Alfredo J. Gonzalez - RP Hotel Holdings, LLC JA t / i 7t-
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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.
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 gonzalezajgtlaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes: address, phone, or e-mail address.
LOBBYIST RETAINED BY:
RP Hotel Holdin =s, LLC
NAME OF PRINCIPAL/CLJENT
RP Hotel Holdings, LLC 100 Fillmore Street, Suite 600, Denver CO 80206
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
720- 284 -6418
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2.482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: RP Hotel Holdings, LLC
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
See Attached
II.SPECIFIC LOBBY ISSUE:
The James Hotel at Royal Palm
Issue to be lobbied (Describe in detail):
m. 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
Historic Preservation Board, Board of Adjustment
Planning Board
City Departments
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
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE: (Required)
$500.OQ hourly
5) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). %50n Ot) hntirly
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 ® No: Are you lobbying on a present or pending bid for goods, equipment or services, or on apresent or pending
award for goods, euuipment or service?
2) Pursuant to Miami Beach City Code 2 -490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues ":
0 Yes 51 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.
1 Yes LI No: Are ou re • resentin • a not -f • r • rofit cor• oration or enti , without s secial cam • = nsation or reim • en e t, .
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. . 6 STATEMENT SHALL BE FILED •. N IF THER _ HAVE BEEN NO EXPENDITURES OR
CQM PEN S SATI.QN DURING THE R PERIOD.
Si .. = . . • r , • iS
I do solemnly swear that all of the fore. •ing facts are true and correct an• that I have read or am familiar with the provisions contained
in Section 2 -482 of the Miami Beac ty C•de a all reporting requirements.
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Signature of Lobbyist: 4 A,,, / ,,,..,,..
Signature of Principal /Client: f�j ` �! r %r i , ,�G...• JP
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VI. LOBBYIST IDENTIFICATION: ��..•••;�•.,,± PRINCIPAL IDENTIFICATION: j i ' .1
❑ Produced I D _ $s •
�� =`'� o` Produced ID • = ': P UBLI C ; ' • •
Form of identification "'• o � • ^ = Form of • Identificatio ° ;'9? '•••....•••'. '...
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Personally known (Lobbyist) . c - a
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� o - / im` Personally known (Principal) V y COml €a All Expires Sept. 10, 20
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VII. SIGNATURE AND STAMP OF NOTARY: H
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State of Florida, County of Miami -Dade State of. d -Count of .r/, j2.
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Sworn to, nd s • i • : • •efo = II e a c H H m Swor a s ubscri before me
This 5 , ay o .:0•, ° , 411 e. c o r - This ay of , 011
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fR!!: - Florida IA ez Signature of Public Notary — State of e- m" r- a
Notarization of Lobbyi'" s signature A' rod Notarization of Principal's signature
TO BE COMPLETE BY ITY CLERK'S STAFF ONL
Annual Registration fee: [ 3 Yes [ I No Amount Paid $ Q MGR # ' Da e Paid / y 1
Lobbyist Registration Form received and verified by:
F : \Ct.ER \$ALLkaFORNMS \LOBBYIST FOaaMS‘Labbylst Annual Registration Form -doe /7 —, _ JZ .t A Revised 1/11/2011
City of Miami Beach, 1700 Convention Center Drive, Miami Peach, Florida 33139, www miamibeochf .gov
CITY CLERK Office CityClerk@miamibeachFl.gov
Tel : 305.673.741 1 , Fax: 305.673.7254
LOBBYIST NAME: Alfredo J. Gonzalez
I understand that no later than February 28th of each war, 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.
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