Paolo Piincente - Miami Foundation, F.A. (2A-1 I de
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City of Miami Beach Office of the City per ,i ‘c\
1700 Convention Center Drive, Miami 0I 331
LOBBYIST REGISTRATION FOR y-
Lobbyist means all persons employed or retained, whether paid or not, by a print pa l 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.
1NCAJ PA-0L
NAME OF LOBBYIST (Last) (First) (M.I) ,..zsw5
1 � (> i ti A-J t' 3a / / ge- � , �Z !
BUSINESS NAME AND ADDRESS (Number and Street) (City ) (State) (Zip Code)
I)-• (91, a3y /04/9e:4. -P c) (. l°,4re:(QM1
TELEPHONE NUMBER. FAX NUMBER: EMAIL
Please notify this office if your contact information changes: address, phone, or e-mail address.
LOBBYIST RETAINED BY:
NAME OF PRINCIPAL /CLIENT.
Y1 1 /q' � (� PD o iJ strric7t) F43 .206 2 15C ye-) e Nl ! 4 624. 29 itj—
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
,3fr _* 3'
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.
g A -tc F o
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST
ii.SPECIFIC LOBBY ISSUE:
11 C / 435McI l 4-Y P/-t 7J��
Issue to be lobbied (Describe in detail):
nl. 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 the general 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
C
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
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE (Required) p D i e_
J� N i
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION) _ `
(Required) A) b /-� t
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 y 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 ❑ No: Are ou re•resentin• a not-for-• rofit corporation or entit withouts•ecial com •ensation 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 PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN I F THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
Signature of ist
I do solemnly swear that all of the foregoing facts are true and orrect and that 1 have read or am familiar with the provisions contained
in Section 2 -482 of the Miami Bea ity Co e and all reporti g requirements
Signature of Lobbyist: . A
Signature of Principal /Clie t. !\� / �/I d
VI. LOBBYIST IDENTIFICATION: 1111/ PRINCIPAL IDENTIFICATION:
LISP",- ct 3
Pr oduced ID (RS** I-- 6g74(//473 LI Produced ID
Form of Identification Form of Identification
❑ Personally known (Lobb ,_., ___._ - Personal) known (Principal)
ISABEL SATCHELL Y ( P )
` �� r ;d �1 �1'SS1ON a DO 87989
VII. SIGNATURE AND STAM F'- + I OTAKj pi ; �E S • April 13 2013
p a ihsu Nc 1ary PuG1ic Un s
e v � ti0 td.,
State of Florida, County of Miami D - State of Florida, County of Miami -Dade
Sworn to and subscribed before me Sworn an• bscribed befor me
This - _day of _ 0 6°M. ;' 2011 This „.-A d. of 4/01 , 2011
ir - '
.........__ 41■_ _. / . i
Signature of Public N. : ry — State of Florida Signatu - o ' •li of ' '' �f FIPi LO PINCENTE
Notarizatior, of Lob . ist's signature Notar'' ation of ' rincipa s ''' 9tj4UY COMMISSION # EE021404
TO BE COMPLETED BY CITY CLER 'S STAFF • NLY 7 3 ` ` EXPIRES August 26, 2014
(40 306 0153 Fro^daupmryg.m.a ram
Annual Registration fee: [ ] Ye o Amount • 'd $ J ■ MC # ��� � �
Lobbyist Registration Form rece ed and verified b 0; r' � �
, • .try
.a u ,, , i r4.m6 • , R,1, r T, .a Rm ':. ws.: Am a1 Reg . _ /I nfrV/ /Revised 1 /11/2011
• NA1 2 � (. .-
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Fonda l 33139, www miamibeachfl.gov
CITY CLERK Office CityClerk @miamibeachfl.gov
Tel. 305.673.741 1 , Fax. 305.673.7254
LOBBYIST NAME: ,
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.
Sign ure: Date: