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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 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 dty board or committee. The term spedfically includes the principal as well as any employee engaged
in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
NAME OF LOBBYIST:
Greenberg Traung
BUSINESS NAME AND ADDRESS
305-579-0603
TELEPHONE NUMBER:
Dougherty Lucia
(Last) (Rrst)
1221 Brickell Avenue, Miami
(Number and Street) (City)
305-961-5603
FAX NUMBER:
A.
(M.I)
FL 33131
(State) (Zip Code)
dougherty1@gtlaw.com
EMAIL:
I. LOBBYIST RETAINED BY:
Fisher Island Holdings, LLC
NAME OF PRINOPALjCUENT:
BUSINESS NAME AND ADDRESS
305-535-6046
TELEPHONE NUMBER:
1 Fisher Island Drive
(Number and Street)
Fisher Island
(City)
Florida
(State)
33109
(Zip Code)
305-535-6036
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:
Cedrick Denain
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
David Aim
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m. CITY AGENClES/INDIVlDUALS TO BE LOBBIED:
A) Full Name of Individual/lltle B) Any Financial, Familial or Professional Relationship
Planning and Zonning Department
Building Department
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSAnON (DISCLOSE WHETHER HOllRL Y,
FLA T RA TE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $480.00 Hourly
B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $480.00 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":
DYes 13 No: Are YOU lobbying on a Dresent or Dending bid for goods. eauiDment or selVices. or on a
Dresent or Dendina award for aoods. eauiDment or selVice?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes IK No: Are YOU lobbyina on a Dendina aDDlication for a DeyeloDment Aareement with the City or
aDDlication for change of zonina maD designation or change to the City's Future Land Use
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3) Pursuant to Miami Beach aty 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 li:No: Are you reDresenting a not-for-Drofit corDOration or entity without sDecial comDensation
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 EXPENDITURES OR ~nON DURING THE
REPORTING PERIOD.
Signature of Lobbyist
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am
familiar with the provisions contained in ion 2-482 of the Miami Beach City Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDE
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o Produced ID
o Produced ID
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Form of Identificationl CATHERINE', COLONNESE :
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Form of Identification
~ersonallY known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
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FOR CLERK'S .Y!,E ONLY
Annual Registration fee: rnves [ ] No Amount Paid 25 MCR # ~1f.,.fD'"PI.
Lobbyist Registration Form received and verified ~~
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fOR . DC
Date Paid ~
Revised 12/08/04