Alfredo J. Gonzalez / Lennox Miami Corp. J ,t-It,
��J, JAI;
IM MIAMI BEACH
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.
Alfredo Gonzalez J.
NAME OF LOBBYIST: (Last) (First) (M.I)
Greenberg Traurig, P.A. 333 Ave.of the Americas,44th FI Miami FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-579-0588 305-961-5588 gonzalezaj@gtiaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact inforrnatfon changes:address,phone,or e-mail address.
1. LOBBYIST RETAINED BY:
Lennox Miami Corp.
NAME OF PRINCIPAUCLIENT:
Lennox Miami Corp. 29919 Street Miami Beach, FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional)
Fill out this section if principal is a Corporation,Partnership or Trust[Sectlon 24182(c)]
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: Diego M. Agnelli
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 59%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
u5PEC1F.1C.LOBBY ISSUE::
HPB Modifications to Peter Miller By Lennox Hotel
Issue to be lobbied(Describe in detail):
Ill.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 eneral nature of the subywt contractual relationship.
Sec 2-482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES NO
title of person to be lobbied
Board of Adjustment,Dept of Public Works,Historic Preservation x
City of Miami Beach Commissioners,City Manager,City Attomey x
Planning Board, Design Review Board x
Pursuant to City Code Section 24W(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 Any Financial Familial or Professional Relationship
i�10 'k 113
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
U � �1 � � C7
I
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE:(Required)
$450.00 Hourly
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
(Required). $450.00 Hourly
The following Information must be answered:
1) Pursuant to Miami Beach City Code Section 2488 Entitled"Prohibited Campaign Contributions By Lobbyists On Procurement
Issues":
Yes X No: Are you lobbyina on a present or pendina 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 X No: Are you lobbying on a pending application for a Development Agreement with the City or application for
change of zonina 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 tees.
Yes X No: Are you representing a not-for-profit corporation or entitv without special compensation or reimbursement. .
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28th OF EACH YEAR EACH LOBBYIST SHALL.-SUBMIT T THE CITY CLERK A SIGNED STATEMENT UNDER
OATH, LISTING LOBBYING EXPENDITURE WELL A"OMPENZAMON RECEIVED, IN THE CITY OF MIAMI EACH FOR
THE PRECEDING ALENDAR YEAR. A STATEMEN HALL BE FI EN IF THERE HAVE EN NO EXPENDITURES O
COMPENSATION DURING THE REPORTING PERI
Alz=—�
f '
I do solemnly swear that all of th oregoing cts ar rue rrect and ave read or am familiar wi a provisions contained
in Section 2-482 of the Mi
Signature of Lo yist:
Signature o rinci I/Client:
VI. LO BYIST IDEMI A ON: ""• PRINCIPAL IDENTIFICATION:
=�
Produced ID = °-
Form of Identification °; • '•`�
.un.. .� Not�rQtiotiraf�l,
� z
Ser to �Em�tkd�bt: n=3
SA Comriii4ggian.EE�172059
-IQ—J--.Personally known(Lobbyist) a 3 C w y 64'lY3fWall
H 3 c
VII. SIGNATURE AND STAMP OF NOTAR m m S. y
a
State of Florida,County of Miami-Dade o m N N State of Florida,County of Miami-Dade
Sworn to a d subscribed before me d ° " °= m Sworn aril subscribed before me
v o „ r- 3VV�.13
This
s day L 2012 0 CO g °� This _ day of 2012
if
�:v T N
ly 40 r,3
O
BF - C d
i natur ublic late of Florida N d Signature of Public Notary—State of Florida
Note zat n o Lob ylst's signature Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ O MCR# Date Paid
Lobbyist Registration Form received and verified by:
FACLER\$ALL\aFORMSU.OBBYIST FORMS1Lobbyist Registration Form doc v
I
F:\CLEI listration Form.doc Revised 04/27/2012
MAMIBEACr-1
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeacho.gov
CITY CLERK Office
Rafael E. Granada, City Clerk CiryClerk @miamibeachfl.gov
Tel: 305.673.741 1 , Fax:305.673.7254
LOBBYIST NAME:
I understand that no later than February 28 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, or I am no
longer lobbying on that issue or for that principal, I am required to immediately notify
the City Clerk's Office of lobbyist withdrawal in writing.
Pursuant to Section 2-488(d),the City Clerk shall notify any lobbyist(or principal)who
fails to timely file a Statement and in addition to any other penalties which may be
Imposed as provided in Section 2-485.1, a fine of$50.00 a day shall be assessed for all
Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade
County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal)
to file the Statement or pay the assessed fines after notification.
Any lobbyist, who falls to file the required Statement by April 30th, 2012, shall be
automatically su pended from lobbying until all fines are paid, unless the fine has been
appealed to th mi-Dade ounty Commission on Ethics 7_�Publi Trust.12
Sig u D te.
C:\Users\clerhat\HppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outiook\83LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc