William Wainright Riley, Jr. - Mirador 1000 Condo Assoc. L51
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City of Miami Beach Office9fhe-City Cleric
1700 Convery ion`C6.nteri Dri\ie,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.
Riley,Jr. William Wainright
NAME-OP LOBBYIST:-- - (Last) (First) (M.1)
Gray Robinson,P.A. 1221 Brickell Avenue Miami Florida 33131
•BUSINESS NAME-AND-ADDRESS (Number and Street) (City) (State) (Zip Code)
305-913-0541 305-416-6887 william.riley @gray-robinson.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes:address,-ph one,:.'-or'e=mail address:
I. LOBBYIST RETAINED BY:
Mirador 1000 Condominium Association,Inc.
NAME OF PRINCIPAUCLIENT:
100 West Avenue Miami Beach Florida 33139. d
BUSINESS NAME AND ADDRESS ------(Number-and-Street)-- (City)`- - (State) (Zip Code)
305-67.2 78353 _
TELEPHONE NUMBER' FAX NUMBER:(Optional) EMAIL:'(Optional), "
! Fill outthls-section if-principal 1s a-'Corporation,Partnershlp or Trust[Section 2-482(c)] - -
NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY:
I
I •; IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
_ PARTNERSHIP OR TRUST:
FF._ tx. •F-;��., ,F.-..- All land use,zoning,permitting and code compliance Issues relating to-1000 West Avenue and'oppos)tlon to
)r ,C3BYa •'�a .'y all land use,zoning,permitting and code compliance Issues relating to 1100 West Avenue,the Mondrian
Soi,th Beach
Issue to be lobbied(Describe in-detal): - — -
nI.,CIKTY%ACy�-NC'IE'SSIINDINIDUALS YO`aBE�I D�BBiED:
Pursuant to City Code Section 2-482(x)(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-personnol.:from 12 months piddeditig such person's
-commoncement of"servlce:with the cIty to the resent'date;stating the oneral nature ofthe'sub ect'contractual relatlonshl
Sec 2-482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES NO
title of person to be lobbied
Hearing Board Members X
Planning and Building Departments '3
City-Council&Manager - -- X X
SO
Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,famili� or proeTeesiongly
relationship,or other relationship giving rise to an appearance of an Impropriety,with any current city commissioner, cityfpersonn-TWho is
sought to be lobbied as identified on the lobbyist registration form filed.
s
Sec 2=482 °An Financial .Familial-or Professlonal Relat(otishi
- - — - - -- -
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C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration /
Formrevised 5-30-2012.doc ✓
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) Hourly
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $400 per hour
(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_XNo: Are you lobbying on a present or pending bid for goods equipment or services or on a present or pendlnq
award for goods,equipment or service?
2) Pursuant to Miami Beach City Code Section 2490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
Yes XNo: 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 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 XNo• 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
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. V 7
V.
Sign a of Lobbyist
I 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 y Code and al o g requirements.
/
Signature of Lobbyist: V.00�
L
Signature of Principal/Client: )A'_AA bK41AeW Z jZF_
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID _Produced ID
Form of Identification Form of Identification
_Personally known(Lobbyist) _Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY: '
State of Florida,County of Miami-Dade State of Florida,County of Miami-Dade m
Sworn to and subscribed before me Sworn and subscribed before me
This day of ,2012 This '��5}day of ol" .201 �j cd
12�ran nUyl z �
Signature of Public Notary—State of Florida Signature of Public Notary—State of Florida
Notarization of Lobbyist's signature Notarization of Principal's signature `'` �°,�
TO BE COMPLETED BY CITY CLERK'S STAFF O LY o7 1-7
5��o
Annual Ftegistratlon fee: ( ]Yes( j No Amount Paid$ MCR 0 Dato' ald
Lobbyist Registration Form-roceWed and veriflcd by:
C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Con tent.Outlook\83LG0DDH\Lobbyist Registration
Formrevised 5-30-2012.doc
s=;\cr.rt tlstri�don Eani.iloc-___-_ - - _: - ___ - --• Re�ised.04/,27/2012_-__
N AA 1 ' 1-1
City of Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov
CITY CLERK Office
Rafael E.Granada,City Clerk CityClerkCmiamibeachfl.gov
Tel:305.673.7411 ,Fax:305.673.7254
LOBBYIST NAME: William W.Riley,Jr.Esq.
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.
i
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 falls to file the required Statement by April 30th, 2012, shall be
automatically suspended from lobbying until all fines are paid,unless the fine has been
appealed to;thf Miami-Dade-County Commission on Ethics and Public Trust.
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Formrevised 5-30-2012.doc
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