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Stuart H. Sobel/Alberto G. Ribas A2 Group t9. MIAMIBEACH 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 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 ftLobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. NAME OF LOBBYIST: Siefgried, Rivera, Lerner, De La Torre, & Sobel BUSINESS NAME AND ADDRESS 305-442-3334 TELEPHONE NUMBER: Sobel Stuart (Last) (First) 201 Alhambra Circle, #1102, Coral Gables, (Number and Street) (City) FL H. (M.!) 33134 (Zip Code) FAX NUMBER: (State) ssobel@siegfriedlaw.com EMAlL: 305-443-3292 I. LOBBYIST RETAINED BY: Alberto G. Ribas, P.E. - President NAME OF PRINCIPAL/CLIENT: N Group, Inc. BUSINESS NAME AND ADDRESS 7300 N. Kendall Drive, #340, Miami, (Number and Street) (City) 305-668-9454 FAX NUMBER: (Optional) FL 33156 305-668-8939 TELEPHONE NUMBER: (State) (Zip Code) ribasa@a2group.com 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: Alberto G. Ribas, P.E. - President IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Alberto G. Ribas, P.E. - President II. SPECIFIC LOBBY ISSUE: South Pointe Park Improvements 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 City Administrative Staff No City Administrative Staff No City Administrative Staff No IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLA T RA TE OR OTHER). Hourly A) LOBBYIST DISCLOSURE: (Required) B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $400.00 per hour 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": eYes D No: Are YOU lobbyina on a oresent or oendina bid for aoods. eauioment or services. or on a oresent or oendina award for aoods. eauioment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": DYes ~No: Are YOU lobbyina on a oendina aoolication for a Deyelooment Aareement with the City or aoolication for chanae of zonina mao desianation or chanae to the City's Future Land Use Mao? 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 goNo: Are YOU reoresentina a not-for-orofit corooration or entity without soecial comoensation 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 WEL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALEND Y AR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN PENDITURES t.....COM ENS TION DURING THE REPORTING PERIOD. 0) Signature of Lobbyist: Signature of Principal/Client: and correct and that I have read or am Miami Beach City Code and all reporting VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: D Produced ID Form of Identification /1 ~;,L/C J' n ({ob6yist) VII. SIGNATURE AND STAMP OF NOTARY: Form of Identification Signa ure of Poblic Notary - State of Florida Notarization of Lobbyist's signature e Personally known (Principal) ",o~~;.v. ~~e({, KARLA SALGADO ..~ MY COMMISSION # DO 309712 * ~ -I< EXPIRES: April 12, 2008 State of Florida, County of Miami-D;&oFf\.#"''< BondedThru Budget Notary Servlces Sworn and subscribed before me This ~day of Ha.rch , 20tJ7 ~ 44 tkJ Signature of Public NotarY - State of Florida Notarization of Principal's signature .,;(. FOR CLERK'S U~ ONLY 2... h.. l ~ Annual Registration fee: [ V1 Yes [ ] No Amo~nt Paid \'E5C:). MCR # ?~qO Date Paid ~ Lobbyist Registration Form received and verified by: \o..\o::.-€-s.. F: \CLER\$ALL \MARIA-M\Lobbyist\LOBBYIST fORM ~oc Revised 12/08/04