Jerry Guarchi II II Ii
qll
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 city board or committee; or any action, derision or recommendation of any dty personnel dudng 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 spedfically includes the prindpal as well as any employee engaged
,, lobbying activities. The term 'Lobbyists' has spedfic exclusions. Please refer to Ordinance 2004-3435.
NAME OF LOBBYIST:
~ irccnberg Traurig
BUSINESS NAME AND ADDRESS
305-579-O588
TELEPHONE NUMBER:
Gonzalez Alfredo J
!
(Last) (First) (M.I)
1221 BrickellAvenue, Miami FL 33131
(Number and Street) (City) (State) (Zip Code)
305-961-5588 gonzalezaj ~gtlaw.eom
FAX NUMBER: EM/LtL:
! LOBBYIST RETAINED BY:
., erry Guarch
NAME OF PRINCIPAl/CLIENT:
I)iversitied Construction & Restoration, [nc. 13525 SW 288 Street
Homestead
Florida
33033
BUSINESS NAME AND ADDRESS
1305) 246-4306
TELEPHONE NUMBER:
(Number and Street) (Ob/)
(305) 246-4328
(State)
FAX NUMBER: (Optional)
EMAIL: (Optional)
'Fill out this section if prindpal is a Corporation, Partnership or Trust [Section 2-482 (c)]
(;Bp Code)
· NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Jerry Guarch
· IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
IL SPECIF/C LOBBY ISSUE:
Buildi,~g / Permit Issues
Issue to be lobbied (Describe in detail):
III, CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
13udding Department
I'lanning Department
Manager / Commission
B) Any Finandal, Familial or Professional Relationship
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSAI/ON (D~qCLOSE WHETHER HOURLY~
FLA T RATE OR OTHER,):.
~) LOBBYXST DXSCLOSURE: (Required) $290.00
F ~ PRINCIPAL'S DXSCLOSURE (OF LOBBYXST cor, IPENSATXON): (Required). $3_90.00 Hourly
The following informaUon must be answered:
Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
Yes ;; No: Are you Iobbvinq on a Dresent or oendinq bid for aoods, eouiDment or services, or on a
;)resent or ~endina award for aoods, e~uioment or service?
Pursuant to Miami Beach City Code 2-q90 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
..:Yes ~ No: Are you Iobbvinq on a Dendinq aDolication for a DeveloDment Aqreement with the City or
aDDlication for chanqe of zonina maD desiqnafion or chanqe t~ the CitY's Future Land Use
MaD?
Pursuant to Hiami 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 c~mpensation 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..
,. Yes ~NQ: Are you reDresentinq a not-for-Drofit corz~.r'~.tiQll Qr entity without s~ecial compensation
or reimbursement, .
V. SIGNATURE UNDER OATH:
ON OCTOBER Is~ OF EACH YEAR, EACH LOBBYIST SHALL SUBHrF TO THE cTrY CLERK A SIGNED
STATEHENT UNDER OATH, LISTING LOBBYING EXPENDI'rURE,~ AS WELL AS COIqPENSAllON
RECEIVED, IN THE cTrY OF Iq~AHI BEACH FOR THE PRECED~I~ CALENDAR YEAR~ A STATEHENT
SHALL BE FILED EVEN IF THERE HAVE BEEN DUR/NG THE
REPORT[NG PER/OD.
have read or
[ do solemnly swear that all_of the fpr~oing~facts are t ur e~nd~co rr ect and that ! am
familiar with the provisi~n-'~i~e~ ~~482 of the ~ B h City Code and all reporting
Signature of Lobbyi .~.,~_~
Signature of Principal/Client: //
VI LOBBYIST IDENTIFICATION:~/ ~/PR/NCZPAL IDENTIFICATION:
Produced ID [ I Produced ID
Form of Identification Form of Identification
V~Personally known (Lobbyist) e~~nally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
State of Florida, County of Miami-Dade
Swom t~ a~,~d subscribed before me
Notarization of~ signatur$
Sworn ~a~Lr~ subscrjbed before me
]~Ye FOR CLER~S.~NLY
. ~nnual Registration fee: [ s [ ]No Amount Paid
~_obbyist Registration Form received and verified by~
":'CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM l:)~m~ ' ~ Revised 12/08/04