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Jose Diaz/Edwin Gonzalez (Tremont Towing, Inc.)~.e.u aw Clty of Miami 6ead10ffloe of tfie (3ty C]eric 17BQ GonverNion Cenber Drive. Miami Beach. R 33139 LOBBYIST RRG15TItATION IiORM Lobbyist means sIl persons employed or retained, whathor paid or not, by a principal who seeks to cneourage the passage, defeat or modification of any ordinm~ce, resolution, action or decision of arty commissioner, any actioq decision, recommendation of the City Manager ~ any city board or codnmitf3ec; or any action, decision or recommendation of arty city pasom~el during the time period of the entire decision-making process on such action, decision or recommendation that foresxably 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 spacdic etcclnsiooa. Please rder to Ordieance 20043435. Diaz Jose NAME OF LOBBYIST: {Last) (First) (M.q Akermam Scntert-itt, P.A. One SE 3'~ Ave., Ste. 2500 Miami FL 33131 BUSINESS NAMIr AND ADDRESS (Number and Street) (City) (State} ('L'ip Code) (305) 3745600 (305) 3745095 jose.dia~akeraian.com TELEPHONB NUMBER: FAX NUMBER: EMAII.: LOBBYIST RETA,INLD BY: Gonzalez Edwin F. NAME OF PRINCIPALICLIENT: (Last) (First) (M.I) Tremont Towing Inc. 1916 Bay Road Miami Beach FL 33139 BUSINESS NAME AND ADDRESS (Number' and Street) (City) (State) {Zip Coda) (305)672-2395 TELEPHONE NUMBER: FAX NUMBER {optional) EMAIL: (optional) i>tifa oat this sectlae ft prlssclpal is a Corporatlois, Psrtaers>tlp or 'Moat [Section 2-482 (c)i NAME OF CHIEF OFFICER. PARTNER, OR BENEFICIARY: IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR 1NDIREG'CLY, A 5% OR MORE OWNERSHIP INTEREST 1N SUCH CORPORATION, PARTNERSHIP OR TRUST: --~ II. SPECIFIC LOBBY ISSUE: -'` c.- . ~ ~. (Ieneral Counsel on Miscellaneous Matter ~'~ rv Issue to be lobbiod (Describe in detaiik ~ ~ i ,~ ~ D S . ~ ~ 3 lJ I ~ ,.~ ZZ ~Z Wd Z- ~~N Z N "z1 ~~ ~_ IiI. CITY ACLNCIES/INDIVIDUALS TO BE LOBBIED: A. i?ull Namr of Iadivid ualITitle B. Aay Fioaacial, FAUilbl or Professional Relatioas~lp N/A - ,~ i I ~/ /, ~~ ~ lV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHERgOURLY, FLriTRATE 08 OTHER}: A. LOBBYIST DISCLOSURE: (Requured)~,~ ry.~ ~'ZSG.cra ~~r B. PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): {Required) The following information must be answered: (I) Pursuant to Miami Beach City Code Section 2-488 Entiti~l "Prohibited Campaign Contributions By Lobbyists On Procurement Issues*: ]Yes ®No: Are you bbbyitlg on a present or pending bid for goods, equipment or services, or on a present or pending award for goods, equipment or service? (2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Cootributior~s By Lobbyists on Real Estate Development Issues": Yea ®No: Are you bbbying on a pending application for a Development Agreement with the City or applicstio, for chance of zoning map designation or chance to the City's Fatnre Land Use Map? (3) Pursuant to Miami Beach City Code 2~i84 (h) Any person (exceprt 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 corpora#ion 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 try his section but, shall not be required to pay any registration fees. ^Yes ®No: Are yoti representing amot-for-profit oorppration or entity without apecia! compensation or reimbursement. {tKZ~abar,~ } ~ N 0 ~ -G n r- OD f'*'1 2 u; c> -v ~ lT< ~, rn o ~ lil. CITY AG>~'NCIESlITTDMDOALS TO BE LOBBIED: A, Poll iYamr of I~dlvid ualll'itle B. Aay Finsnclal, FamiHsl or Pralrssiasal Relatio~aiip N/A lV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION {DISCLOSE WRETHI~RBOUBLY, FL:4TR1tTlS OR OTSER): A. LOBBYIST DISCLOSURE: (Required}_~~!'l~ t 5 G.ctir ner L.r~ B. PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATIOl~: (Required} The following