Fisher Island Hold, LLC 11/19/1
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CITY OF MIAMI BEACH
OmCE OF THE CITY CLERK
1700 Convention Center Drive
Miami Beach, FL 33139
cityclerk@ci.miami-beach.fI.us
AFfIDAVIT
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 ANY em BOARD OR COMMmEE; OR ANY ACTION, DECISION OR RECOMMENDATION
OF ANY PERSONNEL DEFINED IN ANY MANNER IN THIS SECTION, DURING THE TIME PERIOD OF THE ENTIRE DECISION-MAKING
PROCESS ON SUCH ACTION, DECISION OR RECOMMENDATION THAT FORESEEABL Y WILL BE HEARD OR REVIEWED BY THE em
COMMISSION, OR A em BOARD OR COMMITTEE. THE TERM SPECIFICALLY INCLUDES THE PRINCIPAL AS WELL AS ANY AGENT,
ATTORNEY, OFFICER OR EMPLOYEE OF A PRINCIPAL, REGARDLESS OF WHETHER SUCH LOBBYING ACTlVmES FALL WITHIN THE
NORMAL SCOPE OF EMPLOYMENT OF SUCH AGENT, ATTORNEY, OFFICER OR EMPLOYEE. EACH PERSON WHO WITHDRAWS AS A
LOBBYIST IS REQUIRED TO FILE A "CERTIFICATE OF WITHDRAWAL."
1) Lobbyist Name: Dougherty Lucia
Last Name Rrst Name
A.
Middle Initial
Business Phone (305) 579-0500 Message Phone (_)
Business Name and Address: Greenberg Traurig, P .A.
1221 Brickell Avenue
No. Street
Miami
Suite
Florida
33131
City
State
Zip Code
Email Address:doughertyl@gtlaw.com
2)
Principal Retained by: Fisher Island Holdings, LLC
One Fisher Island Drive
If different from above Street
Suite
Fisher Island
Florida
City
State
Zip Code
(a) If a corporation, partnership, or trust, identify and provide the address for the chief officer, partner,
beneficiary or interests.
3)
Subject Matter (Describe in Detail):
Hazelwood Apartments, Phase Development Project - DRB approval for multiple
family units.
4. ,Identify each individual (Commissioners, Board, COmmittee, Authority member or City staff)
to be lobbied:
Design Review Board
5. The subject matter in number three (3) above is to be considered at the meeting of (Identify each entity or
individual):
0 The City Commission on .2001
0 City Commission Subcommittee on .2001
0 City Staff on .2001
0 City Board or Committee on .2001
0 Personnel on .2001
0 Identify Others on .2001
6. State the extent of any business, financial, familial, professional or other relationship which exists with any
individual identified in number (4) above:
ON OCTOBER 1 sr OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH
FOR THE PRECEDING CALENDAR YEAR.
I do solemnly swear that all of the foregoing facts are true an
with the provisions contained in Section 2-482 of the Miami
requirements.
Signature of Lobbyist:
o Personally known
o Produced ID
correct and that I have read or am familiar
ch City Code as amended, and all reporting
Identify
o Did take an oath, or
o Did not take an oath
State of Florida, County of Miami-Dade
Sworn t f(d sUbscri'X5 before l1Je
This day of Lt<rnW r. 2001.
N tary or Deputy Clerk LEYLA M SALAS
NarARYPUBUcsrATE OF FLORIDA
COMMISSION NO. DD060084
ON EXP. SEPT' 24,2005
If Notary, print, stamp or type as commission
/'
Registration: t 1 ACCEPTED
If rejected, state reason: /
Registration fee paid: [ 1 Yes [ ] No Yl Not-for-Profit Organization
[ 1 Cash [j..e1leck MeR #
FOR CLERK'S USE ONLY
[ 1 REJECTED DATE: I/'/
DATA ENTRY DATE:
.2001
ENTERED BY: