535 West Avenue, LLC
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
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Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passa~ defB
or modification of any ordinance, resolution, action or dedslon of any commissioner; any action, dedslon, recommendatl6" of I:lIe
Oty Manager or any city board or committee; or any action, decision or recommendation of any city personnel deflQ In M
manner In this section, during the time period of the entire decision-making process on such action, decision or recom~datlOii
that foreseeably will be heard or reviewed by the city commission, or a city board or committee. The term spedfically l"P9des..ft
prlndpal as well as any employee engaged in lobbying activities. The term "Lobbyists- has specific exclusions. PI~ r4iler
to Ordinance 2004-3435.
LOBBYIST REGISTRATION FORM
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:
535 West Avenue, LLC
NAME OF PRlNCIPAl/CUENT:
535 West Avenue, LLC 1100 Biscayne Blvd. 7th Floor Miami
BUSINESS NAME AND ADDRESS (Number and Street) (City)
FL
(State)
33132
(ZIp Code)
305-379-7246
TELEPHONE NUMBER:
305-579-9961
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section If principal Is a Corporation, Partnership or Trust [Section 2-482 (e)l
. 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. 5PECIFIC LOBBY ISSUE:
RelocationNacation of Alley, ORB, BOA And Pennit Issues
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
Planning Department
ORB, 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,
FLA T RA TE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $250,00 HOURLY
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required), $250.00 HOURLY
Yes No: Are YOU reDresentina a not-for-Drorlt corDoration or entitY without sDeClal camDen_tiC" or
reimbursement. Pursuant to Ordinance No. 2004-3435.
1) Pursuant to Ordinance No. 2003-3393 Amendino Miami Beach Citv Code Chaeter 2. Article VII. Division 5
Thereof Entitled "Camoaie" Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaie" Contributions BY Lobbvists On Procurement Issues":
Yes No:
Are YOU lobbvina on a Dresent or Dendina bid for Goods, eouiDment or services. or on a Dresent
or Dendina award for Doods. eauiDment or service?
2) Pursuant to Ordinance No, 2003-3395 Amendino Miami Beach atv Code Chaeter 2. Article VII Division 5
thereof Entitled "Cameaion Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaian Contributions BY Lobbvists On Real Estate Develooment Issues":
Yes No:
Are you lobbvinG on a endinG aDDlication for a DeveloDment AGreement with the City or
aDDlication 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 PRECED NG CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEND 0 PENSATION 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 contai ed in ion -4B2 of the Miami Beach City Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
o Produced ID
o Produced ID
Form of Identification
Form of identification
~rsonally known (Prindpal)
~ Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This S' ? 2()'O '-\
.
Signature of Public Notary - tate of Florida
Notarization of Principal's signature
~ \l'l' P OFFlCIALNOTARY SEAL
0'''" U6I(/. PATRICIA A KUNDE
'< ~ ': COMMISSION NUMBER
~ - <{ 00065451
71- q.~ MY COMMISSION EXPIRES
~_'?Fl~~ ~_ ocr. 16.2005
/' FOR CLE
Annual RegIstratIon fee: [ \.J.oY€s [ ] No Amoun P
Lobbyist Registration Form received and verified by:
RevIsed 02/10/04 F: CL \A ARIA-M\LOBBY1Sl\LOBBYIST FORM 04
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