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Alfredo Gonzalez/Todd Glaser 88 La Gorce CiecleMIAMIBEACH 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 ti~at foreseeably will be heard or reviewed by the aty commission, or a city board or committee. The term specifically includes the principal as well as any employee engaged in lobbying activities. The teen "Lobbyists" has specific exclusions. Please refer to Ordinance 20043435. GONZALEZ ALFREDO ]. NAME OF LOBBYIST: (Last) (First) (M.I) GREENBERG TRAURIG, P. A. 1221 Bridcell Avenue, Miami FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) G GlD,dt~ (22a~ J t1l~J• gym,, 305-579-06113 Q~jQ ~ 305-961-56A3- ijs$ 0 ~f TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: Todd Glaser/88 La Gorce Circle NAME OF PRINCIPAL/CLIENT: _3681 Flamingo Drive, Miami Beach FL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zp Code) (786) 208-2124 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: II. SPECIFIC LOBBY ISSUE: Variance application. Q J' /~ t ,L j5 UK.(' ~ Issue to be lobbied ( ~be in detail): III. CITY AGENCIES/INDMDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship N/A Planning and Zoning Departrnent; City Commission • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FL4T RATE OR OTHERj. A) LOBBYIST DISCLOSURE: (Required) $345.00 B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $345.00 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": Ma°? 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 secti9n'6ut, shall not be required to pay any registration fees.. 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 PR~CEgIN CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENgITt~RES COMPENSATION DURING THE REPORTING PERIOD. )) , + w.l 9 i ' r f lobbyist '~ I do solemnly swear that all , of ~ th "for , ''' g facts are true end correct and that I have read or am familiar with the provisions ~otnt~in i~' ion 2-482 of the `Miami Beach City Code and all reporting requirements. ,. ( , _ - Signature of Signature of Princ VI. LOBBYIST ~. ^ Produced ID - Form of Identification O day ° WO g ~ ~ a ersonally known (Lobbyist) '~6tsa . ;~~e ;1 lI VII. SIGNATURE AND STAMP OF NOTARY: ~1 ? r- 7 jl x .~ ~ o ~_ ~~ ~, `~ s ~~ Mate Florida, County of Miami-D de :_ ~ w d subscri befo N ti ~ p "', a n `i' ~ day 2 N ~ G_J ~ A rte-` ~ } i s i ture of. ublic Notary -State of Florida °' 9 rization of Lobbyist's signature IDENTIFICATION: ^ Produced ID Form of Identification "' DAVID SOLOMON ersonall known Princi qt~i lY~''- Y ~ ~,s ~ ., MY COMMISSION # DD 583534 %._ :; ` EXPIRES: August 10, 2010 •~;yj ti°pP Bonded Thru Nwary PubBc Underwriters State of Florida, County of Miami-Dade Sworn ~ subscri b~fore me ~ This ~v' 11.da 0 ~ , t +: , Signature of ublic otary -State of Florida Notarization of Principal's signature FOR CLE ONLY Annual Registration fee: [ ]Yes [ ] No Amount Paid ~ MCR ..rnti,.:,~ .,..,.:,.~_..~:.... ~,... _ ............. ,..a .....:~,.a ~... f present or cendina award for goods, eauioment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Planning and Zoning Department 1700 Convention Center Drive Miami Beach, Florida 33139 Telephone: 305-673-7550 Fax: 305-673-7559 TDD: 305-673-7219 ^ Jorge Gomez, Director, 305-673-7550 igomez(cr~miamibeachfl.gov Permit Review Process ^ Richard Lorber, Planning and Zoning Manager, 305-673-7000 ext. 6131 rlorber(cr~miamibeachfl.gov ^ Thomas R. Mooney, AICP, Design and Preservation Manager, 305-673-7000 ext. 6191 tmooneyCa~miamibeachfl.gov Planning Board ^ Mercy Lamazares, Principal Planner, 305-673-7000 ext. 6197 mlamazares(c~miamibeachfl.gov Board of Adjustment ^ Richard Lorber, Planning and Zoning Manager, 305-673-7000 ext. 6131 rlorber(a~miamibeachfl.gov Historic Preservation ^ William H. Cary, Director Design, Preservation and Neighborhood Planning Division, 305-673-7000 ext. 6519 wcaryCc~miamibeachfl.gov Design Review Board ^ Thomas R. Mooney, AICP, Design and Preservation Manager, 305-673-7000 ext. 6191 tmooneyC~miamibeachfl.gov Neighborhood Planning ^ Joyce Meyers, North Beach Planning Coordinator, 305-673-7000 ext. 6167 ~meyersCa~m iamibeachfl.gov