Alfredo Gonzalez/Seth Joseph 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 city board or committee; or any action, decision or recommendation of any city personnel defined in any
manner in this section, 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.
NAME OF LOBBYIST:
Gonzalez A1 fredo L.
(Last) (First) (M.I)
Adnrnn g Yn~/?_~?R Pnnnm d~ I~nn Blvd. Miami FI 33134
BUSINE~ NAME AND A~DRE~ (Number and Street) (City) (State) ' (Zip Code)
305-460-1000 305-460-1422 a 1 q@ado rno. com
TELEPHONE NUMBER: FAX NUMBER: ElVtAIL:
LOBBYIST RETAINED BY:
Seth P. Joseph
NAME OF PRINCIPAL/CLIENT:
Adorno & Yoss/2525 Ponce de 1Pon Rlvd. Miami Fl
BUSINESS NAME AND ADDRESS (Number and Street) (City)
305-4~0-1000
TELEPHONE NUMBER:
~05-4~0-1422
FAX NUMBER: (Optional)
(state)
(Zip Code)
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
· NAME OF CHIEF OFFTCER, PARTNER, OR BENEF[CTARY:
· IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
SPECIFIC LOBBY ISSUE:
FynlnrP cln~Jrm of ~walp. in Pine Tree Drive Circle
Issue t'o be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
Mike
B) Any Financial, Familial or Professional RelatJo-ltshi~
Alvarez, Asst. Dir./Public Work., No
Yes
iv. DZSCLOSURE OF TERMS AND AMOUNTS OF LOBBYZST COMPENSATZON (DZSCLOSE WI-Ib-I'HER HOURLY,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) hourly fee
B) PI~NCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSA'I-[ON): (Required). h0u rl y fee
~ Are you represent#hq a not-for-profit corporation or entity without special compensation or
reimbursement. Pursuant to Ordinance No. 2004-3435.
1)
Yes ~
2)
Yes CN'-~.
Pursuant to Ordinance No. 2003-3393 Amend#hq Miami Beach City Code Chaoter 2. Artide VT:[. Division 5
Thereof Entitled "Campaign Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Campaiqn Contributions By Lobbyists On Procurement :[ssues":
Are you Iobbyinq on a present or pendinq bid for qoods~ equipment or services~ or on a present
or pendinq award for aoods, eauioment or service?
Pursuant to Ordinance No, 2003-3395 Amend#no Miami Beach Cib/Code Chaoter 2. Article VI:[ Division 5
thereof Entitled "Campaign Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Campaiqn Contributions By_ Lobbyists On Real Estate Develooment :[ssues':
Are you Iobbyinq on a pendinq application for a Development Aqreement with the City or
application for chanqe of zoninq map desiqnation or chanqe to the City's Future Land Use Map?
V. SZGNATURE UNDER OATH:
ON OCTOBER 1sr OF EACH YEAR, EACH LOBBY]:ST SHALL SUBMI'r TO THE C]:TY CLERK A S]:GNED
STATEMENT UNDER OATH, LZST]:NG LOBBY]:NG ~I'rURES, AS WELL AS COt-tPENSAT]:ON
RECE]:VED, TN THE CI'TY OF t. lZAt4'r BEACH FOR TILE" PRJECEDI'NG. CALEF~AR. YF.,AR. A STATEMENT
SHALL BE FZLED EVEN ZF THERE HAVE BEEN NO//J~XP~)I'IU~E'S O~/~iI~.J~ISrATZON DUR/NG THE
RE POR'DZNG P ERZOD. / // /
I do solemnly swear that all ~ foregghn~O facts are .true~d correct and that I have read or am
familiar with the provision~s~,g~,p/ed i~'~on/~~f the IVliami Beach City Code and all reporting
r .ir m n,.
Signature of Lobbyist: !
/
Produced ID ~ Produced ID
Form of Identification Form of Identification
Pe.~.,.,~n (Lobbyist)
P~n (Principal)
VT]:. S]:GNATURE AND STAMP OF NOTARY:
State of Florida, County of MiamiiDade
Sworn to and subscribed before me
This ~ day of ~_. 20~ ~..
§igr~at_~ of Public Notary - State of Florida
NotariZation of Lobbyist's signature
+~* ~.~..".~.~:o MAP. K)RIE L OWEN-BAILLIE
· , . MY COMMISSION# D0 351598
~~~ EXPIRES: 8,
October
2008
· or e~.o Bonded Thru Budget N0tan/Sewices
State of Florida, County of Miami-Dade
Sworn and subscribed before me
This ~ da,y ofv ,20e (o
Notarization of PHncipal's signature
,~ ;-'-; ~, MAR~)RIE L OWEN-BAEJJE
**.~.., MY COMUISSION # DD 351598
EXPIRES: October 8, 2008
eof ~v~'- Bol~d Thru Bud~t Nota~/Se~ices
~--'~" FOR CLERK'S USEONLY .-.-, .
Annual Registration fee: [ i,~,]~s [ ] No Amount Pai~.? ~'~' ~'.--~ IvlCR ~ 2 r/7 / 7 Date Paid
Lobbyist Regis~fion ~rm rec~ved and verifi~ by:
Revised 02/10/04 F: ~LE~~-M~LOBB~S%LOBB~