2201 Collins Fee, LLC
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
WBBYIST REGISTRATION FORM
lobbyist means all persons employed or retained, whetl1er paid or not, by a prindpal who seeks to enlDUrage the passage, defeat
or modification of any ordinance, resolution, action or decision of any commissloner; any actlon, decision, recommendation of the
CIty Manager or any city board or committee; or any action, dedslon or recommendation of any city personnel defined In any
manner In this section, during the time period of the entire dedsfon-making process on such action, dedsion 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 -LobbyIstsW has specific exclusions. Please refer
to Ordinance 2004-3435,
Gonzalez Alfredo J.
NAME OF LOBBYIST: (Last) (First) (M.I)
1221 Brickell Avenue Miemi 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: EMAlL:
I. LOBBYIST RETAINED BY:
120 \ [foLliV\s ~~c... tLe
NAME OF PRINOPAL/aJENT: .
0/0 n~"'lt) Gd~i..J
!2<ro 'PA-r2.. ~ \)'f!'V I'C. ~ Y C.
BUSINESS NAME AND ADDRESS (Number and Street) (City)
"2..12.. '3\<1.!j.4700
TELEPHONE NUMBER:
IJY
(State)
lOOl1
(Zip Code)
FAX NUMBER: (Optional)
EMAlL: (Optional)
Fill out thIs section If p1inciplllls a CorlJontIon, PIIrtnenhlp or TI'UlIt [SectIon 2-482 (e)]
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFIOARY:
P~v;t') Cdoe.l~f~iA)
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
2201 Collins FEE, LLC.
II. SPECIFIC LOBBY ISSUE:
~,..\ ~h~k / &:Id J'~.( ~ 7011 '-/11 (
Issue to be lObbied (Desai in detail): 0 ":::J
III. CITY AGENCES/INDMDUAlS TO Be LOBBIED:
'T'\
L~s/Jl:"'\
A) Full Name of Indlvldual/Tltle B) Any Flnandal, Familial or Profealonal Relationship
Historic Preservation Board I Board of Adjusbnent
City Commission
City Manager and Departments
Yes
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSAnON (DISCLOSE WHETHI!R HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $250.00 HOURLY
B) PRINCIPAL'S DISClOSURE (OF LOBBYIST COMPENSATION): (Requfnld). $250.00 HOURLY
.~. r::::. f8DI'MeI1I:Ina 8 not-for-DrOfit comond:Ion or entItY without SDeCiaI comMnSlltion or
~__ Pursuant to OrelllUlllC8 No. 2004-3435.
1) Pursuant to Ordlllltnce No. 2003-3393 Amendlna MIami Beach (]tv Code OIaDl:er 2. Article YD. Division 5
Thereof Entitled "Campaian Anance Refurmw VIa The Addition Of Code ~ 2-488 entitled "Prohibited
Camoalan Contributions By LobbYists On ProaJrement Issues":
V-e
Are YOU IobbvIna on a IH1!I88nI: or Dendina bid far aftftlla eauiament or SIH'ViaM.. or an a IH'8Mnt
or D8ICIina _rei for aoods. _uloment or Nl'Vice?
2)
Pursuant to OrdilUlnce No. 2003-3395 Amendina Miami Beach (]tv Code ChaDl:er 2. Article VII Division 5
thereof Entitled "Camoalgn Anance ReI'ormw. VIa The Addition Of Code <<<tin., 2-490 entitled "Prohibit1!d
Camoalan Contributions BY Lobbvisl:s On Real Fo:mlP Develaoment Issues":
V-'Ej
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v.
SlGNATURI! UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LIST1NG LOBBYING EXPENDITURES, AS WELL AS COMPENSADON
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEND NSAnON DURING THE
REPORTING PERIOD.
facts are true nd and that I have read or am
the Miami Beach aty Code and all reporting
I do solemnly swear that all of the
familiar with the provisions conta'
requirements.
Signature of Lobbyist:
Signature of Principal/alent:
VI.
LOBBYIST IDI!NTlI'lCAnON:
PRINCIPAL lDENTll'lCAnON:
o ProdUCX!d JD
o Produad JD
Fonn c1ldentlfk:ation
[\~1Iy known (Prlnclpel)
Fonn c1ldentlfication
rV'Personally known (Lobbyist)
VII. SIGNAtuRE AND STAMP OF NOrARV:
FOR
Annual ReglStratlon fee: [ } Yes [ ] No Amount
l.Dbbytst Registration Form received and verified by:
Revised 02/10/04 F:
State cI RorIda, County cI Mlaml-Dade
SwoI1) .lIlj:I subscribed re me
This ~daY cI 2 0 '(
SIgnature cI Public Notary cI fleI'IGa. eov'r (/p I{
NotlIrIzIItIon of PrInd 's s1anllture
artln l.ipsky
Notary Public State of New York
Reg, No, 01 L1462236S
Qualified in Nassau County
Commission Expires 5/31/08
ON~~23~ Date P
MARISOL R GONZALEZ
NarARY PUBUCSTATE OF FLORIDA
COMMISSION NO. DD148882
MY COMMISSION EXP. SEPr 17,2006