Michael J. Marrero/Mario Patronia'-' MIAMIBEACH
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
rn lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Marrero Michael J.
NAME OF LOBBYIST: (Last) (First) (M.I)
Bercow, Radell & Fernandez, P.A. 200 South Biscayne Blvd., Suite: 850 Miami, Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 377-6238 (305) 377-6222 mmarreroCalbrzoninolaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Mario Patroni
NAME OF PRINCIPAL/CLIENT:
Da Leo Trattoria 819 Lincoln Road Miami Beach FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 674-0350 (305) 674-0488 daleotrattoria@aol.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:
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IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IIQ~UC~
CORPORATION, PARTNERSHIP OR TRUST: ~`'_' C7
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II. SPECIFIC LOBBY ISSUE: ~-
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Sidewalk cafe license issues ~~ I G ~ /I Cv~n ~~ ~ ~ _c : ~-)
Issue to be lobbied (Describe in detail): ~; .. -~
~: ~
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: r'' ~
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
Ci Mana er's office None
Plannin Board None
Ci Commission None
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHERf
A) LOBBYIST DISCLOSURE: (Required) $310.00 per hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $310.00 per hour
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 X No• Are you lobbying on a present or pending bid for goods, e~uinment or services, or on a
present or Wending award for goods, eauinment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
^Yes X No: Are you lobbying on a en nding aRplication for a Development Agreement with the Citv or
application for change of zoning man designation or change to the Citv's Future Land Use
I~ap?
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-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 anot-for-profit corporation or entity without special compensation
or reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~ OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDTTURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING ALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN ~PENDIT R COM ENSATION DURING THE
REPORTING PERIOD. '~ l /)
Signature of LoB6yist
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~o_ntained in 2-482 of the Miami Beach City Code and all reporting
requirements. ~-
Signature of Lobbyist: ~
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
PRINCIPAL IDENTIFICATION:
Produced ID
Form of Identification
Personally known (Lobbyist)
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~ VII. SIGNATURE AND STAMP OF NOTARY:
~ ~. ~
~ ~ State of Florida, County of Miami-Dade
Sworn to nd subscribed before me
~g ~ This ~,~day of , 2i
rq~¢
~ Signatu a of P N ary - ate of Florida
°~•s`'~ Notarization obbyist'ssignature
^ Personally known (Principal) RAFAELJ. GARCw
' ,~,v CainmiN DOWle23~
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~a~R` Fbrld~NofaryAttn.,lnc
State of Florida, County of Miami=l7aae""""""""""""""""`
Swor d subsc ed be ore me
This ~da of 'ldWl , 200
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Signature of Public N tary -State of Florida
Notarization of Principal's signature
FOR CLERK'S USE ONLY ~ ~-7 Q
Annual Registration fee: [ -'Yes [ ] No Amount Paid ~S' ~" MCR ~Da e Paid
Lobbyist Registration Form received and verified by: C/ `~ Entered By: c
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM OS.doc Revised 12/08/04
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City of Miami Beath, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office
Tel: 305.673.741 1 ,Fax: 305.673.7254
CityClerk@miamibeachfl.gov
LOBBYIST NAME: ~l (.~~~~1 ~ ~~'/V~p (~
I understand that no later than October 1st of each year, I must file the following
forms, 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 Form
2) Disclosure 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.
- I ~ a~ a ~
Sig ature: Da e:
F:ICLERILOBBYIST\Lal~byist Registration Form 32708.doc