Bernardo M. Fort-Brescia - Catom Owner, LLC (2) 311.0 La^a Si-r& k
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139 �d 3 ,C�• ':•
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.
iO/Lr /J2€SG/A gere..t/.a2o% /V/
NAME OF LOBBYIST: (Last) (First) (M.I)
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BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
, s— 372-/tl'/2 ,3os- 37Z-//7.5"
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes:address,phone, ore-mail address.
I. LOBBYIST RETAINED BY:
/IGA/4 go ,14e/q/2 tG�
NAME OF PRINCIPAUCLIENT: /
6—A FOAL 0144VGA G L G 592/ A biew ,e 7c1 44.44./ & FY 33/5/0
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: fv/'/ti
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: 41)A__
II.SPECIFIC LOBBY ISSUE:
3140 t 424,54_
S4-
Issue to be lobbied(Describe in detail):
Ill.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
d/CM/ /30.0/x/ ,4,/ x
/174,/,�/7 doA,24.../ ,t//
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
N/.4
JUN 1 5 L01b -
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc C
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) TWIT-.
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
(REQUIRED). J LT ef66
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%No: 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"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.
_Yes1lo: 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.
M7 / _//r
Sign/re of Lobbyi
I do solemnly swear that all of the foregoing facts are true and corr-• and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Be- h City Code and -II reportin =a rements.
Signature of Lobbyist: ///i/���
-
Signature of Principal/Cli•nt:
VI. LOBBYIST IDENTIFICATION: __ _ PRINCIPAL IDENTIFICATION: .„
_ °••+ V ProducedID S//4 1'. -4 2 -n3
Produced ID a N 5
Form of Identification S S u g Form of Identificatio W A —
=Personally known(Lobbyist) !w i _Personally known(Principal) `g I
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VII. SIGNATURE AND STAMP OF NOTARY: ? g .
State of Florida, County of Miami-Dade 4 3 State of Florida, County of Miami-Dade at ii
Sworn to aril subscribed efore e k Sworn an subscribed efore me ow%
This 2Z day of ,- , 201/1 olosu This G day of .vG , 201/e is
Signat of Public Nota —State of Florida
6,944'.
;. Signature Public Notary— ate of Florida "„:„
Notarization of Lobbvi- 's signature '�►,,,,;,,$• NotarizStion of Principa' signature — — — — <
[[,x�� TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes[ No Amount Paid$ . -CO MCR# .►' - .S Date Paid O�- ?."1b
Lobbyist Registration Form receive d verified by: ti .T•``' .
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc Revised 01/22/2014
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
MAMBEACH
i i
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.m am beat hFl.gov
CITY CLERK Office
Rafael E. Granado, City Clerk CityClerk @miamibeachfl.gov
Tel: 305.673.7411 ,Fax: 305.673.7254
LOBBYIST NAME: %e2'v.42 f A2--/- , 2csa%o
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. •
22/20/C
Sig ,rture: Date:
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH
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Payment Amount: 350.00
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(THIS INFORMATION MUST BE COMPLETED) Office of Finance Director •
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Salvatore, Jason
From: Shawn Tavares <stavares @arquitectonica.com>
Sent: Friday, August 19, 2016 9:31 AM
To: Alfonso Jurado; Salvatore, Jason
Cc: Julio Espana
Subject: RE: City of Miami Beach Update of Lobbyist Registration Information
Jason,
Representation in front of hearing boards is part of our basic services, therefore, we are not being paid an additional fee
for lobbying activities.
Regards,
Shawn Tavares
Office of Bernardo Fort-Brescia
SHAWN TAVARES
stavaresAarquitectonica.com
P +1 (305) 372-1812 Ext. 1033
C +1 (786) 374-4219
Sending large files? Click here.
2900 Oak Avenue
r—I ------•-------•----I Miami,Florida 33133,United States
www.arauitectonica.com•AAC000465
• --escape,qd al.att:c',ments are intended only for the addressee containrig confidential information exempt from disc'osure If you ark.not h rk ,:d re.pen,
aasc c sJI e,copy rig.cistnbution.use,or any action or reliance or,this communication is prohibited.We do not accept Lab.lity'or any loss or eamjgc a„:b tnis
',,aor or its attachments
From:Alfonso Jurado
Sent: Friday, August 19, 2016 9:18 AM
To: Salvatore,Jason <jasonsalvatore @miamibeachfl.gov>
Cc: Shawn Tavares<stavares @arquitectonica.com>;Julio Espana <jespana @arquitectonica.com>
Subject: Re: City of Miami Beach Update of Lobbyist Registration Information
I'll ask his assistant to send you an email.
Regards,
On Fri, Aug 19, 2016 at 8:58 AM -0400, "Salvatore, Jason" <JasonSalvatore @miamibeachfl.gov> wrote:
1
Hello Mr.Jurado, .
I would need to hear from him or an assistant of his as I will be attaching the email or letter that we receive for his issue
to his registration.
Thank you,
l\ I ,AAAI BEACH
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:aiurado @arquitectonica.com]
Sent: Thursday, August 18, 2016 3:47 PM
To: Salvatore, Jason
Cc: Julio Espana
Subject: Re: City of Miami Beach Update of Lobbyist Registration Information
Jason,
Bernardo is in the same situation as myself Do you need to hear from him directly or can you make the
correction based on this email.
Thanks,
On Thu, Aug 18, 2016 at 3:40 PM -0400, "Salvatore, Jason" <JasonSalvatore @miamibeachfl.gov> wrote:
Hello Mr.Jurado,
Your registration is fine and updated. I am still waiting for a communication regarding Bernardo Fort-Brescia for his
issue.
Thank you,
.AiV I BEACH
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.
2