M. Garcia-Serra/6000 Indian Crk 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, derision, recommendation of the
City Manager or any dty board or committee; or any action, derision or recommendation of any city personnel dudng the time
period of the entire decision-making process on such action, derision or recommendation that foreseeably will be heard or reviewed
by the city commission, or a db/board or committee. The term specifically includes the principal as well as any employee engaged
in lobbying activities. The term "Lebbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
GARCIA-SERRA, MARLO J.
NAME OF LOBBYIST: (Last) (First) (M,I)
GREENBERG TRAURIG, P.A., 1221 BRICKELL AVENUE, MIAMI, FL 33131
BUSINESS NAME AND 'ADDRESS (Number and Street) (City) (State) ....
305-579-0837 305-961-5837
TELEPHONE NUMBER: FAX NUMBER;
(zip cod~i"
.qarcia-serram~.qtlaw.com
EMAIL:
I. LOBBYIST RETAINED BY:
6000 INDIAN CREEK DRIVE, LLC
NAME OF PRINCIPAL/ClIENT: "'
The Sieger Suarez Architectural Partnersip, Inc., 5996 S.W. 70th Street, Miami, FL 33143
BUSINESS NAME AND ADDRESS
(305) 274-2702
TELEPHONE NUMBERi'
(Number and Street) (City) (State)
(30,5) 274-2007
FAX NUMBER: (Optional) EM/LtL: (Optional)
(Zip Code)
I;111 OUt tltlS section If principal Ii a CorporaUon, Partnership or Trust [5uctiun 2-482 (~;)]
· 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:
II. SPECiFiC LOBBY ISSUE:
6000 INDIAN CREEK DRIVE
Issue to be lobbied (Desotbe in detail):
CITY AGENCIES/INOZV/DUALS TO BE LOBBIED:
A) Full Name of Zndividual/Titie B) Any Financial, Familial or Professional Relationship
City Commission and City Staff
II IIIIII III IIIII I II llllllllll I I I II I I I I
[V. DZSCLOSURE OF TERHS AND ANOUNTS OF LOBBY/ST CObIPENSA1/ON (DZSCLOSE WHETHER IIOtJRZ Y~
FUI T RA TE OR OTHER.):.
A) LOBBYIST DISCLOSURE: (Required) $285.00/hr
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required), $285.00/hr
The following information must be answered:
1)
Pursuant to Miami Beach OW Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
Yes ~i~ No: Are you Iobb¥inq on a present or Dendina bid for aoods, eauiDmcnt or services, or ¢n .-.
I' oresent or ~endina award for aoods, eaui_~ment or ~ervice?
Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes '~No: Are you Iobbvinq on a Dendina aODliCation for a Development Aqreement with the City or
r aDDlication for chanae of zonina mad desianation or chanae to the City's Future Land Use
3) Pursuant to Miami Beach Ob/ 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 compensal3on or reimbursement for the appearance, wl3ea3er clirecl:, 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 regisb'ation fees..
D Yes ~1o: Are vou reDresentina a not-for-prof'R Corl;mration or entity without special compensation
I ' or reimbursement..
v. SZGNATURE UNDER OATH:
ON OCTOBER Is~ OF EACH YEAR, EACH LOBBY[ST SHALL SUBMET TO THE CITY CLERK A SZGNED
STATEMENT UNDER OATH, LISTZNG LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF M/AMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXP.E/~I~,ITURES O~[ COMPENSATZON DURING THE
REPORTING PERIOD.
Signature of Lobbyist
! do solemnly swear that all of the foregoing facts are true and correct and that [ have read or am
familiar with the provi~ion.~ cont0ined in Section 2-482 of the Miami Beach Cib/ Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Pdncipal/Client:
VI. LOBBYZST ZDENT[FZCAT/ON: PI~NC2PAL ZDENT~FZCAT[ON:
Produced ID
Form of Identification
/X~ Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
Produced ID
Form of !dentification
~l~,ersonally known (Principal)
--c;tate ef~.FIc~rida, C~3unb/of Miami-I~ade_
5wo~nd sub~ri~ef~e~e ~ ~
/
/ FOR CLE~'~ U~OHLY
Annual Regis~ation fee: [ ]Y~[~No ~un}~,~ HCR ~
~ist aegi~aon Form rec~ved and verified by: ~~ ~ -
F:~CLERkSALL~NAR~-HkLo~LOBBYI~ ~RH 05.d~ -~
Rtnte nf Flnrida, C~3.nty ~ Miami-Dade
Sworn and subscribed before me
This j b day of ~[~ 20__C:~
___
Signature of Public Notary - State of Florida
Notarization of Principal's signature
Revised
Vanessa C. Blanoo
My Commission DD21q
Expires May 12, 2007