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Related/Murano at Portofino .. lQ MiElmi IleiJl;h - - 2.U03 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 dty board or committee; or any action, dedsion 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) Greenberg Traurig 1221 Brickell Avenue, Miami BUSINESS NAME AND ADDRESS (Number and Street) (City) 305-579-0588 305-961-5588 TELEPHONE NUMBER: FAX NUMBER: FL (State) (M.!) 33131 (Zip Code) gonzalezaj@gtlaw.com EMAlL: I. LOBBYIST RETAINED BY: Related / Murano at Portofino NAME OF PRINCIPAl./CUENT: BUSINESS NAME AND ADDRESS 1225 Alton Road Miami Beach (Number and Street) (City) Florida (State) 33139 (Zip Code) (786) 276-7030 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAlL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)) . NAME OF CHIEF OFFICER, PARTNER, OR BENEFIOARY: John Hopwood IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: Board of Adjustment - Murano at Porto fino Issue to be lobbied (Describe in detail): f'rrl ( tfn1l t:.- uN III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship Planning Department Board of Adjustment 1C: ~ ... ? ... ,...7 m~~Z X,,<Q.lO ~gij1~ (/)35-"'0 ~3$5- ~~.b1'r ggal ~ ())ON_ o '" ~ s.. ~ "T\ ~ % g- IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLA T RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $290.00 Hourly B) PRINCIPAL'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 ~ No: Are YOU lobbyina on a Dresent or Dendina bid for aoods, eauiDment or selVices, or on a Dresent or oendina award for aoods, eauiDment or selVice? 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 lobbyina on a Dendina aDDlication for a DeyeloDment Aareement with the City or aDDlication for chanae of zonina maD desianation or chanae to the City's Future Land Use MaD? 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-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, shall register with the clerk as required by this section but, shall not be required to pay any registration fees.. D Yes ~No: Are YOU reDresentina a not-for-Drofit corooration or entity without sDecial comDensation 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 PRECEDI G CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPE S OR MPENSATION DURING THE REPORTING PERIOD. I do solemnly swear that all of the foregoing facts are true nd correct and that I have read or am familiar with the provisions in Section 2-482 of the iami Beach City Code and all reporting requirements. Signature of Lobby' VI. LOBBYIST IDENTIFICATION: IDENTIFICATION: o Produced ID o Produced ID Form of Identification ~ Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: Form of Identification o Personally known (Principal) State of Florida, County of Miami-Dade Sworn t~nd subscribed before me This \ day of 20..Q;l State of Florida, County of Miami-Dade Sworn and subscribed before me This _day of . 20-.0.5 Signature of Public Notary - State of Florida Notarization of Principal's signature Date Paid > _~. FORCLE Annual Registration fee: [(/pes [ ] No Amount Paid Lobbyist Registration Form received and verified by: F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM OS.doc Revised 12/08/04