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Oscar Feldenkreis 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 pdndpal 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, derision or recommendation of any dty personnel dudng the time period of the entire decision-making process on such action, dedsion or recommendation that foreseeably will be heard or reviewed by the dty commission, or a city board or committee. The term specifically includes the prindpal as well as any employee e/~gaged //~ lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. ~AME OF LOBBYIST: Oreenberg Traurig "~S~NESS NAME AND ^DDRESS 305-579-0588 TELEPHONE NUMBER: T. LOBBY/ST RETAZNED BY: Oscar Feldenkreis NAME OF P~NC~PAi./CI.[ENT: Supreme International Gonzalez Alfredo (Last) (First) 1221 Brickell Avenue, Miami (Number and Street) (City) 305-961-5588 FAX NUMBER: 3000 N.W. 107th Avenue Miami, FL (state) EMAZL: .r , Florida 33172 ~ J (M.I) 33131 (Zip Code) BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (305) 4t8-1310 TELEPHONE NUMBER: (305) 470-7206 FAX NUMBER: (Optional) EMAIL: (Optional) Fill' out this section if principal is a CorporaUon, Partnership or Trust'[Section 2-482 (c)] · NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Oscar Feldenkreis · IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIfiC LOBBY ISSUE: ?,mmin, Depa~ent, City Commissio: ~SA,x~ ~/~~O.4 I~ue to ~ Iobbi~ (D~be in de~il): -- ~ h ' v A) Full Name of Individual/Title Building Department Planning Department City Manager / Commission B) Any Financial, Familial or Professional RelaUonship DXSCLOSURE OF TERMS AND AMOUNTS OF LOBBYZST COMPENSATZON (DZSCLOSE WHETHER HOIJR£ FI. A T RA TE OR A) LOBBYIST DISCLOSURE: (Required) $290.00 Hourly B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $290.00 Hourly _<...~ The following information must be answered: :%~. ...... 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions B~'~L:obby~s On Procurement Issues": O Yes ~ No: Are you Iobbyina on a oresent or oendinn bid for aoods, eauioment or services. oresent or oendina award for aoods, eauioment or service? ~ c:~ 2)' Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists;~l~ Real Estate Development ~ssues': DYes :~ No: Are you Iobbvina on a aendina a=plicat;ion for a Development A,qreem~nt with th~ City or aoDlication for chan.qe of zonina mao desianation or chana¢ t~ I;h~ City's F~ture Land, U~ Mao? 3). Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481 above) who only appears as a representative of a not-for-profit corporation or entity without special compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or opposition to any item, shall register with the clerk as required by this section but, shall not be required to pay any registration fees.. [] Yes ?_No: Are you reoresentina a not-.for-profit corooration or entity without soe~__!al comoensetion or reimbursement. . V. SZGNATURE UNDER OATH: ON OCTOBER 1~r OF EACH YEAR, EACH LOBBY]:ST SHALL SUBMTT TO THE cTrY CLERK A S]:GNED STATEMENT UNDER OATH~ ITST]:NG LOBBYING EXPENDTrURES~ AS WELL AS COMPENSAT]:ON RECEZVED~ TN THE CTTY OF MZAM! BEACH FOR THE PREC~DZNG CALENDAR YEAR. A STATEMENT SHALL BE FZLED EVEN ZF THERE HAVE BEEN NO EXPEND~URE$ C~ CO'4PENSAT~ON DURING THE I do solemnly swear that all of the/jl~regoin~j~acts are true and correct and that ! have read or am familiar with the provisions contaij;a~ in Se~c:~i(~ 2)~t2 of the Miami Beach City Code and all reporting requirements. /-~--~'_/.-. ~ ,. ! ~-~ ~ Principal/Client: x,~~~/~~ Signature of -, VZ. LOBBYIST [DENT~FZCATZON: / PI~NCZPAL ~DENT~F[CATZON: ~ Produced ID L// ~?. Produced ID Form of Identification Form of Identification £:! Personally known (Lobbyist) VIZ. SIGNATURE AND STAMP OF NOTARY: No[aw Public State of Flonda Le¥1a M Lucas My Comrmsslon DD448676 State of Florida, County of Miami-Dade Sworn te/J~b~crib~d~e~fore me This ~f~ AJr~c~ ,20 05 No~ri~on of Lobbyi~s signat~e ~rsonally known (Principai~__'~1_,.. fJ%~' State of Florida, County of Mia~ ~''-'~''~P' .... Expires, 0912412009 Sworr~ subscdb~bef_ore_~e /~ This~~ Signature ~_f'P,~ Notary z State ~'Flodda Notarizatio Principal's signature . /' FOR CLERK'S USE ONLY **-, - · Annual Registration fee: [ L,'~es [ ] No Amoqnt,P~ai~l ~;~", 1/0 NCR # ~._~._L~.~Date Paid Lobbyist Registration Form received and vedfied bye_ ~/J~(~.-..-ff"~~ ! /' F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM~5.~oc / - - '~ ~ Reused ~2/08/04