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Robert S. Fine - New National LLC (611 64 / 0 ' 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 activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004 -3435. FINE ROBERT S. NAME OF LOBBYIST (Last) (First) (M.I) Greenberg Traurig, P.A. 333 Ave of the Americas Miami FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 579 -0826 (305) 961 -5826 Finer @gtlaw.com TELEPHONE NUMBER: FAX NUMBER: EMAIL. Please notify this office if your contact information changes: address, phone, or e-mail address. i. LOBBYIST RETAINED BY: New National LLC NAME OF PRINCIPAUCLIENT 1677 Collins Avenue Miami Beach, FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 786- 999 -6027 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL. (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2482 (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 II.SPECIFIC LOBBY ISSUE: Historic Preservation, Floodplain Managmenent, Planning & Zoning, Public Works, Bid . Permitting Issues Issue to be lobbied (Describe in detail): t b 1) Cc>6 i a-r dJ K-kuLe. 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 jeneral 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, Fire, Board of Adjustment, Planning and Zoning X Historic Preservation Bd., Floodplain Managmenet Board X City Manager's Office, City Commission, City Attorney 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 g tty or city personnel who is sought to be lobbied as identified on the lobbyist registration form flied. J 10 c u u l ) Sec 2.482(g) Any Financial, Familial or Professional Relationship A113 N/A 80 :6 iv El - or i,oz 0. f '038 . , i IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $550.00 per hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $550.00 per hour 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 ": It Y ! N • • A : _ .bb , e o _ , . : - . I _ . . =r• „ , id o _ ..,..s „ „!ul , m -I orservl _ •ro . L-,_ 0 _„=n.1 _ award for goods. eauipment 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 vou lobbying on a pending anotication for a Development Agreement with the City or application for change of zoning map designation or change to the City's Future Land Use Mao? 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 vou 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 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 CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD, "-- A____ ',,,Q____\_______: .._Z" Signature of Lobbyist 1 do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami Beach City qd all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: , ' 1 ! w 'it. ' °y E — i � � VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: 9F Ati ailliktitil iiiizProduced ID Fi. DL iP Fao.777 59- d?q' /-D O Produced ID Form of Identification Form of Identification ❑ Personally known (Lobbyist) Personally known (Principal) VII. SIGNATURE AND STAMP OF•NOT4M - State of Florida, County of Miami -Dads :,!�, " ISABEL SATCHEL ._ OMMISSION f DD 879891 State of Florida, County of Miami - ARy PUBLIC-STATE OF FLORIDA Sworn to and subscribed be m4, ; - " '. ray C .^ ,P EXPIRES: April 13, 2013 Sworn ; subscri • ‘ • re me " Karen Denis This y of ix,.Ged Tin Nelery Public U nderwrite This j 1 aY:.201- , . `! ....„ ''''' Expires: NOV. 11, 2012 ED Sign Public ta of Florida Signature ' - ublic Nota %Frr - of Florida .01 run eTtAN1rC BONDING CO., INC. Notarize on of Lobbyist's signature Notarization of principal's s ', nature , TO BE COMP LE CLERK'S STAFF ONLY Annual Registration fee: ( 1 Yes ( ] No Amount Paid S = VMCR a IP Date . Id '7 l / y / / / Lobbyist Registration Form received and verified by /f� i. ((( F: \CLER \$ALL‘aFORMS‘LOBBYIST FORMS‘Lobbyi t Annual Registration Form.dac j 1/11/20 f 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: Robert S. Fine 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 immediately notify the City Clerk's Office of lobbyist withdrawal in writing. r7 I -2 - / Signature: Date: