Loading...
Cesar Molina/Altos Del Mar, Ltd.m MIAMJBEACH 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 "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. NAME OF LOBBYIST: (Lash (First) (M.L) Molina Cesar BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) Cesar Molina & Associates 232 Andalusia Avenue Coral Gables FL 33134 #101 TELEPHONE NUMBER: FAX NUMBER: EMAIL (305) 448-4200 (305) 448-4215 cesar@cesarmolinaarchitects.com I. LOBBYIST RETAINED BY: NAME OF PRINCIPAL/CLIENT: Altos Del Mar, Ltd. BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 8500 S.W. 8th Street Suite 238 Miami FL 33144 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) (305)262-6533 Fill out this section if principal is a Corporation, Partnership or Trust [Section 2.462 (c)] • NAME OF .HI F OFFI . R, PARTNER, OR BENEFICIARY: AgUStln Herron • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See AttaCiled II. sPECIFIC LoBeY IssuE: Historic Preservation Board application for property located at 7833 Collins Avenue 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 Mayor None Commissioners City Administration None Cit Attorne 's Office City Boards None Cit Committees MIADOCS 2392086 1 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $200.00 per hour S) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required) $20U.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": ^ Yes O No: Are you lobbving on a present or pending bid for goods, equipment or services, or on a present or pending 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": ^ Yes ^D No: Are you lobbvina on a pending application for a Development Agreement with the Citv or application for change of zoning map designation or change 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 "IobbyisY' 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 special compensation or reimbursement V. SIGNATURE UNDER OATH: ON OCTOBER 15' 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 THF~RE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. /l ~J Signature o~obbyist m ~ N 0 LL c rn C ~o,a~ a~~0o L° o`~o ~ ~ ° o - E o_~o~ ~¢ ELI ~ t U - o 'n >• xn zw~w ~''~~~.~ ~!~~, I do solemnly swear that all of the foregoing fa is are true and correct and that I have read or am familiar with the provisions contained in Section 82 of mi Beach City Code and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client:: VI . LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ProducedlD Produced ID Form of Identification Personally known (Lobbyist) VII SIGNATURE AND STAMP OF NOTARY: Form of Identification Personally known (Principal) State of Florida, County of Miami-Dade Sworn t nd subscribed efore me This ~ day of ~6V$fYt~ , 20~~ --/~T~~ State of Florida, County of Miami-Dade Sworn to and subscribed before me This day of , 20_ FOR CLERK'S USE ONLY Annual Registration fee: [ ]Yes [ ] No Amount Paid MCR # Date Paid Lobbyist Registration Form received and verified by: Revised 12108/04 MIADOCS 2392086 1 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LGBBYIST COMPENSATION (DISCLOSE WHETHER ii0(jRLY, i-LAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $200.00 per hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required) $200.00 per hour The following information must be answered: 1) Pursuant to Miami Beach City Code Section 288 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": ^ Yes O No: Are you lobbvinq on a present or pending bid for goods equipment or services or on a present or pending 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": ^ Yes O No: Are you lobbvinq on a pending application for a Development Agreement with the City or application for change of zoning map designation or change to the CitV's Future Land Use Maps 3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "IobbyisY' 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 O No: Are you representing anot-for-profit corporation or entity without special compensation or reimbursement V. SIGNATURE UNDER OATH: ON OCTOBER 1~t EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, !N THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. Signature of Lobbyisf 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 Beynetf~ity Code and all reporting requirements. Signature of -~ Signature of Principal/Client::, VI. LOBBYIST Produced ID Form of Identification Personally known (Lobbyist) VII SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Sworn to and subscribed before me This day of , 20_ Signature of Public Notary -State of Florida Notarization of Lobbyist's signature Annual Registration fee: (j ]~'es [ ] No Amount Lobbyist Registration Form received and verified by: ---j PRINCIPAL IDENTIFICATION: Produced ID ~rm of Identification Personal) known Princi al y ~ p ) ,o;N;•:'?y~, ANAMARIA GUERRA-VERA ;;~ My COMMISSIOP2 # DD 451294 ~~. :; EXPIRES: August 28, 200y -'•'.;F of ~oQP Eonded Thru Notary Public Undenvrite~s State of Florida, County of Mia Sworn nd subscribed befor me This day//o//f/y ,/~~ // , 20 (_.r) I~/ /~ IYLG'4' Y G~-~ Sign ture u{Aic Nofary -State of Florida Notarization of Principal's signature USE ON MCR # Date Paid Revised 12/08/04 MIADOCS 2392086 1 CITY OF MIAMI BEACH Lobbyist Registration - Disclosure of Interest for Altos Del Mar, Ltd. ENTITY % OF STOCK General Real Estate Corp. 19.80% Agustin Herran 100% 8500 SW 8t" Street Miami, FL 33144 Pedrena Development Inc. 19.80% Manuel Herran 100% 8500 SW 8t" Street Miami, FL 33144 James Dorsy 19.80% 8500 SW 8t" Street Miami, FL 33144 Armando J. Guerra Revocable Trust 19.80% Sole Beneficiary: Armando J. Guerra Armando J. Guerra & Maria C. Guerra Revocable Trust Sole Beneficiary: Maria C. Guerra 8500 SW 8t" Street Miami, FL 33144 Oscar Barbara 19.80% 8500 SW 8t" Street Miami, FL 33144 MIADOCS 2392086 1