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Daniel G. Ciraldo - MDPL 2456 Prairie Avenue ,. 7_45-6 i?(A;ri l✓ Avenct ,,- e I Atv\ btALsrl City of.Miami Beach Office of the City Clerk { r r�' 1700 Convention Center Drive, Miami Beach, FL 33139 20 t c If LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage•tlie passage;defeat or;C t_ 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. Ciraldo Daniel G NAME OF LOBBYIST: (Last) (First) (M.I) Young Folks Consulting 3961 SW 47th Ave Davie FL 33314 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-496-9535 dgc223@gmail.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 Design Preservation League NAME OF PRINCIPAL/CLIENT: PO Box 190180 Miami Beach FL 33119-0180 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-672-2014 Info@mdpl.org 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: n/a- Non-Profit organization C • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II SPECIFIC LOBBY 2456 Prairie Avenue(DRB#23167) Issue-to belobbied(Describe in detail): Ill CITY AGENCIESIINDIVIDUALS 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 Design Review Board n/a X 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 2482(g)Any Financial,Familial or Professional Relationship n/a F:\CLERI$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc. r IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) n/a-no special compensation B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED). n/a-no special compensation 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": —Yesl✓11o: Are you lobbying on a present or pending bid for goods,equipment or services,or on a present or pending L1 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": _Ye ✓ lo: 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 item,shall register with the clerk as required by this section but,shall not be required to pay any registration fees. 51Yes_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 FOR- THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN N EXPENDITURES OR COMPENSATION DURING.THE REPORTING PERIOD. Signature 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 Mia ' :�ach,City.Code and all reporting requir-, e s. Signature of Lobbyist: ,�+i,/%, �tk,f.__,4 Signature of Principal/Client: drinlitirka___z_"' _ VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: I Produced_ID Produced ID \ Form of Identification Form of Identification v Personally known(Lobbyist) — Personally known(Principal) MMINIMIM VII. SIGNATURE.AND STAMP OF NOTARY: State of Florida,County.of Miami-Dade. State of Florida,County of Miami-Dade. Sworn tq and subscribe, before me Sworn and subsc ibe�� before me This l day f .�1h 0 This '°•. _c!. _; , 11 y _ ilk% • � Notary Public State of Florida ` .O= , -uWic State of Florida ! _ - E Keesling _. �� _ :,:4..�, -sling Signature of Public Nota -S : •, F� .; mission EE 165379 Signature of Public r Notarization.of Lobb is• = • •: reExpires 03/18/2016 Notarization of P+nc •l si -843/18/2018 168379 TO.BE COMPLETE BY CITY CLERK'S STAFF ONLY - Annual Registration.fee::[ .]Yes[ ]No `Amount Paid$ CR# - Date Paid Lobbyist Registration Form received and-verified by: ' F:\CLER\S ALL\aF ORYAS\LOBBYIST.FORMS\Lobbyist Annual Registratio Fo -n.do Revised 01/22/2014 Ai P F:ICLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registra ion Form.doc A i S F� 1 i A 4 �'a it\ A 7 A 3 `._-; 4� V i t i \'f\ ! .� City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov CITY CLERK Office 'Rafael-E. Granado, City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.7411 ,Fax: 305.673.7254 LOBBYIST-NAME: 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 falls 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$50.00 a day shall be assessed for all Statement(s): .filed. after the. due_ date. The City. Clerk shall notify the. Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal) to file the Statement or pay the assessed'fines after-notification. Any lobbyist,who fails to file the required Statement by April 30th of each year,shall be automatically suspended from lobbying until all fines are paid, unless the fine has been appealed.to the Miami-Dade.County-Commission.on Ethics and Public.Trust. arv--a 6trz--/66 Signature: Date: F:\CLERI$ALLIaFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc Detail by Entity Name Page 1 of 3 FLORIDA DEPART ENT OF STATE h � DIVISION OF CORPORATIONS Detail by Entity Name Florida Non Profit Corporation MIAMI DESIGN PRESERVATION LEAGUE, INC. Filing Information Document Number 738904 FEI/EIN Number 591788634 Date Filed 05/06/1977 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 12/07/1983 Principal Address 1001 OCEAN DRIVE MIAMI BEACH, FL 33139 Changed: 03/01/2010 Mailing Address P.O. BOX 190180 MIAMI BEACH, FL 33119-0180 Changed: 07/20/1995 Registered Agent Name & A ddress ' PYNES, STEVE 4581 POST AVENUE MIAMI BEACH, FL 33140 Name Changed: 03/21/2011 Address Changed: 03/21/2011 Officer/Director Detail Name & Address Title VC APPEL, GARY 4770 BISCAYNE BLVD#670 MIAMI, FL 33137 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 6/1/2015 Detail by Entity Name Page 2 of 3 Title Treasurer FLORIAN, MEG 1198 VENETIAN WAY#211 MIAMI BEACH, FL 33139 Title Chairman PYNES, STEVE 4581 POST AVENUE MIAMI BEACH, FL 33140 Title Secretary Urstadt, Charles 1000 South Pointe Dr#506 MIAMI BEACH, FL 33139 Annual Reports Report Year Filed Date 2013 01/29/2013 2014 03/05/2014 2015 03/04/2015 Document Images 03/04/2015 --ANNUAL REPORT View image in PDF format 03/05/2014 --ANNUAL REPORT View image in PDF format 01/29/2013 --ANNUAL REPORT View image in PDF format 04/04/2012 --ANNUAL REPORT View image in PDF format 03/21/2011 --ANNUAL REPORT View image in PDF format 03/01/2010 --ANNUAL REPORT View image in PDF format 04/08/2009 --ANNUAL REPORT View image in PDF format 04/02/2008 --ANNUAL REPORT View image in PDF format 04/30/2007 --ANNUAL REPORT View image in PDF format 02/08/2006 --ANNUAL REPORT View image in PDF format 04/06/2005 --ANNUAL REPORT View image in PDF format 04/29/2004 --ANNUAL REPORT View image in PDF format 04/28/2003 --ANNUAL REPORT View image in PDF format 04/29/2002 --ANNUAL REPORT View image in PDF format 04/13/2001 --ANNUAL REPORT View image in PDF format 08/02/2000 --ANNUAL REPORT View image in PDF format 04/13/1999 --ANNUAL REPORT View image in PDF format 05/08/1998 --ANNUAL REPORT View image in PDF format 04/30/1997 --ANNUAL REPORT View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 6/1/2015