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BSG Development Corporation RECEIVED 03 NOV lOAM 10: 28 LOBBYIST REGISTRATION FORM CITY CLERK'S (City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) 0 F Fie E m City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 Email: cityclerk@Ci.miami-beach.f1.us - Q Check Box If an Amendment DOUGHRTY NAME OF LOBBYIST: LUCIA A. (Last) (First) (M.!) DATE QUAUFIED AS LOBBYIST 1221 Brickell Avenue BUSINESS ADDRESS: (Number and Street) Miami (City) FL (State) 33131 (Zip Code) doughertyl@gtlaw.com EMAIL: ~nEi_~7Q_n~n~ TELEPHONE NUMBER: 305-570-0717 FAX NUMBER: I. LOBBYIST RETAINED BY: BSG Development Conporation NAME OF PRINOPAljCUENT: 5996 S.W, 70th Street BUSINESS ADDRESS: (Number and Street) (City) Miami FL (State) 33143 (Zip Code) 305- TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section If principal is a Corporation, Partnership or Trust [SectIon 2-482 (e)] NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: tJlf9 . UST ALL PERSONS HOLDING, DIRECTlY OR INDIRECTlY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: D. .....~.... .C LOBBY ISSUE: Representation for Comfort Inn I 6261 Collins Ave. Issue to be lobbied (Describe in detail): m. CITY AGENClES/INDMDUALS TO BE LOBBIED: A) Full Name of Individual/TItle B) Relationship SEE ATTACHED ..... ~... ~~ur .~......,...............""" ....,...~M ...................1..,..- ....- ........... nUUII&..t, FLATRATEOR. OTHER): A) LOIl8YISTOI$Cl.OSURE: $450.00 D~.r 1701.1(' I $450.00 {J~ hDU/ , B} PlUNQPAl'S DISClOSURE (OF LOB8YJST COMPENSATION): 1) Pursuant tel OrdinallO!J No. 2aQ3.ngJ Amendinq Miami BI!~h Olv Codtt Chant 2 A!tide VII. Division 5 TherllOf Entitllld "Camcailltl FinanCl! Reform" VllI ThI! Addition Of ('~R ~""l\ 2-488 Enritled ~Ptohibi~ Camoalon Contributions Bv Lobbvtsts On Procurement IWJ~": ANI..u '-~"ui_ -. _lIlar ....dl.. IIId !~~.r _.~ ClI' eft... .... .r __1M...... fII.. - ~ ....i_1It Dr ~_ ~ PUlSullnt tel Ordinlln~ 1110 2M:J.D8!I ArMndina Miami Beach Olv Code Otacter 2. Attlde VII Division 5 therllOf ell~ed "'Camoaian FinanCl! Reform" Via ThR Addition Of Code 5ettlon 2-490 Entitled .Prohib~d Camnaian Contributions BY lobbYist!: On Real Fctaho Devl!laDrnIl!lIt [~ue!:": . 2) AN _. -~ut...... MNfiM ....ill:8liieft fer,.............. AlI___ will... CIbt... ~~ fer die.... "l81li_ mao ....:8lil1~ .,. cMnge ID tile CilJ'. Future Land ...... MAD' V. Sl'GNAnME UNDER 0A'nI1 011 0C10Ia lIT OF EACH YEM, bOt LOIIIIYISI' StW.L SU.ur TO THE CITY CLERK A SIGNED srATEMENT UNDER OATH, LlSYlNG LOIIImNG EXPENDlTURU IN THE CITY OF MIAMI lEACH fOR THE PRECIDING CA&ENOMt VIAll. J do solemnly swear that all of the foregoing facts are true and correct and that J have read or am familiar with the proviSions contained in Section 2-482 of the Miami Beach City Code as amended, and all reporting requirements. Signature of lobbyist: Form of Identification -. ~V,f SEER. C -; ~.."""..."., ~fc.~ HENIIIQf/..", ~ \':.;;~i&8;oi;;.e.. ~ '\ ::* ..~t'i....",8ell.....~. .. .... . ~~" . --'!Io ....0:.. *.. .. ..... 0 '1;'"0_"".- - 2: ::E~ -Q~. = : 0: >.< Ut (I): .c _ : ::!~"Z 'DO 074502 ..: 9 = :.~..\ ~ .:Q: ~ ~ '~->Ao"rJ.d\'r<\~.~"~ ~ ;... 76 ...~bl;c un6:..a<t.. (( ~ , ~ ... .... t), " n ture a Public Notary - S of Flori IIIII~, .~:~\\\\\\ ~ A v I 'et<. J!e...N,ej (j J e.. S Print, stamp or type name of Notary Public Signature of PrIncipal/Client: VI.. LOUWlSIIDINIJfICATIONI /!It/, (~" c Produced 10 VII. SbIIIA1UU AND SfANP OF NOrARY OI.DEPU1Y C1ERK: State of Rorida, County of Miam"Oade Swom to apd SUbsai~re:: This '.J.'I day of J~~ 2003. .. fGR Cl8tt"S... OIIILY lleg\stratlon~ ~ ACCEPTED It rejed!Id, 5t3tr reason: RegistrMlon fee paid: ~6 [ ] No DATA ENTRY DATE: +Lf I '"t-- 2nd RevIsion 3/18103 ] IWECTED CAll:: [ J 0I$h (){ Oledc MCU' . 2003 ENTERED BY: ~/ f: R\HAn\LObbyiSlS\reQistrationaOJ.doc G0~ 6ElS'ON ~8sev~ ~0~ ~ 91~~1 9~3BN33~9 ~G:~t ~0/90/n .&Y. ..,~ L'~ru:ur II:KPI~,,""'APlUUnl~Ur LUDDI~I ""'...rl:n~l.&un\..,.&.:IIIII L~nnl:lnl:", nVUftL.J, FLATRATEOR OTHER): A) LOBBYIST DISCLOSURE: $450.00 fl~ ~W' , B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): $450.00 jJ../lf h 0 L>y . 