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Alfredo J. Gonzalez/ South Beach Lending, LLC1 i m MIF~MIBEACH s~ City ofi Miami Beach Qfi~~e of fha City Cieric 'i1i}Q Convention Cenfer Drive, Miami Beach. FL 3313 Lt:)88YiST ftEGiS1'RATit3N FORM f221 Briekett Avenue. Miami, Florida 3313:9 BUSINESS NAME AND ADDRESS {Numt~er and 5lreet) {City) (State) {Zrp Cade) 305-579-0588 3G5-951-5588 gonzalezaj~ri,9tlaw;COm t. lC9BBYIST RELAINC°Q BY: Sputh Beach Lending, L.LC. IVP1NIt (7P YK1hiClrAiJC:41eN T: 550 Z1th Street, Sine 200, Alliattti i3each, Florida 33i'39 BUSINESS NAME AND ADDRESS {Number and Street) {City). {Slate) {Tip Code TELEPHONE NUMt3ERr FAX NUMBER: {Opttorea-y tctrM4lL: {Opdanaij 3t15~73-1234 3t)5-673-14 • NAME-QF CHtEF CJFFICER, PARTNER, OR $£NEFlCSARY: Andrew Gate tDENTtFY ALL PERSONS HC}t.DING, DIFiEGTLY t]R iNDtRECTLY; A 6~ DR MORE OWNERSffiP tNTEiR6ST iN SUCH GORPORATIC3N, PAi2TNERSHtP OR TRUST: ~ I ~6 ~~ Z~ ~~p OiDZ _. S/ Gonza4ez Alfredo .~: 5txxt'rerm Rentai Ordinance tsaue to be iabbied {Dasaibe in de~1): n -}- , ,~ . LOBBY1St fDENTIFfCA710N: ~ ^ f'roduced7D ~o~ ~, j Form of identficatton ^~ y ! ~-~ ersonaFiy known (Labbyistj w~ ~ ~ StGNATtlRE AND STAfNP OF NOTARY: U ~ `~ State of Florida, County of Miami-Dade Sworn to and subscribed before ate PRINCFPAL fDENTlFiCAT10N: ~ Prod+x~d f0 Form of identification ~Personaity krtortm (PrincFpalj relmburaerrtent. . V. SIGNATURE UNDER OATH: ~ f~'!'AA~IBEACH City of Miomi Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK OfFice CityClerk@miamibeachfl.gov Tel: 305.673.741 1 ,Fax: 305.673.7254 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 immedia ly notify the City Clerk's Office of lobbyist withdrawal in writing. Z 2 d~~ lg t r ; ~ D e: F:ICLERILOBBYIST1Lobbyist Registration Form 32708.doc