Carlos Bravo - Fisher Island Community Association, Inc. MIAMI BEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139 �� V
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.
Bravo Carlos
NAME OF LOBBYIST: (Last) (First) (M.1)
Vertex Architecture 10250 SW 56 Street, Suite C-101, Miami FL 33165
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)412-9499 (305) 412-9489 carlos(d)vertexarchitecture.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:
Fisher Island Community Association Inc.
NAME OF PRINCIPAUCLIENT:
Same One Fisher Island Drive Fisher Island FL 33109
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 938-2944
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: See attached.
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: See attached.
II.SPECIFIC LOBBY ISSUE:
Development approvals& permitting issues for Parking Garage and over water platform for ferry service located at 120
MacArthur Causewav
Issue to be lobbied(Describe in detail):
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
arson'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) F NO
title of person to be lobbied
Staff of Planning Department, Building Department,and Public Works None X
De artment
PB, HPB, BOA,City Commission, as necessary None X
Pursuant to City Code Section 2.482(g)Every registrant shall be required to state the extent of any business,financiaF�-femil�'or professional
relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner of cltyorsogn]el who is
sought to be lobbied as identified on the lobbyist registration form filed. , ". -`t
Sec 2-482(g)Any Financial, Familial or Professional Relationship
None
r
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)
S 1,000.Ors (f L67 kATF_)
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): / TE�
(REQUIRED). S 1,006-00 l 1 F,`a,�p,I�
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 X No: Are you lobbying on a present or oendina bid for goods eauipment or services or on a oresent or pending
award for aoods.eauipment or service?
2) Pursuant to Miami Beach City Code Section 2490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
_Yes X No: Are you lobbying on a Pending application for a Development Agreement with the City or application for
chanae of zonina map desianation or chance to the City's Future Land Use Map?
3) Pursuant to Miami Beach City Code Section 2482(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 X No: Are you rearesentina a not-for-profit corporation or entity without special compensation or reimbursement
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28 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
EM THE PRECEDING CALENDAR YEAR, A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING
Sign ure of Lob ist
I do solemnly swear that all of he foMo s are true and correct and that I have read or am familiar with the provisions contained
in Section 2-482 of the Mia ac nd all reportiegairements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
_Produced ID _Produced ID
Form of Identification Form of Identification
Personally known(Lobbyist) X Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida,County of Miami-Dade tate of Florida,County of Miami-Dade
re me + �, Y PV 4•f ASHLEY LYNN IRIZARRY w rn and subscribed before me
ILL 2 s .? Notary Public-St alo of Florid hi day of cam vrax ,204-2 13
My COMMISSION#EE74535 ; r My Comm.Expires Mar 31,201
EXPIRES:June 12 2015 .�- Commission 0 EE 159374
t • to of FI of bli ota —State of Florida
0 o s ' s' nature Notariza 'e of c' 's signature
TO BE COMPLET Y CITY CLERK'S STAFF ONLY 7
Annual Re istration fee: Yes No Amount Paid S MCR# z Date Paid v /�
Lobbyist Registration Form received and verified by: J
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) $ I co
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST C9 MPEN ATION): rCf�t QJ
(REQUIRED). $ 4 of �T LA r� '`P,
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 X No: Are you lobby*na on a present or nendina bid for aoods.eauioment or services. or on a present or pending
award for goods.eauioment or service?
2) Pursuant to Miami Beach City Code Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
_Yes X No: Are you lobbying on a pendina application for a Development Agreement with the City or application for
change of zonina map desianation or chanae to the City's Future Land Use Map?
3) Pursuant to Miami Beach City Code Section 2-482(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 X Noe Are you representina a not for profit corporation or entity without special compensation or reimbursement
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28 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
EM THE PRECEDING CALENDAR YEAR, A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTINg PERIOD.
egrlA nano
Signature o 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.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
_Produced ID _Produced ID
Form of Identification Form of Identification
_Personally known (Lobbyist) X Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade a159374 ate of Florida, County of Miami-Dade
Sworn to and subscribed before me ° ASHLEY LYNw n and subscribed before me
This day of 201 Notary PuM IC- hi day of Gv�uwr 204* 0 3
My Comm.Expire
Commission
Signature of Public Notary—State of FI f bli ota —State of Florida
Notarization of Lobbyist's signature of signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: Yes No Amount Paid$ MCR# Date Paid
Lobbyist Registration Forth received and verified by:
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ist,atiun Fcjim.duc Revised 04/27/2012
City of Nliami Reach, 1700 Convention CC111cr Drive. N'liand 13cach. Florida 33139,
CITY CIT'RK (.)like
Rafael Granado, Gov Clerk
'rei:305.673.7411 . Fnx:305.673.7254
LOBBYIST NAME: Carlos Bravo
I understand that no later than February 28 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, or I am no longer
lobbying on that issue or for that principal, I am required to immediately notify the City Clerk's
Office of lobbyist withdrawal in writing.
Pursuant to Section 2-485 (d), the City Clerk shall notify any lobbyist (or principal) who
fails to timely file a Statement and in addition to any other penalties which may be
imposed as provided in Section 2-485.1, a fine of $50.00 a day shall be assessed for all
Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade
County Commission on Ethics and Public Trust of the failure of a lobbyist (or principal)
to file the Statement or pay the assessed fines after notification.
Any lobbyist, who fails to file the required Statement by April 30th, 2012, shall be
automatically suspended from lobbying until all fines are paid, unless the fine has been
appeal to t Dade County Commission on Ethics and Public Trust.
Signature Date:
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Fisher Island Community Association, Inc.
Board of Directors
Gary Snider,President One Fisher Island Drive, Fisher Island, FL 33109
Heinrich von Hanau,Vice President One Fisher Island Drive, Fisher Island, FL 33109
Roberto Sosa,Treasurer One Fisher Island Drive, Fisher Island, FL 33109
Ashley Irizarry, Secretary One Fisher Island Drive, Fisher Island, FL 33109
Howard Lorber, Director 8061 Fisher Island Drive, Fisher Island, FL 33109
Laurie Melnick, Director 2114 Fisher Island Drive, Fisher Island, FL 33109
Irwin Potash, Director 2033 Fisher Island Drive, Fisher Island, FL 33109