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Yvette Harris - ABFF Ventures LLC. Uc - G2A9,0 MIAMIBEACH Office of the City Clerk f? f"(`F1 ' 1700 Convention Center Drive Miami Beach, FL 33139 2118 APP. 24 PM 1: 26 305.673.7411 LOBBYIST REGISTRATION FORM ,!Hr. LI•; GLEE. 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, ora 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 fled throughout the period that the lobbying occurs. Separate registration forms shall be required for each principal represented on each specific issue. I. LOBBYIST INFORMATION: Harris Yvette NAME OF LOBBYIST (Last) (First) (Middle Name) Harris Public Relations 566 NE 77 Street, Miami, FL 33138 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 212-886-9597 786-897-8854 wette(Lilharrispublicrelations.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE EMAIL ADDRESS NUMBER II. PRINCIPAL INFORMATION: Friday Jeffrey Boyd NAME OF PRINCIPAL (Last) (First) (Middle Name) ABFF VENTURES LLC. 260 Madison Ave, 11th Fl. NY, NY 10016 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 212-886-9581 201-207-6675 jell@abffventures.com 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(if none,write N/A): Jeffrey Friday, CEO ❑ NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(If none,write N/A): Earl Graves Jr, James Kelly (^\J Pagel of 5 /v 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. VCA Grant for the 2018 American Black Film Festival (ABFF) 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 Miami Beach Convention Authority X 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(if none,write N/A): None 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): $0 Page 2 of 5 The following six(6)questions MUST be answered: 1) Pursuant to 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 City Code Section 2-490,entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": _Yes KNo: 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 director 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 2-491(1), no campaign consultant shall lobby the City Commission for a period of 12 months following the swearing in of any elected official(s)for whom the campaign consultant provided campaign consulting services within the past election cycle.See Section 2-491 for more information. —YesX_No: 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 CityCommission: _Yes XNo:• If yes, has It been less than 12 months since the elected official(s)whom you provided campaign consulting services was sworn in? 6) Pursuant to City Code Section 2-482(a)(4)a., a lobbyist who has within the past election cycle provided campaign consulting services to an incumbent member of the City Commission (which lobbying activity is not otherwise prohibited by Code section 2-491) 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: _Yes XNo: If yes, were you promised or did you receive economic consideration in exchange for campaign consulting services? TO BE COMPLETED BY CITY CLERKS STAFF LY.2 AFF ONLY Annual Registration fee:rYesONo Amount Paid$ 4-�O ,Oo [1Z MCR /1Date Paid f5St 21-IS Lobbyist Registration Form received and verified by: --Simon(``k'mon( 34Wv- 4 'dfC F:\CLER\SALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 0101-18 REGdoc Revised 01/01/2018 Page 3 of 5 I. SIGNATURES UNDER OATH: • • • • • • - • :: Signature of Lobbyi Y I• IC -,1P- Date 4L23y18 I do solemnly swear or affirm that all of the for going facts, statements, and disclosures in this form are true and correct, and that I have rea• or am fa liar with the pro'sions contained in Chapter 2,Art. VII, Division 3,entitled"Lobbyists"of the Miami Beach City •ode :nd .I reportingplrepair•ments. 4I23I18 Signature of Lobbyis: ..►J. t'3 S Date_ Signature of Principal: _ 4123/18 Date II. NOTARY SIGNATURE AND SEAL. LOBBYIST: // PRINCIPAL �1 P� �CUIId1 Stateof { dUf°rnla Stale of /�-., . County of: ii4 iSeib• PC if County of: LOS • rrbiez e Swor to,(or affirmed)and subscribed before me Sworn to(or affirmed)and subscribebefore me [hi ° zit of A-i" 'I i ,20')by tnisdy.day of rrr f1\ ` � ��� NAME OF PRINCIPAL / LI-Ce �PNA EOF oear1ST ID NiduJj5.