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Alfredo J. Gonzalez - Valerio Morabito .• 3 `�G to e MIAMIB EACH 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 o1 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 - rnaldng process on such action, decision or recommendation that foreseeady will be heard or reviewed by the sty convrdssion, or a city board or comtrettee. 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) (MA Greenberg Traurig, P.A. 333 Avenue of the Americas, Ste. 4400 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: Please notify this office if your contact information changes: address, phone, or e-mail address. I. LOBBYIST RETAINED BY: Valerio Morabito NAME OF PRINCIPAL/CLIENT: Morabito Picture Co. LLC 110 Greene St., Room 503 New York NY 10012 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (cg • NAME OF CHIEF OFFICER. PARTNER. OR BENEFICIARY: Valerio Morabito • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY. A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION. PARTNERSHIP OR TRUST: Valerto Morabito 100 37th Street project Issue to be lobbied (Describe in detail): _ Ill = 013 N 1 J D D1'�AI � $ i •� L b 18 1 > Pursuant to City Code Section 2-482(g) Include a statement of the extent of any business, financial, familial, pro fessional 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 said City personnel' commencement of service with the City to the present date, stating the general nature of the subject contractual relation. A) Full Name of Lhdhrldual /TItle B) Any Financial, Familial or Professional Relationship Historic Preservation Board 1 100 Board of Adjustment Building Department ` : S 7 CZ :0I NV 6- R0N 0IOZ J IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $ 400 Hourly B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): $ 400.00 Hourly (Required). 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': JJ Yes X No: Are vou lobbying on a present or pendina 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 X No: Are vou iobbvina on a pending application for a Development Agreement with the City or application for change of zoning map desianation or chance to the City's E}lture 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 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 Berk as required by this section but, shall not be required to pay any registration fees. p Yes X No: Are vou representing a not - for - profit corporation or entity without special compensation or reimbursement. • V. SIGNATURE UNDER OATH: ON FEBRUARY 28th OF EACH YEAR. EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH. USTING LOBBYING EXPENDITU • S. AS WELL AS COMPENSATION. RECEIVED. IN THE CITY OF MIAMI BEACH FOR THE PRECEDING ; • LENDAR YEAR. A STATEMENT SHALL, BE FILED EVEN IF THERE HAVE BEEN NO EXP • RES OR • • ' MPENSA ION DURING THE REPORTING pER1OD, ,1 , Afria - nature of �•'. • I do solemnly swear that all of foregoing fa. are true and •rr= ' and that I have read or am familiar with the / provisions contain • n o :2 .; . = LC iL;each City Code and all reporting requirements. Signature of Lo •byist ' i ♦ ir1i' %/TTY •---` �� ar Signature of Princ,pal/Clierrk 1 � �' ' � // 41—r_ i VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATI • : ,,,,,,, ❑ Produced ID 0 Produced ID ,s•'.:0 Form of Identification Form of Identification ;,. !h+;• )Personally known (Lobbyist) rsonaily known (PrInd • . VII. SIGNATURE AND STAMP OF NOTARY: r. t i a o � - : *WY Palk � ���IOA1f State of Ronda, Count of Miami -Dade State of Florida, County of Mia k f Aug !) 201>) Swo .• _• •sub • = e_.me Swo __ subscri • • re . { Condon # OD 91515/ am 1 lib fe,, 1-. 4416 I1W • :.. �� 8 r Sig •- . re of P blic ∎ • • ry - S .: �= of Florida of P - • ry - State of Florida l -+ m 8 M N • - N • of L b is . nature ti . , J - I's signature I '' - TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Q C.• � Annual Registration fee: [ ] Yes [ 3 No Amount Paid $ S 5 C' - 'MCR # 30 9 ! 7 Date Paid f f l/< Lobbyist Registration Form received and verified by: F: \CLER \$ALL\aFORMS \LOBBYIST FORMS \Lobbyist Registration Fonn 2010.doc , (jtevised 05/05/2010 City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CityClerk @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: id0T F66 2-- I understand that no later than • t 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 0 , FICE OF LOBBYIST WITHDRAWAL IN WRITING. aL1 / , D at . . . ..1 s... • - . , - ' V4 1 i ..4. . - . . - • - , / ' z .....-. . ki \'' ' Q : ' k ."\ ,..., .,,... N.,..,.... ' .. ......,, N , . __, -... ,..r . _ t .. k • : ...— .?„.. a.. i ' TI. m t . CD \ ur '.,..., as T3- 1 E, "•....... _ 3 ' . 6 al ak, f • 1 1. 0 8 ".'4. i. A A .,... 4 .: --, f e l i .aii \ ,t . ,:. ....• go■ 1/1 1 SI Z, Z -, ' • 9/ . 0 a 2.• E . gl t e , ._. , mrs t • r , ' , .-.• -., •. . - • ..-::-.:'-., 4 ip . - - . . 1