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Robert Fine/Todd Glaserwi~+. a ~~ ..~.. ~3 City of Miami Beach Office of the City Clerk 1740 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGlSTRATIOti FORM lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage tttie passage, defeat or modification of any ordinance, resoluUOn, ad~on or decision of any commissioner; any action, derision, recommendation of the City Manager or any dty board or committee; or any action, decision ar recommendation of any dtY personnel during the time period of the entire deasion-making process ~ suds action, decision or rernmmendaiion that foreseeably will be heard or reviewed by the dty commission, w a dty board or canmittee. The term spedfically ind~es the prindpal as well as any employee engaged m lobbying activities. The term "4obbyists" has spedfic exdusiow. Please refer to Ordinance 2004-3435. FINE ROBERT S. 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) 305-579-0826.305-961-5828 finer@gtlaw.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: Todd Glaser NAME OF PRINCIPAL/CLIENT: 3681 Flamingo Drive, Miami Beach, FL 33140 BUSINESS NAME AND ADDRESS (Number and Street} {City} (State} (Ztp Code) ass-2o8-2124 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fip out this sectlon if principal is a Corporation, Partr~ership or Trust (Section 2-482 (c)j NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY; • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A S°1o OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: I II. SPECIFIC LOBBY ISSUE: Zoning and building code issue regarding 88 La Gorce Drive, Miami Beach, Florida Issue to be lobbied (Describe in detail}: ILL CITY A6ENCIESjINDMDUAIS TO BE LOBBIED: A) Full Name of Indhridwl(Titk I B) Any Finandal, Familial or Professional Retationsltiip i Board of Adjustment; Planning Dept.; Bldg, Dept. j Design Review Board, Planning Board; i i City Commission; Unsafe Structures Board ~ ~~ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER NO(/RLY, RAT RATE OR OTHERj. A) LOBBYIST DISCLOSURE:{Required) $4951per hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): {Required}. $495/per hour The following information must be answered: 1) Pursuant to Miami Beach City Cade Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists ' Otn Procurement Issues": Yes ~la• Are you bbbvina on a present or pending bid for goods. epuipment or services. or on a ant or perxlinp award for goods. eoui~nent pr service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues"': Mata'3 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-profrt 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.. Y. 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 RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITU~ 1~O~NMP `~ DURING THE REPORTING PERIOD. ^^\\ C ~"" Signature of Lobbyist ~'~~,~F~ ~A~~`_ rn~r-z x .,~ m p ~, ~ ~ ~ ~~ ~-c p~ ('ii ~~N~ 0 T rn w 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 2- I City Code and all reporting requirements. Signature of Lobbyist: ,~_~ ~ ~ Signature of Principal/Client: VL LOBBYIST Produced ID Form of Identification ~Personaliy known (Lobbyist) VIII SIGNATURE AND STAMP OF NOTARY: PRINCIPAL IDENTIFICATION: Produced ID Farm of Ident~cation ..........r.,~ _ ~^ DAVE SOLOMON Personalty known (Principal) '#~~'~"~*• ~y COMMISSION r DD 583531 t : ~ EXPIE~ES: August 10.2(110 ~~ f ~ .... Bor~tleG 7hru Naery Puck UrWe.~an State Florida, County of Miami-Dade State of Florida, County of Miami-Dade Swo a substri o Swam an subscribedv~t>~~Oreme Thi day a 20d~ This I~~y of }~ t/ 20 C Sig re of is N -State of Florida Signature of Public Notary to Flo 'zation of Lobbyist`s signature Notarization of Princapal's signature FOR CLERK`S USE ONLY ~ ~~~ r ~ ~ 1 Annual Registration fee: [ ]Yes [ J No Amount Paid ~~~ M # Date Paid Lobbyist Registration Farm received and verified by: F:\CLER\SALL\MARIA-M\Lobbyist\L068YIST fORM 05.doc ` iT~ Revised 12!08/04