Arturo Griego/Harding Avenue Investments, LLCMIAMI BEACH
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.
NAME OF LOBBYIST: (Last) (First) (M.I.)
Griego Arturo
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
Itec Design 1825 West Avenue, #7, Miami Beach, Florida 33139
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
(305) 673-2121 (305) 673-4640 agriegona,itec.net
I. LOBBYIST RETAINED BY:
Harding Avenue Investments, LLC
NAME OF PRINCIPAUCLIENT:
6340 Sunset Drive Miami Florida 33143
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(786)275-0108 (305)779-8346
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: TOm CabrerlZO
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: Tom Cabrerizo (50%); Yorem Izhak (50%)
II. SPECIFIC LOBBY ISSUE:
Planning Board Application
l~„~
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/ride I B) Any Financial, Familial or Professional Relationship
Mercy Lamazares, Principal Planner None
Jorge Gomez, Director ~ None
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER};
A) LOBBYIST DISCLOSURE
B)
PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION}:
Tltc following information must be answered:
I) Pursuant to Miami Beach City Code Section 2488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement
Dods a ui ant or ser '~
2) P1'suant to Miami City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues":
map desisnation or clranee to the,Citv's Futurn Lind Usc 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 snot-for-profit cotporvtion or entity without special compensation or
reimbursement for the appearance, whether direct, or indirect, to express support of or opposition fo any item, shall register with the
clerk as required by this section but, shall not be required to pay any registration fees..
IV. 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. ~f
~igRAtifre of Lobbyist
1 do solemnly swear that all of the foregoing facts re true and correct and that 1 have read o m familiar with the provisions contained in Section
2-482 of the Miami Beach City Code and aing requirements.
Signature of
Signature of
V. LOBBYIST IDENTIFICATION: N o E
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D Aroduced [D a ~ N y
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Form of Identification ~
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^ Personally known (Lobbyist) ..... ~ u~., o
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Vi. SIGNATURE AND STAMP OF NOTARY ~ '~ ~ Q
Slate of Florida
County of Miami-Dade v
,
Sworn t nd subs r' a re me °.°°r'~~1.,
This da~ of . s' .°J~4w~r~+ba~:
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Signatttrc o ~ Note ot'Flo da ~'•,'~o'~;~
Notarization of [,bbbylst's signature
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PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
^ Personally known (Principal)
State of Florida, County ofMiami-Dade
Swom and subscribed before me
This day of , 20
Signature of Public Notary - State of Florida
Notarization of Principal's signature
E'v'J OR CIC'~i27~5 5 ~ ~VI,y
Annual Registration fee: Ye No gun Paid LL.• s U MCR # ate Paid ~ v
Lohbyist Registration Fonn received and verified by.
F;ICLER\SALL\MARIA-M\LobbyistlLOBBY]ST F 0 , oc Revised 12/08/04
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBHYiST DISCLOSURE: (Required)
B) PRRVCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required)
The following information must be answered:
1) Pursuant to Miami Beach City Coda Section 2488 Entitled `9'rohibited Campaign Contributions Hy Lobbyists On Procurement
Issues":
^ Yes Are you iobbvfne ou a present or oendinc bi~or epode equipment or services or on a present or oeadina award for
goods. eauiomen( or service?
2) Pursuant to Miami City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development issuos":
l7 Yes Q No Arc you lobbxina on a Rendine anoiication for a Development Agreement with the Ciri or soniication for chance of zoning
map designation or change to the Citv's Future Land Use Man?
3} Pursuant to Miami Beach City Code 2-484 (h) Any pgson (except those oxempt from the defmition of "lobbyist" as set forth in
Section 2-481 about) who only appears as a representative of snot-for-profit corporation or crrtity 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 say registration fees..
^ Yes aYNo: Areyou representinga npt-for-urofit cornorationpr entity without scecial compensation or reimbursement?
IV. 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 [F THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
Signature of lobbyist
1 do solemnly swear that all of
2-482 of the Miami Bosch City
Signature of Lobbyist:_
Signature of PrincipaVC
V, LOBBYIST
q Produced ID
are true and correct and that I have read or am familiar with the provisions contained in Section
ting requirements.
PRINCIPAL IDENTIFICATION:
Form of Identification
^ Personally known (Lobbyfet)
VI. SIGNATURE AND STAMP OF NOTARY
State of Florida, County of Miami-Dade
Swom to and subscribed before me
This _ day of , 20
Signature of Public Notary -State of Florida
Notarizatbp of LobbyisNs slgnatare
^ Produced ID
Fornr of Identification
11YPcrsonaily known (Principal)
Smote of Florid County of Miami-Dade
Swo crib~~ fgr~ma 20,~,~
Th' of , r-~
ignatu of Public Notary - Strue of Florida
Notarization of Prlncipal'a signature
FOR CLERK'3 USE ONLY
Annual Registration foe: [ J Yes [ ] No Amount Paid MCR q Date Paid
Lobbyist Registration Forth received and verified by:
F:\CLER\SALL\MARIA-M\LobbyistU.OBBYIST FORM O5. doe Rovised 12/08/04
;~J:r:~: ROBERT CEBALLOS
:~~ ••*c MY COMMISSION # DD644692
EXPIRES April 07, 2011
407)J98•R~a3 FlorWaNotaryService.com