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. 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 dty 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) (M.!)
Greenberg Traurig 1221 Brickell Avenue, Miami FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-579-0588 305-961-5588 gonzalezaj@gtlaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY: de.
NAME O~LjCuE: t!-2A- u e. ~S i ~ AJ
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(Number and Street (City)
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FAX NU ER: (Optional)
AlY
(State)
/DOIt../
(Zip Code)
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
.
NAME OF CHIEF OFFICE}~RTNER, OR BENEFICIARY:
Dtr" I 0 (JTt.. If -Z I It n D
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
.
II. SPECIFIC LOBBY ISSUE:
Issue to be~~~~I): -p ~ "2. :c ~ s U~ <;
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Any Financial, Familial or Professional Relationship
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLA T RA TE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $315.00 Hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $315.00 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 lobbyinG on a Dresent or DendinG bid for Goods. eGuiDment or services. or on a
Dresent or oendinG award for GOods. eGuiDment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes MNo: Are you lobbyinG on a DendinG aDDlication for a DeyeloDment 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..
n Yes ~No: Are YOU reDresentinG a not-for-Drofit corooration or entity without SDecial comDensation
or reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1 sr OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDIT ES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PREC ING CA NDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN XPEND R PENSATION DURING THE
REPORTING PERIOD.
I do solemnly swear that all of
familiar with the provi . c
requirements.
Signature of Lobbyi t:
LOBBYIST IDENTIFICATION:
:J Produced 10
= Produced lOb". ~L.~. \-:"'n~b"t.~S-
Form of Identification
Form of Identification
)( Personally known (Lobbyist)
SIGNATURE AND STAMP OF NOTARY:
= Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This ~ da 20.Q..6
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This ~day of
_ / FORCLE~AuaEONLY
Annual Registration fee: V ] Yes [ ] No Amount Paid . MCR # ~ Date Paid ~
Lobbyist Registration Form received and verified by: n-~c;;.
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05:Croc Revised 12/08/04
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Miscellaneous Cash Receipt
CITY OF MIAMI BEACH
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For-1 Chy,~~ I~\~cd-;C\C\
(THIS INFORMATION MUST BE COMPLETED)
Account Number: Dl\-<a:::ro-3lcf\' _~
Prepare~ Dept:
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