Affidavit (Collati, Sergio)
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in
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CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
1700 COnvention Center Drive
Miami Beach, FL 33139
citvclerk(1ilci. miami-beach. f1, us
AFFIDAVIT
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 ANY CITY BOARD OR COMMmEE; OR ANY ACTION, DECISION OR RECOMMENDATION
OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECTION, DURlNG THE TIME PERlOD 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 COMMmEE, THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTIVrnES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFFICER OR EMPLOYEE, EACH PERSON WHO WITHDRAWS AS A
LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAL."
Dougherty Lucia
A
1)
Lobbyist Name:
Last Name
First Name
Middle Initial
Business Phone (.lQj 579-0500 Message Phone (~
Business Name and Address: GreenbereTrimrie. LLP
1221 Brickell Avenue
No. Street Suite
Miami
City
Florida
State
33131
Zip Code
Email Address:
doughertyl@gtlaw.com
2) Principal Retained by:
1433 Collins Avenue
If different from above
Sergio Collati
City
Street
Florida
State
Suite
33139
Zip Code
Miami Beach
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
benefiCiary or interests.
3) Subject Matter (Describe in Detail):
Carlton Hotel Design Review
.
4. Identify each individual (Commissioners, Board, Committee, Authority member or City staff)
to be lobbied:
4tt.- a/7~ srArr.
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
a The City Commission on .2001
a City Commission Subcommittee on .2001
a City Staff on .2001
i:I City Board or Committee on .2001
i:I Personnel on .2001
i:I Identify Others on .2001
6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above:
ON OCTOBER 1 Sf OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTlNG LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH
FOR THE PRECEDING CALENDAR YEAR.
I do solemnly swear that all of the foregoing facts are true a correct and that I have read or am familiar
with the provisions contained in Section 2-482 of the Miami e ch City Code as amended, and all reporting
, ,
requirements.
Signature of Lobbyist:
J( Personally known
i:I Produced ID
Identify
a Did take an oath, or
i:I Did not take an oath
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This 'f ~ day of fl-p h I . 2001.
Q~ta~;~epu~
OFFlCJA["IO'T Y
If~I\;l6fa~, print,
DATE:
ul
Registration:
[ ] REJECTED
If rejected, state reason: /'
Registration fee paid: YiYes [ ] No ....-r.] Not-for-Profit Organization
iJ:r ["""' ><R' ~ ~
DATA ENTRY DATE: to . 2001 ENTERED BY: r L