information most be answered: (I} Pursuant bo Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Cantn'brrtians By Lobbyists On Pincurcmcrit Ls~es": ^Yes ®No: Are you bbbying on a present or pending bid for goods. equipment or servloes, or on a present or pending award for goods, equipmeat or service? (2) pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campai®r Contributions By Lobbyists t]ti Real Estate Developmetrt Issues": QYea ®No: Are you lobbying on a pending sppl[cation for a Development Agreemeat with the Cliy or applicatioi for cbance ots zoning map deaignstion or chance to the Cliy's filtat+e I.eod Use Map? (3) Pursuarit to Miami Beach City Code 2-484 (h) Arry Am'~ (except those exempt from the definition of "lobbyist" as set forth in Section 2-481 above) who only appears as a repave of a not for-profit corporation or entity without special compensation or reimbursement for fhe appearance, whether direct, or indirect, to express sugpart of ar opposition to any ism, shall register with the clerk as required by this section but, shall nut be required to pay arry regisbativn fees. QYea ®No: Aro yon representing a not~or-prof t corporation or entity without apeda! compensation or reimbnrsement. ltnn~sarty 2 V. SIGNATURE UNDER OATH: ON OCTOBER 1~ OF EACH YEAR. EACH LOBBYLST SHALL SUBMIT TO THB CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING L~BYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IIY THE CITY OF MIAMI BEACH ROR THE PRECEDIlYG CALENDAR YEAR. A STATEMENT SHALL BE FII.FD EVF,N ~' THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DIIRING THE REPORTING PERIOD. Si Lobbyist I do solemnly swear that all of the foregoing facts are true and ooar~ect and that I have read or am familiar with the provisions contained in Section 2-482 of tho Miami Beach City Code and all reporting ~quiretnents. Signaun~e of Lobbyist: Signadue of i'rincipal/Clie~ VL LOBBYIST IDENTIFICATION: ^ Produced ID Farm of Identification Personally known (I[.obbyist} PRIIVCIiPAL IdENTIP'ICATION: (] Produced ID Form of Identification p/rasonally known (Prlaclpalj VIL SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miffini-Dade Sworn to and subsc 'bed before me This~!f~ day of 20 ~ ~~'~~ Sigaatut+e of Public Notary -State of Florida Nohr•i~tioa otLobhyttt's sigaatare ~ srrof~ -ry oonnrmon co~awo+ '~ ~ °~0r1--- State of Florida, Courny of M~amdi-Dade Sworn and substxibed before me This y of ~r ~ j . 20~ Signatt>te of Public N -State of Florida Notariztfiot; of PrLcipil's sigastare ,.•~~'~ ::,, Victor M. Juarbe ?.~ ~ :.: Commission it DD532535. BonMd Troy Ffii • MwrMrc~. MC FOR CLERK'S USE ONLY ~ ~f 2 Annual Registration fen: QYes QNo Amount Paid ~ MCR f~ ' J~D Dale Paid D~ Lobbyist Registrstion Form received and verified try: Rt~vised 12ADQ~Dt {z~nt~na } 3 9 ~,11AMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beoch, Fbrida 33139, www.miomibeochfl.gov CITY CLERK O$ice Tel: 305.673.7411 ,fax. 305.673.7254 CityClerk@miamibeochfl.gov LOBBYIST NAME: ~OcP.. fi. D I~ L. I understand that no later than October 1st of each year,. I must file the Following forms, pursuant to Section 2-485 of the•Miami Beach City Code, with the City Clerk's Office for all active lobbying issues. 1) Lobbyist Expenditure Form 2) Disclosure Form Failure to file these forms on a timely basis will result in my name being transmitted b the Miami-0ade County Commission on Ethics and for code violation evaluation. In addition, once an issue I have registered to lobby on has been resolved, I am required to immediately notify the City Clerk's Office of lobbyist withdrawal in writing: Signature: Revisad 02J04i200~ ~/ /~~ Date: ' 1 ! ~ ? ? .i ~:' ` .' ~ eta' ;'~{:' Y' i -.~.5 I:'~: ~ i~i"lt iit'.t.tt('