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Alfredo J. Gonzalez/Integrated Equities, Inc. Mi_B_ 'UW lIJU, 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 city board or committee. The term specifically includes the principal as well as any employee engaged in lobbying activities. The term "LobbyistsW has specific exclusions. Please refer to Ordinance 2004-3435. Gonzalez Alfredo J. NAME OF LOBBYIST: (Last) (First) (M.!) 1221 Brickell 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: I. LOBBYIST RETAINED BY: INTEGRATED EQUITIES,INC. NAME OF PRINCIPAL/CLIENT: 215 E. DILlDO DR. MIAMI BEACH FLORIDA 33139 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, Parb1ershlp or Trust [Section 2-482 (c)) NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: MITICHELL RUBINSON . IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: MITICHELL AND EDDA RUBINSON II. SPECIFIC LOBBY ISSUE: 2228 PARK AVENUE BUILDING & ZONING ISSUES Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship HISTORIC PRESERVATION BOARD BOARD OF ADJUSTMENT PLANNING AND ZONING DEPARTMENT 06/30/,04 12:48 GREENBERG TRAURIG ~ 3058683925 NO, 445 [;104 IV, DISCLOSURE: OF TERMS AND AMOUNTS OF LOBBYIST COMPINSATION IDfICL05l WHITHEIl HOVRL Y, flU. T RA T! OR. OTH!R.): $250.00 Hourly A) LO!IIlVlST OISCLOSUIl!: Ihlllllr8CI1 II) PlUNOMl'S DISC~1l! (O~ lO88VIST OOMP!~SAT10N): (ltequiredl $ 2 50_ 00 Hour ly ~ ~~:. reol'llHl'It1na ;II not""lIIr-llroftt COl'DOratlon IIr "ntltv withtlut s.-lal_aensatillln Dr U Pursuant ID OrdinarlOli NO. 2004.3435. 1) -~ 2) ~ 'II. .!ri:::~~: ~:Ina~c: No. 2003-3313 Amendlna Miami !luch City Cade Chapter 2, Article VII. Division 5 tl I "c.a 19" Flnlll1ce R.eform" Via The Addition Of COO" Sl!ction 2-489 Entitled "ProblhltP.d C';m~;;tribuliOns B\I lobbyists On Procurement Issues": :re u I bvlna an a preseDl; or pendinG bid for aoods. lICIulDment or san.<ices. Itr III n a pl'lOlU!l1t Dr IH!ndina award far aaods. 8t1uidr'UnW fn MhIIm? PUenlu.ant to Ordl.,.nte Ne 200~.:i:J95 Aml!"glng Miami Beach Citv Code Chilo!l!r 2 Article VII DiIIlslon 5 th ;;;;;; Entitl;d "Cilmaalg(1 Finance Reform". Via The Addl~o" Of Code SectIon 2-"190 Entitled Ql'rohibited Camcaian CanbiDutions Bv lotlbvlsts On Real F~abl DeveloomAnt IllSUQP": ::;r:~:~:~':.:::. D:2~:~:r:::~::~af~=:a~e:::=:~:~:eJ:'~:: ~~h~~~: Mall? SIIINATUIlE UNgell OATH: I do solemnly swear that all of the for familiar With the provisions contained requirements. Signature of Lobbyist: Signature of Principal/Client: 'III, LOBBYIST IDIiNTlfICATlON: D Produced ID PRlNCPAL IDENTlflC"TION: D Produced ID Fonn of I~entl1icatlon ')(PerSOnllllY known (Principii) Form of IdenllflCiltlon rI Personalt; known (lobbyist) YD. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Mlaml.Dade SWorn to and subscrt before me or-ocL This "" dllY 20~, State of Florida, Qlunty of lIIiilmi-oade SWom Bnd subscribed befOn! me This of SI N r..1\. Carrie Sommer \<!f.J My Commllllon 00221814 .." ExplreaJune 11. 2007 IImUill ReglWilQQl1 fee; [ 1 Yllli ( ] fig 1\ LoObVl4t IlegISllallon Porm """,Ived ind v.~fied bY. ReWed 02/10/1)11 .~ 1 iWf o~~ P.~ X CJ~