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Michael Yaki - Renovate America, Inc. /C—^+et.e .1 t MIAMI BEACH . r .. :, . , . p; City of Miami Beach Office of the City Clerk 21116 Sp- 1700 Convention Center Drive, Miami Beach, FL 33139 '+ 11• 3 LOBBYIST REGISTRATION FORM i Ur r ILL 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. Yaki Michael NAME OF LOBBYIST: (Last) (First) (M.I) Renovate America,Inc. c/o 2350 Kerner Blvd.,Ste.250 San Rafael CA 94901 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (415) 389-6800 (415) 388-6874 renovateamerica @nmgovlaw.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: Renovate America,Inc. NAME OF PRINCIPAL/CLIENT: Renovate America,Inc. c/o 2350 Kerner Blvd.,Ste. 250 San Rafael CA 94901 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (415) 389-6800 (415) 388-6874 renovateamerica @nmgovlaw.com 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: J.P. McNeill • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: N/A II.SPECIFIC LOBBY ISSUE: atters-pertaining-to-energy-and-water.:efficiency,-financing 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 All commissioners and personnel N/A 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/A • 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) $400.00 hourly B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED). $400.00 hourly 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'o: 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. _Yes lo: 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 _ E F THE •VE BEEN EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. 1....00°/X Signature of Lobbyist I do solemnly swear that all of the foregoing f.cts are tr : .nd • ect a I haze read or am familiar with the provisions contained in Section 2-482 of the Miami Be- , _':: .n. : repo,:••: Signature of Lobbyist: X Zr"- 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 :ida, County of Miami-Dade State of Florida,County of Miami-Dade Sworn to ands•= cribe• •efore me Sworn and subscribed before me This day o .. ,201_ This day of .201_ Signature of Public Notary-State' ' Signature of Public Notary-State of Florida Notarization of Lobbyist's signature - Notarization of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [3 ]Yes[ ]No Amount Paid$ (65d•t'O MCR# 41 015) Date Paid OT'19-16 Lobbyist Registration Form received and verified by: ,ARif) Sfr f"ogt 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 A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of t'' o Subscribed and sworn to (or affirmed) before me on this V day of .0v/ii , 20 he, by Hic.k,A��l proved to me on the basis of satisfactory evidence to be the person(s) who appeared before me. .:.� LORI RAE LYMAN Commission#2091851 ("4.•';":-2� Notary Public-California z z •*% San 0iego County 1 ' M Comm.Extras Nov 282018 C (Seal) Signatu( /, %,0.,�� IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $400.00 hourly B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED). $400.00 hourly 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"lo: 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. _Yeslo: 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 E F THE- - VE BEEN EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. X c ,. Signature of Lobbyist I do solemnly swear that all of the foregoing f-cts are tr - -nd • ect an• it I have read or am familiar with the provisions contained in Section 2-482 of the Miami Be- - •: -n• : repot,.-: -q ia�ts. Signature of Lobbyist: X L,��CC, : / Signature of Principal/Client: 4 `� 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 :ida, County of Miami-Dade State of•Fterridm County ofAgiawi-Dade Sworn to and s• cribe• •efore me Sworn and subscribed before me This day o ,201_ This day of ,201_ • ' • Signature of Public Notary-Stater••-- Signature of Public Notary-St-e- of - '.- Notarization of Lobbyist's signature - Notarization of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ J No Amount Paid$ MCR# Date Paid Lobbyist Registration Form received and verified by F:\ICIER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc Revised 01/22/2014 F:\CLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc CALIFORNIA JURAT WITH AFFIANT STATEMENT GOVERNMENT CODE§8202 �•A.cttcC!.c:(>w.,ne«a•.a.•_wvsi•.�t!cie t_c�i�_n•.v.•.c� C.c�.� t�.•.at!at.at.:•.a J t! t! tit! t!at!at!.�t!c�t!c�Ynt. .74 See Attached Document (Notary to cross out lines 1-6 below) . . ❑See Statement Below (Lines 1-6 to be completed only by document signer[s], not Notary) 1 2 4 5 6 Signature of Document Signer No. 1 Signature of Document Signer No. 2 (if any) A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached,and not the truthfulness,accuracy,or validity of that document. State of California Subscribed and sworn to.(or—affifpried)-before me County of )'.log-ct f% on this (� day of •u l.t_ , 20 by Date Month Year TYLER W LUAM KLEINMAN (1) as"--.‘:e.. UrtS.4- S ekt>h may- Commission•2137003 Iry•:�$ " Notary Public-California = } '^ Mann Coumy D an • M Comm.Ex inn Dec 15.2019+ Name(e)-of Signerfs)— proved to me on the basis of satisfactory evidence to be-the persoa(e)- who appeared before me. Signature (7 Signature of Notary Public Seal Place Notary Seal Above OPTIONAL Though this section is optional, completing this information can deter alteration of the document or fraudulent reattachment of this form to an unintended document. Description of Attached Document Title or Type of Document. 'Document Date: ._ Number of Pagesr— Signer•{s)-Other Than Named Above: ©2014 National Notary Association • www.NationalNotary.org • 1-800-US NOTARY(1-800-876-6827) Item #5910 MIAMI BEACH 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: Michael Yaki 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 e Miami-Dade County Commission on Ethics and Public Trust. 07/08/2016 Signature: Date: • F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc MIAMI BEACH City of Miami Beach 2016 JUL 19 11: 33 1700 Convention Center Drive Miami Beach, Florida 33139 CITY - f C E www.miamibeachfl.gov City Clerk's Office Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: Michael Yaki Business Name: Renovate America, Inc. Address: do 2350 Kerner Blvd.,Ste. 250 Office Telephone Number: (415) 389-6800 Cellular Telephone Number: (877) 747-4889 Email Address: renovateamerica @nmgovlaw.com If more than one lobbyist, please list: 1) 2) 3) 4) 5) 6) 7) Submit this form to the Office of the City Clerk, along with a check for $500 for each lobbyist. Please make the check(s) payable to the City of Miami Beach. For City Clerk's Office Use Only MCR#: Lf,t 5�1 Amount paid: 0 ` Date paid: b-1-1 et ' 16 Processed by: -)14-50N SA t-vim°-e Date: OM' lei- )b F:\CLER\SALL\aFORMS\LOBBYIST FORMS ANNUAL LOBBYIST REGISTRATION FORM reg.docx • City of Miami Beach City Hall 1700 Convention Center Dr. . Miami Beach , FI- 33139 305-673-1420 . Welcome 000320-0045 Jenel F, 07/19/'2016 11 :45AM . MISCELLANEOUS . . ._ Reference 1 : ricr410757 MCR OPEN r. 2016 items: MCR ° 0 ° t - - ° 1 i 850,00 -.; . • j'3 w m o MCR OPEN 850.00 o 7 O , v -o o = K i - D o m' G z o c ' a te �m i Ei 850.00= ' . C o . t O � Subtotal 15..00 c s o o c �. Total 860.00 El CHECK Cn f5C .00'LA m E co 3 Us- 3 _C - .D ° n Check Number-007737 0 _. o Z 2 O -,- , eL CHECK 500.0O : Z (fA ;- T n l Check Numaer00 7732 C C a = = ..I Change dire 0.00 f. m - �; l Paid by: ** MULTIPLE 4- ill CD A Il�IIlI1I Ili(Hllh �I1$11I11il�11111i�ilill'�Ili�R _ rn 0 �./S a a kew II k 1 TII e-■ r & . 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