Loading...
Miguel Diaz de la Portilla, Esq. - Arnstein & Lehr LLP • NAt /--\I \/ \ BEACH • , City of Miami Beach 2' 5 D C -9 NI L: 5 9 1700 Convention Center Drive Miami Beach, Florida 33139 ` I CE_ www.miamibeachfl.gov City Clerk's Office Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM MIGUEL DIAZ DE LA PORTILLA,ESQ. Name: Business Name: ARNSTEIN&LEHR LLP Address: 200 South Biscayne Boulevard,36th Floor,Miami,FL 33131 Office Telephone Number: 305-428-4543 Cellular Telephone Number: Email Address: mdportilla @arnstein.com If more than one lobbyist, please list: 1) 2) 3) 4) 5) 6) 7) Submit this form to the Office of the City Clerk, along with a check for $500 for each lobbyist. Please make the check(s) payable to the City of Miami Beach. For City Clerk's Office Use Only MCR#: LID 6� Amount paid: _ 5ae1 Date paid: / 2-///9/46 Processed by: 111111k,/ Date: 1? /6//5- F:\CLER\$ALL\aFORMS\LOB: 1ST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx City of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 Due: • Expenditure for period of: January 1,2015 through December 31,2015 - A statement shall be filed even if there have been no expenditures or compensation during the reporting period. In order to withdraw as a lobbyist on an item which is no longer being lobbied, initial in the appropriate space. Any item requested to be withdrawn will be removed for the reporting period of: , through - r nu.un�: �.�:::::�H7F- ••;:tz7w"�F."' •r l,c.nu�'Rr:a :e.T.�.nl...,�:'�iv.w1'n-1•�.e.- !:.gvrr-:7t v.e..�vtrr�.�.,y.•...:1m�'"�:,•'•.r'1'��t l��'',` �wr.•..-.::r....-c::.��^r :ur5.r 7:-�:'w:':�3�: .li li .:f.n'!f. ...7 .-'F.!i n'7R -1.Y;d:.-. .t•'�..i.. .r -.,Yli f:lS°'C. .:.t°i`R.1...;.fi. o�.r :•�c -.:: F.:�n ,3�..r:�.7r- q''l=tip vF.,G,;-,7i1 '!.l'.A-'`.X�P1, 3�C.t;, . .-.(r:,�,ln. �.,,. ±� �:���°�". :..°.^ 4 .�+i r.9 ,,{:u_�:�v,.3<r.�..�.ii•'�'lL.�!cS�v.�:t;.a..lali. i F: t6�U..��.... S.c vu:•.r6�i_ca����:stE.aa+4:�+:L':l::v,::.ai:�..��i^,..r�.__dlie�7.�1�,:rl'A??I�r.,.L..nE,..1,:e1�JT:Fr,.i:i'o:^....L4L..:.�l:x ..d:'f2..-.rc_ .v;(.-v-�.�,t �a�:;tJS'-va•.......(N<.ILf�t @�{��,c:. __i_:lc..h t a �I'.. 7i:1'n,.rarl..'...r�`n d_ you are no longer lobbying 1::0.13:byiiSt6- I MIGUEL DIAZ DE LA PORTILLA *If Y 9 on this issue WITHDR FAFIRM FMLAFL 2013 HOLDINGS LLC is.su : rd ' Assistance,with permittin matters - WITHDRAW v-...l....s::a01. YES . NO - Detail Compensation Received: n/a CATEGORIES OF EXPENDITURES Food Beverage: N/A Entertainment: N/A Research: N/A Communications: N/A Media Advertising: N/A Publications: N/A Travel: N/A Lodging: N/A Special Events: N/A r'. THERESA F.JOHNSON 4 _ — My Public•Sub of Florida N • ; Commission•FF 201099 Oath �•;f� Comm Expires Feb 19,2019 r, St ate of Florida ���' County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment hereto are true and correct. Signature Sworn to and sub-.- ri•• %More m-f % y JOi .'1 4- `� r' - Not•:y - State of Redd& Notary Public • AS✓ • ;;nrrimisslon a FF 201099 • My 'eb 19,2019 r, My Commission expires: `' ; . :Notary■Attil�t This form is to be signed, notarized and returned to he City of Miami Beach, City Clerk's Office, 1700 Convention Center Drive, Miami Beach, FL 33139 by February 28th. A fine of$50.00 per day shall be assessed for reports filed after the due date. If you require any assistance please contact this office at 305.673.7411 or at Cityclerk @miamibeachfl.gov, qC t\ )1\ p E AC 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: MIGUEL DIAZ DE LA PORTILLA,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. 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-Dade County Commission on Ethics and ubli' Trust. Signature: ID ate: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc - l' 2„I 1--i '_ 1-;it h. ''g r�t3 3��er 1 i g t.. v ..r ., Miscellaneous Cash Receipt `: s� r CITY OF MIAMI BEACH o . , q i D ° 6 . 0 0 Credit Card Check# Cash I ---c I 6 20 Received of � ��� 3) + s2 �J.'' G.4r i 6. ;',--;-1',:c.,..1','. C F.L r 1 Address �C7� 5�;���� � � - For(e..-iti o ir-)titc‘t L c bi.)4 ,--)4 ‘`)Net-...i,,''.; V°,(A,A', E.-,v't \C.,)/i 6 . 4 n O > T IS INFORMATION MUST BE COMPLETED) H � s v ` By I FS _I( I,.Li,-t..° Account Number: -. ; fi,. ( ).i Dept:. .^` A} ,, 1, > E. EXT: - , -' Preparers �: ; �_�: ----