PMG Collins, LLC
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City of Miami Beach Offici<< bf(ttfe ~rk
1700 Convention Center Drive~ Mi?miBeashnFL 33139
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LOBBYIST REGISTRATION FORM
, . iti'\ 'S OFF ICE
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 "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Gonzalez
Alfredo
J
NAME OF LOBBYIST:
Greenberg Traurig
BUSINESS NAME AND ADDRESS
305-579-0588
TELEPHONE NUMBER:
(Last) (First)
1221 Brickell Avenue, Miami
(Number and Street) (City)
305-961-5588
FAX NUMBER:
FL
(State)
(M.!)
33131
(Zip Code)
gonzalezaj@gtlaw.com
EMAIL:
I. LOBBYIST RETAINED BY:
PMG Collins, LLC
NAME OF PRINOPAL/CUENT:
Property Markets Group
BUSINESS NAME AND ADDRESS
5 East 17th Street
(Number and Street)
New York
(City)
NY
(State)
10003
(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)l
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Bruce Goldstein
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Planning Approvals
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A} Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
Design Review Board
Board of Adjustments
Planning and Building Department
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
A) ~OBBYIST 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":
DYes I2l No: Are you 10bbvinG on a oresent or oendinG bid for GOods. eauioment or services. or on a
oresent or DendinG award for Goods. eauioment 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 10bbvinG on a oendinG aoolication for a Develooment AGreement with the City or
aoolication for chanGe of zoninG mao desiGnation or chanGe to the City's Future Land Use
Mao?
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..
D Yes ~No: Are you reoresentinG a not-for-orofit corooration or entity without soecial comDensation
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, USTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECED NG CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITU ES OR CO PENSATlON DURING THE
REPORTING PERIOD. //_
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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 0 tained in Section 2-48i of the Miami Beach City Code and all reporting
requirements.
Signature of Lobbyist:
VI.
LOBBYIST IDENTIFICATION:
RINCIPAL IDENTIFICATION:
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] Produced ID
Produced ID
'/' Form of Identification
~ersonallY known (Principal)
Form of Identification
'~erSOnaIlY known (Lobbyist)
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\!r/ tate of Florida, County of Miami-Dade
. worn to and subscribed before me
his . of ~~ 20.ill
SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade f~'"~~~~'
Sworn and subscribed before me :":"cY"".-C
Thistl / day of \/f//,i/ .20 05 ~1i."o""~ ..Jf
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Signature of Public Notary - State of Florida
Notarization of Principal's signature
~~.OD
FOR CLER~.!'~~NL Y
Annual Registration fee: P<l Yes [ l No Amount Paid .~MCR #21-9~ Date Paid 2:/1t;6jo5
Lobbyist Registration Form received and verified by: b...K~
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM O~
Sign State of Florida
Notarization of LobbYist's signature
Revised 12/08/04