Joseph Fleming/Fisher Island Holdings, Inc.n~~ ~n
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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 deasion of any commissioner; any action, decision, recommendation of the
City Manager or any ciry 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.
FLEMING JOSEPH Z,
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)
305-579-0517; 305-961-5517; flemingj@gtlaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Fisher Island Holdings, LLC
NAME OF PRINCIPALJCIIENT:
One Fisher Island Drive Fisher Island, FL 33109
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zp Code)
(305) 938-2944
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:
Robert Sosa, President
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Floodplain Management appeal and other administrative appeals regarding Palauo del Sol and del Luna
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
Board of Adjustment 0
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Design Review Board, Planning Board ~ o ,'~
City Commission ~ ~
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N. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER~
~A) LOBBYIST DISCLOSURE: (Required) ~530.OOIpe~ hour
B) PRINQPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (ttequired). $530.00/per hour
The following information must be answered:
1} Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By ~obbyists
On Procurement Issues":
O Yes ~lo• Are vou lobbvina on a cresent or cendina bid for aoods eauinment or services or on a
erpepnt ~~ ~n~ina award for aoods eaui~ment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By lobbyists On Real
Estate Development Issues":
oYes ~No• Are vou lobbvino on a cendina auolication for a Develo~ment Aqreement with the Citv or
aaalication for chanae of zonina map desianation or chanae to the Citv's Future Land Use
Ma°?
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 derk as required by this
section but, shall not be required ta pay any reglstration fees..
^ Yes ~!o• Are vou re~resentina a not-for-erofit coroaration or entitv without sueciaL~nensation
or reimbursement .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~ OF EACH YEAR, EACH LOBBYIST SHAII SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECENED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAiL A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDIiURES OR COMPENSATION DURING THE
REPOR7ING PERIOD.
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gnature o bbyist
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 mntained in Section 2-482 of the Miami Beach Gty Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
LOBBYIST IDENTIFICATION PRINCIPAL IDENTIFICATION:
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^ Produced ID
a Produced ID
;~,,,,,,,~ Form of Identification Form of Identification
k = ~,~ ~ ~sonally known (Lobbyist) C~'Personally known (Principal)
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~ r' . SIGNATURE AND STAMP OF NOTARY:
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te of Florfda, County f Miami-Dade
State of Florida, County of Miami-Dade
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~ o and s~bscri before e Q~
i day o~ 2t~(~ 1 Swom a d subscri before me
This~d~ of~~~~~/',f~ 20~
of Put5lic Notary - State of Florida Signature of Public Ndbery = Stat~bf Florida
bon of Lobby'isYs signature Notarization of Principal's signature
~M~II~ O~l1IN/V
MY COMMISSION A DD 7451 ~
EXPIRES: J~uary 9, 2012
FOR CLERK' USE ONLY a/ v Q
Annual Registration fee: [ ] Yes [~ No Amount P'd ~~ CR #~~~Ofo Date Paid ~
Lobbyist Registration Form received ~nd verified by: , e 4- ~//
F:\CIER\$ALL\MARIA-M\Lobbyist~LOBBYIST fORM 05.doc Revised 12/08/04
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHERf
A) LOBBYIST DISCLOSURE: (Required) $530.00/pef hOUP
n +
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $530.00/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 ~,hlo• Are vou lobbvina on a uresent or ~endina bid for aoods eauinment or services or on a
uresent or uendina 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":
~Yes mAVo: Are vou lobbvina on a nendina a~~lication for a Develo~ment Aareement with the Citv or
~ application for chanae of zonina man desianation or chanae to the Citv's Future land Use
Mau?
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 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..
^ Yes ~Vo: Are vou reoresentina a not-for-urofit coruoration or entitv without suecial com~ensation
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 EXPENDITURES, AS WELL AS COMPENSATION
RECENED, IN 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.
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gnature o Lobbyist
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 Beach City Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
lt'
I. LOBBYIST IDENTIFICATION:
.
V ,~~ M6
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~, ~~ ^ Produced ID
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~ Form of Identification
Ij x .~,~ o ~sonally known (Lobbyist)
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~ I. SIGNATURE AND STAMP OF NOTARY:
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1~ ~~ te of Florida, County f Miami-Dade
~S or and subscribe before e
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rn day of , 2((3~~ ~
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PRINCIPAL IDENTIFICATION:
^ ProducedID
Form of Identification
^ Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This day of . 20_
of Pul~lic Notary - State of Florida Signature of Public Notary - State of Florida
tion of Lobbyist's signature Notarization of Principal's signature
FOR CLERK'S USE ONLY
Annual Registration fee: [ ] Yes [ ] 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