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New World Symphony/Soundspace ...t.o..! . ~ i rv 0 I-, '" '''1 f\j , '" to City of Miami Beach Office of the Oty Oerk 1700 Convention Center Drive, Miami Beach, FL 33139 Emall: dtyderk@d.miami-beach.fl.us LOBBYIST REGISTRATION FORM - (City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) IS Check Box If an Amendment Dougherty NAME OF LOBBYIST: Lucia (First) A. (M.I) DATE QUAUFIED AS LOBBYIST (Last) 1221 Brickell Ave. Miami BUSINESS ADDRESS: (Number and Street) (City) 305-579-0500 305-579-0717 FL (State) 33131 (Zip Code) doughertyl@gtlaw.com EMAIL: TELEPHONE NUMBER: FAX NUMBER: L lDlBYIST RETAINED BY: New World Symphony / Soundspace NAME OF PRlNCIPAL/CUENT: 305-673-3330 TELEPHONE NUMBER: Miami Beach (Oty) 305-673-6749 FAX NUMBER: (Optional) 33139 (Zip Code) 541 Lincoln Road BUSINESS ADDRESS: (Number and Street) FL (State) EMAIL: (Optional) Fill out th.. RCtIoIlIf prlnclJNlI" e CorpontIon, PIIrtnerlhlp or TnIst [5ed:Ion 2-482 (c)] ? NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: ? UST ALL PERSONS HOLDING, DIRECTlY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: D. SPEaFIC lDBBY ISSUE: Lease negotiations with City of Miami Beach Issue to be lobbied (Describe in detail): m. CITY AGENQES/INDIVIDUALS 10 BE LOBBIED: A) Full Neme or lndIvIduel/Tllle B) Rell11ionshlp see attached ....~ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISa.OSE WHE11tER HOURL Y, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: pro-bono client. no compensation. B) PRINCIPAL'S DISCLOSURE (OFLOBBYIST COMPENSATION): no compensa tion V. SlGNAlURE UNDER OAtH: ON OCTOBER 1ST OF EACH YEAR. EAat LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LJSnNG LOBBYING EXPENDITURES 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 2-4 2 of the Miami Beach City Code as amended, and all reporting requirements. Signature of Lobbyist: LUCIA A. DOUGHERTY Signature of Prindpal/Client: DAVID J. PHILLIPS. Vice President. Administration VI. L088Y1STmEN11FICATION: & Finance. Chief Financial Officer 6! Produced ID Form of Identification 6! Personally Known VD. SlGNAlURE AND STAMP Of NOTARY OR DEPUTY CLERK: OFFlCIALNi:5'i'ARY LEYLA M SALAS NOTARY PUBUC Si'ATE OF FLORIDA COMMISSION NO. DD060084 MY COMMi~~.'.2~~.r?,~;;~1:'T 24,2005 L-e'l L A ~. 'SA.--L-A ~ Print, stamp or type name of Notary Public State of Florida, County of Miami-Dade Sworn ~ subscri~ before~ This 10'" day ofl/.€Len1 002. Registration: [.;]' ACCEPTED FOR CLERK'S USE ONLY ~ [ ] REJECTED DATE: I ~/l? 1'2- If rejected, state reason: : : Registration fee paid: [ ] Yes [ ] No f\I//J-- [ ] Cash [ ] Check MeR # U_CL DATA ENTRY DATE: . 2002 ENTERED BY: 1 I First Revision - 05/17/02 ..., " IV. DJSa.OSURE OFTEIlMS MD AMOUln'S OF LaBlnsr Cl)MPSISA1UIN (DW$(:lI ~ WllElMElt HQURL r, FL4. T iliA 1f! OR OTl1ER): A) L08lMSTDJSa.o5URE: PTo-bono client. no l;olllPensation. B) PRlNOPAL'S DISCLOSURE (OF LOB8YlSTCOMPENSATION)' no c:omflen51at1.on v. SlGll41U1Ui UNDElOAtH: ON OCI'OBER 1$1' OF EAat YEAR, EACH LOBBYIST SlfALL SUBMIT TO THE an' CLERk A SIGNED STATEMENT UNDER GAlM, LISTING LOBIYlNG aPENbnuRES IN THE CITY OF MIAMI BfACH FOR THE PflECEDtNG CALeNDAR YEAR. I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am famllJar with the provisIons CDfItained in Section 2-482 of the Miami Beach Oty Code as amended, and all reporting requirements. Nlk Signature of lobbyist: Vi e President. Administration & Finance. Chief Financial Officer Signature of Prindpal/Cient: DAVID VI. I.OIIIYISf IDERTIFlCA11DNI .f!S Produc:eclID Form of Identification c:;- Personally Kno-wiD VB. SlGlM1V. MD st....P 01' NOrAllY Oil DEPU1Y CLERIC: State of Florida, county of Miami-Dade Sworn to and subsaibed before me This Iq day of ~2002. ~y P(J", OFFlClALNOTAAY SEAl. 0....