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Janna Lhota/Greg Cook m - ~lt.1mi lilcllm BUS 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 "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. Lhota Janna NAME OF LOBBYIST: (Last) (First) Holland & Knight u..P One E. BraNard Boulevard #1300, BUSINESS NAME AND ADDRESS (Number and Street) (City) 954-468-7841 TELEPHONE NUMBER: 954-463-2030 FAX NUMBER: P (M.!) Ft. Lauderdale, FL 33301 (State) (Zip Code) janna.lhota@hklaw.com EMAIL: I. LOBBYIST RETAINED BY: Greg Cook - Director of Operations NAME OF PRINCIPAl/CUENT: Miami Beach Marriott at South Beach, 161 Ocean Drive, 11iami Beach, FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 786-276-2023 TELEPHONE NUMBER: 786-276-2032 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: . IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A SOlo OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: Hearing before Special a~ster - Code Enforcerrent Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship Cooe Enforcement Board No Jose Alberto, Ccxie Inspector No Lisa l1artinez, Clert r.1aster Speclal No IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) If ~ tJ.S: tIlJ ~ B) PRlNOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). '(~ ~ ~ ~ Yes ~ Are YOU reDresentinG a not-for-Drofit corDoration or entity without sDeCial com!)ensation or reimbursement. Pursuant to Ordinance No. 2004-3435. 1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chaoter 2. Article VII. Division 5 Thereof Entitled "Campaign Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": Yes ~ Are YOU lobbyinG on a Dresent or !)endinG bid for Goods. eauiDment or services. or on a Dresent or !)endinG award for Goods. eGuiDment or service? 2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City Code Chaoter 2. Article VII Division 5 thereof Entitled "Camoaian Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited Campaign Contributions By Lobbvists On Real Estate Development Issues": V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, USTlNG 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 EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. ~ j? n "U-It- . (' .~ Signature of Lobbyist 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 Beach City Code and all reporting requirements. VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Signature of Lobbyist: Signature of Principal/Client: o Produced ID o Producecl ID Form of Identification Form of Identification ~nallY known (Principal) P Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: .o~~ State of Florida, County of MiiR'li QiEie Sworn to and subscribed before me This ..24j;!::>. day of ~ ~ . 20C'\..( ~~f~b~ofAonda Notarization of Lobbyist's signature ~',J', Lisa ShlsloWSkl ~"'ii.~ CommisSion' 00292475 :*: ~ft-t: Expires May 1 2008 ~,ft'nl'''''~ IIondelITray Fain .~,1nC. .....701. 'n.li' t;i LOSANGB8 ~ PI/bile. Stale of ~11. OIIrnmlsslOn . C02'U7I IIIIIIIId By NaIonaINaIaIy'" FOR CLERK'S SE ONLY ~~ L ,fi Annual Registration fee: Yes [ ] No Amou P, it! . MCR ~ 7f{;JO'f Date Paid/O "t" Lobbyist Registration Form received and verified by: Revised 02/10/04 F: \MARIA-M\LOBBYISl\LOBBYIST FORM 04 Message Page 1 of3 · Gibson, Elizabeth From: janna.lhota@hklaw.com Sent: Tuesday, July 06, 2004 1 :05 PM To: Gibson, Elizabeth Subject: RE: lobbyist registration form Elizabeth, I just returned from vacation and appreciate your patience. Holland & Knight LLP is legal counsel for Marriott International in connection with a noise violation issued by the City Code Enforcement Division for the Marriott Hotel at South Beach. We are not being paid a separate lobbyiest fee. Only our standard hourly rate, which for me (the only individual having any contact with the City at present) is $295.00. Please let me know if you need any further information. Janna HQlland_+_Knigbt Janna P. Lhota, Esq. Holland & Knight LLP One East Broward Boulevard Suite 1300 Fort Lauderdale, FL 33301 (954) 468-7841 (954) 463-2030 (fax) janna.lhota@hklaw.com This email is intended solely for the use of the individual to whom it is addressed and may contain information that is privileged, confidential or otherwise exempt from disclosure under applicable law. If the reader of this email is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemina~ion, distribution, or copying of this communication is strictly prohibited. If you have received this communication in error, please immediately notify us by telephone and return the original message to us at the listed email address. Thank You. -----Original Message----- From: Gibson, Elizabeth (mailto:ElizabethGibson@miamibeachfl.gov) Sent: Thursday, July 01, 2004 3:55 PM To: janna.lhota@hklaw.com Subject: RE: lobbyist registration form We need to know the hourly rate. Elizabeth Gibson City of Miami Beach City Clerk's Office 1700 Convention Center Drive Miami Beach, Florida 33141 Telephone: 305-673-7411 x6143 Facsimile: 305-673-7254 email: elizabethgibson@miamibeachfl.gQ.l 7/6/2004