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Neisen O. Kasdin - Miami Beckham United, LLC S B F AC �--4 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. Kasdin Neisen O. NAME OF LOBBYIST: (Last) (First) (M.I) Akerman LLP One SE Third Ave,25th Floor Miami FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305.982.5629 305.374.5095 neisen.kasdin(d)akerman.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: Miami Beckham United LLC c/o HR&A Advisors.Inc. NAME OF PRINCIPAUCLIENT: 99 Hudson Street,3rd`Floor No NY 10013 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (ZJp Code) 212-977-5597 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: • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: ii.SPECIFIC LOBBY ISSUE: MLS Stadium 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 person's commencement of service with the city to the resent.date stating the eneral nature of the.sub ect contractual relationship. Sec 2-482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES NO title of person to be lobbied Mayor fN,,� None (2v ,�/9S/0�✓ 5 II 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 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc -IN j I I N�,J IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) hourly B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED).$645 hourly 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": _Yesolo: Are you tobbving on a Present or Pending bid for goods.egutpment 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 Development Issues": _Yesallo: Are.you lobbying on a Pending application for a Development Agreement with the City or application for chance of zoning map deslanation or change to the City's Future Land Use May? 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 2481 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. YesE]Nos_AM you representing a not-for;profit corporation or entity,,without special compensation or reimbursement V. SIGNATURE UNDER OATH: ON-FEBRUARY 8 OF EACH YEAR.EACH LOBBYIST SH LL SUBMIT TO THE CITY CLERK SIGNED UNDER OATtj,LISTIN _LOBBYING EXPENDITURES,AS WEL S OMPENSATION RECEIVED,IN THE C17Y OF MIAMI BEAC _H FOR E PRECEDING CALENDAR YEAR, A STATEMENT SHA 139 FILED EVEN IF THERE HaME 13 _IEN NO JEXPENDITURES O COMPENSATION DURING THE REPORTING PERIOD. Signatur M tobbylst I do solemnly swear that all o t i foegoing facts are true and correct and that I have read or am familiar with the provisions contained in Section 2482 of the Mia i h City Code and all reporting requirements. Signature of Lobbyist: Signature of Principal/Clie, VI. LOBBYIST IDE T (CATION: PRINCIPAL IDENTIFICATION: Produced ID - _Produced ID Form of Identification `' Form of Identification j ��rrrro�� /ersonally known(Lobbyist) t°� Personal rl wrAQ111111 )` ♦ A; i VII. SIGNATURE AND STAMP OF NOTARY: (n O® •N q R''•. •NO'd11-4 State of Florida,County of Mia '-Dade m State of• it)f?t! e Swom t d subscribe a m O Sworn a oubscI ` m " � This of 20_ m C This eJbj;of p , Nor ® �0 r- Signature ofPubTA Notary-State of Florida cn o v ignaWe of Public N64q Notarization of Lftylsfs signature > otarization of PrIncioa t'trsJ9n4tdrre`' TO BE COMPLETED BY CITY CLERK'S STAFF ONLY LZ Annual Registration fee: [ ]Yes I ]No Amount Pald S MCR# Date Paid / Lobbyist Registration Form received and verified by: F:\CLER\#ALL\aFORMS\LOBBYIST FORMS\LobbVist Annual RPSIstration.Form.doc 20 Revised 11/18/23 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc a ! l City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeochfl.gov CITY CLERK Office Rafael E.Granada,City Clerk CiyCle►k @miamibeachfl.gov Tel:305.673.7411 ,Fax:305.673.7254 LOBBYIST NAME: Neisen O. Kasdin I understand that no later than February 28 of each ygar, 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 2-486(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) tiled 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 30,shall be automatically suspended lobbying until all fines are paid, unless the fine has been appealed to the Miami I County Commission on Ethics and Public Trust. 4/17/14 Signature v Date FACLERULWFORMSILOBBYIST FORMStLobbyist Registration Form.doc LL �a zz - - - t � e y m LU ® 4 +c LE I; -