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Lance A. Geller/Prosperous Realty, LLC/Hernan Channah (2) r-fromi ~ ~ U 2;(J{)3 m ~ --..-- 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, 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 spedfically 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 A I fredo J NAME OF LOBBYIST: (Last) (First) Greenberg Traurig 1221 Brickell A venue, Miami BUSINESS NAME AND ADDRESS (Number and Street) (City) 305-579-0588 305-961-5588 TELEPHONE NUMBER: FAA NUMBER: FL (State) (M.I) 33131 (Zip Code) gonzalezaj@gtlaw.com EMAIL: I. LOBBYIST RETAINED BY: Ragnhild Greve- IsdahI NAME OF PRINOPAL/CUENT: 4805 Cherokee A venue, BUSINESS NAME AND ADDRESS (Number and Street) 305-262-7500 TELEPHONE NUMBER: Miami Beach (City) Florida (State) 33139 (Zip Code) FAA 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: Ragnhild Greve- Isdahl IDENTIFY ALL PERSONS HOLDING, DIRECfL Y OR INDIRECfL Y, A 50/0 OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Same as above II. SPECIFIC LOBBY ISSUE: Approval of Pool Variance Issue to be lobbied (Describe in detail): m. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship ., Planning Department BOA Approvals ~ ~ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL)j FLA T RA TE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $345.00 Hourly B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $345,00 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 1ssuesl1: D Yes IX No: Are YOU lobbvina on a oresent or oendina bid for aoods, eauioment or services, or on a oresent or oendina award for Goods, eauioment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": DYes IX No: Are YOU lobbvina on a oendina aoolication for a Deyelooment Aareement with the City or aoolication for chanae of zonina maD 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 !X: No: Are you reoresentina a not-for-orofit corooration or entity without sDecial 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 EXPENDITU , AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECED CALEND R YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDIT C ENSATION DURING E REPORTING PERIOD. and that I have read or am ach City Code and all reporting I do solemnly swear that all familiar with the pro'l" s requirements. n regoing facts are true and cor in Section 2-482 of the Miami VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: o Produced 1D o Produced 10 Form of Identification Form of Identification ~rsonally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: ~ersonally known (Principal) State of Florida, County of Miami-Dade Sworn to and subscribed before me ,~, BerthI ~ daY.Of ~ .~ .My~h I \; p..~ Expires Of 19 na · ublic Notary - State of Florida Notarization of Lobbyist's signatu .e State of Florida, County of Miami-Dade Sworn a IJQ subscribed before me This ~day of n?~ Bertha HundeYadI · My Commission 00248289 ~ ~-6 "'> Fxpirel: Octaber 22. 2007 Signature of Public Notary - State of Florida Notarization of Principal's signature ~~1~7