Corp. `g~~~~~P
Agustin Herran -10o %
Pedrana Dev~iopment, Ina • ~ ~,~po~~
Manuel A. He~ran -100 9~0
James Dory '~g.809~~
l~rmando 3. Guerra Revocabla Trust & ~~~s~°"
Maria C. Guerra Revxable Trusl
Armando J, Gu~rra -10D a/o
Maria C. Guetra • 100 %
Oscar Barbafa ~~'~ ~~$
Subtotai: ?M'~Q~'~'Q
00 ~'a
1llC
Totai: •.