HomeMy WebLinkAboutGonzalez Alfredo/ Mango's
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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 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 "'Lobbyiststr has specific exclusions. Please refer to Ordinance 2004-3435.
Gonzalez
Alfredo
J.
NAME OF LOBBYIST:
(Last) (First)
1221 Brickell Avenue Miami,
(M.I)
Florida
33131
BUSINESS NAME AND ADDRESS
305-579-0588
TELEPHONE NUMBER:
(Number and Street)
305-961-5588
FAX NUMBER:
(City)
(State)
gonzalezaj@gtlaw.com
EMAIL:
(Zip Code)
I. LOBBYIST RETAINED BY:
Mango's Tropical Cafe, Inc.
NAME OF PRINCIPALjCUENT:
900 Ocean Drive
BUSINESS NAME AND ADDRESS
305-673-4422
TELEPHONE NUMBER:
Miami Beach
(Number and Street) (City)
Florida
(State)
33139
(Zip Code)
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:
David Wallack
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
Same as above
U. SPECIFIC LOBBY ISSUE:
Conditional Use and Violation
Issue to be lobbied (Desaibe in detail):
UI. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
Planning Department, Fire Department
Zoning Department, Planning Dept.
Mayor/City Commission/City Manager, Special Master
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The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
o Yes II No: Are YOU lobbyinG on a Dresent or DendinG bid for GOods. eGUiDment or services. or on a
Dresent or oendinG award for Goods. eGUiDment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes XJ No: Are you lobbyinG on a DendinG aDDlication for a DeyeloDment AGreement with the City or
aDDlication for chanGe of zoninG maD desiGnation or chanGe to the City's Future Land Use
Mu1
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist" as set forth in Section 2-481 above) who only appears as a representative of a not-for-profit
corporation or entity without special compensation or reimbursement for the appearance, whether direct, or
indirect, to express support of or opposition to any item, shall register with the clerk as required by this
section but, shall not be required to pay any registration fees..
DYes M No: Are you reDresentinG a not-for-Drofit corDOration or entitY without sDecial comoensation
or reimbursement. .
v. SIGNATURE UNDER OATH:
ON OCTOBER 1 sr OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECED G CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDIT S OR OMPENSATION DURING THE
REPORTING PERIOD.
I do solemnly swear that all of the for
familiar with the provisio co i i
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI.
LOBBYIST IDENTIFICATION:
PRINCPAL IDEN11FICATION:
o Produced ID
D PrOduced ID
Form of Identification
Form of Identification
~rsonallY known (Pdjo.Q.MIl....."',_..._...
-j l\iATAUE CORPORAN ~
NO';:~.Fr{ PUBUC - 8 fAlE OF FLORIDA
ty ,Qf ~ariiijD~fi€'ON #: 0.."024364
I ~~d(&'M~1rSSIO;' [XFli~E$ MAY 9, 2005
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X Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This S~ da 20:s;S
~
, FOR CLE~ USE ONLY, rl ~
Annual Registration fee: [ ,~[ ] No Amount p~~ ~ ()J.~ MCR ~8B Date Paid ,J --I '(..."D <.
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM OS.doc Revised 12/08/04