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Michael Llorente - 1681 West Ventures, LLC 4 i OE� a E : /\ -i i 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 200409435. 1.-L O NAME OF LOBBYIST: (Las I-51\1 thA lif.A.P."-■:1 i at I ___ OM. % - -1, _ 0 i 0 I , I I-51\1 thA lif.A.P."-■:1 i at I ___ OM. % - -1, _ 0 i 0 I • I.1 _ I LI a BUSINESS NAME AND ADDRESS ( umber and Street) (City) (St-te) (Zip Code) 6.--+ -0c15- r - --,. �., 11 TEL HON NUMBER: ,:NUMB E R:- EMAIL: - arifirt Please notify this office if your contact information changes:address,phone, or e-mail address. I. LOBBYIST RETAINED BY: t i O t 110 1 c V_QJOA11112.L1 - N. • OFPRNCIP' C 1-'T: � I li. � � A.. _ • 8 • •� •c. Pi AV A - 1TO BUSIN - RA AND ADDRESS JLumber and Street) ( Ity (St:te) (Zip Code) r °l lip TELE •NE N'. BERT FAX NUMBER:(Optional) EMAIL:(Optional) Fill out this section if principal 1s a Corporation,Partnership or Trust[Section 2-482(c)] • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: LC)c) 50 Y • IDENTIFY ALL PERSONS HOLDIN=,DIRECTLY OR 'DIRECTLY,A 5%OR t ORE 0 , RSHIP_INTERS T A •U H C=R-* I , Q.PARTNERSHIP OR TRUST: f "awe i s A 0. • 1ii ii.SPECIFIC LOBBY I SUE: AO, I , • I A 1la _ 0 • Wed=_LEI 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 ci to the ,resent date sta tin; t he 2 eneral nature of the subject contractual relationship. Sec 2-482(a)(4)Full Name of individual and Contractual Relationship(Explain) YES NO title of person t. be lobbied i . iLa ✓ gt...;_ _ _ DAV e- . 60 CA rl..!..kA Or Pursuant to City Cod: ectlon 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 flied. Sec 2-482(2LAny Financial,Familial or Professional Relationship ----------- -71R. .-71 -I 1 —sus F:1CLER1$ALL1aFORMSILOBBYIST FORMS\Lobbyist Registration Form.doc ie---- IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) k gip„ &R-, B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): . (REQUIRED). s -4- '-(t - '$Z--- 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 -.54.6 A - au obb in! on a 'resent or •endin! bid for •o•d, . _ • ,1-I_ _IL_ = .o_ o, - •resent or •endl , _for goods,a Alament or service? 2) Pursuant to Miami Beach City Code Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": s_No: Are you lobbying on a pending application for_a.Development A reement with the City or application for Chan,a of zonin, ma• desi!n: i•n • i-.,•- tD 6-61t s Future Land Use Ma.? 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_No; Are you representing a not-for-profit corporation oLOrttity without special compensation or reimbursement, V. SIGNATURE UNDER OATH: ON FEBRUARY 28 OF EACH YE, I. OBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED S , i L D_ OATH LISTING LOBBYING E .= ,• S AS WELL AS COMPENSATION RECEIVED I THE CI • u s 1.1 - • THE PRECEDING CALENDAR YEAR. A STATEM NT_SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIODS /--/..07„ / / _ _,,414P/ rx„,.. /--„, Signature•. obbyist r` I do solemnly swear that all of the fore••ing facts are true and c• rest and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami Beac, , Code d all reportin i requirements. i Signature of Lobbyist: _ . /��-� m Signature of Principal/Client: a ■ • VI. LOBBYIST IDENTI''�'ATION: o;,� PRINCIPAL IDENTIFICATION: zer_Produced ID .�••* 40; Produced ID Form of Identification ''''"is.•� Form of Identification i z Personally known(Lobbyis#) 0.4.-c, �Personally known(Pri ,. �, ,; ANDREA S.FOLLOWELL 3 3 - =t: f!■ Ai MY COMMISSION#FT 067596 VII. SIGNATURE AND STAMP OF NOTAR �, E F. _�. � a, EXPIRES:October 3l,2017 co es m ,�����``, Bonded Thru Notary Public Undenrritera State of Florida,County of Miami-Dade a T z . State of Florida,County of Miami-Dade 4 Ate■ Sworn to a subscribe. be .,K e 0 - ° ° Sworn anc subscribed before me This `?