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Lobbyist means all persons employed or retained, whether paid or not, by a prlndpal who seeks to encourage the pa~defEit
or modification of any ordinance, resolution, action or decision of any commlsslonerj any action, decision, recommendatl~i Jre'
City Manager or any city board or committee; or any action, decision or recommendation of any dty personnel deflned 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 Indudes the
principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer
to Ordinance 2004-3435.
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
Dougherty Lucia A.
NAME OF LOBBYIST: (last) (First) (M.I)
1221 Brickell Avenue Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-579-0603 305-961-5603 doughertyl@gtlaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAlL:
I. LOBBYIST RETAINED BY:
535 West Avenue, LLC
NAME OF PRINOPAl/CUENT:
535 West Avenue, LLC
BUSINESS NAME AND ADDRESS
1100 Biscayne Blvd, 7th Floor Miami
(Number and Street) (City)
FL
(State)
33132
(Zip Code)
305-379-7246
TELEPHONE NUMBER:
305-579-9961
FAX NUMBER: (Opbonal)
EMAIL: (Opbonal)
Fill out this section If principal I.. Corporation, Partnership or Trust [Section 2-482 (ell
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Bob De La Fuente
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
Ai & Boymelgreen & HNH Investments, LLC
II. SPECIFIC LOBBY ISSUE:
RelocationNacation Alley, DRB, BOA and Perm~ Issues
lssue to be lobbied (Describe in detail):
III. CITY AGENCIES/INOIVlDUALS TO BE LOBBIED:
A) Full Name of IndlviduallTitle B) Any Financial, Familial or Professional Relationship
Planning Department
DRB. BOA & Zoning Department
Mayor I City Commission I City Manager
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $465,00 HOURLY
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required), $465,00 HOURLY
Yes No: Are YOU reDresentina a not-for"Drofit corDoration or entity without saecis. comDensation or
reimbursement. Pursuant to Ordinance No. 2004-3435.
1) Pursuant to Ordinance No. 2003-3393 AmendinG Miami Beach City Code Chaoter 2. Article VII. Division S
Thereof Entitled "Camoaian Rnance Reform" Via The Addition Of Code Section 2~88 Entitled "Prohibited
Camoaie" Contributions Bv Lobbvists On Procurement Issues":
Yes No:
Are YOU lobbyina on a Dresent or aendina bid for Goods. eauiDment or services. or on a Dresent
or aendina award for Goods. eauiDment or service?
2) Pursuant to Ordinance No, 2003-3395 Amendino Miami Beach City Code Chaoter 2. Article VII Division S
thereof Entitled "Camoaion Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaian Contributions BY Lobbvists On Real Estate DevelQoment Issues":
Yes No:
Are YOU lobbvinG on a endinG 8DDlication for a DeveloDment Aareement with the City or
8DDlication for chanGe of zonina maD desiGnation or chanGe to the City's Future Land Use MaD?
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 LENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURE COMPENSATION DURING THE
REPORTING PERIOD.
Signature of Lobbyist
VI. LOBBYIST IDENTIFICATION:
e and correct and that I have read or am
e Miami Beach City Code and all reporting
I do solemnly swear that all of the foregoing facts are
familiar with the provisions contained in Section 2-482 f
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
D Produced ID
D rod ced 10
Form of Identification
Form of Identification
~rsonally known (Principal)
1'J-. Personally known (lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This -z....., day of 20Q~
State of Florida, County of Miami-Dade
swo~ aod subscriPed ore me ~.l
This ~da f~(A 2 v'f
c.~ o~u..""
tate of Aorida
Notarization of Lobjjyist's signature
Signature 0 Public Notaoy - State of FI rida
Notarization of Pri n IALNOTARYSiAL
o....t- <", PATRICIA A KUNDE
~ ~ COMMISSION NUMBER
c.!\ <" 00065451
"1:- ~ MY COMMISSION EXPIRES
OF F\..O OCT. 16,2005
FOR CL
Annual Registration fee: [ ] Yes [' ] No Amou t
Lobbylst Registration Form received and verified by:
Revised 02/10/04 F: CLER
'S USE ONLY . ~ c7 ~ '
MCR # 27,)7.~~Datepald q -^ r uY