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Kai-Uwe L. Bergmann/CMC Group OD NAIA/Ml BEACH 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. � �c� VAI,uwE L NAME OF LOBBYIST: (Last) (First) (M.1) 6get W. � r. # 12� N6W 0001 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Co ) 9l�• 3c8. 63?�. AHAWFce- TELEPHONE NUMBER: FAX NUMBER: EMAIL: i Please notify this office if your contact information changes:address,phone, or e-mail address. I. LOBBYIST RETAINED BY: CIVIC Group, Inc. NAME OF PRINCIPAUCLIENT: 701 Brickell Avenue, Suite 3150 Miami Florida 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 372-0550 (305) 372-8213 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: Art Murphy • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II.SPECIFIC LOBBY ISSUE: Redevelopment of Miami Beach Convention Center District(RFQ) Issue to be lobbied(Describe in detail): Ill.CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(a)(4)include the commissioner or personnel sought to be lobbied,and whether the lobbyist has entered into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such person's commencement of service with the city to the present date stating the general nature of the subject contractual relationship. Sec 2-482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES I NO title of person to be lobbied Board of Adjustment, Dept of Public Works, Historic Preservation x City of Miami Beach Commissioners, City Manager, City Attorney x Planning Board, Design Review Board x Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,familial or professional relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner or city personnel who is sought to be lobbied as identified on the lobbyist registration form filed. Sec 2-482 Any Financial,Familial or Professional Relationship } s (', ' "'' ';J ti Qz t F:\CLER\$ALL\aFORMS\LOBBYIST'FORMS\Lobbyist Registration Form.doc �' `J IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE SE WHETHER HOURLY,FLAT RATE OR A) LOBBYIST DISCLOSURE:(Required) $ Hourlv B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (Required). $ -_--�© Hourlv The following information must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled Prohibited Campaign Contributions B Lobbyists Issues": Y y On Procurement X Yes Q Are ou lobbying on a pmsent or Dendin i bid for goods,equipment award for goods equipment or sPrvirp9 ment or services or on a resent or endinci 2) Pursuant to Miami Beach City Code 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Development Issues": a Estate X Yes _ o: Are ou lobb in on a endin a lication for a Develo chan a of zonin ma desi nation or chap a to the City's Future Land Use Ma the Cit or a lication for 3) Pursuant to Miami Beach City Code 2-484(h)Any person (except those exempt from the definition of"lobbyist" Section 2-481 above) who only appears as a representative of a not-for-profit corporation or entity w;ho t forth in compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or pposit on to special item shall register with the clerk as required by this section but,shall not be required to pay an registration Y Y 9 on fees. Yes f : Are Vou re pr mentin a lot-for-profit corporation or en,it without s cial compensation or reimbursement. . V. SIGNATURE UNDER OATH: ON FEBRUARY 28th OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED ST OATH LISTING LOBBYING EXPENDITURES AS WELL AS COMPENSATION RECEIVED IN THE CITY OF MIA BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THE STATEMENT UNDER COMPENSATION DURING THE REPORTING PERIOD. RE HAVE BEEN NO EXPENIDITURES OR Signat a of Lobbyist 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 in Section 2-482 of the Miami Be ch City Code and II reporting requirements. p o �sions contained Signature of Lobbyist: Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Produced IDS ..�,,� ��•,, Produced ID 'o ` Form of Identification ,,a,� • No.,, -T �= Form of Identification Personally known(Lobbyist) Personally known(Principal) VII. SIGNATURE AND STAMP OF NOTARY: a °now a o n� State of Florida,County of Miami-Dade ° = a Q Sworn to and subscribed before me 3 State of Florida,County of Miami-Dade z :' C_ This _day of ,2012 o S a Sworn and subscribed before me o ` H T z ° o This �•� day 2012 ° S cn CA co Si o Publi ry-State of Florida w ° ° `° �w �' ~ N s signature z °D" ° -o a Public Not o;o w " '" ^m' Not tate of Florida N w C5 of Pri al signature TO BE COM TE 1pCl CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ ]No Amount Pal Lobbyist Registration Form received and verified by: CR# Date aid F:\CLER\$ALL1aF0RMS\1_OBBYIST FORMS\Lobbyist Registration Fo g m.doc C �orrn.doc - `Revised 1/11/2011 MIA City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov CITY CLERK Office Tel:305.673.741 1 , Fax:305.673.7254 CityClerk @miomibeachfl.gov LOBBYIST NAME: I -VAWC I understand that no later than February 28th of each year I form, pursuant to Section 2-485 of the Miami Beach City C file the following Office for all active lobbying issues. ty ode, with the City Clerk's 1) Lobbyist Expenditure and Compensation Form Failure to file these forms on a timely basis will result in my name being ransmitted to Miami Dade County Commission on Ethics and for code violation evaluation. the 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. q d Pursuant to Section 2-485 (d), the City Clerk shall notify any lobbyist (or rinci al timely file a Statement and to addition to any other penalties which p ) who falls is provided in Section 2-485.1, a fine of $50.00 a day assessed shall be ass °y be Imposed as filed after the due date. The City Clerk shall notify he Miami-Dade or all Statements) Ethics and Public Trust of the failure of a lobbyist (o� ade County Commission on r principal) to file the Statement or pay the assessed fines after notification. Any lobbyist, who fails to file the required Statement by April 30th 20121 shall be automatically suspended from lobbying until all fines are paid, unless the fin appealed to the Miami-Dade County Commission on Ethics and Public Trust. a has been IC)�l ONC 01 co 1 Z Slgnatur — • Date: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc Prieto, Silvia From: GonzalezAJ @gtlaw.com Sent: Tuesday, July 16, 2013 2:08 PM To: Prieto, Silvia Cc: Hatfield, Liliam Subject: RE: Below Lobbyist Registrations Hello Siliva, All 4 below the correct answer should be yes to both question 1 and 2. All are registered for the Current RFQ 22-11/12 which is both a present bid for a development agreement. Please feel free to call'or email me if you have any questions. Thank you. Alfredo. Alfredo J. Gonzalez Shareholder Greenberg Traurig, P.A. 1 333 S.E. 2nd Avenue,I Miami, FL 33131 Tel 305.579.0588 1 Fax 305.961.5588 GonzalezAJ@Ptlaw.com I www.Qtlaw.com EGreenbergTraurig From: Prieto, Silvia [mailto:SilviaPrieto @miamibeachfl.gov] Sent: Tuesday, July 16, 2013 12:55 PM To: Gonzalez, Alfredo J. (Shld-Mia-LDZ-RE) Cc: Hatfield, Liliam Subject: Below Lobbyist Registrations Alfredo please send me via email,your response to the following Lobbyist as soon as possible. 1. Kai-Uwe L. Bergmann CIVIC Group, Inc. MB Convention Center (RFQ) 2. Martin Bouareau CIVIC Group, Inc. MB Convention Center (RFQ) 3. Matthew W. Lazenby CIVIC Group, Inc. MB Convention Center (RFQ) 4. Michael O. Winters CIVIC Group, Inc. MB Convention Center (RFQ) On the 2nd page on all of the above the questions 1 and 2 were marked "yes"and "no", please send me the correct answer. I can no change those, we need you written response,thank you so much Are they lobbying on a present bids or pending application for development agreement? . Need an answer too Thank you, MIAMI BEACH Silvia Prieto,Administrative Aide I 1 ti -C)t IN 7. we as t s W - .rt Im Ar LU ui CL ; -w :Od 1 ca Pm O E _ O LL vy Wo CL