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City of Miami Beach Office of the City Clerk 7
1700 Convention Center Drive, 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 orany city board or committee;orany 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.
Gonzalez Alfredo J.
NAME OF LOBBYIST: (Last) (First) (M.I)
Greenberg'Traurig,P.A. 333 S.E.2nd Avenue Miami FL 33133
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-579-0507 305-961-5588 gonzalezaj @gtlaw.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:
Woosh Water Systems Ltd. 1�
NAME OF PRINCIPAUCLIENT:
P.O.Box 5050 Kfar Saba Israel \\..
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)]
o NAME OF CHIEF OFFICER.PARTNER,OR BENEFICIARY: Mr. Ray Tayps_.Zamir
o IDENTIFY ALL PERSONSIHOLDI G,DIRECTLY OR INDIRgCTLY,.A 5%OR MORE WNERSHIP NTE ST IN SUCH CORPORATION, !
PARTNERSHIP OR TRUST: _mg `-' ,,5 Z-a. �.t•-" b.v'' V 1 \-- t.ti'.c‘.c 3.:►
I1.SPECIF1C , Y I SU -- - - lYl o•
�p Niter Systems within City of Miami--Beach -- wcr5 v►�t SS
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Issue to be lobbied(Describe in detail): -G- �`\ C.'It
iii.CITY AGE LIES/l, DIViD LS 'O BE LOBBIED':
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 such person's
commencement of service with the ci• to the•resent date,statin.the several nature of the sub act contractual relationshir.
Sec 2-482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES NO
title of person to be lobbied
Board of Adjustment,Dept of Public Works,Historic Preservation Board N/A
City of Miami Beach Commissioners,City Manager,City Attorney,Fire Dept. N/A
Planning Board,Design Review Board,Building Dept,,Planning Dept. N/A
Pursuant to City Code Section 2-482(g)Every registrant"shall be required to state the extent of any business,financial,familial or professional
relationship,or other relationship giving rise to an appearance of anampropriety,with any current city commissioner or city personnel who is
sought to be lobbied as identified On the lobbyist registration form filed.
Sec 2-482(g)Any Financial,Familial or Professional Relationship
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F:\CLER\$ALL\aFORMS\LOBBYIST FORMS1Lobbyist Registration Form.doc e■,7 C .
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)
Hourly $500.00
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
(REQUIRED). Hourly$500 00
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":
—
Yesl✓No: Are you lobbying on a present or pending bid for goods,equipment or services,or on a present or pending
LJJ 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✓i1o: Are you lobbying on a pending application for a Development Agreement with the City or application for
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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.
YesElo: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement
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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 F_ED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
44061111,-!....‘. _%://111
'' iP o obbyist
I do solemnly swear that all of the =regoing facts are true and correct and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami =- •-, + C.de and all re•ortin• re. -li•
Signature of Lobby.- ,-_��`
Signature of Principal/CI'
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: {-
/ ProducedlD 7U� 4 Produced ID I I q (.40�3
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
Sworn to pnd subscrib-• befo e me Sworn and subscri•-d be ire me
Ice day of - 0 ,201A This (c. day of - '/ ,2014_
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ignatur- • r�.a – ' 7,1T..�/ ' �'.'I r ,�►:���-s RODRIGUEZ
:�'' : Signature 2: to of
s���ii��4Fre � Si nature of Public •��- -• ^s: •J�,�r-
Notarizat •• , t Sta a of Iorida Notarization of P ; d I Y P ii Iic-State of Florida I
N, 'y omm.Expires Sep 27,2014 ,N,IF,�4 My Comm.Expires Sep 27,2014
%r;o� ��� Commission EEf81l�CO LETED Y CITY CLERK'S STAFF ON '•,,f OF f P��� Commission#EE 30092 0
Annual R • . - - • , $ MCR# / fG _ - - ••• — — — —
Lobbyist Registration Form received and verified by: rte/ P. , , 7 / ? /g.
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc IMF ' Revised 01/22/201
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
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MIAMI BEA H
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: Alfredo J. Gonzalez
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 - spend: • from lobbying until all fines are paid,unless the fine has been
appealed to e (a i- ade County Commission on Ethics and Pub is Trust.
Date:
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
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