Mango's & David Wallch
>>---.. . J>
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, Fl 33139
cityclerk(Ci)ci.miami-beach.fl.us
AFFIDAVIT
LOBBYIST MEANS ALL PERSONS EMPLOYED OR RETAINED, WHETHER PAID OR NOT, BY A PRINOPAL WHO SEEKS TO ENCOURAGE
THE PASSAGE, DEFEAT OR MODIACATION OF ANY ORDINANCE, RESOLUTION, ACTION OR DECISION OF ANY COMMISSIONER; ANY
ACTION, DEOSION, RECOMMENDATION OF ANY CITY BOARD OR COMMITTEE; OR ANY ACTION, DEOSION OR RECOMMENDATION
OF ANY PERSONNEL DEAN ED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DEOSION-MAKING
PROCESS ON SUCH ACTION, DEOSION OR RECOMMENDATION THAT FORESEEABL Y WILL BE HEARD OR REVIEWED BY THE CITY
COMMISSION, OR A crrv BOARD OR COMMITTEE. THE TERM SPEOACALL Y INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFACER OR EMPLOYEE OF A PRINOPAL, REGARDLESS OF WHETHER SUCH LOBBYING AcnvmES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFACER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A
LOBBYIST IS REQUIRED TO ALE A "CERTIACATE OF WITHDRAWAL."
1) Lobbyist Name: DOUGHERTY LUCIA
Last Name First Name
A.
Middle Initial
Business Phone (305) 579-0500
Message Phone (~
Business Name and Address: Greenberg Traurig>> P.A.
1221 Brickell Avenue
No. Street
Suite
Miami
Oty
Florida
State
33131
Zip Code
Email Address:
doughertvl@gtlaw.com
2) Principal Retained by: Mango's & David Wallach
900 Ocean Drive
If different from above
Miami Beach
Oty
Street
Florida
State
Suite
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests.
3) Subject Matter (De5crlbe in Detail):
Development permits & Extension of time
If I
" I
i",l,
_. '"
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
r!l"'t"'i?'D'na~r )&AH;~gl l!rfy./ ~~!l;_~
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
e:( ;n,e Oty Commission
d" pty Commission Subcommittee
Ii"" Oty Staff
~ Board or Committee
iii'" Aersonnel
Identify Others
.2001
.2001
.2001
.2001
.2001
.2001
on
on
on
on
on
on
6. State the extent of any business, finandal, familial, professional or other relationship which exists with any
individual identified in number (4) above:
u/a
ON OCTOBER 1 sr Of EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, U5nNG LOBBYING EXPENDDURES IN THE CITY Of MIAMI BEACH
fOR THE PRECEDING CALENDAR YEAR.
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 2-482 of the Mia Beach Oty Code as amended, and all reporting
requirements.
Signature of Lobbyist:
IJ Personally known
IJ Produced ID
LUCIA A. DOUGHERTY
Identify
IJ Did take an oath, or
IJ Did not take an oath
State of Florida, County of Miami-Dade
Swom.t and subscribed before me
. f 2002.
F lALN ARYS
LEYLA M SALAS
NOfARY PUBUC Sf ATE OF FLORIDA
COMMISSION NO. DD060084
MY COMMISSI01'l E'S!'. SEpt' 24 5
If Notary, print, stamp or type as commissioned
Registration:
FOR a:eRK'S USE ONL~ I /
~ACCl3'1ED [] REJECTED DAlE: ~ J 9' t> 0--'
If rejected, state reason:
Registration fee paid: es [ l No [l Not-for-Profit 0 a
[ lFsh f ] Check
DATA ENTRY DATE: 1:h1 (./-b '0" . ~