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Gerald L. Knight/Parinely Group .. Mlmnl Bcoxtl b8IlI iiIW m :AJ1I3 - - 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 modlflcatlon of any ordinance, resotution, 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 perfod 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 dty board or committee. The term specifically i"dudes the principal as well as any employee engaged in lobbying activities. The term "'Lobbyists- has specific exclusions. PI..se refer to Drdlnance 2004-3435. NAME OF LOBBYIST: KniQht (Last) One E. Broward (Number and Street) Gerald (First) Blvd., Suite (City) L. Holland & Knight LLP, BUSINESS NAME AND ADDRESS 1300, Fort (State) (M.I) Lauderdale. FL 33301 (Zip COde) 954-468-7868 TELEPHONE NUMBER: 954-463-2030 FAX NUMBER: qerald.kniqht@hklaw.com EMAIL: I. LOBBYIST RETAINED BY: Patrinely Group, LLC NAME OF PRINCIPAljCUENT: 1980 Post Oak Boulevard, Suite 1600, Houston, TX 77056 BUSINESS NAME AND AODRESS (Number and Street) (Oty) (State) (Zip Code) 713- 840- 2714 TELEPHONE NUMBER: 713-840-2705 FAX NUMBER: (Op~onal) EMAlL: (Op~onal) Fill out thl. section If prlnclpoll. a Corporation, Partnership or Tru.t [5ectIon 2-4B2 (e)] NAME OF CHIEF OFFICER, PARTNER, OR BENEACIA,R'I:: L C . '1)eGL"'- ~C<.~;...t.l..t, ~~\J.e,^,'\ IDENTIFY ALL PERSONS HOLDING, DI~ECTl Y OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: I ~ ' \)0 \ ( C. 'be""" ?<.\.tt\t\e~., I"'~a.e.~ e. N..u...:,ll", 'j Leat./l...... ~- .....e II. 5PECIFICLOBBYISSUE: Saxony Hotel project - modification of Saxony Hotel and new construction . . Issue to be lobbied (Describe In detail): III. CITY AGENCIES/INDMDUALS TO BE lOBBIED: A) Full Name of Individual/TItle eSlgn re Dir. of P&Z B) Any Anand.', Familia' or Profeulonal Relationship None vati n Board None Board of Adjustment None . IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSAnON (DISCLOSE WHETHER HOURL Y, FLA T RA TE OR OTHER): hourly A) LOBBYlST DISCLOSURE: (Required) B) PRINCIPAl'S DISCLOSURE (OF LOBBYlSTCOMPENSATlON): (Required). hourl y Yes ~ .:.,':,:~ reDresentlna a nat-fDr-aroftt caraoratlan or entity without .DeClai camoenSlltion or ~_ __ . Pursuant to Ordinance No. 2004-3435. 1) ~ 2) ~ v. Pursuant to Ordinance No. 2003-3393 Amendino Miami Beach Otv Code Chaoter 2. Article VII. Division 5 Thereof Entitled "Camoaian Finance Refonn" Via The Addition Of Code Section 2-488 Entitled "Prohibited Camoaie" Contributions Bv LobbYists On Procurement [ssues": Are YOU lobbvinG on a Dresent or oendina bid for aoods. eauiDment or services. or on a Dresent or Dendlna award for aoods. eaulDment or service? Pursuant to Ordinance No. 2003-3395 Amendlno Miami Beach Otv Code Chaoter 2. Article VII DivisiOf1 5 thereof Entitled "Camoai9n Finance Reform". Via The Add~ion Of Code Section 2-490 Entitled "Prohibited Camoaian Contributions BY Lobbvists On Real Estate Develooment Issues": ;I~;~:~~c~::~~~:;:~;:~~:':~a~::o~~~~~:~::::~:ec'::~ =~~~tyu: MaD? SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, UmNG LOBBYING EXPENDIllJRE , AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDI R. A STATEMENT SHAU BE FILED EVEN IF THERE HAVE BEEN NO EXPENDIllJ ON DURING THE REPORTING PERIOD. I do solemnly swear that all of the foregoing facts are t familiar with the provisions contained in Section 2-48 requirements, Signature of Lobbyist: Signature of Principal/Client: ,!'ersonally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: i3'"1'bvv .......<- State of Florida, County of P1;.toI"i 81;.88 SWO'!l,to~DI1 subscribed before "'" ThiS(X' S!:':::'day.oU--u7" Wl>J.-20~rf VI. LOBBYIST IDENTlFICAnON: PRINCIPAL IDENTlFICAnON: Produced ID Produced ID Form of Identification Form of Identification Personally known (Principal) "i'<!oa..:. tAco. r-rZ ~ Slate of Florida, County of Mifl" ,; B.de Sworn and subsai before me ./ This l:!f!:)Jay of ~ Signature of Public No - Slate o~a Iel'iLS Notarization of Prindpal's signature 4\ ~I CAROLYN DRUSHEl. MY COMMISSION EXPIRES AjlII18,2lllI FORC Annual Registration fee: ) Yes [ ) No Amou t P LobbyIst Registration Form receIved and verified by: Revised 02/10/04 F: ~}~~~ci;,;2 7;<2c(; Date Pakl iJ2l,}; II ARIA.M\LOBBYlS1\LOBBYlST FORM 04 Message Page 1 of2 Gibson, Elizabeth From: jennifer,brown@hklaw.com Sent: Monday, August 30, 2004 3:09 PM To: Gibson, Elizabeth Subject: RE: Lobbyist Registration Form Gerald Knight's hourly rate is $285. Jennifer Brown. Senior Legal Secretary Holland & Knight LLP One East Broward Boulevard Suite 1300 Fort Lauderdale, PL 33301 Telephone No.: 954-468-7881 Fax No.: 954-463-2030 E-Mail: jennijer.brown@hk/aw.com -----Original Message----- From: Knight, Gerald (FTL - X27868) Sent: Monday, August 30, 2004 2:45 PM To: Brown, Jennifer (FTL - X27881) Subject: FW: Lobbyist Registration Form Please call her and find out what we have to do, -----Original Message----- From: Gibson, Elizabeth [mailto:ElizabethGibson@miamibeachfl.gov] Sent: Monday, August 30, 2004 2:11 PM To: gerald.knight@hklaw.com Subject: Lobbyist Registration Form The above registration form were received in the City Clerk's Office today and Item no. 4 were not answered properly we need the amount that's being paid hourly before it can be processed. Thank you 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 emaH: elizabethaibson@.miamibeachfl.aov 9/1/2004