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Pat Maloy - Peter Fine �fi AMAMI BEACH 41 City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 3M%C a _7 PM 12: 40 LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encouFa6e1f�tie pas agel,ldefeat 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 refei to Ordinance 2004-3435. Maloy Pat NAME OF LOBBYIST: (Last) (First) (M.1) Floridian Partners, 1512 East Broward Blvd, Suite 101, Ft. Lauderdale, FL 33301 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (954) 779-2734 (954) 760-9669 pmaloy@flapartners.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: Peter Fine NAME OF PRINCIPAUCLIENT: To Better Days Development LLC, 183 Madison Avenue, 16 FlrSg, NYC, NY 10016 BUSINESS NAME AND ADDRESS (Number and Street) (City) fine@ at ,an)ticdev coup Ccom (212)258-2932 P 4 P TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional) Fill out this section if principal is a Corporation,Partnership or Trust[Section 2482(c)] • NAME O CHIEF OFFICE P RTNER,OR BENEFICIARY: • IDENTIFY ALL PERSONS HOLDI G DIREqZEY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: j �` c II.SPECIFIC LOBBY ISSUE: RESIDENTIAL CONSTRUCTION Issue to be lobbied(Describe in detail): Ill.CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2482(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 CITY OF MIAMI BEACH e�^ None X Pursuant to City Code Section 2482(8)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 Any Financial,Familial or Professional Relationship NONE C:\Users\clerhatl\App Data\Loca I\M icrosoft\Wi ndows\Te mpo rary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc (� j D IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) B) PRINCIPAL'S DISCLOSURE(O RolkS44 OBBYIST OMP� S T"_u(REQUIRED) n L 1�ICI 4 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 yNo: 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 Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate evelopment 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 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 1'tem,shall register with the clerk as required by this section but,shall not be required to pay any registration fees. V Yes No: Are you representing anot-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,16F MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. / Signature of Lobbyist I do solemnly swear that all of the foregoing fa s are rue and correct and that I have re ram familiar with the provisions contained in Section 2-482 of the Miami Beach City Cod and ' g r�q ireme ts. X Signature of Lobbyist: Signature of Principal/Client: VI. LOBBYIST IDENTIFICA ION: PRINCIPAL IDENTIFICATION: Produced ID Produced ID dtJ VA12' dajgst! , Form of Identification Form of Identification Personally known(Lobbyist) Personally known(Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida,County of Miam MIREYACARB#EE045 Sworn to and subscribe b ore e; «_ MY COMMISSION#EE 045548 State of Florida, County of Miami-Dade ;, �(PIRES:February 22,2015 Sworn and sub lb d b foe m This day Bonded Thru Notary PublicUnderumters This_da of 201 ' - IREYA CARBALLOSA MY COMMISSION#EE 045548 Si ature Public otary—State of Florida Sig ture o ublic Notary—Sta EXPIRES:February 22,205 N arizati of Lobbyist's signature No rizati of Principal's Sig oonded Thru Notary Public Underwriters ,OF TO BE COMPLETED PY CITY CLERK'S STAFF.ONLY Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# to-Paid Lobbyist Registration Form received and verified by: C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc y r F:\CLEI listration Form.doc Revised 04/27/2012 /\AIAMIBEACH City of Miami Beath, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov CITY CLERK Office Rafael E.Granada,City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.741 1 ,Fax:305.673.7254 LOBBYIST NAME: PAT MALOY 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 p Y a the assessed fines after notification. Any lobbyist, ho fails to file the required Statement by April 30th, 2012, shall be automaticall suspended from lobbying until all fines are paid, unless the fine has been appealed t the M' '-Dade unty Commission on Ethics and Public Trust. 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"-:{{�."�- <��.i� •wa. ::.r _3 `:� ,.r'.X-,..,' �%� •.i -r�.- r. d•'�;�3F�':,,a-'t;�= .;a...c,.;-s�,,- ti�:� .wt._-�3•":;.,3.a w-Vic'€ '?'t � �',? c-e �.w�, n^a=� r.k.a+.l �'.e� -1- ?....t.Y-"'-�x-'.,._Fs.•..- ,d,-,yr �:��' �sL:- �'�� ,E;• .:s:«''.s�'ii.�"�`-,F... .l to='u'.�,}.. t.-r..+, -c. _ .,;.,i.r•:,�.,5;;�-. "�'�wy_ ,a+>fri�',:'}v,-•"-?::;�'t,�+;=%�e-"- 'ti,..>?i:.� �;�:;•<,'d.�- � �;;�.:.a.. r'Ja TM';��:r"'`•j-:d•.- r� �+., �',r^:=;,r.rr.�,t�;."`i '•%�x�p.•.�}p •3t1.�':.�i•� MIAMI BEACH r... ( �.�Y City of Miami Beach, 1700 Convention Center Drive, Z . Miami Beach, Florida 33139 www.miamibeachfl.gov 813 0CT -7 P City Clerk' Office 12: 40 Tel: 305%673 - 7411 3�5/i :,= 7254 , OF l ANNUAL LOBBYIST REGISTRATION FORM Name: Pat Maloy Business Name: Floridian Partners Address: 1512 East Broward Blvd, Suite 101, Ft. Lauderdale, FL 33301 Phone: (954 ) 779-2734 Email: pmaloy @flapartners.com If more than on Lobbyist, please list: 1) 2) 3) MCR #: 36�- q (r _;z Amount aid: y a Date aid: < p p Processed b Y: `�� Date: 9 t Send this form with a check for $500 payable to the City of Miami Beach for each lobbyist F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM.docx �I