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Gonzalez Alfredo/Fisher Isl Hld .... I MiamI ScilKh " }.lIO, lQ - - City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRA nON 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. Gonzalez Alfredo J 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) 305-579-0588 305-961-5588 gonzalezaj @gtlaw.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: Fisher Island Holdings, LLC NAME OF PRlNOPAL/CUENT: BUSINESS NAME AND ADDRESS 305-535-6046 TELEPHONE NUMBER: 1 Fisher Island Drive Fisher Island (Number and Street) (City) 305-535-6036 FAX NUMBER: (Optional) Florida (State) 33109 a (Zip Code) 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: Cedrick Denain . IDENTIFY ALL PERSONS HOLDING, DIRECfL Y OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: David Aim II. SPECIFIC LOBBY ISSUE: DRB Approval and Buiding Approval! Permits 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 Planning and Zonning Department Building Department \ ~'tvo\ ~~<' 'A'~('" ~$~€ ln~~ ~I~! ~ONS 8 ~ ...... - ~ ~ (.7\ ~ IV. DISCLOSURE OF TERMS AND AMOUNlS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOlJRLY, FLAT RA TE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $290,00 Hourly B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $290.00 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": D Yes IX No: Are YOU lobbying on a Dresent or Dending bid for goods. egUiDment or selVices. or on a Dresent or oending award for goods. eguiDment or selVice? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": DYes N No: Are YOU lobbying on a oending aDDlication for a DeyeloDment Agreement with the City or aDolication for change of zoning maD designation or change to the City's Future Land Use Mmz1 3) Pursuant to Miami Beach Oty 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-profit corporation or entity without special compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or opposition to any item, shalf register with the clerk as required by this section but, shalf not be required to pay any registration fees.. D Yes ~No: Are yOU reDresenting a not-for-orofit corooration or entity without sDecial comoensation or reimbursement. . V. SIGNATURE UNDER OATH: 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 COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALEND R YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDI RE 0 CO ENSATION DURING THE REPORTING PERIOD. I do solemnly swear that all of th familiar with the provisions requirements. Signature of Lobbyist: Signature of Principal/Cr VI. LOBBYIST IDENTIFICATION: g facts are true and correct and that I have read or am '0 -482 of the Miami Beach City Code and all reporting D Produced ID CO PRINCIPAL IDENTIFICATION: llsfiev \s~: . D Produced ID \10 \dt~ Form of Identification ,........~....I.............'.........811...lIIlf ,""personally known (Principal) li _~~~HEPJNE ;;L=~7 '1" . . - tI2IGIICII ......... .......... ..-nUl II.lllr~~~.~ Form of Identification Nersonally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Swom to and subscribed before me This h 20~ FOR CLE Annual Registration fee: lXYes [ ] No Amount Paid Lobbyist Registration Form received and verified by: F:\CLER\$ALL\MARIA-M\Lobbyi5t\LOBBYIST fORM 0 . SEONLY - 01 MCR#2.~~2" Date Paid ~ Revised 12/08/04