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Alfredo J. Gonzalez - Ocean Holding LLC ill MIAMIBEACH 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 P Y P P Y Y 9 activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004 -3435. Gonzalez Alfredo J. NAME OF LOBBYIST: (Last) (First) (M.I) Greenberg Traurig, P.A. 333 Ave. of the America, 44th Floor 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: Please notify this office if your contact information changes: address, phone, or e-mail address. LOBBYIST RETAINED BY: Ocean Holding, LLC NAME OF PRINCIPAUCLIENT: 848 Brickell, Suite 200 Miami FL 33131 c BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) a 305 - 536 -1490 ) (zip Code) r 713 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) C I Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] rr 77 ' T1 David M Arditi • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Cs Ss` • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY. A 5% OR MORE OWNERSHIP INTEREST IN SUCf+COI RAISIN, PARTNERSHIP OR TRUST: David M Arditi IV ii.SPECIFIC LOBBY ISSUE: In connection with the redevelopment of 321 Ocean Drive Issue to be lobbied (Describe in detail): III. CITY AGENCIES!INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2.482(a)(4) include the commissioner or personnel sought to be lobbied, and whether the lobbyist has entered into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such person's commencement of service with the city to the present date, stating the general nature of the subject contractual relationship. Sec 2-482(a)(4) Full Name of Individual and Contractual Relationship (Explain) YES NO title of person to be lobbied Building Dept. /Fire Dept. Board of Adjustment X Planning and Zoning Dept /Public Works, City Manager X Historic Preservation Board, Floodplain Management Board X Pursuant to City Code Section 2- 482(g) Every registrant shall be required to state the extent of any business, financial, familial or professional relationship, or other relationship giving rise to an appearance of an impropriety, with any current city commissioner or city personnel who is sought to be lobbied as identified on the lobbyist registration form filed. Sec 2 -482(g) Any Financial, Familial or Professional Relationship N/A k � IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) 5445.00 hourly B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). 5445 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 IN No: Are you lobbying on a present or pending bid for goods, equipment or services, or on a present or pending award for goods, equipment or service? 2) Pursuant to Miami Beach City Code 2 -490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues ": ❑ Yes ® No: Are you lobbying on a pending application for a Development Agreement with the City or application for change 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 a not - 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. 0 Yes ® No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement. . V. SIGNATURE UNDER OATH: ON FEBRUARY 28th OF EACH YEAR, EACH LOBBYIST SHALL i : MIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS CO . NSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL : - FILED EVEN IF THERE HAVE BEEN NO EXrRENI,URES OR COMPENSATION DURING TH REPORTING PERI• a. --'". Signat fir - b r s v f il --- W I do solemnly swear that all of ;'e foregoing facts are ue and • rrect an that I have read or am familiar with the provisions contained in Section 2 -482 of the Mia(each Ci; Code and all reporting equirements. y.- Signature of Lo • • IjoK /�•.. _ . �t 4? Signature of Principal /Client: ∎---- ■___ f O • 0 ,,,,, wyl. LOBBY! T- 01 PRINCIPAL IDENTIFICATION: ai ` -i is 0 -❑ Produced ID Produced ID -/ 73 - 75 • 335 �O Iw Form of Identification Form of Identification u m z a 1°7) a q: Personally known (Lobbyist) ❑ Personally known (Prins' , , 3 3 ; ISABEL SATCHEL • ° N r• WIrE SIGNATURE AND STAMP OF NOTARY: MY COMMISSION aD0879891 4 c x ei '' ` *- EXPIRES: April 13, 2013 z o v . ; . Bc:, ed Thru Notary Public Underwriters ' ak .7,' a4 - = of Florida, County of Miami -Dade State of Florida, Countyyof,M a mi ty ; • - 8 ° v o S•' to and subscribed before me Sworn and subscribed before me zea b •z.,of5. ,2011 T•' ‘ 5iM , 2011 ,�-�' s � 1• (V C N -'•" , '1"" 1 r 1719N tate of Florida Signatur of Pubil : •, ry — State of Florida ..: zation • b s 's signature Notari - ion of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAF ONLY Annual Registration fee: [ ] Yes [ ] No Amount Paid $ 3 )jY — MCR # 1 1 Date Paid / // Lobbyist Registration Form received and verified by: 7 F:\CLER \$ALL\aFORMS \LOBBYIST FORMS \Lobbyist Annual Registration Form.doc s , �,���t� - ir� Re vi 1 /11/ 011 Q MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CityClerk @miamibeachfl.gov Tel: 305.673.7411 , Fax: 305.673.7254 LOBBYIST NAME: Alfredo J. Gonzalez I understand that no later than February 28th of each year, I must file the following form, 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 and Compensation 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 immed'tely notify the City Clerk's Office of lobbyist withdrawal in writing. ‘ 4iF41 I ii June 6, 2011 S ig7.'7L T Date: ,n t +') Cn A < O rn C) N