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Alfredo J. Gonzalez - Miami Weiss LLC U� o MIAMI 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. Gonzalez Alfredo �. NAME OF LOBBYIST: (Last) (First) (M.1) Greenberg Traurig, P.A. 333 SE 2nd Avenue Miami Florida 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. 1. LOBBYIST RETAINED BY: Miami Weiss LLC NAME OF PRINCIPAL/CLIENT: 134 Market Street Philadelphia Pennsylvania 19106 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(c)] • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: Stephen Starr • IDENTIFY ALL PERSONS HOLDING,DIRE QTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: �r a ii SPECIFIC,LOByBYISSUE Development Approvals for Continental Miami @� 3 ® N 5 ✓� Issue to be lobbied(Describe in detail): IIL,CITY AGEtVCIES/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 thqcft 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 Board of Adjustment,Dept of Public Works, Historic Preservation Board n/a �( City of Miami'Beach Commissioners, City Manager, City Attorney n/a Planning Board,Design Review Board, Building Dept., Planning Dept n/a 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 0 Tff_u� F:ICLERI$ALL1aFORMSILOBBYIST FORMS\Lobbyist Registration Form.doc r 4 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) hour y$500.00._._ B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED)._H®ti,1 y$5 0 0 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": Ye o: 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 o: Are you lobbvinu on-a pendlng application for a Development Agreement with the City or application for change of zoning map designation or change to the CitV'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. _Ye o: 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 SUB I T TO THE CIT .CLERK� IGNED STATEMENT UNDER OATH LISTING LOBBYING'EXPENDITURES AS WELL AS COMP. NSATIO ' ECEIVED . HE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE ILE EV ' IF TH AVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD r Ignature o• _ I do solemnly swear that all of the foregoing fact are true and corre and hat I read or am familiar with the provisions contained in Section 2-482 of the Miami Beach City Code d all reports re em rl � Signature of Lobbyist: i Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: % PRINCIPAL IDENTIFICATION: a S2 2 cc J N 0 w Produced ID 0 o Produced ID m Z►�_, o °.2 Form of Identification Form of Identification z '-,�uj o Cd F °C Personally known (Lobbyist) _j d 9 Personally known (Principal) p < » � 4k F=- Q0 o �, ' Clg SIGNATURE AND STAMP OF NOTARY: J <m °' o . �' a t�gyluCtA�V— Iph%.ldL4e%phul < 0 dr, A t e f Florida,County of Miami-Dade State of-PtOrM, County of Putt-ter Z J o E r o and subsch before me Sworn and subscribed before me Q Q a s rl'� day of v�o+b-r,,2o14 This-_day of be f ,201 4 z 00 re of Publi No ary—State of Florida Signature of Public Notary—State offta .� ation of Lobbyist's signature Notarization of Principal's signature Pen�s�tual�� TO BE COMPLETED BY CITY CLERK'S STAFF O Y nnua Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Dat Paid Lobbyist Registration Form received and verified by. F:\CLEFS\$ALL\�FQPLMS\LOBBYIST FORMS\Labbyist Annual Registration Form.doc Revised 01/22/2014 F:\CLER\$ALL\aFORMS\LOBBYIST FORIViS\Lobbyist Registration Form.doc � AM I B FEAC N. City of Miami Beach, 1700 Convention Center Drive,Miami[leach, Florida 33139,www.miamibeachfl.gov CITY CLERK Office Rafael E. Granado, City Clerk CityClerk @rniamibeachfl.gov Tel:305.673.7411 ,Fax:305.673.7254 LOBBYIST NAME: Alfredo J. Gonzalez I understand that no later than February 23 of each year, I must file the following form, pursuant to Section 2-485 of the Miami Beach City Code, with the City Clerk's Office for all active lobbying issues. 1) LOBBYIST EXPENDITURE AND COMPENSATION FORM Failure to file these forms on a timely basis will result in my name being transmitted to the Miami-Dade County Commission on Ethics and for code violation evaluation. In addition, once an issue I have registered to lobby on has been resolved, or I am no longer,lobbying on that issue or for that principal, 1 am required to immediately notify the City Clerk's Office of lobbyist withdrawal in writing. Pursuant to Section 2-485 (d), the City Clerk shall notify any lobbyist(or principal) who fails to timely file a Statement and in addition to any other penalties which may be imposed as provided in Section 2-485.1, a fine of$50.00 a day shall be assessed for all Statement(s) filed after the due date. The City Clerk shall noti fy the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal) to file the Statement or pay the assessed fines after notification. Any lobbyist, who falls to file the required Statement by April 301h of each year, shall be automatic Illy cusp ended from lobbying until all fines are paid, unless the fine has been appealed o t e i i-fade County Commission on Ethics and Public Trust. .................. lo - 14 Si a .r. Date: l FACLERULL1aFORMS10E36YIST FORMS1Lobbyist Registration Form.doc At - :: 71 •b N? ' W 4a _` W ` tjo s O LL d!, O a. _ _ _ '®