Lucia Dougherty/James HotelhCgrrd Baach
1
1 ~~
2003
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 ac'Uon, decision, recommendation of the
City Manager or any city board or committee; or any action, decision or recommendaton 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.
Dougherty Lucia A•
NAME OF LOBBYIST: (Last) (first) (M.I)
Greenberg Traurig 1221 Brickelt Avenue, Miami FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-579-0603 305-961-5603 doughertyl@gtlaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
JHMB, LLC
NAME OFPRINCIPAL/CLIENT:
James Hotel, 100 21 Street Miami Beach Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Lp Code)
212-342-7300 212-342-7342
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fiil out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Igor I{rnajski
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
Same as above
II. SPECIFIC LOBBY ISSUE:
Approval of Hotel Expansion
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Fuli Name of Individual/Title
Planning Department /City Commission
HPB Approvals
B) Any Financial, Familial or Professional Relationship
ZBA
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHERf
A) LOBBYIST DISCLOSURE: (Required) $550.00 Hourly
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $550.00 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":
^ Yes ~ No Are you lobbving on a Dresent or oendina bid for goods eguinment or services, or on a
^p~pnt or oendina award for goods eauioment or service
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
OYes ~ No Are you lobbving on a oendina aoDlication for a Development Agreement with the City or
application for chance of zoning map designation or chance to the Citv's Future Land Use
Man?
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 anot-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 rearesentina anot-for-arofit coruoration or entity without special compensation
or reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~ 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 NSATION DURING THE
REPORTING PERIOD.
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I do solemnly swear that all of the foregoing
familiar with the provisions contained in Secti
requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
Q~Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, Coun of Miami-Dade
Sworn nd subscrib d b f e
This day o 20_
igna a of Publk Notary -State of Florida
Not r ation of Lobbyists signature
are true and correct and that I have read or am
}2 of the Miami Beach City Code and all reporting
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
^ Personally known (Principal)
~~ ROYA VASSEGHI
State of F ida, County of Nlia+~'- arII de Notary Public, State of New York
Sworn and su 'bed byre me No. 01 VA6167201
This day.of"~20.~7 Cualified in New York County
Commission Expires May 29, 2011/
Signature of Public Notary -State of Florida ~~ ~/~~~ G
Notarization of Principal's signature L-
FOR. CLEF U&E ONLY v ~
Annual Registration fee: [ ~-`] Yes [ ] No Amount Aaid,.t ~-~( IU MCR # o Date Paid
Lobbyist Registration Form received and verified by: d
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05. oc Revved 12/08/04