Loading...
Joe Antunovich - ARRP Miami, LLC and Wells Fargo BankF - / /� City of Of Mi@mi Beach Office of the City Clerk 1 700 Convention Center Drive, Miami BeExCh, FL 33139 LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encouragq the passage, defeat or modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recri-mendation of the City Manager or any city board or committee; or any action, decision or recommendation of any city personnel durAg"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. Antunovich Joe NAME OF LOBBYIST: (Last) (First) (M.1) Antunovioh Aa000|oteo 224 VVaot Huron 8tnaat Chicago Illinois 00054 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (312) 266-1126 (305) 569-1334 TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes: address, phone, or e-mail address. |. LoeBv|mT msnu|mso BY: David Smith NAME OF PRINCIPAUCLIENT: ARRP Miami, LLC and VVo|/o Fargo Bank 2200 Biscayne Blvd. Miami Florida 33137 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 374-5700 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- Vj, IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR IND31ECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST.- ILSPECIFIC LOBBY ISSUE: Development Board Aporovals and Roadway Vacation for 1901 Alton Road-, Miami Beach, FL Issue to be lobbied(Describe in detail): III. CITY GUES NDI\ _D' A|�, '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 ounuamuo/ m|ounnomp (paid or unpaid) with said city commissioner or personnel from 12 months pmnomnm such person's commencement of service with the city the Sec 2-482(a)(4) Full Name of Individual and Contractual Relationship(Explain) YES I NO title of person to be lobbied Planning Staff, PB, HPB, BOA, DRB, Commission None X pu,uuort to ouv Code Section 2-482(g) Every registrant ohmx be required to state the extent of any uuoin000.nnonnum ^ professional relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner or-city onno|who is sought to be\uumem as identified on the|ouuvot registration,vnn filed. Sec 2-482(g)Any Financial, Familial or Professional Relationship NONE Cu C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Fi|ooVContenLDut|ooN83LGOOO sr-Rogioha ion L/ , f 7 AV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) 4 9M• 1 1� - B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): a�. Qb ��- (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 lobbying on a present or p2nding 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 Development Issues": _Yes X No: Are you lobbying on a pending application for a Development Agreement with the City or application for chanae 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 No: Are You representing a not-for-profit corporation or entity without special compensation or reimbursement V. SIGNATURE UNDER OATH: ON FEBRUARY 28 OF EACH C LOBBYIST H L L SUBMIT TO THE WY CLESK A SIGNED E E UNDER LOBBYING OATH, LISTING I E AS/aOMPEN EUIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR Y L EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATIOW15URING T N S* ature f Lobbyi I do solemnly sw I of ore goin e e and correc and at 1 have read or am familiar with the provisions contained in Section 2 of the Miam ch City o d reporting re re ts. Signa re of Lobbyist: Signa re of Principal/C' nt: VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of Identification Form of Identification V/Personally known (Lobbyist) `Personally known(Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida,County of Miami-Dade a ."QFFICIAJL SEAL„ State of Florid , C,o�yxtt.;�o Miami-7:Public AGUTAR Sworn to d ubscribed before me MEREDIT,° T. TORR.ES Sworn and su �i' - Q&rState of FloridaThis day o 014 pjlppig This ` day = es Mar 1G,2015 Ndigpubfic, Coirimi�ian EX019SWI1-20 - %�;F�,r F<<;�;� Commission #FE 70'L92 Si a re of Public No a — to of Flor� ; • ' ' SignafvreW Public of y— ate o lorida Notarization of ignature Notarization of Principal's signature TO BE COMPLETgp PY CITY CLERK'S STAFF ONLY 1­2 A )^ 112 /1 Annual Registration fee: [ ]Yes[ ]No Amount Paid$ "— MCR# Date 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 I IV%. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) 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 lobbying on a present or pending bid for aoods eauiament 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: A&2 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 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 representing 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. Signature of 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: t^ Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of Identification Form of Identification Personally known(Lobbyist) " Personally known(Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade State of Florid , CAS ,e�o Miami-DMI AGUTAR Sworn to and subscribed before me Sworn and su cY' Q@ry Public-State of Florida This day of ,2014 This day , t i - W4.Expires Mar 16,2015 Id, commission#EE 70292 WIA °iii Signature of Public Notary—State of Florida Signaivreldf Public of — ate 7olorida Notarization of Lobbyist's signature Notarization of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONL Annual Registration fee: ( J Yes[ ]No . Amount Paid$ MCR# Date Paid Lobbyist Registration Form received and verified b C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc Ei: :Gt•F _,;;tratjor :°,) rmdoc Revised 04/27/2012 City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachil.gov CITY CLERK Office Rafael E. Granado, City Clerk CityClerk(mmiamibeachil.gov Tel: 305.673.7411 , Fax:305.673.7254 LOBBYIST NAME: Joe Antunovich 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 $50.00 a day shall be assessed for all Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist (or principal) to file the Statement or pay the assessed fines after notification. Any lobbyist, who fails to fill the required Statement by April 30th, 2012, shall be automatical s spended fr to ying until all fines are paid, unless the fine has been appe th Miam' a o ty Com "ssion on Ethics and Public Trust. 2Co ZoI� Signatur Date: C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc I t t (1 3 LU IA �/ � -c.--�... �-- �� _ -F =_ .•fit_ _ _ rkR 0. -ar$c _ .� W Ax 4� V V � =a tSA - r V1 _ = o E: 1� �" ❑ O ar iii � _ - __ �'.-�• � ice, k 1 Sit" l S ,y S '�i