Alfredo Gonzalez/LG 94, LLC
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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 defined in any
manner in this section, 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 "LobbyistsW has specific exclusions. Please refer
to Ordinance 2004-3435.
Gonzalez Alfredo J,
NAME OF LOBBYIST: (Last) (First) (M.!)
1221 Brickell Avenue Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-579-0588 305-961-5588 gonzalezaj@gtlaw,com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
LG 94. LLC,
NAME OF PRINCIPAl./CUENT:
LG 94, LLC.
BUSINESS NAME AND ADDRESS
94 LAGORCE CIRCLE.
(Number and Street)
MIAMI
(City)
FLORIDA
(State)
33140
(Zip Code)
786-208-2113
TELEPHONE NUMBER:
305-538-4302
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section If principal Is a Corporation, Partnership or Trust [Section 2-482 (c)]
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
TOOD GLASER
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A S% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
TOOD GLASER AND ALAN L1EBERMAH
II. SPECIFIC LOBBY ISSUE:
BUILDING & ZONING ISSUES
Issue to be lobbied (Describe In detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Finandal, Familial or professional Relationship
BOARD OF ADJUSTMENT
PLANNING I ZONING DEPARTMENT
FIRE DEPARTMENT
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) lOBBYIST DISCLOSURE: (Required) $ 2 5 0 . 00 Hour 1 y
B) PRINCIPAl'S DISCLOSURE (OF lOBBYIST COMPENSATION): (Required). $250.00 Hourly
r
1)
~rs:nt t~ ~::inance No. 2003-3393 Amendino Miami Beach City Code Chaoter 2. Article VII. Division 5
e f En I "Camoaian Rnance Refonn" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaign COntributions Bv Lobbvists On Procurement Issues":
or on a
2)
::~nt to ~inance No, 200~-339S Amendino Miami Beach Otv Code Chaoter 2. Article VII Division 5
e f EntltJ "Camoaion Finan e Refonn". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaion COntributions BY Lobbvists On Real Estate Develooment Issues":
v.
SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDIT RES 0 OMPENSATION DURING THE
REPORTING PERIOD.
I do solemnly swear that all of the foregoing facts are true an correct and that I have read or am
familiar with the provisions co Ined In Section 2-482 of the Miami Beach City Code and all reporting
requirements.
Signature of Lobbyl .
o Produced ID
TION:
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1-ProducedID (Q..'->I.-z..I,.- Rt-c-,-\,.'" -c:;\\-o
!=arm of Identification
VI. LOBBYIST IDENTI
Fonn of Identification
X. Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
o Personally known (Principal)
State of Florida, COunty of Miami-Dade
Sworn to and subscribed before me
This 20~"\
State of Aorlda, County of Miami-Dade
Swom and subscribed before me
This ~day of~
a
EONLY ~
MCR #h/7flY5 Date Paid ((?)J~ '
./ FOR CLE
Annual Registration fee: [ VJ Yes [ ] No Amount Paid
lobbyist Registration Form received and verified by:
Revised 02/10/04 F: ClER\All\MARIA-M\lOBBYIST\lOBBYIST FORM 04