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Anne S. Cotter ID MIAMIBEACH ? efr � City of Miami Beach Office of the City Clerk 3� 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. Cotter, Anne, S. NAME OF LOBBYIST: (Last) (First) (M.I) ARQUITECTONICA, 2900 Oak Avenue, Miami, FL 33133 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305 372 1812 305 372 1175 acotter@arquitectonica.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes: address, phone, or e-mail address. I. LOBBYIST RETAINED BY: Valerio Morabito NAME OF PRINCIPAUCLIENT: Morabito Picture Co. LLC, 110 Greene St., New York, NY 10012 BUSINESS NAME AND ADDRESS (Number and Street) (City) (S /ate) (Zip Code) 212 941 6500 212 941 6900 valerio@morabitopictureco.com 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: Valerio Morabito • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: 100% i.SPECIFIC LOBBY ISSUE: Proposed redevelopment of 3651 Collins Avenue Issue to be lobbied (Describe in detail): Ill. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2- 482(g) include a statement of the extent of any business, financial, familial, professional or other relationship, giving rise to an appearance of an impropriety with any City personnel sought to be lobbied — further, pursuant to City Code Section 2- 482(a)(4) include a statement of any contractual relationship (paid or unpaid) from 12 months preceding said City personnel' commencement of service with the City to the present date, stating the general nature of the subject contractual relation. - A) Full Name of Individual /Title B) Any Financial, Familial or Professional Relationship ThSfesiTC- AT 0 3 :1:10 5, 941.11 Alt 6C;6 WV 6- /MUM z1 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) Hourly rate of $220 per hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourly rate of $220 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 ® No: Are you lobbying 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 Contributions By Lobbyists On Real Estate Development Issues ": ❑ Yes ® No: Are you lobbying on a pending application for a Development Agreement with the City or application for change of zoning map designation or change to the City's Future Land Use Map? 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 a not - 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 IN No: Are you representing a not - for - profit corporation or entity without special compensation or reimbursement. . V. SIGNATURE UNDER OATH: ON FEBRUARY 28th 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 PRECEDI CALENDA YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES • - CO - ENS' • N DURING THE REPORTING PERIOD. ALI Signat :7•f Lobbyist I do solemnly swear that all of the foreg.'ng facts - - e correct and that I have read or am familiar with the provisions contained in Section 2-482 ofi e M'. i 13' : c • ty Code and all reporti • • requirements. Signature of Lobbyist: —O � ` _,.. gnature of Principal /Client: All /��_�O /J // e Z il f i • LOBBYIST IDENTIFICATION: rKnv.Iu AL DENTIFICATION: ",,,,,, ❑ Produced ID ❑ Produced ID c m Form of Identification Form of`dgntification 3 , , """ JORGE JIMENEZ I GI 3 0 Personally known (Lobbyist) X Personally known (Pri -« _ %• Notary Public - State of Florida z3 m •- My Comm. Expires Aug 9. 2013 ei y 11. SIGNATURE AND STAMP OF NOTARY: — Commission # OD 915151 g £ ( • �• Bonded Through National Nbtary Assn. M • tate of Florida, County of Miami -Dade State of Florida, County orMami -Olde — — — — — r T o -WO ,i ; d subscrib _ef re me Swor 0 , • • subscrib- • •efore me r ° _8► of W , 2010 This e - • _ !�J r r Si • • ture o Frric No = — State of Florida Si •" : li na of - ublic Not - — t- !_ of Flo ' • a • tarizatio, of Lobbvi 's signature Notarizati • of Princi al's s'! ature TO BE COMPLETED :Y CITY CLERK' STAFF ONLY Annual Registration feel'J) Yes [ 1 No Amou , did $ M R # 30.1 ix i Date Paid AA .9)+0 Lobbyist Registration Form received and verified b � — :.. / F: \CLER \$ALL \aFORMS \LOBBYIST FORMS \Lobbyist Regis ration I .r , Revised 05/05/2010 MI AMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CityClerk @miamibeachfl.gov Tel: 305.673.7411 , Fax: 305.673.7254 LOBBYIST NAME: Abit, I understand that no later than February 28th of each year, I must file the following form, 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 and Compensation Form Failure to file these forms on a timely basis will result in my name being transmitted to the Miami -Dade 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. 2 tb (O Signature: Date: Y. K _ • , a— M , - i 6 1. -- 1 ' Q `�� Q ' E' d .}. Z -' m s n li \ - , . , 4 . m• ''' .. • • - 1 › .r•• y . I ,N �. 3 p Z } C N . C) . la- ^ l s