Tony Recio - South Shore Hospitalm MIAMIBEACH
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 tens
specifically includes the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please
refer to Ordinance 20043435.
Recio Tony
NAME OF LOBBYIST: (Last) (First) (M.I)
2525 Ponce de Leon Blvd., #700 Coral Gables, FL 33134
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) ~ (Zip Code)
(305)854-0800 (305)854-2323 trecio@wsh-law.c~m
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify Phis oi~ce if your contacf information changes: address, phone, or a-mail address.
LOBBYIST RETAINED BY:
The Floridian of Miami Reach Condominium Association, Inc.
NAME OF PRINCIPAL/CLIENT: i
650 West Avenue Miami Beach, FL 33139 j
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)x04-6038 (305)604-6085 ~
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL:I(Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] ~~
i
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: !i
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN
SUCH CORPORATION, PARTNERSHIP OR TRUST:
u.SPECIFIC LOBBY ISSUE: '~
Rezoning and development approvals of South Shore Hospital property (630 Alton Rd.)
Issue to be lobbied (Describe rn detail):
iii. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(8) 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(x)(4) include a statement of any contractual relationship (paid or unpaid) from 12 months 'preceding said Cky
personnel' commencement of service with the City to the present date, stating the general nature of the subject
contractual relation.
A Full Name of Individual Title B An Financial, Familial or Professional Relationshi
Cit Commission No
Planning Department i
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSA710N (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
~3 ~.0 Yu~url1~
B) PRINCIPAL'S I C OSURE (OF LOBBYIST COMPENSATION):
(Required). $3~ ~OUZ'ly
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 you lobbying on a present or pending bid for goods, equipment or services, or on a
present or pending 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 you lobbying on a pending application for a Development Agreement with the City or
application for change of zoning map designation or chance to the City's Future Land Use
Map?
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 snot-for-profit corporation or entity without special compensation or
reimbursement. .
V. SIGNATURE UNDER OATH:
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the
provisions contained in Section 2~~eftl iami Beach City Code and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida„County of Miami-Dade
Sworn t and subscri b fore me
This ~ day ~ 2010
a ru ~
Signature 1V~ a
Notarizati ~ 9
OF R
PRINCIPAL IDENTIFICATION:
0 Produced ID
Form of Identification
Personally known (Principal)
State of Florida, County f Miami-Dade ''~YP"w4 Gurpinder Duggal
~~~ ~ as COMMISSION # DD71576Z
Sworn and subscribed for me gR ~:
This tS~~~iay of C P , 2010 +~d~'~-p(PIpES: SEP. 1B, 2011
~„~. o WWw.AAItoNNOrABt!eom
Signature of Public Not - ate of Florida
Notarization of Prin s signature
__ _ TO BE COMPLETED BY CITY CLERK'S STAFF ONLY ~~
Annual Registration fee: [ ]Yes [ ] No Amount Paid $ MCR # Date Paid
Lobbyist Registration Form received and verified by:
Fa~CLER1$ALL~aFORMSILOBBYIST FORMS~Lobbyist Registration Form.dot Revised 05/28/2010
Signature of Lobbyist - TOriy ReClO
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachN.gov
CITY CLERK Office CilyClerk@miamibeachfl.gov
Tel: 305.673.7411 ,Fax: 305.673.7254
Acknowledgement of fines/suspension from lobbying for failure to
comply with City of Miami Beach lobbying Laws
LOBBYIST NAME: Tony Recio
I understand that no later than October 1st of each year, lobbyists subject to lobbyist
registration requirements shall submit to the city clerk a signed statement under oath
listing all lobbying expenditures, as well as compensation received, for. the preceding
calendar year with regard to the specific issue on which ';the lobbyist has been engaged
to lobby. A statement shall be filed even if there have been no expenditures or
compensation during the reporting period. The statement shall list, in detail, each
expenditure by category, including food and beverage, entertainment, research,
communication, media advertising, publications, travel, lodging and special events.
FAILURE TO TIMELY FILE THE EXPENDITURE AND FEE DISCLOSURE REPORT
WILL RESULT IN A FINE OF $50.00 PER DAY. ANY LOBBYIST WHO FAILS
TO FILE THE REQUIRED EXPENDITURE REPORT. BY DECEMBER 1, SHALL
AUTOMATICALLY BE SUSPENDED FROM LOBBYING UNTIL ALL FINES ARE
PAID, UNLESS THE FINE HAS BEEN APPEALED TO ,THE MIAMI-DADE COUNTY
COMMISSION ON ETHICS AND PUBLIC TRUST. ~In the event a lobbyist fails to
either file the report and/or pay the assessed fines, the Clerk shall notify the Miami-Dade
County Commission on Ethics and Public Trust.
IN ADDITION, ONCE AN ISSUE I HAVE REGISTERED TO LOBBY ON HAS
BEEN RESOLVED, I AM REQUIRED TO IMMEDIATELY NOTIFY THE CITY
CLERK'S OFFICE OF LOBBYIST WITHDRAWAL IN WRITING.
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Signature: ' Date: