Loading...
Mario Garcia-Serra/AEG Live .; Monmi 8e....h 'lft11 ZlIUJ & ""='" City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, Fl33139 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 ooard 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 dty board or committee. The term specifically indudes the principal as well as any employee engaged in lobbying activities. lbe term -Lobbyists'" h_ specific exdusions. Please refer to Ordinance 2004-3435. GARCIA-SERRA, MARIO J NAME OF LOBBYIST: (Last) (Arst) GREENBERG I AAURIG, P.A., 1221 BRICKELL AVENUE, MIAMI, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (atv) (State) (M.!) (Zip Code) 305-579-0837 TELEPHONE NUMBER: 305-961-5837 FAX NUMBER: Qarcia-serram@gtIaw.com EMAIL: I. LOBBYIST RETAINED BY: AEG Live NAME OF PRINOPAl/CUENT: 5750 Wilshire Blvd Suite 501, Las Angeles, CA 90036 BUSINESS NAME AND ADDRESS (Number and Street) (atv) (323) 9305760 TELEPHONE NUMBER: (State) (Zip Code) FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section If princlpillls _ Ccwpvr.Uon, ...rtne......lp or Tru5t [secaon 2-482 (e)) 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: D. SPEaRe LOBBY ISSUE: Jackie Gleason Theater Issue to be lobbied (Desoibe in detail): m. CITY AGENCIES/INDMDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any FInancIal, F...illal or Professional Relationship Mayor, City Commission and City Staff nJa aOfto .or" \ ;~ tr~.i5 1~~! ~ ~. l:" B: ....~.i ~ ~i I ...... i5" a> i IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST eOMPENSATION (DISCI 0Sf WHETHER HOtJRL Y, FLAT RATE OR OTHER). A) LOBBYIST DISCLOSURE: (Required) $285.00/hr B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $285.00/hr The following information must be answered: 1) Purswsnt to Miami Beach Oty Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": 1Z Yes 0 No: Are YOU lobbYinG on a aresent or oendina bid for GOOds. eauiDment or services. or on iI aresent or aendlna award for nnnot& l!OulDl1lellt or !!iI!lnfic:I!? 2) Pursuant to Miami Beach Oty Code 2-490 Entlt1ed "Prohibited campaign COntributionS By lobbyists On Real Estate Development Issues": ~Yes 0 No: Are ~ou. ~ob~~ on a aendinG ilDDlk:ation for a DeveIoament AGreement with the CitY or a~~~~r m!nae of zoninG maD desianation or chanae to the Citv's Future Land Use HuZ 3) Pursuant to Miami Beach Oty 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 derk as required by thiS section but, shall not be required to pay any registration fees.. ~:LYeLn No: Are YOU reDresentina a not-for-orofit corooration or entitY without soecial comaensation 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 CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO~DITURES. .~QCOMPENSA. :nON DURING THE REPORTING PERIOD. 0. ~ '-~ Signa of Lobbvtstj 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 contained In Section 2-482 oflthe Miami Beach Oty Code and all reporting requirements. Signature of lobbyist: Signature of Prindpal/Clie VI. LOBBYIST IDENTIfICATION: PRINCIPAL IDENTIfICATION: , ProdIICPd TO ~ Form of Identification ~rsonallY known (lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: . Produced ID Form of Identification )( Personally known (Principal) 04 J ;fo/' It'q ~ A::l:/~ State of Aerit!le, COUnty of r4ie...i B Sworn and su me This .1J..!1t.day 0 20a Signature of tAliforH;" Notarization of Principal's signature of P lie Notzlry - State of Aorldo on of Lobbyist's sig Annual Registration fee: [ Yes [ ] No Lobbyist Registration Form received and verified F:\Q.ER\$ALL\MARIA-M\Lobbyist\LOBBYIST Revised 12/08/04