Iris Escarra/Thomas H. Morgan 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, 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.
Escarra Iris
NAME OF LOBBYIST: (Last) (First)
Greenberg Traurig, P.A., 1221 Brickell Avenue, Miami, Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City)
305-579-0737 305-961-5737
(State)
escarrai@gtlaw.com
(M.I)
(Zip Code)
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Thomas H. Morgan
NAME OF PRINCIPAL/CLiENT:
Morgan Energy Company, 3333 S. Bannock Street, Ste. 950, Englewood, CO 80110
BUSINESS NAME AND ADDRESS
303-296-9270
TELEPHONE NUMBER:
(Number and Street) (City)
303-294-9077
FAX NUMBER: (Optional)
(State)
EMAIL: (Optional)
(Zip Code)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
· NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
· IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
SPECIFTC LOBBY ISSUE:
Star Island PriYatization
Issue to be lobbied (Describe in detail):
cl'rY AGENCIES/INDIVIDUALS TO BE LOBB]:ED:
A) Full Name of Individual/Title
City Commission and City Staff
B) Any Financial, Familial or Professional Relationship
ZV. DISCLOSURE OF TERI4S AND AHOUNTS OF LOBBYIST COHPENSA'rION (DISCLOSE WHETHER ffOgR£ ~
FI.A T RATE OR OTHER,):.
A) LOBBYIST DTSCLOSURE: (Required) Hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $ 250.00
The following information must be answered:
l)
Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
[] Yes M No: Are you Iobbvina on a oresent or oendina bid for aoods, eauiDment or services, or on a
present or oendina award for aoods, eauioment or service?
2)
Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes ;~ No: Are you Iobbvina on a pendinq application for a Development Aqreemqnt with the CiW or
aoolication for chanqe of zoninq map desiqnation or ;hanqe to the City's Futpre Land Use
Hap?
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..
[] Yes ~ No: Are you reoresentinq a not-for-profit corporation or entity without special compensation
or reimbursement..
v. SIGNATURE UNDER OATH:
ON OCTOBER IsT 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 CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO E~P~DITUI~mJ; OR COMPENSATION DUR/NG THE
Signature of Lobbyist
I do solemnly swear that all of the/
familiar with the provisions contai~C
requirements. ~
(~-Signature of Lobbyist: (
Signature of Principal/Client:
vi. LOBBYTST ]:DENTZF[CATZON:
negOing fa~;;~ are true and correct and that ! have read or am
Sect~ri/2/482 of the Miami Beach City Code and all reporting
[] Produced ID
Form of Identification
P~~ersonally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State,pC)_FIo_ri,da, County~of Miami-Dade
Sw. ol~ Jl~ subscrib(~l befQre me --
[] Produced ID
Form of Identification
[] Personally known (Principal) Il ..,~,~ JESUS C^FIVAJAL lJ
'"'.-~- MY COMMISSION # OD 240476 /I
il ~~¢~ EXPIRES: August 11, 2007 /I
State of Florida, County of Miami-Dad~ ................ : ~ ~-'-'- "': ~
Sworn and subscribed before me
This day of ,20__
Notan-abon of Pnnc~pal s s~gnature
Lobbyist Registration Form received and verified by: ~.~.~L~ ~
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 0~c ' "--' Revised 12/08/04