Alfredo J. Gonzalez/ Adam Schlesinger-fir ~{ rn~r ~•
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City of Miami Beach Office of the City Clerk 2Qa9 OCT _ ~ ~,~ ~. ~~
1700 Convention Center Drive, Miami Beach, FL 33139
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LOBBYIST REGISTRATION FORM `' `~ r ~ ~ ~ ` T
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 act'an, decision, recommenc>`atjon OJ~e
City Manager or any city board or committee; or any action, decision or recommendation of any city personnel duriny~the ~,
period of the entire decision-making process On such action, decision or recommendation that foreseeably will be heard o~revie~d ~,i
by the city commission, or a aty board or committee. The term specifically includes the principal as well as any employee. eng~d
in lobbying activities. The term °Lobbyists" has spedfic exdusions. Please refer to Ordinance 20043435. fW ~"{ '~
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Gonzalez Alfredo J ~' 6
NAME OF LOBBYIST: (Last) (First) (~•I) ~ ~;,,
Greenberg Traurig 1221 Brickell Avenue, Miami FL 33131=,-- N -iJ j
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Z~~Code)1'I
305-579-0588 305-961-5588 gonzalezaj@gtlaw.com `'~'
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Adam Schlesinger
NAME OF PRINCIPAL/CLIENT:
1801 South Australia Avenue West Palm Beach FL 33401
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zp Code)
561-835-4003
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this sedaon if principal is a Corporation, Partnership or Trust [Sed:ion 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Richard Schlesinger
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
Richard Schlesinger
II. SPECIFIC LOBBY ISSUE:
Traymore -Construction matters
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
Building Department ~ O h-.e
Planning Department N QrI C
City Manager/Commission ~~I`'~ '~
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RA1'F OR 07f/ERx
A) LOBBYIST DISCLOSURE: (Required) $375.00 Hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $375 00 Hourly
The following information must be answered:
i) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
Yes x No: Are you lobbvina on a oresent or Dendina bid for goods, eauioment or services, or on a
Dresen or oendina award for goods, eauioment 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 lobbvina on a Dendina aaDlication for ~ op~..hr,~,p^* sarppmAnt with the City or
aoolication for chance of zoning mao designation or chance to the Citv's Future Land Use
Mau?
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 anot-for-profit
corporation or entity without speaal compensation or reimbursement for the appearance, whether direct, or
indirect, tD 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 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 EXPEND RES CO PENSATION DURING THE
REPORTING PERIOD. /1I i / ~ ~ ~ .
of
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 9ontained i~ n Section 2-482 of t~iami Beach City Code and all reporting
requirements. /\/~ ~ ~ ~..~.__
Signature of
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
Produced ID
k $ ~ Form of Identification
I' ~ i°j ~ Personally known (Lobbyist)
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VII. SIGNATURE AND STAMP OF NOTARY:
fate of Florida, County of Miami-Dade
worn to and sub ri before
~° ~ 2 9
Lobbyists
PRINCIPAL IDENTIFICATION:
Produced ID 5ti~2.~ - ®\'2. - } ~ - yy L -
Form of Identification
Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This 2~da ~9 ~
Si - Florida
Notarization of rincipal's s~ ature
FOR CLERK'S USE NLY
Annual Registratan fee: [ ] Yes Amount Paid ~ ~ MCR # ~t~ ~ ~~Date Paid ~~ Duo ~
Lobbyist Registration Form receiv and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST CORM 05.doC ~ Revised 12/08/04
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachEl.gov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel: 305.673.741 1 ,Fax: 305.673.7254
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LOBBYIST NAME:
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.
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Si ~ na r ~` Date:
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F:1Ci_ERILOSBYISTtLobbyist Registration Form 32708.doc