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Michael Marrero - Annual Reg.-M!AMIBEACH 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 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 /n lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435, Marrero Michael J. NAME OF LOBBYIST: (Last) (First) Bercow and Radell 200 S. Biscayne Blvd. suite 850 Miami, BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) 305- 377-6238 305- 377-6222 mmarrero@brzoninglaw.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: (M.I) FL 331 3 1 (Zip Code) I. LOBBYIST RETAINED BY: NAME OF PRINCIPAL/CLIENT: BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Tip Code) TELEPHONE NUMBER: 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: IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: SPECIFIC LOBBY ISSUE: Annual Registration Issue to be lobbied (Describe in detail): III, CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship &V. FL4 T RATE OR OTHER/,, · 'A) LOBBYIST DISCLOSURE: (Required) $ 2 3 5 per hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). The following information must be answered: UI~I.;LU~UK"' UI' I I=KIV,:~ ANU AI~VUN m ~ ur LUI~UTI~ I t. UI~II~I'III~A I IIUttl [L)I~t~LU~I' WI'II- m riCK $235 per hour Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": Yes ~No: Are you Iobbvina on a oresent or pendinq bid for ooods, eauiDment or services, or on a present or pendina award for ~loods, equipment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": oYes D NO: Are you Iobbvina on a Dendin~l 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? 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 13 No: Are you representinq a not-for-profit corporation or entity without soecial cornDensation or reimbursement. · v. SIGNATURE UNDER OATH: ON OCTOBER 1sT OF EACH YEARv EACH LOBBYTST SHALL SUBMIT TO THE C?TY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBY]NG EXPENDITURES, AS WELL AS COMPENSATION RECETVED, ~N THE CITY OF MZAM! BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN ZF THERE HAVE BEEN NO ~MPENSAT~ON DURING THE REPORTING PERIOD. ~-- Signature of Lobbyist ! do solemnly swear that all of the foregoing facts are true and correct and that ! have read or am familiar with the provisions contained in Section 2-482 of the Miami Beach City Code and all reporting requirements. ,~ Signature of Lobbyist: Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: [] Produced ID Form of Identifica~ 1~ Personally known (Lobbyist) VTZ. SI'GNATURE AND STAMP OF State of Florida, County of Miami-Dade Sworn t~d s~bscribed before me Sig~~~t~ ~St~e of Florida~ No~~~o~yist~ signature PRINCIPAL IDENTIFICATION: ~ Produced ID Form of Identification [] Personally known (Principal) State of Florida, County of Miami-Dade Sworn and subscribed before me This day of ,20__ Signature of Public Notary - State of Florida Notarization of Principal's signature Annual Registration fee: [ [ ] No Amount Paid .~ MCR # Date Paid Lobbyist Registration Form received and verified by: Revised 12/08/04 F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.doc 82/22/'2886 14' 17 3853776222 BERCgW AND RADELL PAGE 82/83 f A.M Ii BEACH City of Yliami Beach Office of the City Clerk :1.700 Convention Center Drive, Miami Beach, ~L 33139 LOBBYIST ~GISTI~kT!ON FORM Lobbyist means all persons employed or retained, whether pald or not, by a principal who seeks to encourage the passage, defeat or modification of any ordinance, re~olutlon, action or derision of any commi%ioner; any act:Ion, decision, recommendation of the Ci~ tqanager or any city board or committee; or arty action, decision or recommendation of any city 13ersonnel duflng 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 ciL'y board or committee. The ~rm specifically includes the prir~clpal as well as any employee engage~l /n Iobbyir~g actlvltie$. The term *Lobbyl~" has specific exclusions. Please refer to Ordinance 2004-3435. Marrero Michael J. NAHE OF LOBBYI~'''''''~'~-''~'' (Last) (First) Bercow and Radell 200 S. Biscayne Blvd. suite 850 Miami, ~ (State) BUSINESS NAME AND ADDRESS 305- 377-6238 305- 377-6222 mmarrero@brzoninglaw-com TELEPHONE--"~UMBER: F~ NUMBER: EMAtL' FI, 331 3 1 (zip Code) I. LOBBYIST RETAZNED BY: NAME OF PRINCIPAL/CLIENT: BUSfNES$'-'-~NAME AND ADDRESS (Number and Street) (City) (State) Code) TELEPHONE NUMBER: FA~( NUMBER' (Op'"~lonal) EMAIL; (Optional) Fill out this se~ton if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] · NAME OF CHIEF OFFICER, PARTNER, OR BENEFI~ARY: IDENTIFY ALL PE~ONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORA'['ION, PARTNEP.~HIP OR TRUST: SPECIFIC LOBBY ISSUE: Annual Registration ]ssue to be I;bbiecI (l~escrlbe in detail): III. CTI'Y AGENCIES/INDIVZDUALS TO BE LOBBIED: A) Full Name of Individual/Title Any Flnancial~ Familial or Professional Relationship