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Matias Alem - Matias & Christian Alem I Office of the City Clerk FtrCEITEit 1700 Convention Center Drive 70!6 SEP -4 AM 10: I 0 Miami Beach, FL 33139 305.673.7411 ac "a:"I 07 air LOBBYIST REGISTRATION FORM Lobbyist meats all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat a modification of any ordinance, resolution, action or dedsion of any commissioner; any action, decision, recommendation of the City Manager or any City board or committee;or any action, derision or recommendation of any City personnel during the time period of the entire decision-making process on suds action, derision a recommendation that foreseeably will be heard or reviewed by the City commission, a a City board or committee. The term specifically indudes the prindpal as well as any employee engaged in lobbying activities.The term -Lobbyists'has speak exclusions. Please refer to City Code Chapter 2,Artide VII, Division 3,entitled -Lobbyists," for additional information. Instructions: Please complete all sections of this form and submit the completed forth,with the appirable fee,to the Office of the City Clerk Ifyw 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 Tone' a "n/a" in that section. My change to any information originally filed, a any additional City Commissioner or personnel who are also sought b be lobbied shall require that the lobbyist file an amendment lo the registration fam. 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 he rewired for each principal represented on each specific issue. I. LOBBYIST INFORMATION: Alem Macias NAME CF LOBBYIST (Lest) (First) (Middle Name) BRG Studio, LLC 605 Lincoln Road, Suite 302, Miami Beach, FL 33139 LCBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (bp Code) (305) 397-8788 maLtbrghomes.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMNL ADDRESS II. PRINCIPAL INFORMATION: Matias Alem & Christina W. Alem NAME OF PRINCIPAL (Last) (First) (Middle Name) 11 Island Avenue, #1511, Miami Beach, FL 33139 PRINCIPAL BUSINESS NAME AND ADDRESS Number and Street) (Ciy) (State) (3p Cade) (305) 397-8788 ma©brghomes.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): Matias Alem & Christina W. Alem • NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 51%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): N v Page 1 of 5 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 for the property located at 2421 North Bay Road. 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 Planning Staff, City Development Boards, None X Land Use Development Committee None X and Commission 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 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): $490.00/Hour 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': _YesZjNo: 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": _YesXNo: 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 spedal compensation a reimbursement for the appearance,whether direct or indirect to express support of or opposition to any item,shall register with the city derk as regdred by this section,but shall not be required to pay any registration fees. _YesX•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 a other spedalized 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 a opposition to any item;and any person who only appears as a representative of not-fa-profit community based organization for the purpose of requesting a grant without spedal compensation or reimbursement for the appearance. _Yes&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 pumose of requesting a grant without special compensation or reimbursement? 5) Pursuant to City Code Section 2491(1), no campaign consultant shall lobby the City Commission fa a period of 12 months following the swearing in of any elected official(s)for when the campaign consultad provided campaign consulting services within the past election cyde.See Section 2-491 fa mae information. _Yes)No: Have you provided campaign consulting services to an incumbent member of the City Commission within the past Section 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 official(s)whom you provided campaign consults°services was sworn in? 6) Pursuant to City Code Section 2-482(a)(4)a., a lobbyist who has within the past election cyde provided campaign consulting services to an incumbent member of the City Commission(which lobbying activity is not otherwise prohibited by Code section 2491) shall disclose such particular service on his/her lobbyist registration form and shall sally disclose such particular service before lobbying the Citv Commission at a public meeting. _Yes&No: Have you provided campaign conelling services to an incumbent member of the City Commission within the past Section cycle?If yes,please list the incumbent member(s)of the City Commission: _Yea&No: If yes, were you promised or did you receive economic consideration in exchange for campaign consoling services? TO BE COMPLETED BY CITY c CLERK'S`STAFF ONLY Annual Registration fee: 1' C ]Yes[ ]No Amount PaldS ie. MCR* 9)A-.1L 1 / (.41 Dab Paid 0'n 1- Ucl-� 6 Lobbyist Redetradon Form received and verified by: ,){r1V Y+—write F:\CLER\SALL\aFORMS\LOBBYIST FORM SAL obbyist Rey,ruahon Form Revised 01-01-18 REG d« Raised 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 COMPENS; I DURING THE REPORTING PERIOD.-1 Signature of Lobbyist /i, - Date 10):?(-3( I %CAE r- 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 fam;r. Th the provisions contained in Chapter 2, ArL VII, Division 3, entitled "Lobbyists" of the Miami Beach City rt partn. equirements. I Signature of L...yts • Date 'Ot 131 17019 Signature of Prind.. L// " Date 0'Jpp /31 /70 18 r VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of F1.09t(7R State of P to Q0‘1 County of: t i A Ml --'MDE County of tJ+1(AMI --9:17£ Sworn to(or affirmed)and subscribed before me Sworn to(or affirmed)and subscribed before me this 31 day of C Li Sr 20_, by this )1 day of A dsuST 20113,by MOWS ro'r.E1A MFri NS A-4-CM NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID _Produced ID FCRM CF IDENTIFICAl1ON FORM CF IDENTIFICATION I'Personally Known Personaly Known cl- Igna uuyeo Notary Publicln Si. -eofof Notary ublic J ant 4+-c- .�-rh.t �f a/2 i '�,f a I Jo/tit-- Name of Notary, Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped • w.. +., JMErrE Mor ..:ADO NOTAR ' MYCOMNsslo/FF °0wns9s ( '� (NO ) My COMMISSION souses ''1 DPIRES:Spbmber 19,2020 DPIBES SeNmn '1 ,]020 (aa2,Y>^i Bawled Thu NotaryPubtiaUwlemdhnl � .__. IhntlknwameryP cUwlennhn ` The term lobbyist specifically exdudes the following persons: Expert witnesses who provide any sdentific, technical or other specialized information or testimony in public meetings;any person who only appears as a representative of a neighborhood assodation 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 `y ' BEACH Cily of Miami Beach, 1700 Cmvennon Center Drive,Miami Beach, Florida 33139,www.miamibeachLgov Office of the Cily Clerk Rebel E.Granada, City Clerk CiyClerk@niamibeachfl.gov Tel:305.673.7411, Fax: 305.673.7254 NAME OF LOBBYIST: MatiasAlem 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 Statement 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 301" 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 $50•.00 pursuant to Section 2-482 of the Miami Beach City Code. ` 131 1 01S °.nature o •bbyist Date FI CLERFLLLWFORMCLCBBV,STFORMSLLmeylet Re(,4e0m Fxm ReNad Mdl-18REGM1c Page 5 of 5 m > „ y a 0C i t -2 • CI Z7 Pe °V ON 3 Y CI 5 W Nz ' `JO , paw n n• 0c , :8 Q0 -i a I r m m N O q I m 0 r _ ID 0 a }, -c m O fa Z i p o o A m - y )�, 5. 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