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Alfredo Gonzalez/1100 West Properties, LLC lD Mi......; 9cgo;h - .!lilt! City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRA nON 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. Gonzalez NAME OF LOBBYIST: Alfredo (Last) J. (First) (M.!) Greenberg Traurig, 1221 Brickell Avenue, Miami, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-579-0500; 305-961-5826; TELEPHONE NUMBER: finer@gtlaw.com FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: 1100 West Properties, LLC NAME OF PRINCIPAl/CLIENT: 1100 West Avenue, Miami Beach, FL 33140 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 868.7437 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: IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC lOBBY ISSUE: Building and zoning issues. Issue to be lobbied (Describe in detail): / nOD lN~T Avre-. ( III. CITY AGENCIES/INDIVIDUALS TO BE lOBBIED: A) Full Name of Individual/Title B) Any FinanCial, Familial or Professional Relationship Thomas Velazquez, Building Official Planning Department Sonia Machen, Fire Marshall Design Review Board and Board of Adjustment IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) 3/S' B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $~/per hour s#-- The following information must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues"; DYes 3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481 above) who only appears as a representative of a not-for-profit corporation or entity without special compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or opposition to any item, shall register with the clerk as required by this section but, shall not be required to pay any registration fees.. V. SIGNATURE UNDER OATH: ON OCTOBER 1sT OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CAL DAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDI RES 0 MPENS N DURING THE REPORTING PERIOD. Signature 0 VI. e foregoing facts are true and correct nd that I have read or am n 'ned in ection 2-482 of the Miami Beach City Code and all reporting I do solemnly swear tha familiar with the pr . Ions requirements. , ,-:-.!. Signature of o Produced ID o Produced ID ....~ All 'i: ..,~\ 3$l~ 04 ! ~#4lA V - ::t: ~ -::c -<3: gttl ~~-::~ 0: '" -:: ~o .. m- s .. ~ ~ 6".,,0..., -<"Ztrl w?"""", l~oz g",~~ o~o -tn ....N Form of Identification ~rSOnallY known (Lobbyist) Form of Identification ~nallY known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: Signature of Public Notary - State 0 lorida Notarization of Lobbyist's signature . / FORCLER 'S~O~Y Annual Registration fee: VYes [ ] No Amount Paid ~ CR # j.fIt ;: 03 Date Paid Lobbyist Registration Form received and verified by: F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM OS.doc