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Maria Gralia - Farid and Jennifer Suleman :pit' ~e MIAMI BEACH City of Miami Beach Office of the City Clerk =1700 Convention Center Drive, Miami Beach, FL 33139 *ts`' 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 2004-3436. Gralia, Maria NAME OF LOBBYIST: (Last) (First) (M.I). Stearns Weaver Miller, 150 West Flagler Street, Miami, Florida 33130 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-789-3525 305-789-2628 mgralia@stearnsweaver.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone,-or e-mail address: I. LOBBYIST RETAINED BY: Farid and Jennifer Suleman NAME OF PRINCIPAL/CLIENT: 5959 Collins Avenue, #1605, Miami Beach, Florida 33140 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[Section 2-482(c)] • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: N/A • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: N A II SIPECIFIC LOBBY'ISS_UE Advice and/or representation before any City Board, Committee or Agency related to zoning issues in the Altos Del Mar Historic District. Issue to be lobbied(Describe in detail): III.'CITY_AGENCIES/INDIVIDUALS.TO BE LOBBII D: 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 sits§ 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 4 title of person to be lobbied ___ City of Miami Beach Commissioners, City Atty. -_- X City Manager, Board of Adjustment, Historic X Preservation Board, Planning Board, Design X Review Board, Building Dept. ; Planning Dept. . . -a Pursuant to City Code Section 2.482(g)Every registrant shall be required to state the extent of any business,financial,familial w,t or'prof seonal relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner or city personneiLwho is sought to be lobbied as identified on the lobbyist registration form filed. Sec 2-482(g)Any Financial,Familial or Professional Relationship 'None F:ICLERI$ALL1aFORMSILOBBYIST FORMSILobbyist Registration Form.doc --8Z) s . IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $450 hourly rate B) PRINCIPAL'S DISC S (OF LOBBYI T COMPENSATION): (REQUIRED). -��► The following Information must 9be 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 pending award for goods,equipment or service? 2) Pursuant to Miami Beach City Code Section 2-490 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. YesX 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 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 t VE BEEN • EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD, ii' 4.1.-1 / el/ I , • Signature• Lobbyist aria ra ia I do solemnly swear that all of the foregoing facts are true and if rrect and that I have read or am fami.-r it h. .r. i •n o• al•:d in Section 2-482 of the Miami Beach -ity Code and all rting quire;�ts. 1 •. . s•., LORENA ROSARIO GARCIA• Signature of Lobbyist: -, A,' �� ,� �� ;,�'t Notary Public-State of Florida 1 9 Y liggrair ,� ..-_ .� my Comm.Expires Dec 26,2018 Signature of Principal/Client: `� 4" °_,Commission 0 FF 155151 Fa .• Su -- -n VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENT1-:' �4�: Ilk- +4IPT 4 NOTARY PUBLIC-STATE OF FLORIDA _Produced Icy'''''•., Linda Christian _Produced ID �• .y.@rbgfrldeatffc#ti$ 077204 Form of Identification - _* -,'• , rn 5 C� 1 '•.:, " Expires: t,:AR.24,2015 X Personally izair(Ti i djlsf':::FJ:�TNG CO.,INC. ,.Personally known(Principal) t; p VII. SIGNATURE AND STAMP OF NOTARY: � -72) ---,, State of Florida,County of Miami-Dade State of Florida,County of Miami-Dade r'') Sworn to and subscribed Wore me Sworn •id subscribed b foe me — ". This - 1 day of F ,2015 This/ E.:. •f f Vat 201_1 I . 0 I s.1-1-k", 411■ Aria 41141 ill Sign- ur:;of Public Notary–State of Florida ' •i•_fi7''r '4 ____ a • : ization of Lobbyist's signature -rir"• • Inc • signature TO BE COMPLETED BY CI ''� RK'S ST.FF ONL ,- Annual Registration fee: [ Yes[ l No Amount Pald$ ; .r OQ MCR# • `i ' Date Pald IC]FL1 Lobbyist Registration Form received and verified by: ,/ � T:\CLER $ALL1aFORM5\LOIIllYI5'r FORMS\Lobbyist Annual R jiatrotion Fornm.doc Revised 01/22/2014 F:\CLER\$ALL\aFORMSILOBBYIST FORMS1Lobbyist Registration Form.doc MIAMIBEACH City of Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov, CITY CLERK Office Rafael E.Granada,City Clerk CityClerk@miamibeachfl.gov Tel:305.673.7411 ,Fax:305.673.7254 LOBBYIST NAME: Maria Gralia 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$50.00 a day shall be assessed for all Statement(s). filed after the due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal) to file the Statement or pay the assessed fines after notification. Any lobbyist, who fails to file the required Statement by April 30th of each year,shall be automatically suspended from lobbying until all fines are paid, unless the fine has been appealed to the Miami-'.de County Commission on Ethics and Public Trust. aw A • - 4-7 Signa re: ate: F:ICLERI$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc Miscellaneous Cash Receipt �' I$ :.- ix� , ,� . . yc I, � CITY OF Mii l4 I BEACH =� s -'a } 1 No,• FSKl f - I {f j - t li f I �.` -t.. `Cash O Credit Card ?Check# 2. g z ; = LSD,oo �° .20 i t { 1 Received.of. #� ` . . ,: ,4. Address 0 0 \. : -• `r For _. .. e. € --r ofq / ., Y �,, ° r,. _4. f S, Ii! \ *r;+y`?s/i Yd'( . -,+" 't �.1Y'1 f�l'� t�,.'1+� . ,^�-� :t:P��. ."r�,..f3 ��, �/. �-��"S�".:yJ -�r.:.f!'�i• ..� .�: � � l.. s .J „1 ;:.,...:.,:?:::::',,,r,....-•,,:.:,,•,,,::: II .` I , Y , (THIS INFORMATION'iv-'UST pie COMPLETED) Office of Finance Director' F %m ,, s � I Account Number J -� ; o a f (�. -� Dept. c�, (ifc,r EXT i Pre srer .i . N = u'i < CT, co ,--, 3 co O CD CC � C7 CsiO I� Z]ff? 3 co az. ,r,..-3 N V; O � CG .: C�• C70C]0�000 = (D' • � OC NONG � CD a OD tJi CTi —{ O B .� _ LL CL ND`-'u---I CD 3 C3z` rah '-;;:,:;;9',. . 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' l I I et II° 2 L.a DED. 2 7 7 '-------....1-- ,.. • r r { r STEARNS WEAVER MILLER WEISSLERALHADEFF & SITTERSON, P.A. Linda Christian, FRP Museum Tower 150 West Hagler Street,Suite 2200 Miami, FL 33130 (305) 789-3335 Ihristian@stearnsweaver.com March 6, 2015 City of Miami Beach City Clerk's Office 1700 Convention Center Drive Miami Beach, FL 33139 RE: Maria Gralia -Lobbyist Registration Dear Clerk: Enclosed please find the following: 1. Annual Lobbyist Registration for Maria Gralia, together with our firm check in the amount of$500 in payment of the Annual Registration fee. 2. Lobbyist Registration in connection with her representation of Farid and Jennifer Suleman, together with our firm check in the amounts $350.00 in payment of the registration fee . If you have any questions, or require additional information, please do not hesitate to contact me. My direct line is 305-789-3335. Sincerely, • - n . • istian orida Registered Paralegal cc: Maria Gralia, Esq. #4087187 v 1 MIAMI • FORT LAUDERDALE • TAMPA • TALLAHASSEE