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Joseph Fleming/Barbara NeijnaM1i Bcach 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. JOSEPH Z. NAME OF LOBBYIST: (Last) (First) (M.I) 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; flemingj@gtlaw.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: Barbara Neijna NAME OF PRINCIPAL/CLIENT: 4268 SW 73rd Avenue Miami, Florida 33155 BUSINESS NAME AND ADDRESS 305-264-2460 (Number and Street) (City) (State) (Zp 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: Public Art Issue n~~ $C~~~t. mac. ~ ~ L°. 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 Board of Adjustment Design Review Board, Planning Board _~~1.~.~0 4.`~~31~ 1~11~ City Commission J.. IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHERf A) LOBBYIST DISCLOSURE: (Required) $495/per hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $495/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": ^ Yes IdNO: Are you lobbving on a present or nendina bid for goods, eauinment or services, or on a present or nendina award for goods, eauinment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": ^Yes ^ No: Are you lobbving on a nendina application for a Development Agreement with the City or application for chance of zoning man 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 "IobbyisY' as set forth in Section 2-481 above) who only appears as a representative of snot-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 representing anot-for-profit corporation 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 COMPENSATION DURING THE REPORTING PERIOD. nature 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. ,.,r-~ _,~., Signature of Lobbyist: Signature of Principa VI. LOBBYIST ^ Produced ID Form of Identification Personally known (Lobbyist) ~~~ VII. SIGNATURE AND STAMP OF NOTAR~ ~ State of Florida, County of Miami-Dade $ ~ a S orn to ~~d subscribed before me This '029 day of Q 20Ug ~ Signature of Public tary -State of Florida Notarization of bbyist's si nature C~n~n'i . No . b ~~ ~~a ~ PRINCIPAL IDENTIFICATION: ^ Produced ID Form of Identification iii Personally known (Principal) ~ ~"~~ \ ~ °~-. State of Florida, County of Miami-Dade ~ ~ Swor d subscribed before me This day of 20d~ d g Si4nat re of Public Notary - to of Florida :ion of Principal' FOR CLERK'S USE ONLY Annual Registration fee: [ ]Yes [ ] No Amount Paid.. • MCR #~ l Date Paid Lobbyist Registration Form received and verified by: J = ~'~~ - F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.doc ~$ Revised 12/08/04 p/ P D2., i i ••GS 13 : ~5 r,REEh IBERG TRAi_'R I G ~ ~D5 ST:~T~54 ~ , ~vwa. '"S IY. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER N01lRLY, PLAT RATE OR OTHER A) IOBBYLST DISCLOSURE: (RBqulred) hd0. D^r? DC5 B) PRINCIDAI.'S 015ClOSURE (OF LOBBYIST COMPENSATION): (Required) - - - - The followlnp information mu~at be answered: 1) Pursuant tb Mlaml Beach City Code Section 2-469 Entitled "Prohibited Campaign Contributions By Lobbyists /On Procurement Issues": Yes 1d No~ Are vau IobbVing on B Dresant ar dendina blG~f_o.S.,goodQ. eLt~!inment ar aer~t[ces, or on s eresent or pendinn award tQ ot_ sods. eLluiam®nt er ae~ryics2 2) Pursuant to Mlaml Beach City Code 2-490 Entitled "Prohibited Campaign Contribuitions ey Lobbyists On Real ~~~ 3) Pursuant to Miami Beach City Code 2-464 (h) Any person (rzcept those exempt from the defu-ition of "lobbyl.3Y' as set forth In Section 2-481 above} who only appears ds a representative of snot-for-proFlt corporation or entity without special compensation or reimbursement for the appearance, whether direct, or IndUect, to express support of or opposition Lo any item, shall register with the clerk as required by this sect~n but, shall not be required to pay any registration fees.. v. SIGNATURE UNDER oA7H: ON OCTOBER 1~ OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH LISTING LOBBYINt3 EXPENDITURES, A5 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 PERIOb. Signature or LohGyist 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 Z-462 of the Miami Beach City Code and all reporting requirements. Signature of Lobbyist; Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: D Produced ID Form of Identification 0 Personally known (Labbyict) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Mlaml-Dade Sworn to and subscribed before me This day of . 20_ Signature of Public Notary -State of Florida Notarization of Lobbyist's signature P R IN ci P al I D E N TJ[ FICATIO N o Produced ID Form of identification t7 Personally known (Principal) State of Florida, County of Miami-Dade Sworn and subscribed before me This day of . 20_ Signature of Public Notary -State of Florida Notarization or Principal's signature FOR CLERK'S USE ONLY annual Rcglsfradon fee: [ )Yes [ J No Amount Pald Mt;R s Date Pald ~obbylst Replsvadon Form receives and verified by: F:\CLER\$ALL\MAAIA-M\LobbYlst\tABBY15T fORM OS.doC Revised 12/08/04 D2: i i:•'~8 i 3: a5 GREEr•iBERG TRAUR I G ~ 3F35 5^~^25a Greenberg Traurig Transmittal Cover Sheet From: Joseph 2. Fleming Tel: 306.579.0517 E-Mail: flemingj@gtlaw.com rao. ~^~ Dpi To; Fax No: Company: Pnone no.: Sylvia Prieto 305 673 7254 City of Miami Beach File No.: 999901.685271 R®: ,foseph Z. Flefnin~ - Lobbyst Registration Form Date: February 1 1, 2008 No. Pages: Including Cover Sheei 1f you do not receive all Rafaes t~roQerly please call The sender. Notes: Also sent via: ~ US Mail ~ Overnight ~ Messenger ~ Email ~X No Other The information contained in this trsnsml5slon Is attorney prlvlleped and confidential, h Is Intended only for the use of the individuml or entity nametl above. If the reader of this message Is not the intonded recipient, you are hereby notified that any dlsseminetion, dlstrihution or copying of tnls COmmuniCall0n Is strictly prohibited. If you h®vC received this communlcalion in error, please notify us immediately by telephone colloct and return the original message to us st the address below via the U.S, Postal Service. We wW relmour56 you (or your postage. Thank you 1221 Brickell lwr1nue, Miami, Florida 33131 Pnone: 305 579.0500 Fax 305.579.0717