Alfredo J. Gonzalez - 1701 Collins MIAMIBEACH
City of Miami Beach Offi of the City Clerk
1700 Convention Center Drive Miami Beach, FL 33139 FEB -8 AM 9: 1 7
LOBBYIST REGIST TION FORM CITY CLEF `
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Lobbyist means all persons employed or retained, whether paid or not by a principal who seeks to encourage the passage, f f
modification of any ordinance, resolution, action or decision of any mmissioner; any action, decision, recommendation of the City
Manager or any city board or committee; or any action, decision or rec mmendation of any city personnel during the time period of the
entire decision - making process on such action, decision or recomme dation that foreseeably will be heard or reviewed by the city
commission, or a city board or committee. The term specifically inclu es the principal as well as any employee engaged in lobbying
activities. The term "Lobbyists" has
yl specific exclusions. Please refer to Ordinance 2004-3435.
Gonzalez Alfredo J.
NAME OF LOBBYIST: (Last) (First) (M.I)
Greenberg Traurig, P.A. 333 Ave. of the America, 44th Floor Miami Florida 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:
Please notify this office if your contact information changes: address, phone, or e-mail address.
LOBBYIST RETAINED BY:
1701 Collins (Miami) Owner, LLC
NAME OF PRINCIPAUCLIENT:
1701 Collins Avenue Miami Beach Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305 - 531 -6181 305- 531 -6863 www. s be. com
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:
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
ii ...< ECIEIC LOBBY ISSUE:
Building , Zoning Code, Life Safety Code and Historic Preservation (7 / 70/ ea 1 ,, ,1 +" •
Issue to be lobbied (Describe in detail)
ul. c ,1 IVIDUALS TO BE LOBBIED!:
Pursuant to City Code Section 2 -482(a)(4) include the commissioner or personnel sought to be lobbied, and whether the lobbyist has entered
into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such person's
commencement of service with the city to the present date, stating the general nature of the subject contractual relationship.
Sec 2 -482(a)(4) Full Name of Individual and Contractual Relationship (Explain) YES NO
title of person to be lobbied
Planning and Zoning Department
Building Department, Fire Department, City Commission
Public Works, Finance, Planning Board, Board of Adjustment , HPB Board , FloCd Plain Mgmt BD
Pursuant to City Code Section 2 -482(g) Every registrant shall be required to state the extent of any business, financial, familial or professional
relationship, or other relationship giving rise to an appearance of an imprlopriety, with any current city commissioner or city personnel who is
sought to be lobbied as identified on the lobbyist registration form filed.
Sec 2- 482(g) Any Financial, Familial or Professional RelationshiL
None
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE: (Required)
$445.00 Hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). 5445.00 Hourly
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 lobbying 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 ® No: Are you lobbying on a pending application for a Development Agreement with the City or application for
change of zoning map designation or change to the City's Future Land Use Map?
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 clerk as required by this section but, shall not be required to pay any registration fees.
❑ Yes IN No: Are you representing a not - for - profit corporation or entity without special compensation or reimbursement. .
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28th OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER
OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENS TION RECEIVED, IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE F • EVEN IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD. '!- �,
••- ture o• •yi - Y
I do solemnly swear that all of th- .regoing facts are true and correct . nd that I have read or am familiar with the provisions contained
in Section 2 -482 of the Miami : _ . ch ' ode and all reporting requir . ments.
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Signature of Lobb driA,Of
i• q - re of Principal /Clien .�e� rW
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c Nyi.:I LOBBYIST IDENTIFIC • %N: PRINCIPAL IDENTIFICATION:
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S a • c g Produced ID El Produced ID
c Form of Identificati — — — — Form of Identification
u a o ;. JEAN •+E
E y 1 Personally known (Lobbyist) p `� ,. c Notary PuVie • Sia o f ally known (Principal)
d 6 _ �7r ,'n n Ex.'i os Jai 14, 20 /a
�$I SIGNATURE AND STAMP OF NOT 1. . ' s, DO 851762
0 .00 '. •-te •f Florida, County of Miami -Dade State of Florida, County of Miami -Dade
`jrL: r to and subscribed b- • - r e Sworn and subscribed before me
15 i 2.._ wry •- '011
This L i day of 2011
- o' ubli. Notar State of Florida Signature of Public Notary — State of ida
• yl:Y:. - ignature Notarization of Principal's signatur
TO BE COMPLET BBY/Y CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ] Yes [ ] No Amount Paid $ yU MCR # r 0 1 "aid Mgr
Lobbyist Registration Form received and verified by: 4 %
F: \CLER \$ALL \aFORMS \LOBBYIST FORMS \Lobbyist;) Annual Registration For�m,doc ` �/ Revised 1/11/2011
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Di tvijAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miomibeachfl.gov
CITY CLERK Office CityClerk @miomibeachfl.gov
Tel 305.673.741 1 , Fax 305.673.7254
LOBBYIST NAME: Alfredo J. Gonzalez
I understand that no later than February 28th of e ch year, I must file the following form, pursuant
to Section 2 -485 of the Miami Beach City Code, wi h the City Clerk's Office for all active lobbying
issues.
1) Lobbyist Expenditure and Compensation Form
Failure to file these forms on a timely basis will result in my name being transmitted to the Miami -Dade
County Commission on Ethics and for code violation evaluation.
In addition, p'e an issue I have registered to I.bby on has been resolved, I am required to
immediate) n.tify the City Clerk's Office of lobbyist ithdrawal in writing.
• nA / =, 01/21/2011
ir
•nat r:: �—_� Date:
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