Robert S. Fine~~~~, ~ ~, A f ~
Miami Bc~ch
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~~ 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, deft
or modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommenda~on ofdlne
Gty Manager or any aty 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 of~fevi
by the city commission, or a city board or committee. The term specifically includes the principal as well as any employee:~nga
in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. _ ;.
O
FINE ROBERT S• ~ ~
NAME OF LOBBYIST: (Last) (First) (M.I)
Greenberg Traurig 1221 Brickell Avenue, Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 579-0826 (305) 961-5826 finer@gtlaw.com ~~
TELEPHONE NUMBER: FAX
I. LOBBYIST RETAINED BY:
The Palms South Beach
NAME OF PRINCIPAL/CLIENT:
3025 Collins Avenue, Miami Beach, FL 33140
BUSINESS NAME AND ADDRESS (Number and Street) (City)
(305) 908-5401
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EMAIL: ` ' °
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(State) -~ip (~ )
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Building, Zoning, Fire Accessibility Issues in Permitting and Construction,.~r 30 2~ ~-Dt~ 1 ~'' ~VQ ,
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
City Commission, Planning & Zoning Board
Design Review Board, Board of Adjustment
B) Any Finanaal, Familial or Professional Relationship
Building Dept., Fire Dept., Planning Dept.
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHERr ~ l
,~ €~) LOBBYIST DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). .~j520 00 per hour
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":
'~ti eresent or pending award for goods eauioment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
application for chance of zoning map designation or change to the Citv's Future Land Use
Ma°?
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 snot-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..
Yes ,~No Are you representing anot-for-profit corporation or entity without special compensate
or reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~ 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 PRECEDI CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITU S COMP DURING THE
REPORTING PERIOD. ~
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Signature of Lob y
I do solemnly swear that all of the foregoing facts
familiar with the provisions contained in Section 2-4
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
o Produced ID
Form of Identification
~ ~ "jPersonally known (Lobbyist)
~~~
r ~ VII. SIGNATURE AND STAMP OF NOTARY:
Miami-Dade
State of Florda, County of
Swom to and subscribed before me
~t ~ This.~_da of 200
State of Florida
Notarization of Lob yist's signature
true and correct and that I have read or am
of the Mi C' 13eac dffi-re~rting
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
6~ersonally known (Principal)
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This ~_d ~ ri ~ State of Ffondz
G ~ ~~nez-Cedr~x
' ~ sion 579217
Signatur Public Nota - Mori ~ 010
Notarization of Pr'n pal's signatu
FOR CLERK'S USE ONLY
Annual Registration fee: [ Yes [ ] No Amount Paid ~ O ~ MCR # Z~ y3 ~ 9 Date Paid ~~ Z3 " J
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.doc Revised 12/08/04