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Miguel De Grandy - Harris Corporation AFP 02or ooc,-4s I\ A " A 4 ya,,..� Y �,;,.w /0) v '"" `'� � I Office of the City Clerk 1700 Convention Center Drive Miami Beach, FL 33139 305.673.7411 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 City Code Chapter 2, Article VII, Division 3, entitled"Lobbyists," for additional information. Instructions: Please complete all sections of this form and submit the completed form, with the applicable fee,to the Office of the City Clerk. If you need more space to complete an answer, use a separate sheet(s) of paper. If you have nothing to report in a particular section, you must write "none" or "n/a" in that section. Any change to any information originally filed, or any additional City Commissioner or personnel who are also sought to be lobbied shall require that the lobbyist file an amendment to the registration form. The lobbyist has a continuing duty to supply information and amend the forms filed throughout the period that the lobbying occurs. Separate registration forms shall be required for each principal represented on each specific issue. I. LOBBYIST INFORMATION: De Grandy Miguel NAME OF LOBBYIST (Last) (First) (Middle Name) Holland & Knight, LLP - 701 Brickell Avenue, Suite 3300 Miami Florida 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 789-7535 (305) 562-4439 miguel_degrandy4hklaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Harris Corporation NAME OF PRINCIPAL (Last) (First) (Middle Name) 221 Jefferson Ridge Parkway Lynchburg, Virginia 24501 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (434) 455-6600 PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS If the principal is a Corporation, Partnership or Trust, the following information MUST be provided pursuant to City Code Section 2-482(c): • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: William Brown - CEO • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: (See Attachment B) III. ISSUE TO BE LOBBIED: Describe with as much detail as is practical, including but not limited to a specific description where applicable of a pending request for proposal, invitation to bid, or public hearing number. RFP No. 2017-006-AK for Public Safety Radio Network IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(a)(4), list the City Commissioner or City personnel sought to be lobbied,and whether the lobbyist has entered into any contractual relationship(paid or unpaid)with said City Commissioner or City personnel from 12 months preceding such commencement of service with the City to the present date, stating the general nature of the subject contractual relationship. Full Name of Individual and Contractual Relationship(If yes,explain) YES NO Title of Person to be Lobbied (See Attachment "A" Attached hereto 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. List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an appearance of impropriety: N 0N& V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a contingency fee is prohibited pursuant to City Code Sec. 2-485.3): Billing at the rate of$775 per hour. The following five(5)questions MUST be answered: 1) Pursuant to 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 City Code Section 2-490, entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": Yes Flo: 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 City Code Section 2-482(h), any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481) 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 city clerk as required by this section, but shall not be required to pay any registration fees. _Yes_xNo: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement? 4) Pursuant to City Code Section 2-481, the term "lobbyist" specifically excludes the following persons: Expert witnesses who provide only scientific, technical or other specialized information or testimony in public meetings; any person who only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. _Yes XNo: Are you providing only scientific, technical or other specialized information; appearing as a representative of a neighborhood association without special compensation or reimbursement or representing a not-for-profit based organization for the purpose of requesting a grant without special compensation or reimbursement? 5) Pursuant to City Code Section 2-482(a)(4), a lobbyist who has within the past election cycle provided campaign consulting services to an incumbent member of the City Commission shall disclose such particular service on his/her lobbyist registration form and shall orally disclose such particular service before lobbying the City Commission at a public meeting. _Yes XNo: Have you provided campaign consulting services to an incumbent member of the City Commission within the past election cycle?If yes,please list the incumbent member(s)of the City Commission: If yes, you must also orally disclose such particular service before lobbying the City Commission at a public meeting. VI. