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Elizabeth Starr - James Curnin • G'13i ;stn rEc71 ' 17 Office of the CityClerk n ?MEP 24 Pi'12 51 1700 Convention Center Drive Miami Beach, FL 33139 - "i/." —.;h 305.673.7411 : .. ( r •.,�;,,, LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained, whether paid a 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 lime period of the entire derision-making process on such action, decision or remmmendatim that foreseeably will be heard or reviewed by the City commission, or a ON board or committee. The term speciicaly 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 applcable 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' a "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 ile an amendment to the registration form. The lobbyist has a continuing duly to supply information and amend the forms filed throughout the period that the lobbying occurs. Separate registration forms shall be required for each pdndpal represented on each specific issue. I. LOBBYIST INFORMATION: Starr Elizabeth NAME OF LOBBYIST (Last) (First) (Middle Name) Strang Design, LLC 2900 SW 28 Terrace, 3rd Floor, Coconut Grove FL 33133 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-373-4990 eliz,abethastrano.design LOBBYIST BUSINESS TELEPHONE NUMBER CEL_ULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Cumin James NAME OF PRINCIPAL (Last) (First) (Middle Name) Clara Homes, LLC 36 Bleecker Street, # 3A New York NY 10012 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) ic@qusthld.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):James Cumin 100% • NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): Uct Page 1 of 5 �0 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. Development Approvals and Permitting Issues, including, but not limited to the Historic Preservation Board, Design Review Board. Planning Board, Board of Adiustment, Lurid Use Development Committee, City Commission, and any City Workshops or Committees, if necessary, relating to the property located at 64.31 Allison Road, Miami Beach, Florida. 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(It yes, explain) YES NO Title of Poison to be Lobbied Stafffor the Planning Department, Building None X I Department, Public Works, and City None X Administration, PB, HPB, BOA, DRB, City None X Commission, and Mayor as necessary None 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 WA): None None V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a contingency fee Is prohibited pursuant to City Code Sec. 2485.3): $ $195.00/Hour Page 2 of 5 The following six(6)questions MUST be answered: 1) Pursuant to City Code Section 2488,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues": _Yes X 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 X No: 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 2181) 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 X_ No: 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 X No: 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. _Yes X 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 City Commission: _Yes_No: If yes, has it been less than 12 months since the elected ofcialls) whom you provided campaign consulting services was sworn in? 6) Pursuant to City Code Section 2482(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 X No: Have you provided campaign consulting services to an incumbent member of the City Commission within the oast election cycle?If yes,please list the incumbent member(s)of the City Commission: _Yes No: If yes, were you promised or did you receive economic consideration in exchange for campaign consulting services? TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ I Yes(*le Amount Paid S .1 So'rX) MCR# l2:2_0Os Date Paid£51 24-Ei Lobbyist Registration Form received and verified by: A S4,w0Etr rL F:\CLER\$A1L\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 01-01-18 REG.doc Revised 01/01/2018 Page 3 of 5 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 PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.' . 'Or Signature of Lobbyist: � � Date el' 20. 2c is 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. I Signature of Lobbyist: Date 12L7. 2t_18 Signature of Principal: Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of 10In Pr State of County of M14/7/- DA OE County of: Sworn to (or affirmed)and subscribed before me Sworn to (or affirmed)and subscribed before me this 2O'" day of SEVren,E2 20_, by this_day of 20_, by E LIZA5E1l1 STA 22 NAME OF LOBBYIST NAME OF PRINCIPAL -. Ie _Produced ID FORM OF ID (CATION FORM OF IDENTIFICATION L Personally Known _Personally Known tk Signature of Lary Public Signature of Notary Public ESr SAUZ 3Roo'RS Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped Now,Pubic Mena Sala (NOTARY SEAF) . Esilbeitz (NOTARY SEAL) %ea ] Mr CaanNFNFnFF020111S .J` RSw rbtL2019 ' 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. Page 4 of 5 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 PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.' Signature of Lobbyist: Date 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 G Signature of Principal: 1..� Date 1 I I g)1r VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of State of kjc°__w CI County of: County of: I ko„> Sworn to (or affirmed)and subscribed before me Sworn to(or affirmed)and subscribed before me this day of 20_, by this jlnday of rje.,• Y 20j by a-E95 (Ltrn)r NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID J Produced ID $ :.Lr" 'ec5)2 FORM OF IDENTIFICATION FO" OF IDENTIFICATION _Personally Known _Pers• ally own Signature of Notary Public Signature • Notary Public Alxort t' ( Iu Name of Notary,Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped (NOTARY SEAL) (NOTARY SEAL) ALEXANDr9FDu Nora ry Public-State of Now Voris NO 01LI6338309 QualNPed In Ncw fork County MyCommissron Pxpucs Mar 7.2020 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. Page 4 of 5 City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139. wwW.miamibeachfl.gov Office of the City Clerk Rafael E. Grenade, City Clerk CityClerk@ m lamibeachfl.gov Tel: 305.673.7411, Fax: 305.673.7254 NAME OF LOBBYIST: Elizabeth Starr 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 $500.00 pursuant to Section 2-482 of the Miami Beach City Code. ear 7 1' .20.1st b Signa re of L.. . 'ffs. Date F 1CLER1$ALL1aFORMSILOBBYIST FORMSILobbyisr Registration Form Revised 01-0118 REG doc Page 5 of 5 m u 0 0 -i O C 0 A N --ai. LL `- m O ^( vc Z 69. _ o ...1 W . , -c- r. 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