<.0 IANDAAGamz .. COMMISSION NUMBEIl 'JJ ~ 00081.ce1 ~ OF .. 04' MY COMMIlIlllOH &lCPlREI ,- JAN. 1 2008 ignature of P SA1JDU G". 0 2.1J '"2- Print, stamp or type name of Notary Public FOR CLEIUC'S USE aNL Y Registration: t.Yi ACCEPTED [] REJecno DATI;: If rejected, DIe reason: Registration tee paid: [ ] Yes [ ] No [ ) Cash [ ] Check MCR ;I / Yt1tZat . 12! f1! / ;)- DATA ENTRY DATE: 1 .2002 ENTeRED BY: I Fim RevIsIon - 05/17/02 mfl 68c.ON 6v~9~~95~ ~ 9l~n~~1 9~38N33~9 80:cl c~l/8l/cl "'" . . Mayor David Dermer Commissioner Matti Herrera Bower Commissioner Simon Cruz Commissioner Luis R. Garcia, Jr. Commissioner Saul Gross Commissioner Jose Smith Commissioner Richard Steinberg Jorge M. Gonzalez, City Manager Mayra Diaz-Buttacavoli, Assistant City Manager Christina Cuervo, Assistant City Manager Robert Middaugh, Assistant City Manager Mary Greenwood, Executive Assistant to the City Manager Ramiro Inguanzo, Chief of Staff Tim Hemstreet, Special Assistant to the City Manager Murray Dubbin, City Attorney Donald Papy, Chief Deputy City Attorney Code Compliance Division AI Childress, Division Director Eric Wardle, Jr., Assistant Division Director 305-673-7000 exl. 6787 Kristal Caron, Office Manger Fire Department Floyd Jordan, Fire Chief Planning and Zoning Department Jorge Gomez, Director William H. Cary, Director Design, Preservation and Neighborhood Planning Division Annando Valdes, Planning and Zoning Manager Thomas R. Mooney, AICP, Design and Preservation Manager Steven Green, Office Manager Chuck Taft, Boards Administrator April Hirsch, Secretary to the Board of Adjustment Juan Diaz, Planning Technician Antonieta Stohl, Receptionist Permit Review Process Ricardo Guzman, Planner, Planning & Zoning Kevin Perkins, Planner, Planning & Zoning Marija Surev, Planner, Planning & Zoning Christopher Dunn, Planner, Planning & Zoning Mark Sean Finnen, Planner, Planning & Zoning Planning Board Mercy Lamazares, Sr. Planner Stephen Foren, Sr. Planner, Planning & Zoning Board of Adjustment Annando Valdes, Planning and Zoning Manager April Hirsch, Secretary to the Board of Adjustment Historic Preservation Thomas R. Mooney, AICP, Design and Preservation Manager Shannon Anderton, Sr. Planner, Design & Preservation Design Review Board Thomas R. Mooney, AICP, Design and Preservation Manager Laura Quenelle, Sr. Planner, Design & Preservation Neighborhood Planning Joyce Meyers, North Beach Planning Coordinator Reuben Caldwell, Planner, Design & Preservation Charles Buckles, Sr. Plans Designer Katia Hirsh, Planner Public Works Fred Beckmann, Director ..~ Michael Alvarez, Assistant Director Engineering and Construction Division Environmental Resource Division Bruce Henderson, Environmental Specialist Streets and Streetlights Division Transportation and Concurrency Management Joseph Johnson, Director Amelia Johnson, Transportation Coordinator Henry Johnson, Senior Planner, Debra Hart, Office Associate Water and Sewer Division Nathan Pope, Water and Sewer Utilities Superintendent John Kranick, Streets, Streetlighting and Stormwater Superintendnet A.D.A. CompUanee Heidi Johnson-Wright, ADA Coordinator Building Department Phil Azan, Building Director Hamid Dolikhani, Assistant Director Richard McConachie, Chief Building Inspector Jeri Dee Goodkin, Senior Building Inspector Permit Counter Evelyn H. Sanchez, Office Associate IV Electrical Gary Ortega, Chief Electrical Inspector Plumbing Paul Elledge, Chief Plumbing Inspector Structural Mohammed Partovi, Chief Structural Plans Processor Mechanical Paul Raymond, Chief MechanicaJ Inspector Microfilm/Storage Omar Castellanos, Building Records Manager Elevators John Antona, Chief Elevator Inspector AccesslbWry Gladys Salas, Chief Accessibility Inspector