Alfredo J. Gonzalez - Bernard Baumel Revocable Trust AAA
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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 weans all persons employed or retained,whether paid or riot,by a principal who seeks to encourage the passage,defeat or
modifleffilon 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 tine period of the
entire decision-making process on such action, decision or recommendation that foreseeably will be heard or revlevnd by the city
commission,or a city board or committee. The term specifically includes the principal as well as arty employee engaged In lobbying
activities. The tam"Lobbyists"has specific exclusions. Please refer to Ordinance 2004-3435.
Gonzalez Alfredo J.
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NAM O O I . ast R
Greenberg Traurig,PA. 333 SE 2nd Ave,44th Floor Miami FL 33131
SUSiNESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-579-0588 305-881-8588 gonzalezal@gdave.corn
TELEPHONE NUMBER: F7XNUMBER: EMAIL'
Please notify this office If your contact Information c .address,phone,or e-mail Actress.
I. LOBBYIST RETAINED BY:
Bernard Baumel, Revocable Trust
NAI+,rIE OF PRINCIPALtCUENT:
1700 W.25th Street Miami Beach FL 33149
I (Number and Street) (City) ate p Code
EMAIL:(Optional)
Fill out this section If principal is a Corporation,Partnership or Trust[Section 2.882(c)]
C NAME OF CHIEF OFFICER.PARTNER,OR BENEFICIARY: Bernard Baumel
O IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A Wo OR MORE OWNERSHIP INTEREST IN SUCH.CORPORATION,
PARTNERSHIP OR TRUST:
ii.S ECIFIC.LOBBY ISSUE: �
Lai split of lot which originally,was 2 lots. ��� �' �S �� •
Issue to be lobbied(Describe in detail):
CITY GECIIIDIIDULS T LO IE d
Pursuant to City Corte Section 2.482(a)(8)Include the commissioner or personnel scugbt to be lobbied,and whether the lobbyist has entered
Into any contractual relationship (paid or unpaid) with saJd city commissioner or personnel from 12 months preceding such person's.
commencement of service with the cl to the present elate stating the energy nature of the subject contractual relationship.
Set 2482(a)(4)Full Nam of individual and Contractual RelabonsNp.(lxriain) YES NO
Ode of person to III lobbied
Board of Adjustment.Dept of Public Works,Historic Preservation Board X
City of Miami Beach Commissioners,City Manager,City Attorney X
Planning Board,Design Review Board X
Pursuant to City Code Section 2482(8)Every rsgistrant shgdI be required to she the extent of any business,financial;fbmIl al or professional
relationship,or other relationship giving rise to an appearame of an Impropriety,with any current city commissioner or city personnel who Is
sought to be lobbied as Identified on the lobbyist registrEillon form Tiled.
Set 2-482 Financial Fardiial or Proftsiond Relationship
Alto
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COI PE (DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE(Required)
Hgur!g 45Q.00
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION).-
(REOURED). dQUr61 4tQ W
The following infannallon nwst be,answered:
1) Pursuant to Miami Beach City Code Section 2488 Entitled'Prohibited Campaign Contributions By Lobbyists On Procurement
Issues":
Yes X No: Are wu loo Wdna an a oresent oir gending§14 L01 gagAl asyl2mynt a[smdcJ&a[an A RE2=RE 220fto
iw_ard for goods,MNilgrnent or serAce?
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 Nmu 1o_hbAj3g M a alMdIng aggliggggafgr is-Quiamm9m AgMgMEA MM ths GRV or IM211-gauen ftr
change of zoning"map designation or chgMe to the Clt^Future Land Usellip?
3) Pursuant to Miami Beach City Code Section 2482(h)Any person(except those exempt from the definition of lobbyist"as'set
forth In Section 2-481 above) vdio only appears as a representative ct a not-for-profft-corporation or erdity v&hout special
compensation or reimbursement for the appearance,tether-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 arty rogistratien fees.
Yesy,.No: Are nu-Le2msaifing a not4bE:grof1t coEggrAgn or gnMwithout seEial coMBensafi on or reirnbursement
V. SIGNATURE UNDER OATH:
2d rr ng 2M!gh§rA SIGNED§IATgfiE LINgga
SUABY 21 OF MCH XM EACH L0138YIST SM�L�IJBM ME
2&M,1JEOHq 60 AS WELL AS CgM. AVOMMOE-1-W.1 IM THE gM OF MAN BE&MEM
jhjj!jM!gMlN2 CALEND&I MA& A STATEMENr SHALL BE FIL W I IF NNOEXPENRM=
3gPg=ffl I!EFNODI
an
Sign re of V:d 7tI h
I do solemnly sy€ear thattafl of the for Ing facts are true and corre and t I have read or am familiar with the provisions contained
In Section 2-482 of thgt&ft-Tj3ea od and rUng reaquirem s.
Signature of Lobb4-
Signature of Principal/Client:
M. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTI FICA TION:
P roduced ID 33 0 /produced ID j7 L0 ®b_l(8 c0rl-
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Form of Identilication Form of Identification
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Mi. SIGNATURE AND STAMP OF S
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State of Florida,County of it arni-Dade
9*1 State of Florida.County of Nam i-Dadrc*
Sworn to an subscriod before me Sworn and subscribed before me #I)D 983701
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This day of L 2012
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Notarization of Lob s sIg nature Notarizabon of Pripgpals signature
TO BE COMPLEM- 13 BY CITY CLER;-�S AFF ONLY D
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LobWstReglstration Form received and verified by:
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F:�CLEI iistration Form.doc Revised 04/27/2012
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City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
CITY CLERK Office
Rafael E.Granada,City Clerk CityClerk @miomibeachfl.gov
Tel: 305.673.7411 , 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 2-485 (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, ho fails to file the required Statement by April 30th, 2012, shall be
automaticall uspended from lobbying until all fines are paid, unless the fine has been
a ed t e 'ami-Dade County Commission on Ethics and Public Trust.
\Sigiktu Date:
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Formrevised 5-30-2012.doc