HomeMy WebLinkAboutDougherty Lucia/Artecity Plaza
Miami Beixh
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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
Oty 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 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 "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
(First)
A.
(M.I)
FL 33131
(State) (Zip Code)
doughertyl@gtlaw.com
EMAlL:
NAME OF LOBBYIST:
Greenberg Traurig
BUSINESS NAME AND ADDRESS
305-579-0603
TELEPHONE NUMBER:
Dougherty
(Last)
Lucia
1221 Brickell Avenue, Miami
(Number and Street) (Oty)
305-961-5603
FAX NUMBER:
I. LOBBYIST RETAINED BY:
Artecity Plaza, LLC.
NAME OF PRINOPALjCUENT:
119 Washington Avenue, Suite #500 Miami Beach
BUSINESS NAME AND ADDRESS (Number and Street) (City)
305-762-5152 305-672-5179
TELEPHONE NUMBER: FAX NUMBER: (Optional)
Florida
(State)
33139
(Zip Code)
EMAlL: (Optional)
Fill out this section If principal Is a Corporation, Partnership or Trust [Section 2-482 (e)]
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Allessandro Ferretti
. 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 and Board of Adjustment, Floor Plain Management Board, B1dg and Zoning Code related issue"
Issue to be lobbied (Describe in detail):
m. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Indlvldual/ntle B) Any Financial, Familial or Professional Relationship
Building Department
Planning Department
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATlON (DISCLOSE WHETHER HOURLY,
FLA T RATE 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 Oty Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
DYes I2l No: Are YOU lobbyinG on a Dresent or oendinG 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 IX No: Are you lobbyinG on a oendinG 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
M.Ul
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-proflt:
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..
o Yes IiNo: Are you reDresentinG a not-for-Drof"lt corDOration or entity without sDecial comoensation
or reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1 Sf 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 EXPENDITU MPENSATION DURING THE
REPORTING PERIOD.
I do solemnly swear that all of the for
familiar with the provisions contain i
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
ing facts are true and correct and that I have read or am
ion 2-482 of the Miami Beach City Code and all reporting
VI.
LOBBYIST IDENTlFICA
PRINQPAL IDENTlFICATlON:
o Produced ID
o Produced ID
Form of Identification
Form of Identification
';( Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
o Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This of 20.Q?
MOHlEDDIAN D. ZARIF
~\y CC'M~A1SSION (I DD2940S9
EXPIR.ES: February2S.2008
Signature of ublic Notary - Stat of"!ll
Notarization of Principal's sig
Florida
Notarization of lobbYIst's signature
FOR CLERK'S US~NL Y
Annual Registration fee: [)><.J Yes [ ] No Amount Paid ,:)5. MeR # ZF130
Lobbyist Registration Ferri{ reCeived and verified by: ~~
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM OS. DC
Date Paid 8lC/a:;;-
Revised 12/08/04