Leslie & Natalie Ziegel
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Email: dtyderk@d.miami-beach.f1.us
LOBBYIST REGISTRATION FORM
RECE\VEO
3 \ ~~ \0: \ 9
03 NG~
(' n CLER'r\'S off IcE
(City of Miami Beach, City Code Olapter 2, Division 3, Section 2-48~\
to
-
-
[J Check Box if an Amendment
NAME OF LOBBYIST:
DOUGHERTY
(Last)
LUCIA
(First)
A.
(M.I) DATE QUAUFIED f>S LOBBYIST
Greenberg Traurig, P .A.
BUSINESS ADDRESS:
1221 Brickell Avenue
(Number and Street)
Miami
(City)
Florida
(State)
33131
(Zip Code)
305-579-0603
TELEPHONE NUMBER:
305-961-5603
FAX NUMBER:
dougherty!@gtlaw.com
EMAIL:
I. LOBBYIST RETAINED BY:
Leslie. Natalie Zlegel
NAME OF PRINCIPAl/WENT:
4335 North Bay Road
Miami Beach,
Florida
33140
(Zip Code)
BUSINESS ADDRESS:
(Number and Street)
(City)
(State)
305-579-0500
TELEPHONE NUMBER:
305-579-0717
FAX NUMBER: (Optional)
ziegell@gtlaw.com
EMAIL: (Optional)
Fill out this section if prindpal is a Corporation, Partnership or Trust [Section 2-482 (e)]
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
UST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPEaFIC LOBBY ISSUE:
Variance for pool setback.
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/TItle
B) Relationship
SEE ATIACHED
.
IV. U.l::M...LU:tUKII: ur I CKPI:t ""I.' AMUU'" l::t ur LUDa, 1.::U \"UPlt"'CnI::I\R I J.un lU.l:J4,..LU::JlC wnc I "1:1'\ nUUKL r,
FLATRATEOR OTHER):
None
(')
A) LOBBYIST DISCLOSURE:
B) PRINOPAL'S DISClOSURE (OF LOBBYIST COMPENSATION):
o
None
1) Pursuant to Ordinance No. 2003-3393 Amendino Miami Beach City Code Chaoter 2. Article VII. Division 5
Thereof Entitled "Camoaion Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaion Contributions Bv Lobbvists On Procurement Issues":
nt or services or on a nt
2) Pursuant to Ordinance No. 2003-3395 Amendino Miami Beach City Code Chaoter 2. Article VII Division 5
thereof Entitled "Camoaion Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaion Contributions Bv Lobbvists On Real Estate Develooment Issues":
V. SIGNATURE UNDER OATH:
ON OCTOBER 1 Sf OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING 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 the Miami ach City Code as amended, and all
reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
[J Produced ID
Form of lcentification
YD. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
i) ~M. Luo.
. . My Cornlrnelon C0201132
~ ~~... Sep_nb.. 24. 2005
State of Florida, County of Miami-Dade
Sworn tynd SUbscri~ beforbi.e
This / day of VflnJ r2003.
Print, stamp or type name of Notary Public
FOR CLERK'S USE ONLY
Registration: t><1 ACCEPTED
[ ] REJECTED
DATE:
\tt-\ '- 0"3
If rejected, state reason:
Registration fee paid: ~es [ ] No
DATA ENlRY DATE: -J '2 -)
[ ] Cash ~ Check MCR # .
. 2003 ENTERED BY: ~
F:\ct.Ei\HAll\Lobbyists\registrationa03.doc
~b 134:'1.
2nd Revision 3/18/03