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION • RECEIVED, FOR THE PRECEDINf: CALEND• - AR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED � 0 LOBE •TEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENS• ' • DU 4, : ' 'ORTING PERIOD.-- re\ Signature of Lobbyist: ' ti II Date Vie)/ I do solemnly swear or affirm the all •f the • egoi•• facts, statements, and disclosures in this form are true and correct, and that I have read or am fam liar with h- pr•vi. •• s contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code a•• - I rep• , req i - ents. II 1i. , Signature of Lobbyist: W .1 i ......*:..4 Date `/ /d / 7 Signature of Principal: !eitai _ Date �/ d I P ;11`w '4 H QTY\ . 3.zv\i• CoNnse 1 VII. NOTARY-SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL* State of Florida State of V i(L i ^) I PC CO 1 County of: Miami-Dade C,9artfy of: Sworn to(or affirmed) an subscribed before me Sworn,t°(or affirmed) and subscribed before me this /2 day of , 20/�;by this 16 ti-day of Plr-t ( , 20n, by Miguel De Grandy ei,k1. &)&V1 e0 ().1 n'.), c kf oxriS NAME OF LOBBYIST NAM OF PRINCIPAL 6,11/ger ic'Y _Produced ID Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION X Personally Known - " Personally Known ,o°,P,W,N"',,,,,,, (1 �-`- `'� C.l%�LZ 's's`4 N• OTARY. . '9j,��, Signature of otary Public Signature of Notary Public i. , ' ' PUBUC N REG.#7692327 - • 5>ii-L3y FL.E/reS AM_AA, I1;v.-e C.ur -t iL. MY COMMISSION? 04---EXPIRES i 2 Name of Notary, T - • ••• • Name of Notary, Typed, Printed or Stamter \., 06/30/2020. cc?,; ' SIVE':FIE F, ',04, (NOTARY SEAL) .I til'-9w' F ,13 , I0 (NOTARY SEAL) �F4LTH OF °�� TO BE c NPt "fit CTY CITY CLERK'S ��STAFF FOOO /NLLY Annual Registration fee: [ ]Yes[c]No Amount Paid$ . .>ea MCR# C. Date Paid L/�3//.2 Lobbyist Registration Form received and verified by: 04 c✓1 G)+1--)Z44 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised08-18-16REG.doc Revised 08/18/2016 1 The term"lobbyist"specifically excludes the following persons: Expert witnesses who provide only scientific, technical or other specialized information or testimony in public meetings; any person who only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance, whether direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov Office of the City Clerk Rafael E. Granado, City Clerk CiyClerk@miamibeachfl.gov Tel: 305.673.741 1, Fax: 305.673.7254 NAME OF LOBBYIST: Miguel De Grandy 1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT Pursuant to City Code Section 2-485(d), the City Clerk shall notify any lobbyist (or principal) who fails to file timely a Lobbyist Fee Expenditure and Compensation Statement (Statement). In addition to any other penalties that may be imposed as provided in Section 2-485.1, a fine of $50.00 a day shall be assessed for Statements 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. I hereby acknowledge that on February 28 of each year, I shall submit to the City Clerk a signed Statement under oath listing all lobbyist expenditures, as well as compensation received, for the preceding calendar year with regard to the specific issue on which I have been engaged to lobby. 2) LOBBYIST WITHDRAWAL Once an issue I have registered to lobby has concluded or I am no longer lobbying on that issue, I shall immediately file a Notice of Withdrawal with the Office of the City Clerk. 3) ANNUAL LOBBYIST REGISTRATION FEE I und= -tand annual registration of all lobbyists shall be required for each 12-month period com - cing Octobe of each year, and the fee for such annual registration shall be $504.11 s pursuan to .- on 2-482 of the Miami Beach City Code. VS Signa' re of yr• p Date F.\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 08-18-16 REG.doc ATTACHMENT A Full Name of Individual and Title Contractual YES NO of Person to be Lobbied Relationship (If yes, explain) Commissioner Micky Steinberg N/A X Commissioner Michael Grieco N/A X Commissioner Joy Malakoff N/A X Commissioner Kristen Rosen N/A X Gonzalez Commissioner Ricky Arriola N/A X Commissioner John Elizabeth N/A X Aleman City of Manager Jimmy L. Morales N/A X The City of Miami Beach N/A X Contracting Officer responsible for RFP No. 2017-006-AK Public Safety Radio Network Any City of Miami Beach staff N/A X member involved or directly responsible for RFP No. 2017-006- AK Public Safety Radio Network , _ _.. _ _ 4 7-7-4,di./ "...i c---Al 7— tock Ownership Guidelines for agreements require us to indemnify these directors and S officers with respect to their activities as a director,officer Non-Employee Directors or employee of Harris,or when serving at our reques as a To further align the interests of our non-employee director,officer or in any other capacity for another directors and shareholders,our Board has adopted stock corporation,joint venture,trust or other enterprise,against ownership guidelines for our non-employee directors.Our expenses(including attorneys'fees,judgments,fines, non-employee directors are expectteded to own,within five penalties and amounts paid in settlement)actually and reasonably incurred by them in with any years after election or appointment to our