Alfredo L. Gonzalez - American Riviera Real Estate Company and Palm Court Ltd 341 g3's4-
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City of Miami Beach Office of the City Clerk )
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 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 lease refer to Ordinance 2004-3445.
n (le 2--- 14.rectu La 2ary
NAME OF LOBBYIST: (Last) (First) (M.I)
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BUSINESS NAME AND ADDRESS C' (Number ar d Street)v (Ciitty) /(State) ((Zip Code)
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TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes:address.phone, or.e-mail address.
I LOBBYIST RETAINED BY:
. '. vt. . .; e . Ja . —LTD
N E PR AU LNT RD fed U ctt
r C.- 33139
BUSINESS NAA.1 ANDigt4S6 (Number and Stree
( O (State) (Zip Code) , i
H 20 U`0) C ci��
. nom+
TEL- O E NUMBER: NUMBER:(Optional)) MA1L (Optional)
Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(c)]
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY,O \A ec c -er
• IDENTIFY ALL PERSONS HAWING,DIREcTLY,FINDIRE TLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST 'Cs C€?
II SPECIFIC;L:OBBY ISSUE: c`",2-`I-4- Q ez Q.5ce. m-ersi'" a k-
I c\ ces f-& -6 Ct.N ca,�- 4&C�.$�� a* '4t --13 S* �_c J C&, C-t__
Issue to be lobbied(Describe in deta ):
iii CITY AGENCIES/INDIVIDUALS TO.3E 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 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
title of person to be lobbied
64 aSk CA)CLA•441-eS MC-014111.ilta
et CeArk . •
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 an impropriety,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 C C
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc '
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) Cl_Lcr(j c-) ■.� -
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):� n _ ',
(REQUIRED). 1 L
r
The following information must be answered: _ --I - ,
1) Pursuant to Miami Beach City Code Section 2-488.Entitled"Prohibited Campaign Contributions By Lobbyists On Procurement
Issues': 1"
Iv '
_Yes_No: Are you lobbying on a present or pending bid for goods,equipment or services,or on a present orpenifing
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
Dev t'pment Issues":
—Yes_No: 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
iterp(shall register with the clerk as required by this section but,shall not be required to pay any registration fees.
YesV : 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 EVE. •IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD. ye
' tree of Lo..yis
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 Mi- I •-a hh•• 'Wrr.-• _II reporting requirements.
Signature of Lobbyi J/ , // .
Signature of Principal/Client c.. �. _..-- ! ,�lL� , f2�z,lz/a-� RY)L'L/) 41:5: �
VI. LOBBYIST IDENTIFICATION: l— PRINCIPAL IDENTIFICATION:
_Produced ID _Produced ID
Form of Identification Form of Identification
Personally rsonally known(Lobbyist) ersonally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade State of Florida,
". ALBERT GONZALEZ
Sworn to a ubscribed before me ������� Swom.a4d subsd ib 3._•+ - me
This r/ j•- _0f Misr o. , �?;''��. SUZANNE MARTINEZ This i day o 4 4 `�z t�gtp Public-State of Florida
.Ia •°+om' , MY COMMISSION I FF 175226 ', c My Comm.Expires Nov 12,2017
_., �►j�1! *'4 * �� - Commission 0 FF 069929
.`irlr�. = mx+!' EXPIRES:November 11,2018 •4�a.� .•
i~"..-, '`, otary-Stat- •f'E.; BondedThroBudgeI Notary Services Signature of Public Notaryy,- ' FIc National Notary Assn. 0
N. rization of Lobby 's_signat e • Notarization of Principal's re- ° — °
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: ip Yes[ ],No 'Amount Paid$ O•&?_MCR#4 O1r17°l i 4or'E`I�O Date Paid 06- 0-//v -�
Lobbyist Registration For received-and verified by:- A► � .t. I7D�� I
F.:;C.Li R;s ;LIaFC�R :\LUSBYrST r,)iC4S\Lotibyist kru u::l Ftnyarraieor,Yon.�oc, Revised 01/22/2014
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Iv. UISCLOSUKt OF IEHMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATEOR OTHER):
A) LOBBYIST DISCLOSURE:(Required) f' 10u.,�1i4 t ..)715D,o '
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):�„ n ///
(REQUIRED). f(jyCUe-
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__,Z 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
Dev i"pment Issues":
_Yes {_No: 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
ite7!shall register with the clerk as required by this section but,shall not be required to pay any registration fees.
_Yest o: 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 EVE. IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD. // .
'.7e of Lo..yis
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 Mi I :� h ' .r'.•e .11 reporting requirements.
Signature of Lobbyis. A p•• _
Signature of Principal/Client �-'� �-•--- –
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,
"" ALBERT GONZALEZ
Sworn to a . ubscribed before me Sworn.20 subs ibe G+:•+ - me
This `7 a.. _.f + ��� 8UZANNE MARTINEZ This'j day o c,t ►+`�i� �,�=,NgtitPublic-State of Florida
T ..�. MY COMMISSION d FF 175226 / •', -My Comm.Expires Nov 12,201 Z :
��� *:.1,—�..-.. * "--,4,--:,...7-.ITr •:�
3i��` ,ult±:c EXPIRES:November 11,2018 Commission#FF 069929
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iT'W4611�u. , otary–Stet- .f'F..a•'„': Banded Tin Budget Notary Servkes Signature of Public Notary– 'I'FI ianal Notary Assn. )
N.e rization of Lobby 's signat e Notarization of Principa s ig a re° — °"0'—
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ I Yes[ •]No Amount Paid$ MCR#__ Date Paid —1
Lobbyist Registration Form received and verified by:
N:'.CLER\5....,;;_i_ka For:MT%LUSH 0 N1iC45l.t.at by:.t 1 must i:r,g:5rr�<..p.For ro-mac,. Revised 01/22/2014
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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=F c E
Tel: 305.673.7411 ,Fax: 305.673.7254 i,;I I `f 1, :
LOBBYIST NAME: 1-Fr J ZCfD (yyi? e2 -
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
appeal: = to the Miami-Dade County Commission on Ethics and Public Trust
/// / z0/1
�fe: /7 Date:
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