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Joseph Fleming/1100 West Properties, LLC Mi<>mi eCi>ch m - - 2J.JlI.I 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 in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. Fleming NAME OF LOBBYIST: Joseph (First) (M.!) (Last) Greenberg Traurig, 1221 Brickell Avenue, Miami, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-579-0500; 305-961-5826; TELEPHONE NUMBER: finer@gtlaw.com FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: 1100 West Properties, LLC NAME OF PRINCIPAL/CLIENT: 1100 West Avenue, Miami Beach, FL 33140 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 868.7437 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: II. SPECIFIC LOBBY ISSUE: Building and zoning issues. 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 Thomas Velazquez, Building Official C) ~ Planning Department -i c:S -< ~ Sonia Machen, Fire Marshall r-, ~ r- n Design Review Board and Board of Adjustment rn. r ~ (J'1 U) :r.- 0 % ., \D ..." .. () - m W ~ m () m < ,,, o . " IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLA T RA TE OR OTHER). A) LOBBYIST DISCLOSURE: (Required) ,!I~ B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required), .. /per hour 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 (0 'No: Are YOU lobbyina on a oresent or oendina bid for aoods. eauioment or services. or on a oresent or oendina award for aoods. eauioment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": DYes /ii(NO: Are YOU lobbyina on a oendina aoolication for a Deyelooment Aareement with the City or aoolication for chanae of zonina mao desianation or chanae 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 reoresentina a not-for-orofit corooration or entity without soecial comoensation , or reimbursement. V. SIGNATURE UNDER OATH: ON OCTOBER 1ST 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 EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. IQUj~t~ ~ Signature of Lobbyist 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 of the Miami Beach City Code and all reporting requirements. Produced ID /~, Signature of Lobbyist: Signature of Principal/Client: VI. LOBBYIST IDENTIFICATI Produced ID =~ .~~~ i <:0""'1 .~ o~ M-' - Z -'" ~ 0':: f. .... - ' :? .. ~_roj ~::;a:: \.1J::;l;; a:l8~ ::!:> :::J::; Sl :z:: _ ~~~i .. iJr. t; r::- ~tlt ~$' ~ Form of Identification ~rSOnallY known (Lobbyist) Form of Identification ~IIY known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County sworn~and 5ubscri. efor .m.. e. r ThiS~ y f' _.' 20_~ Signature of blic Notary - State':~ Notarization of Lobbyist's signature FOR CLERK'S USE ONLY ~ ' Annual Registration fee: [ ] Yes [ ] No AmountPaid ~~ Date Paid \2-)S- JO(f( Lobbyist Registration Form received and verified by: ~" . I / F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05. - , Revi ed 12/08/04 e~c::lc>~ Ju cCf'\+cr.wl t I>111...1; e""",h ld:d fiji'.' m - - 1.Ullj City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRA nON 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 in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. FLEMING NAME OF LOBBYIST: (Last) JOSEPH (First) (MJ) Greenberg Traurig, 1221 Brickell Avenue, Miami, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-579-0517; 305-961-5517; TELEPHONE NUMBER: f1emingj@gtlaw.com FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: NAME OF PRINCIPAl/CLIENT: BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (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)] 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: II. SPECIFIC LOBBY ISSUE: Annual Lobbyist Registration 2006 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 I~ Ie ~ :1 J' flI ... ill ~ !~! t.:' ., \~. IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLA T RA TE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $500/per hour 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 riJ No: Are you lobbving on a present or pending bid for goods. eguipment or services, or on a present or pending award for goods. eguipment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": DYes c1No: Are you lobbving on a pending application for a Develooment Agreement with the City or application for change of zoning map designation or change 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.. DYes LiNo: Are yOU representing a not-for-profit corporation or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: ON OCTOBER 1sT 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 EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. fcT~"~~ 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 of the Miami Beach City Code and all reporting ~~:~~t:~ee:~~Obbyist: 0 C/~ ~'~ Signature of Principal/Client: \ / VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of Identification Form of Identification ')<. Personally known (Lobbyist) Personally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Sworn and subscribed before me This _day of , 20_ Signature of Public Not - State of Florida Notarization of Lobbyist's signature Signature of Public Notary - State of Florida Notarization of Principal's signature FOR CLERK'S USE ONLY Annual Registration fee: [ ] Yes [ ] No Amount Paid MeR # Lobbyist Registration Form received and verified by: F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM OS. doc Date Paid Revised 12/08/04