Alfredo J. Gonzalez - Audrey Lewisc~-
6s6S ~ .
q~ ~ ~
I~MI~EA~~1 ~
. City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBY~T t3ECs~TitATiON FORM
u en P or retained, whether pain a sot, by a prindpa! who seeks to enoaeage the passage, detest or modf~mr of
am ordnenoe. readu6on, ac6ar ~ dedaiorr or ern oonarasaiorrer; mn argon, deasiar, reoamrrend~on of the City Manager a mgr sty herd or
oorraNitae: « arty edron. deadaar er reoarsrrendaMmr of any cihr personrral during the tiros period at the mrtire da~r.making process on sudr
acliar, deotabn ar recarsrrar~lon that toreBeeabry w® be heard ar rsvlewed bU the ditr oomn~bn, or a ~y hand a Trra term
Ali, as watt as any engAoyee ergagsd &i kerning arfiNtles. Tlm term -wbbylaffi* rres speeMO mrt Please
Gorttalez Alfredo J
NAME OF LOBBYIST: (Lest) (First) (M.q
Greenberg Traurig, PA 1221 Bridcell Avenue, Miami, FL 33131
BUSINESS NAME AND ADDRESS (Ntatdrer and Strata (C~rf (Stabs} (Zip Cade)
3fl5-679-0588 305-961~i588 Bonzalezal~ttaw-horn
TELEPHONE NUMBER: FAX NUMBED EMAIL•
..
n~:..
_ _ :.::
`~~ to .~'~I'C[f/IC$~.~Il~AAB~OR?AIl AD' iii
I. LOBBYIST RETAINED BY:
AUDREY LEYVIS, TRUSTEE, ABI-CHASE, INC., a Florida Corporation, and KGLOW, INC., a Florida Corporation
NAME OF PRINCIPALlCUENT:
KGLOW, INC., 10731 Hollow Bay Ttaraoe Vilest Palm, FL 331,42
BUSINESS NAME AND ADDRESS (Number and Street) (C~r) (Stara) . (~ ~~
1 1
TELEPHONE NUMBER: FAX NUMBER: (Optbnal) EMAIL: (Optional)
FIII out tlt~ aedion N oNndml ~ s CennnrArMe_ aa.r..e.er.r..... r...~ - - _ ~ .•..._..
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICWRY: ~~ BernYitt .
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY. A 5% OR MORE OYVNERSHIP INTEREST IN
SUCH CORPORATION, PARTNERSHIP OR TRUST: ggBEY CHASE-PALGON, KAREN BEMMTT AND AUDRIY LE1MS
A Full Name a<7ru61lidual B An FamlUal or Professional Relatbnshi
G~¢~v,~ritN ,Q~T, ~--
~-
S£ ~ZI ~d 6- 7f1f OIOl
~~
~::.-
IV WSr:LOSURE OF TERMS AND AMOUIrTB OF LOBBYI8T COMPENSATION (DMCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER:
A) LOBBYIST OtSCLOSURE: (Required] $400.00 HOUrry
B) PRINpPAI'S DISCi.OSURE (~ LOBBYIST CON~ATIOM): 5400.00 Hourly
(Requbed).
The following Information must tie answered:
Pursuant b Miami Beach City Code Section 2~ Entifbd °Proh~6ed Campaign Contributions BY Lobbyists
On Procurerrrent Issues':
~~~~
~~~~
~~
~~~g
a~~~
~~ ~"~:
^ Yes X No• Are you lobbvinsr on a oreserrt or t>ertdlrw bid for twods. eaubmerrt or servtees. or en s
Areserrt or ~ndlna award for goods. eauiomertt ~ service?
2) Pursuant in Miami Beach City Code 2-490 EntiUsd °Prohibi6ed Campaign Corrtributiorw By Lobbyists On
RBI Estate Developrrlent Issues':
^ Yes X _~lo: Are you tobbvina on a uertdino aoolicatiorr for a Develoomerrt Aarrrernent with City or
a~trr^ti'fcaflon for change of zoning mac desianatlon or chancre to the Cllv's Future Land flee
~i
3) Pursuant b Miami Beach City Code 2984 (h) Any Parson (except 1hcSe exempt from the definition of
°lobby~r as Sat forth in Section 281 above) who Only appeals aS a representative of a nOt-for-profit
corporation or entity without spedal oompensatiorr or reimbursement for the appearanoa, whether diree~, or
indirect, to egress support of or opposition m any item, shall register vrlth the dertr as required by this
section but, shall not be required b pay arty registration tees.
^ Yes X ~~ YOU reDresentMd a rrOtrfoR•Drofit r~reenrtien e~. antHv WIHIOrr! 8oec~1 eomes>r~Hen er
relmbursenrerrt .
v slow-TURE UNDER OATH:
I do solerrrnyr swear that
provisions oorrtairred in St
^ Produced ID
Fomt of Iderttifir~tion
~Pwsonalhr known (Lobbyistl
VIi. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County ofMiami-Dade
Svrom ~ Y ~ rr~ 0
S P of Fkrrida
~ ~re
aril that I have read or am familiar with the
ati reporting requirerrrents.
~Produoed ID S3 USUO '7~ ~ TSo '" .°.
Form of Identificat~n TL~ ~ " 2
o ~~'
^ i'ersonally (mown (Principal) ~ ~$
n /~ ~yfie
!/or~m /d~C4 cv~
State of Fbr~a, County off tYl~rrri•9ad~
Swom bscribed before rrre
This y of ~ ( 2010 ~ v ~~
N re of Prlnci ryn nre~. ~d~
VI. LOBBYIST IDENTIFICATION: PRINCIPAL iDENTIFiCAT10N:
m MIAMIBEACH
City of Miami Beath, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office CityClerk@miamibeachH.gov
Tel: 305.673.7411 ,Fax: 305.673.7254
Acknowledgement of fines/suspension from lobbying for failure to
comply with City of Miami Beach lobbying Laws
LOBBYIST NAME:
Alfredo J. Gonzalez
I understand that no later than October 1st of each year, lobbyists subject to lobbyist
registration requirements shall submit to the city clerk a signed statement under oath
listing all lobbying expenditures, as well as compensation received, for the preceding
calendar year with regard to the specific issue on which the lobbyist has been engaged
io lobby. A statement shall be filed even if there have been no expenditures or
compensation during the reporting period. The statement shall list, in detail, each
expenditure by category, including food and beverage, entertainment, research,
communication, media advertising, publications, travel, lodging and special events.
FAILURE TO TIMELY FILE THE EXPENDITURE AND FEE DISCLOSURE REPORT
WILL RESULT IN A FINE OF $50.00 PER DAY. ANY LOBBYIST WHO FAILS
TO FILE THE REQUIRED EXPENDITURE REPORT BY DECEMBER 1, SHALL
AUTOMATICALLY BE SUSPENDED FROM LOBBYING UNTIL ALL FINES ARE
PAID, UNLESS THE FINE HAS BEEN APPEALED TO THE MIAMI-DADS COUNTY
COMMISSION ON ETHICS AND PUBLIC TRUST. In the event a lobbyist fails to
either file the report and/or pay the assessed fines, the Clerk shall notify the Miami-Dade
County Commission on Ethics and Public Trust.
6N ADDITION, ONCE AN ISSUE I HAVE REGISTERED TO LOBBY ON HAS
BEEN RESOLVED, I AM REQUIRED TO IMMEDIATELY NOTIFY THE CITY
CLERK'S OF,~FICE OF LOBBYIST WITHDRAWAL IN WRITING.
Date: