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Artecity Holding, LTD/Ferretti . ft'iami &loa , .!IJU3 to - - 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 defined In any manner In this section, 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 dty 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. NAME OF LOBBYIST: 1221 Brickell Dougherty. (Last) Avenue Lucia (First) Miami, A. (M.!) Florida 33131 (State) (Zip Code) doughertyl@gtlaw.com EMAIL: BUSINESS NAME AND ADDRESS 305-579-0603 TELEPHONE NUMBER: (Number and Street) (City) 305-961-5603 FAX NUMBER: I. LOBBYIST RETAINED BY: Artecity Holding, LTD/Alessandro Ferretti NAME OF PRINCIPAl/CLIENT: 119 Washington Avenue, #500 Miami Beach FL 33139 TELEPHONE NUMBER: FAX NUMBER: (Optional) (State) (Zip Code) af@wavemiami.com EMAIL: (Optional) BUSINESS NAME AND ADDRESS 305-672-5152 (Number and Street) (City) 305-672-5179 Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)l 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: Historic Preservation Board and Board of Adjustments Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of IndividuallTitle B) Any Financial, Familial or Professional Relationship 04/28/04 12:39 GREENBERG TRAURIG ~ 17865136437 NO. 081 [;102 N. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (OISCLOSE WHaHER HOURLY.. RAT RATl:OR OTHER)< #~ oU Lucia A. Dougherty ~ .5 -- $465.00 A} LOIl5YIST DISODSURf: (Raquil'lld) B) PRINCPAL'S DlSa.o5URE (OF LOBBYIST COMPEllSAllO~): (Required), Yes ~ Are you "3Iresent1na a nat-Io....."mrlt IDmor.mon or entitv without s..al c:ommmsalion or reimbursement. Pursuant to Ordinance No. 2004-3435, 1) Pursuant ID Ordinance No. 2003.3393 ~ndlna MiamI Beach Ow Code Chaoter 2. Artlde vn. OMsIon 5 Thl!fl!llf Entitled 'CamDilicn Finance Reform" Via The Addlllon or <.ode Seerlon 2-488 Entitled "PrOhlbttell Camoallln CDnlrlbuliol\.q BY llIbbY1sts On Procurement ISlSues": ves@ Are YOU IobbYIna on iii Present or DSndfna bid for coods. eoulDmem: or services. or on II Dresent or Aendlna.a""'jlrd for ooad5L.eGulDment Ql sarvlCle? 2) Pursuant to Ordinance No, 2003-3395 Amendine Miami Beach Crtv Code Chaoter 2. Artlcle vn Divtsion 5 !hereof Entitled "CamMlen FInance Reform" Vill.1ll@ flddition Of Code section 2-490 Entitled MProhlbRd Olmllakm ~ntribvtIQII~ IlY \ pbbyists On Real Estate DeVl!looment ISSUes": 8> No: Are you lobbyino on iii pendino liloollcation for II Develllllment Aareement: with the Citv or 8DDIit:Mian for ~hanoe of zonina maD deslanatlon or marKIIB to the Citv's Future L.anf Use _,,' v. SIGNATURE UNDER OATH: ON OcroaER lS'1' OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE C1TY CU:RK A SIGNED STATEMENT UNDER OATH. USTlNG LOBBYING EXPENDDU AS WELL AS COMPENSAnON RECEIVED, IN THE an OF MIAMI BEACH FOR THE PRECED ENDAR YEAR. A STATEMENt SHAU BE FILED EVEN IF THERE HAVE '''EN NO EXPENDITU OR,COMPENSAnDN DURING THE REPORnNG PERIOD. LOBBYIST IDENTIFICATION: and that I have read or am [ty Ctlde and all reporting I do solemnly swear that all of the foregoing fads are true and familiar with the provisions contained In 5ect1on 2-482 of the MiamI requirements. Signature of Lobbyist: SIgnature of Prlnclpal/dlent: VI. PIUNOPAL IDENnFlCATION: Produced ID __ Identlllcatlon ~ known (Lobbyist) VII. SIGNA'TURE AND Sf AMP OF NOTARY, Prvduu:d 11) 5tllte of Florida, CQunty of Mlami-Dade SWorn and subscribed before me This yof 1!J Leyla M. Luoaa . . My CllmmIeaIon 00201132 \; ,.1 Elq:li... SeJlI- 24, DIll FOR CLERK'S USE ONLY n~b Ilg U.!)(1.f11L I\mluilI Reg\stJiltlon fee: [ ] Yes rx1 NO AAlount Pille! fl-.1; -: MeR' ( '/\ 0"'\ DOll! I'llId ~ LObbYiSt ReglStratlon FotIYl r<<eIYeIl-an~- verllled by: ~ ~ ll2I1DJ04 F: ClHI,lU..\MAJlb\. FORM 04