Michael Marrero/Fernando Jimenez/Nicolas Justo
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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 defined in any manner in this section, 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 200+3435.
NAME OF LOBBYIST:
Marrero
(Last)
Michael
(First)
J.
(M.I)
Bercow & Radell. PA
BUSINESS NAME AND ADDRESS
200 S. Biscavne Boulevard. Suite 850 Miami
(Number and Street) (City)
Florida 33131
(State) (Zip Code)
(305) 374-5300
TELEPHONE NUMBER:
(305) 377-6222
FAX NUMBER:
mmarrero(Cilbrzoninqlaw.com
EMAIL:
I. LOBBYIST RETAINED BY:
Fernando Jimenez / All to- (J /4 f
NAME OF PRINCIPAL/CUE NT:
JIf~f6
Taoas v Tintos
BUSINESS NAME AND ADDRESS
448 Esoanola Way
(Number and Street)
Miami Beach.
(City)
Florida
(State)
33139
(Zip Code)
(305) 757-7600
TELEPHONE NUMBER:
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: Fernando Jimenez
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST
IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Nicolas Justo
II. SPECIFIC LOBBY ISSUE:
Modification of Board of Adiustment aooroval reqardinq distance seoaration requirement for alcohol sales
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
Board of Adjustment
None
City Planning Staff None
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $235.00 oer hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $235.00 oer hour
D Yes ~o: Are vou reDresentinG a not-for-Drofit corDoration or entity without soecial comDensation or
reimbursement. Pursuant to Ordinance No. 2004-3435.
1) Pursuant to Ordinance No. 2003-3393 Amendino Miami Beach City Code Chaoter 2. Article VII. Division 5
Thereof Entitled "Camoaion Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaion Contributions BY Lobbyists On Procurement Issues":
D Yes ~o: Are vou lobbvinG on a Dresent or DendinG bid for Goods, eGUiDment or services, or on a Dresent
or DendinG award for Goods. eauiDment or service?
2) Pursuant to Ordinance No. 2003-3395 Amendino Miami Beach City Code Chaoter 2. Article VII Division 5
thereof Entitled "Camoaion Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaion Contributions By Lobbyists On Real Estate Develooment Issues":
DYes ~o: Are vou lobbvinG 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?
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 CALENDAR YEAR. A STATEMENT SHALL BE FILED
EVEN IF THERE HAVE BEEN NO EXPENDITURES OR MPE SATION URING THE REPORTING PERIOD.
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or
am familiar with the provisions contained in Section 2-482 of the Miami Beach City Code and all
reporting requirements.
Signature of Lobbyist:
,
Signature of Principal/Client:
VI.
J
o Produced ID
o Produced ID
Form of Identification
Form of Identification
2Personally known (Lobbyist)
~ersonally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
Date Paid J /J6( u b
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\M RIA-M\LOBBYIS1\LOBBYIST FORM 04
1 First Revision - 05-17-02
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 defined in any manner in this section, 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 200+3435.
NAME OF LOBBYIST:
Marrero
(Last)
Michael
(First)
J.
(M.I)
Bercow & Radell, PA
BUSINESS NAME AND ADDRESS
200 S. Biscayne Boulevard. Suite 850 Miami
(Number and Street) (City)
(305) 377-6222
FAX NUMBER:
Florida 33131
(State) (Zip Code)
(305) 374-5300
TELEPHONE NUMBER:
mmarrero(Cilbrzoninolaw.com
EMAIL:
I. LOBBYIST RETAINED BY:
ANNUAL
NAME OF PRINCIPAL/CUENT:
BUSINESS NAME AND ADDRESS
(Number and Street)
(City)
(State) (Zip Code)
FAX NUMBER: (Optional)
EMAIL: (Optional)
TELEPHONE NUMBER:
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:
II. SPECIFIC LOBBY ISSUE:
ANNUAL REGISTRATION
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
Board of Adjustment, Historic Preservation Board,
Design Review Board, City Commission None
City Planning Staff None
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $235.00 oer hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $235.00 oer hour
D Yes D No: Are vou reDresentina a not-for-Drofit corDoration or entity without sDecial comDensation or
reimbursement. Pursuant to Ordinance No. 2004-3435.
1)
Pursuant to Ordinance No. 2003-3393 Amendino Miami Beach City Code Chaoter 2. Article VII. Division 5
Thereof Entitled "Camoaion Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaion Contributions BY Lobbyists On Procurement Issues":
(
DYes D No: Are vou lobbvina on a Dresent or Dendina bid for aoods. eauiDment or services. or on a Dresent
or Dendina award for aoods. eauiDment or service?
2) Pursuant to Ordinance No. 2003-3395 Amendino Miami Beach City Code Chaoter 2. Article VII Division 5
thereof Entitled "Camoaion Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaion Contributions By LobbYists On Real Estate Develooment Issues":
DYes D No: Are vou lobbvina on a Dendina aDDlication for a DeveloDment Aareement with the City or
aDDlication for chanae of zonina maD desianation or chanae to the City's Future Land Use MaD?
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING 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 EXPENOITURESO~ THE REPORTING PERIOO.
Signature of Lobbyist
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or
am familiar with the provisions con d in Se' 2-4 f the Miami Beach City Code and all
reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
o Produced ID
o Produced ID
Form of Identification
~rsonallY known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florid ounty of Miami-Dade
Sworn and scribed before me
Clay of , 20_
Annual Registration ee: es [ ] No Amount Pa
Lobbyist Registratio rm received and verified by:
Revised 02/10/04 F:
A-M\LOBBYIST\LOBBYIST FORM 04
1 First Revision - 05-17-02