1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach Citv Code Chaoter 2. Article VII. Division 5 Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Camoaian Contributions Bv Lobbvists On Procurement Issues": rvices or on a resent 2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach Citv Code Chaoter 2. Article VII Division 5 thereof Entitled "Camoaian Finance Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibited Camoaian Contributions Bv Lobbvists On Real Estate Develooment Issues": 1 V. SIGNAlURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, UsnNG 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 and correct and that I have read or am familiar with the provisions contained in Section 2-482 of Miami Beach City Code as amended, and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: CHARLES SIEGER Form of lrentification eallY Kl'~ CJ Produced ID YD. SIGNAlURE AND STAMP OF NOTARY OR DEPUTY CLERK: ~1\~M.U- ;'~j MyCOmmlllllonCD:101132 """..., ~ ~,.w:M, 20lIlI State of Florida, County of Miami-Dade Sworn % and SUbscri~=e This day of!9vl ('2003. Print, stamp or type name of Notary Public FOR a.ERK'S USE ONLY Registration: ~ ACCEPTED [ ] REJECTED DATE: \ \ - \0 J() "3 If rejected, state reason: Registration fee paid: l>.{Yes [ ] No DATA ENTRY DATE: [ ] Cash ~ Check MCR # ~0 Lf8 <61 .2003 ENTERED BY: 2nd Revision 3/18/03 F: \CLER\HAlL\Lobbyists\registrationa03.doc Mayor David Dermer Commissioner Matti Herrera Bower Commissioner Simon Cruz Commissioner Luis R. Garcia, Jr. Commissioner Saul Gross Commissioner Jose Smith Commissioner Richard Steinberg Jorge M. Gonzalez, City Manager Mayra Diaz-Buttacavoli, Assistant City Manager Christina Cuervo, Assistant City Manager Robert Middaugh, Assistant City Manager Mary Greenwood, Executive Assistant to the City Manager Ramiro Inguanzo, Chief of Staff Tim Hemstreet, Special Assistant to the City Manager Murray Dubbin, City Attorney Donald Papy, Chief Deputy City Attorney Code Compliance Division AI Childress, Division Director Eric Wardle, Jr., Assistant Division Director 305-673-7000 ex!. 6787 Kristal Caron, Office Manger Fire Department Floyd Jordan, Fire Chief Planning and Zoning Department Jorge Gomez, Director William H. Cary, Director Design, Preservation and Neighborhood Planning Division Armando Valdes, Planning and Zoning Manager Thomas R. Mooney, AlCP, Design and Preservation Manager Steven Green, Office Manager Chuck Taft, Boards Administrator April Hirsch, Secretary to the Board of Adjustment Juan Diaz, Planning Technician Antonieta Stohl, Receptionist Permit Review Process Ricardo Guzman, Planner, Planning & Zoning Kevin Perkins, Planner, Planning & Zoning Marija Surev, Planner, Planning & Zoning Christopher Dunn, Planner, Planning & Zoning Mark Sean Finnen, Planner, Planning & Zoning Planning Board Mercy Lamazares, Sr. Planner Stephen Foren, Sr. Planner, Planning & Zoning Board of Adjustment Armando Valdes, Planning and Zoning Manager April Hirsch, Secretary to the Board of Adjustment Historic Preservation Thomas R. Mooney, AICP, Design and Preservation Manager Shannon Anderton, Sr. Planner, Design & Preservation Design Review Board Thomas R. Mooney, Alep, Design and Preservation Manager Laura Quenelle, Sr. Planner, Design & Preservation Neighborhood Planning Joyce Meyers, North Beach Planning Coordinator Reuben Caldwell, Planner, Design & Preservation Charles Buckles, Sr. Plans Designer Katia Hirsh, Planner Public Works Fred Beckmann, Director Michael Alvarez, Assistant Director Engineering and Construction Division Environmental Resource Division Bruce Henderson, Environmental Specialist Streets and Streetlights Division Transportation and Concurrency Management Joseph Johnson, Director Amelia Johnson, Transportation Coordinator Henry Johnson, Senior Planner, Debra Hart, Office Associate Water and Sewer Division Nathan Pope, Water and Sewer Utilities Superintendent John Kranick, Streets, Streetlighting and Stormwater Superintendnet A.D.A. Compliance Heidi Johnson-Wright, ADA Coordinator Building Department Phil Azan, Building Director Hamid Dolikhani, Assistant Director Richard McConachie, Chief Building Inspector Jeri Dee Goodkin, Senior Building Inspector Permit Counter Evelyn H. Sanchez, Office Associate IV Electrical Gary Ortega, Chief Electrical Inspector Plumbing Paul Elledge, Chief Plumbing Inspector Structural Mohammed Partovi, Chief Structural Plans Processor Mechanical Paul Raymond, Chief Mechanical Inspector Microfilm/Storage Omar Castellanos, Building Records Manager Elevators John Antona, Chief Elevator Inspector Accessibility Gladys Salas, Chief Accessibility Inspector