Alfredo J. Gonzalez/ Brilla AJ RMB, LLC~ ~I -e ~ y l• --~~ !
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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 enwurage the passage, defeat
or modfication of any ordinance, resolution, action or derision of any commissioner; any action, deasion, rewmmendatian 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 derision-malting process on such acton, decision or recommendation that foreseeably will be heard or reviewed
by the city commission, or a dty board or committee. The term specfically includes the principal as well as any employee engaged
in lobbying activities. The term "Lobbyists" has spedfic exduslons. Please refer to Ordinance 20043435.
Gonzalez Alfredo J
NAME OF LOBBYIST: (Last) (First) (M.I)
Greenberg Traurig 1221 Brickell Avenue, 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:
I. LOBBYIST RETAINED BY:
Brilla AJ RMB, LLC
NAME OF PRINCIPAL/CLIENT:
120 NE 27 Street, Suite 500 Miami, Florida 33137
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Z,p Code)
786-375-5600
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
out this section if prindpal is a Corporation, Partnership or Trust [Sed~on 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Adam Cohen, Manager
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
Luis Benshimol
II. SPECIFIC LOBBY ISSUE:
The Raleigh Hotel operating issues
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
Board of Adjustment /Historic Preservation Board .
Building Department C ~ w,,, -~ --~ ~ ~, ~t ~ l ~.
Planning Department ., .., . t1
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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). $375 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 x No• Are you lobbving on a Dresent or pending bid for Goods, eguioment or services, or on a
Dresent or pending award for goods, eguioment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Devebpment Issues":
_ Yes X No• Are you lobbvina on a Wending aDDlication for a Development Agreement with the Ciri or
auolication for change of zoning map designation or change to the Ciri's Future Land Use
M8J2.~.
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"bbbyist" as set forth in Section 2-481 above) who only appears as a representative of snot-for-profit
corporation or entity without speaal compensation or reimbursement for the appearance, whether direct, or
indirect, to express support of or opposition to any item, shall register with fire clerk as required by this
section but, shall not be required to pay any registration fees..
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 EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING LENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURE R COMPENSATION DURING THE
REPORTING PERIOD. / ~ /(
Lobbyist
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I do solemnly swear that all of
familiar with the provisions cont
requirements.
Signature of Lobbyist:
Signature of Principal/ lie . ~
VI. LOBBYIST IDENTIFICATION:
Produced ID
in
Form of Identification
~~!- Personally known (Lobbyist)
SIGNATURE AND STAMP OF NOTARY:
of Florida, County of Miami-Dade
i to and subscribed before me
22 „~y Of Seote er , 20 09
of
of Florida
facts are true and correct and that I have read or am
n 2-482 of the lyiami Beach City Code and all reporting
PRINCIPAL IDENTIFICATION:
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Produced ID ~,S DO - OOy~'~ 3 °- `~~\ -~7.
Form of Identification
Personally known (Principal)
State of Florida, County of Miami-Dade
Swom and subscribed before me
This ~_day of 9
i
Si a f Florida
Notarization of Principe s signature
FOR CLERK'S USE ONLY
nnual Registration fee: [ ]Yes [ ] No Amount Paid~~ MCR #
Lobbyist Registratan Form received and verified by: 0 `
F:\CLER\$ALL\MARIA-M\Lobbyist~LOBBYIST fORM 05.da
Paid ~ ~ 0
Revised 12/08/04
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City of Miami Beoch, 1700 Convention Center Drive, Miomi Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office CityClerk@miomibeachFl.gov
Tel: 305.673.741 1 ,Fax: 305.673.7254
LOBBYIST NAME:
I understand that no later than October 1st of each dear, 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
2j 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.
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