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Gonzalez Alfredo/1831 James LLC ~ Miumi ~h , 211113 ~ - - 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 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 dty commission, or a dty board or committee. The term spedfically indudes the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" 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: 1831 James LLC NAME OF PRINCIPAl/CUENT: 1831 James Avenue BUSINESS NAME AND ADDRESS (Number and Street) Miami Beach (Oty) Florida (State) 33139 a (Zip Code) TELEPHONE NUMBER: 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: Carlos Oliveira · IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: D. SPECIFIC LOBBY ISSUE: Variances Issue to be lobbied (Describe in detail): DI. CITY AGENCIES/INDMDUALS TO BE LOBBIED: A) Full Name of Indlvidual/ntie B) Any Financial, Familial or Professional Relationship Board of Adjustment / Historic Preservation Board Building Department Planning Department ~.'-o t~\ ?~ ~.i ~ ~ lni! f!'l~ ~ 'i~ l;!gN~ ~ g" ~ i " IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSA1l0N (DISCLOSE WHETHER HOUR! Y, FLA T RA TE OR OTHER). A) LOBBYIST DISCLOSURE: (Required) $290.00 Hourly B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $290.00 Hourlv 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": D Yes I! No: Are YOU lobbyina on a oresent or Dendina bid for aoods. eauioment or services. or on a Dresent or oendina award for aoods. eauiDment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": DYes IX: No: Are YOU lobbyina on a oendina aoolication for a Deyelooment Aareement with the City or aDDlication for chanae of zonina maD desianation or chanae to the CitY's Future Land Use Mmtl 3) Pursuant to Miami Beach Oty 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.. D Yes ~No: Are YOU reDresentina a not-for-Drofit corDOration or entitY without soecial 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 NDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEND T.U COMPENSATION DURING THE REPORTING PERIOD. I do solemnly swear that all of the for familiar with the provisions c n in in requirements. Signature of Lobbyist: Signature of Principal/Client: ing facts are true and correct and that I have read or am ction 2-482 of the Miami Beach City Code and all reporting ~ VI. LOBBYIST IDEN1lFICA1l0N: PRINQPAL IDENllFICA1l0N: )(producedlO #L. O'l/'-oo3-.J<7 -6dr-O Form of Identification o Produced 10 Form of Identification ~ Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: o Personally known (Principal) .., . ~ .~ ~~ ~d ...J Cl ,...::. .;,1 ~;;ii~ (:) c.-j ~~ .l'4 ~ ~ ~; ,) ~ ~ ([.r c 8 {';j ~~, ~ {~ State of Florida, County of Miami-Dade Sworn to and subscribed before me This 20.Q? ~~." '0.- fl..' ":t \~.. ~ ,,. 1c ~" FOR CLERK'S USE ONLY , l ' Annual Registration fee: ["X) Yes [ ] No Amount Paid4 2-~ MCR # .24-~\~Date Paid <} I/Or;;- Lobbyist Registration Form received and verified by.. jr:t. ~F-c:::::... F: \CLER\$ALL \MARIA-M\Lobbyist\LOBBYIST fORM OS.doc Revised 12/08/04