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Alfredo J. Gonzalez - South Florida Condominium Management (:�; �61 co/Iivt) s 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 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) (M.1) Greenberg Traurig, PA 333 SE 2 Ave. 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: NAME OF PRINCrIPAUCLIENT: South Florida Condominium Management, Inc. 3100 NW 72 Ave, Ste. 113, Miami, FL, 33122 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-637-3699 305-634-7607 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: • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II.SPECIFIC LOBBY ISSUE: HPB Application for Cert . of Appropriateness to redevelop 6901 Collins Ave. Issue to be lobbied(Describe in detail): III.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 eneral nature of the subject contractual relationship. Sec 2-482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES NO title of person to be lobbied Historic Preservation Board None X HPB Staff None 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 one r' t v • N6 -• F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc IV. DISCLOSURE OF TERMS.AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LO Q 5 I 0 DriOUr ly:(Required) B) PRINCIPAL'S ISCLOSURE(O LOBBYIST COMPENSATION): (REQUIRED). �5 0 0 hourly 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 XNo: 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 Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": —Yes XNo: Are you lobbying on a pending application for a Development Agreement with the City or application for change of zoning map designation or change to the City's Future Land Use Map? 3) Pursuant to Miami Beach City Code Section 2-482(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 clerk as required by this section but,shall not be required to pay any registration fees. YesXNo: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: ON FEBRUARY 28 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 PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE 154ZED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. gnature oft byist I do solemnly swear that all of the for g facts are true and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami a Ci Code and all reporting requirements. Signature of Lobbyist: Signature of Principal/Clier VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: a r Produced ID roduced ID L b944442 C Q - Q Form of Identification Q Form of Identification �,�, Cr $ ®® , Personally known(Lobbyist) z W N Personally known (Principal) 3 a E N � VII. SIGNATURE AND STAMP OF NOTARY: E E Q'' o State of Florida,County of Miami-Dade 2 U State of Florida,County of Miami-D Sworn to an subscribe efore me worn and subscri a before me EF F This day of ,201 .'Q0`�•• °' Th' ' day f ,20 ` e•° �oF o i nature of ublic Notary State of Florida ������'' Si nature Public Nota g ry— g ry—State of Flo ao=_ Notarization of Lobbyist's signature Notarization of Principal's signature .�� o TO BE COMPLETED BY CITY CLERK'S STAFF,^Nl-Y Annual Registration fee: [ ]Yes[ ]No Amount Paid$ Z<6 — MCR#_ i� :7�] Date Paid Lobbyist Registration Form received and verified by: ✓ F.\CLER\$ALL\a FORMS\LOBBYIST FORDS\Lobbyist Annual Registration Form.doc p Revised 01/22/2014 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc REORDER 805-U.S.PATENT NO.5538290,5575508,5641183,5785353,5984364,6030000 Vendor No. 02571 Check No. 622579 GREENBERG TRAURIG Vendor Name:CLERK OF COURTS Check Date:05/28/14 05/28/2014 0105282014A HPB Lobbyist Registration for Alfredo J. Gonzalez. $ 350.00 TOTAL: $ 350.00 ' - N i ° t ��) R, `• tv ICL 4` u' 'R CL. L - �.:x ca _ x V U