Alfredo J. Gonzalez/Thomas Harris
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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 modiflcatlon 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, declslon 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 Indudes the
principal as well as any employee engaged in lobbying activities. The term ftLobbylstsW has specific exciuslons. 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:
Thomas Harris
NAME OF PRINCIPAljCUENT:
5900 N. Bay Road Miami Beach Florida 33140
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, Partnership or Trust [Section 2-482 (c))
. 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:
Street Vacate of 59th and N. Bay Road
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
City Administration
City Comission
Mayor
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $250.00 HOURLY
B) PRlNaPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $250.00 HOURLY
Yes (iji) Are YOU reoresentino a not-for-orofit corooration or entity without sDeCial comoensation or
reimbursement. Pursuant to Ordinance No. 2004-3435.
1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chaoter 2. Article VII. Division 5
Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaian Contributions BY Lobbvists On Procurement Issues":
2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City Code Chaoter 2. Article VII Division 5
thereof Entitled "Camoaian Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaian Contributions BY Lobbvists On Real Estate Development Issues":
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST 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 P CEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXP DITU S COMPENSATION DURING THE
REPORTING PERIOD.
and that I have read or am
ach City Code and all reporting
I do solemnly swear that all of the foregoing facts are u an
familiar with the provision C nta' in Section 2-482 of the MI
requirements.
Signature of Lobbyis :
VI.
LOBBYIST IDENTIFICATION:
PRINCIPAL IDENTIFICATION:
Form of Identification
t6roduced ID Fl 0. L .
Form of Identification
o Produced ID
'j( Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
o Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This , \ day of 200'-\
State of Aorida, County of Miami-Dade
swom~d SUbSCri~ me
This day of . 2l1Q-(
~.0~
Signature of Public Notary - S ~IOrida
Notarization of Principal's signature
FOR
Annual Registration fee: [ ] Yes [ ] No Amoun
Lobbyist Registration Form received and verified by:
Revised 02/10/04 F. CLER
ROCIO AOIlRlGlEZ
MY COMMISSION' DO 209444
EXPIRES; May 5, 2007
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