Board,Harris pending ory the lined connectionaction,swithit or aony stock or stock equivalent units having a minimum value of threatened,p g1? $500,000.As of August 31,2016,all of our then-serving proceeding,whether civil,criminal,administrative or p investigative,to which they were,are or are threatened to non-employee directors met the stock ownership guidelines be made,parties as a result of their service to us. or were on track to achieve such ownership within the applicable compliance timeframe. Under the indemnification agreements,each director Indemnification or officer will continue to be so indemnified with respect to We have entered into indemnification agreements his or her service to or for us,even after ceasing to occupy a position as an officer,director,employee or agent of with each of our directors and Board-elected officers, Harris. including the executive officers named ithe eTFiscal 2016 Summary Compensation Table on page OUR LARGEST SHAREHOLDERS SEC rules require disclosure regarding any persons known to us to be a beneficial owner of more than 5%of our common stock.The following table sets forth the beneficial ownership of our common n�mon stock,ock,as fSbpsted ber on the 2,2016,b filedeach person y these who has reported to the SEC beneficial ownership of more than 5%of our persons. Amount and Nature of percent of Class Beneficial Ownership _------ Name and Address of Beneficial Owner fief ,8T8tt1 Class 11 T.Rowe Price Associates,Ina 100 E.Pratt Street Baltimore,MD 212029.07%tz> 11,294,557t21 The Vanguard Group 100 Vanguard Boulevard Malvern,PA 193557.0%131 8,721,789131 Blackrock,Inc. 55 East 52nd Street New York,NY 100555.73%141 7,130,298141 Boston Partners One Beacon Street,30th Floor Boston,MA 02108 —_— power filed with the SEC Juneover0, 16 T.Rowe(1) BeneficialAssociates,and percentageTschedule ownershipdicate athat,ea of May 31,2016,T.Rowe ePrice Associates,lInc.had sole voting on 1 4,232,44232by C.Rowe es, Price votipo Inc.[er T shared voting power over 0 shares,sole dispositive power over 13,042,818 shares and shared dispositive power over 0 shares. ained in Amendment No.4 to SEC on (2) Beneficial 1,and 2016 by he ngTroup.The schedulis e un indicates that,,as ofation t December 31,2015,The Vanguard edule 13G Group hadsolewith power over February 11, by The VanguardowGroup. ,0e sc 227,452 shares,shared voting power over 12,000 shares,sole dispositive power over 11,051,102 shares and shared dispositive power over 243,455 shares. Amendment No.7 (3) Schedule 130 filed with the SEC on January Beneficial 2l 26,and percentage by ownership information eSbased on information indicates that,as of December contained1 20 5,B ackRo k,Inc.had sole voting power over 7,394 662 share , 2016 BlackRock,Inc.The scheduleledi spositive power over 8,721,789 t shares,sharedvotingpercentage power over hshares,information is based on information contained in Schedule 13Gfiledwith the SEC ove power overn February 12,2016 by Boston (4) Partners.Theanscheduleownert p Partners. indicates sever over December 31, shares0 andBhared da positive power over Ortners had sole voting p hares.ower over 6,221,901 shares,shared voting power over 21,161 shares,sole dispositivep I 28 Miscellaneous Cash Receipt CITY OF MIAMI BEACH No. 415184 -1 - 7 Cash E3 Credit Card 0 Check# 3000 /elle) $ 31E7, ao (71// 3 2011? ,.., City of Miami Beach 45/11 . i misceiReeemido.f_ 7 ieicit.' 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City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeachfl.gov City Clerk's Office Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: Miguel De Grandy Business Name: Holland & Knight, LLP Address: 701 Brickell Avenue, Suite 3300 - Miami, Florida 33131 Office Telephone Number: (305) 789-7535 Cellular Telephone Number: (305) 562-4439 Email Address: miguel.degrandy@hklaw.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#: 11/ 3 / Amount paid: - 0(J• o Date paid: 6/l �3A-2 Processed by: P--4,Si4e✓1 1 Date: (!f 3P I F.\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg docx ' Miscellaneous Cash Receipt ,.. CITY OF MIAMI BEACH No. 415183 /_. ro Cash in Credit Card aa Cheak# 3 0 0 0 i 'i 2- $ ) 00, 4.90 City of Miami Beach 3 201 2 ..4 A ,,,‘ MiscellEtiKehregbef-20iif1'-‘ '' I Ile (le f4t. 001246fiatfligren ... 0.4113/2017?0 PrM 137-;( t, // MCR OPEN(MCJ ) Paymen c 11 1-1 1_,,ilan no ,61- si, _) • „ ,,,,e::. , .,"'..- A_ -- ,fi /*I 1,7'4 -.7' . ,'' — 415183 (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director By Account Number: EV/--- --(1Qc: — 5 4:;-)Ci("ill/ - Preparer .4.. v*.4 ,"/1 . 7 '/‘/ (if/- ' r Dept: , - ; -0 C- c-:, —I v.,. = C) - i 1 D.4 =- 3 C C -.1----1= s--, r--, O. CD--n ,..-4- Cr 0_ _. _.---c.-) Zs ,--,- - P..) = CD 3 CD LIJ --- C-, ,, -h C-.) W C-.7. I I_ 1 i 1 CD CD r-1- - LT ---.J CCD = ...--z..- --- __...., -0 C 5 ---:...._ TT1 CI r--1- = CD la) = rt --4 _ = .---,-- :-.... v.: C., - ,,,' ---- -,- — a, c--, , _ 1 --_---- ----- I-, . _ z: .,-_-'--) _ ,--- _.- 7---74 C.,- C-, "-- -- ,"7-4 -4- 0 Cr) - C....) 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