Vic Granowicz/Maria Perez '
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 principal who seeks to encourage the pa000ge, defeat or
modification of any ondinonce, naan|ubnn, action or decision of any commissioner; any oction, docioion, 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 foreoeeab|ywill be heard or reviewed by the city
oomminoion, or city board or committee. The tann specifically includes the principal as well an any employee engaged in lobbying
activities. The term "Lobbyimta" has specific exclusions. Please refer bo Ordinance 2O04'3435.
GRANOWICZ Vic
NAME OF LOBBYIST: (Last) (First) (M.1)
GMAARCH|TECTS 1ZZ0 APOLLO BEACH BLVD APOLLO BEACH FL 33172
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
813-995-1172 813-645-0760 VICG1@MAC.COM
TELEPHONE FAX EMAIL:—
�
Please notify this office if your contact information changes:address,phone, or e-mail address.
|. LOBBYIST RETAINED BY:
MARIA PEREZ-VP
NAME OF PRINCIPAUCLIENT:
1ZO7 VENTURES Lu[ zs2s PONCE os LEON BLVD SUITE zz2s CORAL GABLES FL 33146
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-389-4103 JIM@SOLOMGMT.COM
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: PORTER STANSBERRY
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
ii.SPECIFIC LOBBY ISSUE: 2,6 Y
Pe*c^r/ FL 3�/70
DESIGN REVIEW BOARD-REMOVE EXISTING STRUCTURE AND BUILD A NEW STRUCTURE
Issue to be lobbied(Describe in detail):
III. CITY AGENCIEWINDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-482(a)(4) include the commissioner or personnel sought to be lobbied,and whether me/oubyieuxmmnntemm
into any oo,unumma| 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 or 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
MIAMI BEACH BUILDING AND ZONING DEPT NO
Pursuant to City Code Section 2-482(g)svon/registrant shall be mmuimu to state the extent orany business,nnanoio|,nmmma|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 mmue lobbied oo identified mn the lobbyist registration form filed.
Sec 2-482(g)Any Financial, Familial or Professional Relationship
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Fnrmnevioed5'30-2012don
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) �0
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): ko
(REQUIRED).
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 X No: Are you lobbying on a present or pending bid for goods,eguipment or services,or on a present or
Dendina award for goods,eauipment or service?
2) Pursuant to Miami Beach City Code Section 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
change of zoning map designation or change to the City's Future Land Use Map?
3) Pursuant to Miami Beach City Code Section 2-482 (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.
_Yes X No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement.
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER
LISTING B IN EXPENDITURES, AS WELL COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH
THE PRECEDING CALENDAR YEAR, A STATEMENT SHALL BE FILED E4tN IF THERE HAYg=UEN NO EXPENDITURES
COMPENSATION DURING THE REPORTING PERIOD.
Signature of Lo yist
I do solemnly swear that all of the forego' facts are true a correct and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Beach C' ode a reporting requirements.
Signature of Lobbyist: — �v
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
f 1
roduced ID L �R�lees / - Produced ID
Form of Identification ^o Form of Identification
- o ?4
Personally known (Lobbyist) cli`r 3 Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:f `=C
State of Florida, County of Miami-Dade State of Florida, County of Miami-Dade
Sworn to and subscribed before a ;:= °. / Sworn a d subscribed beforejne o
m
This da of 2012 a%;.' i Vd a f 2012
te
S ure of Pul8tic -State of Florida Signa re of Pu Notary-State of Florida J
Nota ization of Lobbvist's signature Nota zation of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: es[ ]No Amount Pai C # Date Paid
Lobbyist Registration rm received and verified by: ZZ
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Formrevised 5-30-2012.doc
Revised 04/27/2012
r
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov
CITY CLERK Office
Rafael E. Granado, City Clerk CityClerk@miamibeachfl.gov
Tel: 305.673.7411 , Fax:305.673.7254
LOBBYIST NAME: VIC GRANOWICZ
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 2-485 (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 fails 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"iami-Dade County--Commission on Ethics and Public Trust.
Sign e: Date:
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Forrnrevised 5-30-2012.doc