Dougherty Lucia/Caribbean Group
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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 modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendation of the
Oty Manager or any city board or committee; or any action, decision or recommendation of any city personnel 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 2004-3435.
Dougherty Lucia A
NAME OF LOBBYIST: (Last) (First) (M .I)
Greenberg Traurig 1221 Brickell Avenue, Miami FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-579-0603 305-961-5603 doughertyl@gtlaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAlL:
I. LOBBYIST RETAINED BY:
Caribbean Group Owner, LLC
NAME OF PRINCIPAL/CLIENT:
119 Victor Heights
BUSINESS NAME AND ADDRESS
(585) 924-3101
TELEPHONE NUMBER:
Parkway Victor, NY
(Number and Street) (City)
(585) 924-8149
FAX NUMBER: (Optional)
14564-8938
(State) (Zip Code)
EMAlL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
David F. Christa
. IDENTIFY ALL PERSONS HOLDING, DIRECTlY OR INDIRECTlY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
See attached.
II. SPECIFIC LOBBY ISSUE:
Historic Preservation Board / Board of Adjustments / Building 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 Department / Building Department
t
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLATRATEOR 071lER):
A) LOBBYIST DISCLOSURE: (Required) $480.00 Hourly
B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $480.00 Hourlv
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
DYes I2t No: Are YOU lobbyinG on a Dresent or oendinG bid for GOods. eauiDment or services. or on a
Dresent or DendinG award for GOods. eGuiDment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes IX No: Are you lobbyinG on a oendinG aDDlication for a DeyelODment AGreement with the CitY or
aDDlication for chanGe of zoninG maD desiGnation or chanGe to the City's Future Land Use
HBRZ
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist" as set forth in Section 2-481 above) who only appears as a representative of a not-for-proflt
corporation or entity without special compensation or reimbursement for the appearance, whether direct, or
indirect, to express support of or opposition to any item, shall register with the clerk as required by this
section but, shall not be required to pay any registration fees..
DYes LiNo: Are you reDresentinG a not-for-Drofit corDOration or entitY without sDecial comDensation
or reimbursement. .
V. SIGNATURE UNDER OA11t:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSAnON
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 COM NSAnON DURING THE
REPORnNG PERIOD.
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 Sea h City Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
~
PRlNOPAL IDENTIFICATION:
""\W". ;.:., ~
')(.Produced ID a C\ ~ "'\<=\ c> \$'\
Form of Identification
D ProcIucecJ ID
/' Form of Identification
~rsonallY known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
D Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This ~day of
l.e)il. M. ~
. My 00rnrnIMl0n DD:I01132
ree Sept8mber 2<4, :lOl8ignature 0
( Notarizatio
FOR
Annual Registration fee: ] Yes [ ] No unt
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 0 DC
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