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Gonzalez Alfredo/CaribbeanGroup MRm~ iliff . 20113 lD - 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 dty board or committee; or any action, dedsion or recommendation of any dty 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 spedfically includes the principal as well as any employee engaged in lobbying activities. The term "LobbyistsR has specific exclusions. Please refer to Ordinance 2004-3435. Gonzalez NAME OF LOBBYIST: Greenberg Traurig BUSINESS NAME AND ADDRESS 305-579-0588 TELEPHONE NUMBER: (Last) 1221 Brickell Avenue, (Number and Street) 305-961-5588 FAX NUMBER: Alfredo (First) Miami J (City) FL (State) gonzalezaj@gtlaw.com EMAIL: (M.!) 33131 (Zip Code) I. LOBBYIST RETAINED BY: Caribbean Group Owner, LLC NAME OF PRINOPALjCUENT: 119 Victor Heights BUSINESS NAME AND ADDRESS Parkway Victor, NY (Number and Street) (City) (585) 924-8149 FAX NUMBER: (Optional) 14564-8938 (State) (Zip Code) (585) 924-3101 TELEPHONE NUMBER: EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [SectIon 2-482 (c)] · NAME OF CHIEF OFFICER, PARTNER, OR BENEFIOARY: David F. Christa · IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See attached. D. SPECIFIC LOBBY ISSUE: Historic Preservation Board / Board of Adjustments / Building Issues Issue to be lobbied (Describe in detail): W. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship Historic Preservation Board Board of Adjustment Planning Department / Building Department ~~\ ,~.)' trs E Z in~j ~ 1:.- ~ ~~i~ ...... sa. ~ i IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLATRATEOROTHER): A) LOBBYIST DISCLOSURE: (Required) $290.00 Hourly B)' PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $290.00 Hourlv The fol/owing information must be answered: 1) Pursuant to Miami Beach Oty Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": o Yes I2J No: Are vou 10bbvinG on a Dresent or oendinG bid for GOods. eGuiDment or selVices. or on a Dresent or oendinG award for Goods. eGuiDment or selVice? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": DYes t!{ No: Are vou 10bbvinG on a !)endinG aDDlication for a DeveloDment AGreement with the City or aDDlication for chanGe of zoninG maD desiGnation or chanGe to the City's Future Land Use MG1 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 IiNo: Are vou reDresentinG a not-for-Drofit corDOration or entity without sDecial comoensation or reimbursement. . V. SIGNATURE UNDER OATH: ON OCTOBER 1ST 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 PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEND URE 0 COMPENSATION DURING THE REPORTING PERIOD. I do solemnly swear that all familiar with the provisions requirements. Signature of LobbYi f the foregoing facts are true and correct and that I have read or am n in in Section 2-482 of iami Beach City Code and all reporting VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ~.U:c.., )(produced 10 e l:\ G. ""1:\0 \ SC\ Form of Identification o Produced 10 Form of Identification ~ Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: o Personally known (Principal) State of Florida, County of Miami-Dade Swom to and subscribed before me This 20~ State of Florida, County of Miami-Dade Sworn and subscribed before me This ~da 20 ON~~R# l-7~ Annual Registration fee: [ ] Yes [ ] No Lobbyist Registration Form received and verified by: F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 0 .doc Revised 12/08/04 ~ ~.~ (tS ~SE~ i'In !'~ ~ J! ~8i* (,oJ 0 ...... - ~ "T1 N 0 01 g: ~~ g~ N- ~~ on \0 U -on ~ ~ ~ m OJ) j .8 :9 ~~ mOl .8 - ..... ..... 0 U r--. M r--. M ~ U .: ~ ~ b = ~~ ~~ OJ) , Z Q. II) ~ gu (,) 0 ~B ""' ~- 0 ::E ~ ~~r-l ~ ~ =- ~~ =flfB II) ~ .0 C"IS 0Jl_ ]~~ =~ ~=r-l ~ C"ISU ,.Q ... U~~ ~ ,.Q"Cl~ ~m.... ~~ ... - rI'1 "t:l b II) ~~ a='-' II) t+:: ~es ... u ..... 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