Alfredo Gonzalez/Double Parkm ~;',^~1BEACH
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 .1•
NAME OF LOBBYIST: (Last) (First) (M.I)
Greenberg Traurig, P.A. 1221 Brickell Avenue, Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (Crty) (State) (Zrp Code)
305-579-0855 305-961-5855 gonzalezaj@gtlaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
Double Park
NAME OF PRINCIPAUCLIENT:
1717 N. Bayshore Drive, Suite 201, Miami Florida 33132
BUSINESS NAME AND ADDRESS (Number and Street) (Cfty) (State) (Zip Code)
305-932-8600 ext. 205
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optronal)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Mitchell Liss and Gino Falsetto
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN
SUCH CORPORATION, PARTNERSHIP OR TRUST:
u.SPECIFIC LOBBY ISSUE:
Revocation or Suspension of Business License and Certicate of Use of Parking Valet Use
Issue to be lobbied (Describe in detail):
ul. CITY AGENCIES/INDIVIDUALS TO BE COBBLED: (Pursuant to city code section 2-482(g)
include a statement of the extent of any business, financial, familial, professional or other relationship, giving raise to an
appearance of an impropriety, with any City personnel sought to be lobbied; further, pursuant to City Code Section 2-
482(a)(4) include a statement of any contractual relationship (paid or unpaid) from 72 months preceding the
commencement of service of City personnel to be lobbied.)
ilia) or Professional Relati
Special Master, City of Miami Beach
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $ 375.00 Hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required).
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":
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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.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR. EACH LI
STATEMENT UNDER OATH. LISTING LOBBYINf
IN THE CITY OF MIAMI BEACH FOR THE PREC
EVEN IF THERE HAVE BEEN NO EXPENDITURE
I do solemnly swear thatof the foregoing facts
provisions contained in S on 2-48~-of the Miami
Signature of Lob isfi
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Signature of PrincipaUClien
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,~ VI. LOBBYIST IDENTIFICATION:
Produced ID
~; Form of Identification
Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Swom to and subscribed before me
This day of `~ 200 9
Signatur of u is ary - tate of Florida
Notarizat n of Lob fist's signature
$ 375.00 Hourly
and correct ~d that I have read or am familiar with the
4~e and I reporting requirements.
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PRINCIPAL IDENTIFICATION:
Produced ID ~ L . ac . ~ C
Form of Identification
L2.vo •-SSt~--s5 -3by-"O
;Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This ~S day of ' , 200 9
Cigna llre o i ota -State of Florida
Notarization of Pr cipal's signature
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TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes [ ] No Amount Paid; MCR # Date Pald
Lobbyist Registration Form received and verified by:
P:ACLER~LOtXBYiS"1'~LabByist RegistraGan Farm 32708.dac ROVIr~d 03/27/200$.
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contnbutions tsy Loooyisis vn
Real Estate Development Issues":