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Alfredo J. Gonzalez - Green Comet, LLC trA 170 M S 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 2004-3435. Gonzalez Alfredo J. NAME OF LOBBYIST: (Last) (First) (M.I) GREENBERG TRAURIG 333 Ave. of the America, 44th Fl 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: Green Comet, LLC NAME OF PRINCIPAUCLIENT: 119 Washington Avenue Miami Beach FLORIDA 33139 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: Alessandro Ferretti • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Attached ILSPECIFIC LOBBY ISSUE: 3 `. 4 r tiU HPB, BOA and Building Permit Issues Issue to be lobbied (Describe in detail): ul. CITY AGENCIES /INDIVIDUALS 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(aX4) Full Name of Individual and Contractual Relationship (Explain) YES NO title of person to be lobbied Historic Preservation Board, Board of Adjustment Planning and Zoning department City Departments 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 impropriety, 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 Relationship 1 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTtrEfip: A) LOBBYIST DISCLOSURE: (Required) 544,5 00 hourly 8) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (R.quired). S445.00 hour$v The following Information must be answered: 1) Pursuant to Miami Beach City Code Section 2 Entitled ' Prohibited Campaign Contributions By Lobbyists On Procurement Issues': 0 Yes ® No: Are you lobbrina on a present or pendlna bid fog goods, eouipment or services. or on a present or pending award for Goods. eaultiment 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 lobbvfna on a pending apollcation fora Develoament Aareement with the City or application for chance of zoning map designation or charism to the City's Future Land Use Mao? 3) Pursuant to Miami Beach City Code 2-484 (h) My 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 - corporation or entity without special compensation or reimbursement for the appearance, wtiether 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 you representing a not - tor- profit corporation or entity without special compensation or reimbursement V. SIGNATURE UNDER OATH: ON FEBRUARY 211th 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 STATEUNT SHALL BE FILED TH RE HAVE BEEN NO EXPENDITURES OR •..4 ,'_ t• • RIN E••Rt• • .! �. ;..c •••-- i I do solemnly swear that all of the • I • • ing facts are true and • • - ct : • - I have read or am familiar with the provisions contained in Section 2-482 of • - • • . • City Code and all reporting requirements- _ Signature of ... Signature of Principal/Client VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ❑ Produced ID a Produced ID Form of Identification Form of Identification • j li \ Personally known (Lobbyist) Personally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida. County of Miami -Dade State of Florida, County of Miami -Dade Sworn to and subscribed before me me This 3e: day of - . -, 2011 This • / • y of . 20 11�, � ., Lorena Orozco �. L � . • `" t Cv "MMISSION #D�9Cy268 ...- • • e. P ExPmIREs:JULY21,20)s SigIUWie • ■ : • State of Florida Sig is • _ to of Florida = . ° P ' Notarization Lobbvis signature Notar aton of signature , 'urn.;;`` WWW.AARONNOIARYcom TO BE . • - • BY CITY CLERK'S STAFF • LY • Annual Registration fee ") Yes ( No Amount Paw $ ;a1Ai• MCR A .11M P)Ca Date Paid Riil Lobbyist Registration Fenn received and verified by: i . I NF Fs \CLER\$ ALL\ aFORMS\ L08BYIST FORMS \Lobbyist Annual Repistra.• »�r 7 117.1", „ Revised 1/11/2011 t\,A Aid BEACH Cdy of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CilyClerkOmiamibeachW.gov Ter. 305.673.7411 Fax 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, once an issue I have registered to lobby on has been resolved, I am required to immediately notify the City Clerk's Office of lobbyist withdrawal in writing. 06/30/2011 i. ure Date: %, ADDENDUM - The property which is subject of the application is owned by GREEN COMET, LL.C., a Limited liability company existing under the laws of the State of Florida, 350 Ocean Drive, Miami Beach, FL 33139 Managed by: Alessandro Ferretti, 300 South Pointe Dr., Miami Beach FL 33139 Diego Ferreyra, 350 Ocean Drive, Miami Beach FL 33139 Mateo Salinas, 350 Ocean Drive, Miami Beach FL 33139 Members of Green Comet LLC arc: GREEN COMET II, L.LC., a Limited liability company existing under the laws of the State of Florida, 350 Ocean Drive, Miami Beach, FL 33139 46.67% whose partners are: - Ferfour Inc., a Florida corporation 20.39% of GCII — 9.51% of GC 350 Ocean Drive, Miami Beach, FL 33139 President, Secretary, Treasurer Alessandro Ferretti Owned by: Alessandro Ferretti, 300 South Pointe Dr., Miami Beath -Aquire USA Inc., a Florida corporation 38.47% of GCB = 17.95% of GC 350 Ocean Drive, Miami Beach, FL 33139 President, Secretary, Treasurer Roberto Bianchi Owned by Aquisitio S.p.a., an Italian Company Via Ansperto 10, Milano -Italy Ultimate ownership interest Roberto Bianchi Via Ansperto 10, Milano -Italy - Dryshore Inc, a Florida corporation 25.01% of GCII = 11.67% of GC 350 Ocean Drive, Miami Beach, FL 33139 President Andrea Secco; Secretary, Treasurer Lorenzo Secco Owned by: Andrea Secco and Lorenzo Secco Via Guizzetti 73, Dosson di Casier, Treviso, Italy - Prospecto International Inc., a Florida corporation 16.13% of GCII = 7.52% of GC 119 Washington avenue Suite 101, Miami Beach, FL 33139 President Renato Rangoni; Secretary Daniel Goldstein; Treasurer Fulvio Team Owned by: Lifin S.A., a Luxembourg Company 8 Rue Dicks, L1417 Luxembourg Ultimate ownership interest Renato Rangoni Via Guardini 75, Trento , Italy and ETSA HOLDINGS 1, LLC., a Limited liability company existing under the laws of the State of Florida, 350 Ocean Drive, Miami Beach, FL 33139 53.33% whose beneficiary owners are: Diego Ferreyra, 350 Ocean Drive, Miami Beach FL 33139 26.67% of GC Mateo Salinas, 350 Ocean Drive, Miami Beach FL 33139 26.67% of GC