Alfredo J. Gonzalez/Longkey, LLCblizmi A- :-h
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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 tfie
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 Alfredo
NAME OF LOBBYIST: (Last) (First) (M.I)
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:
Longkey, LLC.
NAME OF PRINCIPAL/CLIENT:
230 Park Avenue, Suite 864 New York NY 10169
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zp Code)
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:
Sergio Fernandez
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5°lo OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
Same as above
II. SPECIFIC LOBBY ISSUE:
Approval of Variances off setback
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/T"itle
Planning Department /City Commission
BOA Approvals
B) Any Financial, Familial or Professional Relationship
ZBA
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHERt
A) LOBBYIST DISCLOSURE: (Required)
$345.00 hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). _ ~ 3 4 5 . 0 0 hOUr ly
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":
_^ Yes ~ No Are you lobbvina on a present or cendina bid for goods equipment or services or on a
present or cending award for goods equipment or service
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
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 anot-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..
^ Yes ~No• Are you representing anot-for-profit corporation or entity without scecial comcensation
or reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~ OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPE DITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE P CEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EX~E ]ITU OR COMPENSATION DURING THE
REPORTING PERIOD. r w '
I do solemnly swear that all of the orE
familiar with the provisions ~onta' in
requirements. .~. r _ , _~
Signature of
Signature of Principal/CI1Snt:
VI. LOBBYIST IDENTIFICATION:
_', Produced ID
Form of Identification
,,,
Personally known (Lobbyist)
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~,; ~. o ;~: VII. SIGNATURE AND STAMP OF NOTARY:
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F~ ~~ State of Florida, County of Miami-Dade
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;. Sworn to and subscribed before me
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This~~ day of ~i7CJ~. 20 07
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' i u ry - to of Florida
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,, Notarization of Lo byisYs signature
:true and correct and that I have read or am
of the Miami Beach City Code and all reporting
PRINCIPAL IDENTIFICATION: j,'s ~"~,~
~oduced ID ~ SS / 0 ~1 }~ ~~ ~
Form of Identification ~~ -~:~~,, , ~
'Personally known (Principal) ~ ~
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State of Florida, County of Miami-Dade ~
Sworn a bscrib d before ppe o
This of ~~ 207 ~ ~- ~ ~
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Signature of Public No -State of Flori
Notarization of Principal's signature \ F
FOR CLERIC'S USE ONLY ~_ ~ I ] l
Annual Registration fee: [ ~ [ ] No Amount Paid-~ MCR # ~„ _ , Date Paid
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.doc Revised 12/08/04