Alfredo Gonzalez - Sustone RP Collins i
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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 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 20043435.
Gonzalez Alfredo J.
NAME OF LOBBYIST: (Last) (First) (M.I)
Greenberg Traurig, P.A. 333 Ave. of the America, 44th Floor Miami FL 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.
I. LOBBYIST RETAINED BY:
Sunstone RP Collins, LLC
NAME OF PRINCIPAUCLIENT:
Sunstone RP Collins, LLC 120 Vantis, Ste 350 Aliso Viejo CA 92656
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
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:
Kene eT F. G.Ruse, C-FO
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
II.SPECIFIC LOBBY ISSUE:
Hotel Renovations (0) Z (12, f LAiik 140 iel- / no Cc?
Issue to be lobbied (Describ ri detail):
CITY AGENCIES /INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-482(ax4) 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(aX4) Full Name of Individual and Contractual Relationship (Explain) YES NO
title of person to be lobbied
Historic Preservation Board, Board of Adjustment
Planning Board
City Departments .-)
Pursuant to City Code Section 2-482(g) Every registrant shall be required to state the extent of any business, financial, familial* pro tonal
relationship, or other relationship giving rise to an appearance of an impropriety, with any current city commissioner or city personallvho is
sought to be lobbied as identified on the lobbyist registration form filed. cm Z
Sec 2-482(g) Any Financial, Familial or Professional Relationship r` j .�
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE: (Required)
5500.00 hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). 5500.00 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 vou lobbying on a present or pending bld for Goods, equipment or services, or on a present or pending
award for goods. eauipment 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 vou lobbying on a pending application for a Development Agreement with the Clty or application for
change of zoning map designation or change to the Cites 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 ® No: Are vou 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 COMPENSATI• RECEIVED IN THE CITY OF MIAMI BEACH FOR
THE - RECEDING CALE. '.. - : S _ t MEN HALL BE FIL D i1 , T RE AVE BEE NO EX • ENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
I do solemnly swear that all of the foregoing facts are ?*'- nd corre . / nd that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Beach City • • = and all re• - . ng req ,teme�•- '
Signature of Lobbyist
.a�' ; "',,., � S - ture of Principal/Client ' //1, i f i�
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� =i: ' ° LOBBYIST IDENTI v: /,, PRINCIPAL IDENTIFICATION:
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"" '''' ❑ Produced ID ❑ Produced ID
r ' � o Form of Identification Form of Identification
a y 3 g 1,,,ipersonally known (Lobbyist) ❑ Personally known (Principal)
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N SIGNATURE AND STAMP OF NOTARY:
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— ° ° y of Florida, County of Miami -Dade State of Florida, Cou of Miami -Dade
a = �., T • m to and subscribed before me Sworn and subsc • ed before me
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Si"'t'fi t� PubI - 2 — State of Florida Signature of P lic Notary — State of Florida
Notarized. • • gnature Notarizati of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fe j] Yes [ ] No Amount Paid $ MC # `.1("'/4 0 LI ( e Paid - 1 {5' 411
Lobbyist Registration Form received and verified by:
F: \CLER \SALLVIFORMS\LOBBYIST \Lobbyist Annual Registration Form.doc (J N _,�, Revised 1/11/2011
CALIFORNIA JURAT WITH AFFIANT STATEMENT
See Attached Document (Notary to cross out lines 1-6 below)
❑ See Statement Below (Lines 1 -5 to be completed only by document signer[s], not Notary)
Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any)
State of California n-^ ,,\\
County of C7 K�`t"C9-
Subscribed and sworn to (or affirmed) before me on this
day of , 20 / 1 , by
Date Month Year
(1 kF � ge
Name of Signer
HEIDI TORR proved to me on the basis of satisfactory evidence
3t = Commission # 1852072 to be the person who appeared before me (.) (,)
! Notary Public - California i (and
Z Tf% Orange County 1.
My Comm. Expires Jun 30, 2013 (2)
Name of Signer
proved to me on the basis of satisfactory evidence
to be the p rso ho appeared before me.)
Signature
Signature of Notary Public
Place Notary Seal Above
OPTIONAL
Though the information below is not required by law, it may prove RIGHT THUMBPRINT RIGHT THUMBPRINT
valuable to persons relying on the document and could prevent OF SIGNER #1 OF SIGNER #2
fraudulent removal and reattachment of this form to another document. Top of thumb here Top of thumb here
Further Description of Any Attached Document
Title or Type of Document:
Document Date: Number of Pages:
Signer(s) Other Than Named Above:
•
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D MIAMIBEACH
City Of Miami Beach, 1700 Convention Center Drive, Miomi Beach, Florida 33139, www.miomibeochfl.gov
CITY CLERK Office CityClerk@miamibeachfl.g
Tel: 305.673.741 1 , Fox: 305.673.7254
LOBBYIST NAME: Alfredo J. Gonzalez
I understand that no later than February 28th of each year, I must file the following form, pursuant
to Section 2 -485 of the Miami Beach City Code, with 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, o e an issue I have registered to lobby on has been resolved, I am required to
imm = . r , n • ify the City Clerk's Office of lob withdrawal in writing.
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• • !', / Date:
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