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Alfredo J. Gonzalez (2)1J' 1~/1I Ai~/11 ~E~~H , s-~~' ~~ ~~ ~ 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 farm "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-343b. Gonzalez Alfredo J. NAME OF LOBBYIST: (Last) (First) (M•I) Greenberg Traurig, P.A. 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: LOBBYIST RETAINED BY: TM Real Estate Group, LLC ~ AS RLCE\~~`R~ (~• ZE~K ~~~ NAME OF PRINCIPAlJCL1ENT: 2150 Coral Way, Suite 6-B Miami FL 33145 BUSINESS NAME ANn Af)nRFSS (Numhar anti SirpPtl /t:itvl IStatal f7in Cnrlal 305-854-2552 305-854-2595 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) FIII out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: u.SPECIFIC LOBBY 1$$UE: 315-321 Ocean Drive, Building issues Issue to be lobbied (Describe in detail): - - -- . , nl. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED; Pursuant to Clty Code Section 2-482(g) Include a statement of the extent of any business, financial, famtljal, professional or other relationship, gluing rise 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 12 months preceding said City personnels' commencement of service with the City to the present date, stating the general nature of the subject contractual relation. A Full Name of Individual 'Title B) An Financial, Familial or Professional Relatlonshl Historic Preservation Board, Planning Board Board of Adjustment Building Department, Fire Department City Manager's Office Planning and Zoning Department ,Public Works I I ~Z bid £- 83.~pI0l &J~.~1`''s s ~ ..a ..~ ` 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): 375.00 Hourly (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": ^ Yes U^INo• Are you lobbvina on a present or pendina bid for aoods eaulpment or services, or on a present or pendina award for aoods. eaulpment 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 pendina application for a Development Agreement with the City or application for chance 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 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. reimbursement. . ~!"~! i i!1, V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YI STATEMENT UNDER OATH. RECEIVED. IN THE. CITY OF MIAI BE FILED EVEN IF THERE HAVE PERIOD. 1 do solemnly swear that all of the provisions contained in Section 2-4 Signature of Signature of Princip-fa /Client: VI. LOBBYIST IDENTIFICA' ^ Produced ID poing facts are true afid correct and that I have read or am familiar with the the Miamj Beach City Code and all reporting requirements. 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 _\O Hof 11et4JOw~ae~r, 2009 Notarization of Annual Registration fee~jl ] Yes j ] No Amount Lobbyist Registration Form received and verified by: PRINCIPAL IDENTIFICATION: ~ Produced ID Form of Identification ~ Personally known (Principal) State of Florida, County of Miami-Dade Sworn and subscribed before me This 23_,day of ! 2009 ignat - tats of FIB Notarization o Principal's signature NOTARY PUBLIC-STATE OF FLORIDA """ Liliana Nunez ,, Commission #DD671217 Expires: MAY 07, 2011 -9GAT8F.D THRU ATLANTIC BONDING CO, INC. ~rida Revised 02/11/2009 m MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CityClerkCa?miamibeachfl.gov Tel: 305.673.741 1 ,Fax: 305.673.7254 Alfredo J. Gonzalez 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 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. .~)~~~~~ Date: F:ICLERILOBBYIST1Lobbyist Registration Form 32708.doc