-05 01 PY�Ve✓S are_ 6 Produced ID fi L N I FORM OF IOENTIFICAT N — FORM OF IGENTILICATIOIi Personally Known - Personal) Known Ir ,4iLz/� ��• 4C-69 Si. ature of Not y ublic dif 01 Signature of Ni.ry Public/ �,p 11 ry I _4 q u Cl'/(�(/S/'/' mar"I0. Ss- lot1 riYT� r1P SII • Name of Notary, Typed,Printed or Stem Name of Note ,Typed, Printed or SL ped i•xv Pup, RAUL CHAVARRIA INN COMMISSION#FF 96'123[ (NOTARY SEAL) sQQ (NOTARY SEAL) �;'T' e EXPIRES:March s,2020 �Qe.gR �.A,� P}�a 0l f•C' WMT MUPw'ge�NebfSemds y� 'The term"lobbyist'specifically excludes the following persons: P Expertas who provide only scientific,technical other n guinformation or testimony rthetiaany person n t o only appearswitnesses as a onpresterefneordssiwithtcmenay or riuraentfor re ppearance,whether direct,indirect or contingent,to support of or opposition to any item; and compensation who reimbursement as a representative of nt-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for te appearance. Page 4 of 5 _-s JURAT 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 Subscribed and sworn to (or affirmed) before me on this ^^----�� 23 day of frpril , 20 /3 , by LJQ t FVidcV proved to me on the basis of satisfactory evidence to be the personf4 who appeared before me. ' MARIA ISABEL ARTEAGA I ti ^v.. Commlceion No.211TSTo n6 t - $ NOLos ANGELES COuNTNIA M LOa/M6[L ESCOc ' Signature /'... �G!% � *Comm Expires nnr n.wic (Seal) I. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YEAR EACH I OBBYIST SHAT L SUBMIT TO THE OFFICE OF THE CITY CLERK A LI _ „ . . • : • 1 • • • : _ . - • L • . _ I _ • ii • • _ • • • • : • _ 114 , [ • • • - • . J ORRYIST HAS RFFN ENGAGED TO I ORRY A STATEMENT SHAT I BE FII FD FVFN IF THERE HAS BEEN NO FXPFNDITIIRE OR COMPENSATION FAIRING THE REPORTING PERIOD Signature of Lobbyist: Date 4/23/18 I do solemnly swear or affirm that all of the foregoing facts, statements, and disclosures in this form are true and correct, and that I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled"Lobbyists"of the Miami Beach City Code and all reporting requirements. Signature of Lobbyist: Date_ 4/23/18 Signature of Principal: ‘14.11‘-i Date 4/23/18 II. NOTARY SIGNATURE AND SEAL. LOBBYIST: PRINCIPAL r State of State of CPI It-gum IA q County of: County of: LOS F1 e1-cS Sworn to (or affirmed) and subscribed before me Sworn to(or affirmed) and subscribed before me this day of 20_, by thisaR day of Apin I 2012by chi Fri A NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID )( Produced ID WV2v-Jj@te(1 °rrver5 LcPnre- FORM OF IDENTIFICATION FORM OF IDENTIFICATt N Personally Known Personal) Known Lilt 2 Signature of Notary Public Si ature of Not b��llc yyyy MCAT Ot r-a lot) nY a?g. Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stam (NOTARY SEAL) (NOTARY SEAL) cgQ ?IV'S" ,yyt<M) A The term"lobbyisr 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. Page 4 of 5 JURAT 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 .Qs Subscribed and sworn to (or affirmed) before me on this 23 day of 1-pri l , 20il8 1/47-Q. by Q rI r Kid Cy m proved to me on the basis of satisfactory evidence to be the person(sl who appeared before me. MARIA ISABEL ARTEAGA _ 'st NOTARY PUNo.2f f c N - t �s NOTARY s NoA 117870 • _ LOS ANGELES COUNTY I Signature /�/ -� a-- M Cmm.EXWM JULY 29.2019 I (Seal) I City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.mlamlbeachll.gov Office of the City Clerk Rafael E. Granado, City Clerk CiyClerk@miamibeachfl.gov Tel: 305.673.7411, Fax: 305.673.7254 NAME OF LOBBYIST: /off t I ` K' 3 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 understand annual registration of all lobbyists shall be required for each 12-month period commencing October 1 of each year, and the fee for such annual registration shall be $500.00 pursuant to ection 2-482 of the Miami Beach City Code. \,... $500.00 ' Cc eay, aoir Signature of Lobbyist D to F.\CLER\$ALLWFORMS\LOBBYST FGRMSLLoboyst Registration Form Revised 01.01.18 REG.me Page 5 of 5 ay R 2 N 3 "' • A El m' 0 o • A "< noi 4) .• v cr g -n Di i vz " � L 3 = ." . ❑ D � 3 OC..i -t _ n r --- z DQ 71 m i 0 m n o ' a 0 m _ s 'o - x m \ ik o 0 m a <' ti: ti-, O Z m C o -.....:. o m O CO _ m NN o O • m n 0