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Joaquin E. Vargas - 1530 Washington Avenue Ltd. toZ-' C;Oen MIAMI BEAC 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. Vargas Joaauin E. NAME OF LOBBYIST: (Last) (First) (M.1) Traf Tech Engineering 8400 N. University Drive, Suite 307 Tamarac Florida 33321 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 954-582-0988 954-582-0989 ioaauinatraftech.biz TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone, or e-mail address. I. LOBBYIST RETAINED BY: 1530 Washington Avenue, Ltd. V NAME OF PRINCIPAUCLIENT: 9425 Harding Avenue Surfside FL 33154 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 866-7555 (305) 866-7515 c/o robertnafinvarb.com 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: Robert Finvarb • 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 and Permitting Issues, including, but not limited to Historic Preservation Board, Planning and Board of Adiustment annrovals for the nrooertu located at 1543 Washington Avenue, Miami Beach. FL 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 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 Planning, Building, Public Works and Fire Department None Staff PB, DRB, HPB, BOA, City Commission, and Land Use None Development Committee, as necessary 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 None In fi a None No ne • = r Lw �4 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required): s v B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED). 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 lobb3 ina gn a present or pending hid for goods,eauigment or services.or on a present or pending award for aoods.eauipment 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 lobbvina on a pending application for a Develooment 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 item,shall register with the clerk as required by this section but, shall not be required to pay any registration fees. Yes X o: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: ON FEgRLJARY 2§QE gACH L BB YIST ]HALL SUBMIT TO THE CITX UNDER ME THE PREQEDING CALENDAR YEAR. A STPTEMENT AL I D EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURINQ THE REP I D Sig E ture of Li bbyist I do solemnly swear that all of the foregoing facts are true i id corre t and that I have a, r m amiliar with the provisions contained in Section 2-482 of the Miami Beach City Code and all rep ng requ remen s. Signature of Lobbyist: Signature of Principal/Client: ��IfIRr�,e LOBBYIST ID IC O : PRINCIPAL IDENTIFICATION: 'r�• 'maw' Produced ID Produced ID O•: <•lIIF6 - :Y � Form of Identification Form of Identification r O ''awll.a• _• , Personally known(Lobbyist) Personally known(Principal) z +a�i n'` Ib m —SIGNATURE AND STAMP OF NOTARY: o 3 w 3 3 c co iSt&e.&f�lorida, County of Miami-Dade State of Florida,County of Miami-Dade o M Cr � twZSr�t�and4ubscribe - efore me Sworn nd subscr' before me ' °• This ,201 This day of ,2$93 w 3 fe M � D Signature —State of Florida Signat of bl N ary—State of Florida N o Notarization of Lobbyist's signature Notarization signature = d TO BE COMPILE T D By CITY CLERK'S STAF, ONLY. r, Anniial RegoStration foo- I I Ye-z[_ I No Amount Raid M CR At �2 17 _Date Rand Lobbyist Registration Form received and verified by. F:�CLE istration Form.doc Revised 04/27/2012 MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office Rafael E.Granado, City Clerk CityClerk @miamibeachtl.gov Tel: 305.673.7411 ,Fax:305.673.7254 LOBBYIST NAME: Joaquin Vargas 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 automatica ly suspended from I bying until all fines are paid, unless the fine has been appealed t the Miami-Dade Cou ty Commission on Ethics and Public Trust. Signature D e N 4 m Q - - • Co 0 .2 y � Z was as_ O co m