Jonathan W. Cardello - 738-804 1st Street y � i ly e
® M IAMIBEACH �° , cl°q
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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.
CAR1O solvA,l W
NAME OF LOBBYIST (Last) (First) (M.I)
A00 Irk 2 5.13 15CA y 3LO • 1670 M1Aw FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) ( ( (Zip Code)
305. iiR ?• R700 305. X82.8770 1 CAR Of 11. J &M I tut LOVI
TELEPHONE NUMBER: FAX NUMBER: EMAIL.
Please notify this office if your contact information changes: address, phone, or e-mail address.
I. LOBBYIST RETAINED BY:
730 'FI125T '712EET A65c
NAME OF PRINCIPAUCLIENT
1106 IA11161+IiUany AVV . ' �L � M vown t , �L 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip 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 U55ei L qAI OOT
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST
i.SPECIFIC LOBBY ISSUE: P liaL "e-ATEO 738 -I'M I6T 5112 EFT. INCW05 Com neec/AL
6pAce ANO Otule T11auuQH pkRri,.loj vAtteGe4 Ac - nv
Qavo I.f.VEC. .7/v4 30.0 LEvVL,S b✓ILL ez
p l ,p �/' pApv4.2 - Al Jinni 3 LLL /it S Vt Fora St.11GLS FAIN It.y 1Mi.a
Issue to b e'Io6 ie ['DDescn a in detail): T
III. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2- 482(a)(4) include the commissioner or personnel sought to be lobbied, and whether the lobbyist has entered
into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such person's
commencement of service with the city to the present date, stating thegeneral nature of the subject contractual relationship.
Sec 2- 482(a)(4) Full Name of Individual and Contractual Relationship (Explain) YES NO
title of person to be lobbied
PUttJIJ tft14 130,(60 X
Pursuant to City Code Section 2- 482(g) Every registrant shall be required to state the extent of any business, financial, familial or professional
relationship, or other relationship giving rise to an appearance of an impropriety, with any current city commissioner or city personnel who is
sought to be lobbied as identified on the lobbyist registration form filed.
Sec 2- 482(g) Any Financial, Familial or Professional Relationship
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IV DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE. (Required) #35 00
B) PRINCIPAL'S DISCLOSURE (OF LOBBY! COMPENSATION):
(Required). 3S ow
The following information must be answered: vv��
1) Pursuant to Miami Beach City Code Section 2 -488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement
Issues
❑ Yes A.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 4 .A . 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.
0 Yes KNo: 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 - 1 BMI TO THE CITY CLERK A SIGNED STATEMENT UNDER
OATH. LISTING LOBBYING EXPENDITURES. AS WELL AS C PENS' TION RECEIVED, IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHA BE FILE ii EVEN IF THERE HAVE BEEN NO EXPEND! URES OR
COMPENSATION DURING THE REPORTING PERIOD.
,
Signature of Lobby
I do solemnly swear that all , the fore!oing facts are true and correc :nd that I have read or am familiar with the provisions contained
in Section 2 -482 of the Mia i Beach • ty Code and all reporting requi -ments.
Signature of Lobbyist: -
Signature of Principal /Client: i -
VI. LOBBYIST IDENTIFIC ' I ON: PRINCIPAL IDENTIFICATION: — — —
❑ Produced ID .e = 1 Produced ID 1 L falC - tuw�1 `
Form of Identification F• ° ��
;. ; Form of Identification
3 t„
CT. t i Pn.n,a g
KPersonall known (Lobbyist) a X ; ❑ Personally known (Principal) 2 c., n o 8 c. a _ x .
VII. SIGNATURE AND STAMP OF NOTARY: m o o' E E
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State of Florida, County of Miami Dade C4 ° o 4 $ State of Florida, County of Miami -Dade V- 0 U
Sworn to and subscribed before me 0 m Sworn Ad subscribed before me ,,, „ ,,,,,,,
This 2 ��// 2 day of 6) , 2011 o This b day of , 2011 = ` - °'o$
Signature of Publi.� otary — St of Florida : Sig atu of Public rotary —State of Florida ° . �� s t.
,,
Notarization of • bbvist's sig ature Notariza ion of Principal's signature
TO BE COMPLE D :Y CITY CLERK' ST .s, i A ,� • /(
Annual Registration fee: [ ] Yes [ ] No Amount Paid $ If* MCR # /1 i�j = Date Paid "a
Lobbyist Registration Form received and verified by o/
F• \CLER \$ALL \aFORMS \LOBBYIST FORMS \Lobbyist Annual Registration Form.doc '' fr 0 Revised 1/11/2011
CI M1AMIBEACH
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: *jbm It/• CA 4 al. O
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 im • otify the City Clerk's Office of lobbyist withdrawal in writing.
i \V OA - 2S 2b //
Signature: Date: