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Alfonso E. Jurado - Caton Owner, LLC 31-10 W4/64- Lla"J-S e. � [1 in fl r 7 V i City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139, LOBBYIST REGISTRATION FORM ! r _ 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. NAME OF LUbb r 1ST: (Last) (First) (M.l) Atil4L) -c .&'tot4'e s 2gao evtAPAskis Ht 1 A3133 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) _3oc•3 1812. Soc 31/2.- t t 9 aa+uvaip • mecuirree.tvt4tco . ,cot/ TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone, or e-mail address. I. LOBBYIST RETAINED BY: eet17°( 0.4r1,A WW1 NAME OF PRINCIPAUCLIENT: Gail 0%4 Nowt 34L1 iu:T r( $4taiivtt braoff L . 3,3leto BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 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: 5 66 14„e, • IDENTIFY ALL PERSONS HOLDING,DIRE TLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: 5 FCC M-`f t• D II.SPECIFIC LOBBY ISSUE: 'artItt1 b t4 2.SZ* 3`lo e,sk L401,14 Skce '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 '9601!'t yl Ei sasipt> it/4 et a-tr(%gtik letoiwto 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 ,t. F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) G, B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST OT PENSATION): (REQUIRED). 1. 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 XNo: Are you lobbying on a present or pending 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 yNo: 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. _YesA■o: 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 NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. ,--d‘t..----- .............. 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 Beac 'ty Code and all repo ng requirements. Signature of Lobbyist: Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: • ti- Produced ID s .1." Produced ID /U S Drivers i C _' .:a,`= Form of Identification �,3 Form of Identification °�-1;:� / gf, S 1-Personally known(Lobbyist) QZ .." Personally known(Principal) """"� N � o W n VII. SIGNATURE AND STAMP OF NOTAR c "' -� E a -0r. State of Florida, County of Miami-Dade l State of Florida, County of Miami-Dade o x z Sworn to awl subscribed efore/m e I g Sworn a d subscribed before me = . T This Z day of "DM/ ,2014 ,�,.w•a.•, - This,_ day of CI , 201 ko T 4k 0 al N c ��e 0 D 1 Signatur f Public Notary- ate of Florida, , 'iL . S'•nature of Pu' is Notary-State of Florid i o o Notar' tion of Lobbyist' signature '„w••„„ •i''� Notarization of Principal's signature a, 0. TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ es[ ]No Amount P•id Z0- ` Cb_ MCR LY Date Paid ,5-(2-4(fro c' Lobbyist Registration Form received and verified by: ■ . !lw l�.∎•■ F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist An u. Registration Form.doc Revised 01/22/2014 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc MIAMI BEACH City of Miami Beach, I700 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: A t& ' ColiPbbo 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 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. 42t- (Co Signature: Date: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc f Disclosure of Ownership • Caton Owner LLC is solely owned by Caton Mezz LLC • Caton Mezz LLC has 3 individual owners: 1. Chen Lamdan 8 Hamelacha St. Ind.Zone Lod Israel, 71100 2. Sarah Boymelgreen 1286 President Street, Brooklyn,NY 11213 3. Shmuel Boymelgreen 535 Dean Street, Brooklyn, NY 11238. M scellaneous':Cesh Receipt CITY.OF MIAMI BEACH ,_ .,,..-::::-..::....-:::.7 -,:::-v„...,::, :. , ,, - . . . , - . ....:. .-. ,.: .,--.: . -,:-,:-...,.,-;,„-. ..,...---: -.. -.,.-.....----. -,r:-..,:,, ...,.:--... -::_.,:_..,„:„..„,„-.::,,:...-.,..:.i....:: Cash (� 2,-(-).1k.::. r r':'':.:":1:1.''.:7::'''''' .?1 .Credit Card n"Check#. -�-• , y I :26 City of.Mia Ba �/�of - -�-� ; A n 6 ed o■ (1.:-1-4.-tile.,.t..Ar' y `', 'r 'i T -t,:" ?Jj - -i) , i, . i Miscellaneous MCP.-201 ' `�`�` "' �` ""f' d '000106=0051 ..T� 91 AaPM;f'. '1 ." % '1`� 'n:.4 _:,rt-.-.f. . r MCR OPEN ' ' y k: For /,f� Z,.57.47( y 4 p JJ¢ -4� �� ^^ ! ' R'i),'-1 t J ''.:1 #, f`="f jr.k t,.•r. }�� s!P `i t.--'•-t' ,; Payment Amount: 650.00 / I y MCR409935 : (THIS INFORMATION MUST BE COMPLETED Orrice of Finance Dlrectar , : ' t!'r ;''' y :.Account Number: . 4::.'-.,.• ` 1.'` 7 u 'r j .,•,', ti. Preparers i, €`9 _(-2. 'll I..1_-/t. 7',:_.7-\ -.. ..Dept: • • . • Salvatore, Jason • From: Alfonso Jurado <ajurado @arquitectonica.com> Sent: Tuesday, August 16, 2016 4:50 PM To: Salvatore, Jason Cc: Julio Espana Subject: RE: City of Miami Beach Update of Lobbyist Registration Information Jason, That is correct, representation in front of hearing boards is part of our basic services, therefore,we are not being paid an additional fee for lobbying activities. I explained this to the clerk at the counter when I filed out the form and he instructed me to put flat fee. I apologize for the confusion. Regards, From: Salvatore,Jason [mailto:JasonSalvatore @miamibeachfl.gov] Sent:Tuesday, August 16, 2016 2:12 PM To: Alfonso Jurado<ajuradoParquitectonica.com> Subject: RE: City of Miami Beach Update of Lobbyist Registration Information Good afternoon Mr.Jurado, Since you disclosed that you are being provided a flat fee for lobbyist compensation on your registration, what we are needing is the flat fee amount you are being compensated. If you are not being directly compensated for lobbying, please confirm you are not receiving additional compensation for lobbying activities and we will amend your registration with the new information. Thank you, MIA AI Ct ! Jason Salvatore Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7411 www.miamibeachfl.gov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. From: Alfonso Jurado [mailto:ajuradoOarquitectonica.com] Sent: Monday, August 15, 2016 12:41 PM To: Salvatore, Jason Subject: Re: City of Miami Beach Update of Lobbyist Registration Information Jason, I apologize for the delay as I was out of the country the last few weeks. What you are looking for is the full fee we are receiving for the project or the fee for the portion of the project that involved the hearings for which we 1 registered. As architects we include representation at hearings as part of our basic services, as such we don't have a direct cost associated with this portion of our scope. Looking forward to your clarification. Regards, On Mon, Aug 15, 2016 at 10:26 AM -0400, "Salvatore, Jason" <JasonSalvatore @miamibeachfl.gov> wrote: Good morning, On August 3, a letter was mailed to your business address of record requesting updated compensation amounts for certain issues that you have registered to lobby on with the City of Miami Beach. Our office has yet to receive a response to the letter. Please be advised that this information is a requirement of your registration and as such, if the information is not received then you will be suspended from lobbying the City until your registration is updated. Please respond by August 19,2016 to avoid a suspension status. If you have not received the letter, please respond and advise so we can provide you with a copy via email. The information can either be provided by a letter mailed to our office or by email. Miami Beach City Code Sec. 2-482(a)(6) states the following must be disclosed: The terms and amount of compensation to be paid by each principal to the lobbyist with regard to the specific issue on which the lobbyist has been engaged to lobby. Thank you, ts\AlAi\AIBEACH Jason Salvatore Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7411 www.miamibeachfl.gov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. ALFONSO JURADO, AIA, LEED AP • Vice President ajurado(a�arquitectonica.com P +1 (305) 372-1812 Ext. 1021 C +1 (305) 206-6214 Sending large files? Click here. Oak Avenue Miami,Florida 33133,United States www.arquitectonica.com•AAC000465 2