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Robert Fine/Artecity Holding r.1iil11i Scam l:lrlI!IId 'iiW 2llU3 lD - - City of Miami Beach Offiee 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 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 2004-343S. Fine NAME OF LOBBYIST: (Last) 1221 Brickell Avenue, Robert s. (First) Miami FL (M.!) 33131 BUSINESS NAME AND ADDRESS 305-579-0826 (Number and Street) (City) 305-961-5826 (State) (Zip Code) finer@gtlaw.com EMAIL: TELEPHONE NUMBER: FAX NUMBER: I. LOBBYIST RETAINED BY: Artecity Holding, LTD/Alessandro Ferretti NAME OF PRINOPAl/CLIENT: 119 Washington Avenue, #500 Miami Beach, Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) 305-672-5179 FAX NUMBER: (Optional) (State) (Zip Code) af@wavemiami.com EMAIL: (Optional) 305-762-5152 TELEPHONE NUMBER: 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 S% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: Historic Preservation Board and Boarq of Adjustmentand Flgod Plain Mana- gpmpn+ ROnrd. Also Buildinq and zon~nq Code relatea ~ssu s. Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: C. A) Full Name of Indivldual/Title B) Any Financial, Familial or Professional RelationSiilp ~j -"'~ - n .D< Building Department r- --< !::' - ~~ UJ Planning Department U? " ..... " ~ ..,.., ;:::: - ...., /'1"l AJ try (") rn < m o IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) ~ ~f {" f.-.l k,. B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (ReqUired).~ r ... ,.. 0: r n in -~ r- rofit r i n or n' wi h bursement. Pursuant to Ordinance No. 2004-3435. 1) Pursuant to Ordinance No. 2003-3393 Amendinc Miami Beach City Code Chaoter 2. Article VII. Division 5 Thereof Entitled "Camoaicn Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Camoaicn Contributions BY Lobbyists On Procurement Issues": Y 2) Pursuant to Ordinance No. 2003-3395 Amendinc Miami Beach City Code Chaoter 2. Article VII Division 5 thereof Entitled "Camoaicn Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited Camoaicn Contributions By LobbYists On Real Estate Deyelooment Issues": V. SIGNATURE UNDER OATH: ON OCTOBER 1 Sf OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. ~- C- ,.. J Signature of Lobbyist 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 Miami Beach City Code and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: \ LOBBYIST IDENTIFICATION: IlV Produced ID ::)>)-~LL~ Form of Identification .,t Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: PRINCIPAL IDENTIFICATION: VI. o Produced ID Form of Identification ~rsonally known (Principal) State of Florida, County of Miami-Dade Sworn and subscribed before me ./ This ~day of ~ .20Q.'J \ A MARlSOL R GONZALEZ NOTARY PUBUC STATE OF A..ORIDA eOMMISSION NO. D0148882 MY COMMISSION EXP. SEP1" 17,2006 FOR CLERK' USE ONLY 1\ r:- q Annual Registration fee: [ ] Yes [)( ] No Amoun Paid MCR # ~ '1 fJl:1 Date Paid ~ -0 Lf Lobbyist Registration Form recelvedJnd verified by: Revised 02/10/04 F: CLER \MA -M\ BBYIST\LOBBYlST FORM 04