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Lucia Dougherty/Isser Elishis :o. ~m ..... MIAMI BEACH 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 dedsion-making process on such action, dedsion or recommendation that foreseeably will be heard or reviewed by the city commission, or a city board or committee. The term spedfically indudes the principal as well as any employee engaged in lobbying activities. The tenn "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. NAME OF LOBBYIST: DOUGHERlY (Last) LUCIA (First) A. (M.!) GREENBERG TRAURIG, P. A. BUSINESS NAME AND ADDRESS 1221 Brickell Avenue (Number and Street) Miami (City) FL (State) 33131 (Zip Code) 305-579-0603 TELEPHONE NUMBER: 305-961-5603 FAX NUMBER: doughertyl@gtlaw.com EMAIL: I. LOBBYIST RETAINED BY: Isser Elishis NAME OF PRINCIPAL/CUENT: 199 Bay Street, Suite 5050, Toronto, Ontario M5L1E2 BUSINESS NAME AND ADDRESS (Number and Street) (City) 416 -504-2100 TELEPHONE NUMBER: (State) (Zip Code) FAX NUMBER: (Optional) 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: :l-~::o lit. L=.. / Is t? I' J . IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: 3675 Flamingo Drive Zoning Issues 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 Historic Preservation Board Design Review Board, and Planning Board .. OJ '0 LO 'g N u: ~ - I'- o (") '" 0 !9~~8 '{; q .9 ~ ~a;~~ d:Q~:; ~-~8.~ ~~~U] ,)c... vOI6; ~i1~"1,~ ,. .~ ~ tJ 0 "o",.s1~ .. lV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLA T RA TE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $500.00 B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required)._$500.00 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": 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": DYes b..,Np: Are YOU lobbyinG on a DendinG aDDlication for a DeveloDment AGreement with the City or aDDlication for chanGe of zoninG maD desiGnation or chanGe 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.. DYes D No: Are vou reDresentinG a not-for-Drofit corDOration 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 PRECEDING CALEND R YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR CO PENSATION DURING THE REPORTING PERIOD. I do solemnly swear that all 0 t familiar with the provisions co ta requirements. Signature of LobbYist: Signature of Principal/Client: of Lo byi , ====- foregoing facts are true and correct and that I have read or am d in . 2-482 of the Miami Beach City Code and all reporting Isser Elishis VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: }(produCed ID PG1 Ss PoA- , IltJ '7 J. 79 Form of Identification o Produced ID Form of Identification ~personallY known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: D Personally known (Principal) Carlos M. de Vera B4rrisler & Solici/or A No::1c Public and Commissioner ofOalhs State of Florida, County of Miami-dgag<' or the Provin.."eofOntario. Canada n f..r- Sworn and subscri d befor~ me 20~ This 2f' day of ~O...Q , ~~~~\-\=\Q-Ad ~ ~ ~ ~e"i.\A~ Signature of Pu ic Notary - 5tilW of ~I~rjda....;. ()~. &-t- oF- e..,,<<I\le Notarization of Principal's signature 0 '^ ~"''"''o N~~R?-tloq~ Date Paid Revised 12/08/04 Annual Registration fee: [ Yes [ ] No Lobbyist Registration Form received and verified F: \CLER\$ALL \MARIA-M\Lobbyist\LOBBYIST fO