�� day of .. ,201 w N T " is day of k,'I, ,201C cl' Signature of ubllc Notary-.State of loride Si ature of Public ,otary—State of Fl rida Notarization of Lobbyist's signature Notarization of Pr[ncipal's slgnatur TO BE C OMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ l Yes[ No Amount Paid$ ea MCR# Date Paid Lobbyist Registration Form received and verified by: Revised 01/22/2014 F:ICL€R1$ALL1aFORMSILOBBYIST FORMS1Lobbyist Registration Form.doc NA 1 A f\A 1 BEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov CITY CLERK Office Rafael E.Granada, City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.7411 ,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 fails to timely file a Statement and in addition to any other penalties which may be imposed as provided in Section 2485.1, a fine of$50.00 a day shall be assessed for all Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal) to file the Statement or pay the assessed fines after notification. Any lobbyist, who fails to file the required Statement by April 30th of each year, shall be automatically suspended from lobbying until all fines are paid, unless the fine has been appealed to the Miami-Dade County Commission on Ethics and Public Trust. • - • 9//A Si!.nature: Date: F:ICLERI$ALL1aFORMSILOBBYIST FORMS\Lobbyist Registration Fotm.doc efarl City of Miami Beach-Florida Finance Department 1 City Hall 1524513-1 09IO2i�01PMR Vied Sep02,2015 Trans#15-15 15 $700.00 MCRCLERK - MCR-City Clerk * MCR#: 407147 .00 1 ITEM(S): TOPAI� $70,00 Check (0202) Have a nice day! Miscellaneous Cash Receipt ,, �.� . ci 2 '0,s-,01 coy ,d CITY OF MIAMI BEACH v { -t IC4 Q7;4 rt $700.01) • No .R-r',' yC 1. •A. .. - ., ., - - - - .- _ , xr C7 Cash. 0 Credit Card Check# $ ,:_M1 - _ . 20 Alici Received of t. f 1¢ 9 , l _ _ Address >7;9 ,'.. , /14 3 For .L -' �,',. a ,,� -. � 41'7 71-1- (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director }{ r By r Account Number £ x :,Ft r 4 rj Dept: s `. EXT: Salvatore, Jason v tc,��` ar ' From: Erin Hendrix <ehendrix @Isnpartners.com> Sent: Thursday, August 18, 2016 5:11 PM To: Salvatore, Jason Subject: Final Version, please review: Requested Lobbyist Registration Information Good afternoon Jason, I hope you are well. Below are the responses to the information you requested in your letters to Alex Heckler, Diana Mendez and Michael Llorente dated August 1, 2016. Please let me know if you need any additional information. Have a great day! Erin 1. Security Alliance = In 2015, the monthly fee was$2,500; however, there is no fee for the City of Miami Beach matter. 2. Ashbritt, Inc. = No additional compensation for the City of Miami Beach over our national agreement fee. 3. Clark Construction Group, LLC = $9,000 per month 4. Lincoln Road Business Improvement District = $50,000 fee in 2015. $10,000 per month fee in 2016 for legal services. 5. 1052, LLC = $10,000 per month; however, no longer a client 6. Serco/Daria Van Engelen = $6,000 per month 7. Yachting Promotions = $5,000 per month 8. 1 Hotel South Beach = $7,500 per month 9. Greater Miami Tramlink Partners = $20,000 per month, including other jurisdictions 10. :.1681 West Ventures = $3,000 per month 11. Setai Hotel Acquisitions = $15,000 one-time pay ment agreement 12. Fort Partners = $20,000 per month 13. Harris Corporation = No agreement in place 14. Collins Park Partners = No agreement in place __.-__ Erin Hendrix x Director of Client Relations LSN Partners 801 Arthur Godfrey Road,Suite 401 Miami Beach, Florida 33140 (305)673-2585, Ext. 315-Office (561)358-1289-Mobile (305)673-2588-Fax www.lsnpartners.com IMPORTANT-The information in this e-mail is confidential and may be legally privileged. It is intended solely for the addressee. Access to this e-mail by anyone else is unauthorized. If you are not the intended recipient,you are notified that any disclosing, copying,distributing or taking any action in reliance on the contents of this information is strictly prohibited. Any views,opinions 1