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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 2004-3435.
Alfredo Gonzalez J.
NAME OF LOBBYIST: (Last) (First) (M.1)
Greenberg Traurig, P.A. 333 Ave.of the Americas,44th FI 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:
2601 Collins LLC
NAME OF PRINCIPAUCLIENT:
2601 Collins 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 2482(c)]
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: Jorge Savloff
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: Jorge Savloff
II.SPECIFIC LOBBY ISSUE.
Board of Adjustment-Variances
Issue to be lobbied(Describe in detail):
Aul. ITY GENCIES/INDIVIDUALS TG BE LOBBIED:C
Pursuant to City Code Section 2482(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 eneral nature of the subject contractual relationship.
Sec 2-482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES I NO
title of person to be lobbied
Board of Adjustment, Dept of Public Works, Historic Preservation x
City of Miami Beach Commissioners, City Manager, City Attorney X
Planning Board, Design Review Board x
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. ,, n
Sec 2-482 An Financial,Familial or Professional Relationship ",, :1 °,r,`_�9 " '
if
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M i wo _r.
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE:(Required)
$450.00 Hourly
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
(Required). $450.00 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_ r�C_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 X 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 COMPEN ATION RECEIVED IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT E FILIED EVEN I THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIO /
gnature o by
I do solemnly swear that all of a or goin tact are true a correc a I have read or am familiar with the provisions contained
in Section 2-482 of the M' ity a all r rtinn requir m nts.
Signature of Lobby
Signature of Prince /Client.
VI. LOBBYIST IDENTIFICATION: ; °"'b�,,,- PRINCIPAL IDENTIFICATION:
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Produced ID Produced ID
Form of Identification -°IX ��,�:�'- Form of Identification am
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_Personally known(Lobbyist) o 0 o w Personally known(Principal) o c N
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VII. SIGNATURE AND STAMP OF NOTARY: ° y 3 ° �' °jmyoZa^
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State of Florida,County of Miami Dade H y m State of Florida,County of Miami-Dade m FF
Sworn to and subscribed before me d c c Sworn and subscribed before me o Ego�y
This 3 day of 2012 0 am T�i day of 2012
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W W T N
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ature f b is No — ate of Florida rn N d u is Notary—State of Florida a
Notarizatl of Lobbyl s slgnature Not rizetlon of Principal's signature
TO BE COMPWMD BY CITY CLERK'S_STAE F ONLY
Annual Registration fee: ]Yes[ ]No Amount Paid MCR Date Paid
Lobbyist Registration Form received and verified by
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C Forrn.doc Revised 1/11/2011
.� VdA d A 1 BEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachf.gov
CITY CLERK Office CiyClerk @miomibeochfl.gov
Tel: 305.673.741 1 , 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.
Pursuant to Section 2-485 (d), the City Clerk shall notify any lobbyist (or principal) who fails to
timely file a Statement and in addition to any other penalties which may be imposed as
provided in Section 2-485. 1 , a fine of $50.00 a day shall be assessed for all Statement(s)
filed after the due date. The City Clerk shall notify the Miami-Dade County Commission on
Ethics and Public Trust of the failure of a lobbyist (or principal) to file the Statement or pay the
assessed fines after notification.
Any lobby st, who fails to file. the required Statement by April 30th, 2012, shall be
automatic Ily suspended from lobbying until all fines are paid, unless the fine has been
eale to the iomi-Dade County Commission on Ethics and Public Trust.
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