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Charles H. Benson - Jeffrey P. Rosenberg /655 Decye( A„ej . F C. f.. ; SII' _ "w 1 7A P 1 CED t : t Office ohne City Clerk ,.a„ trp 13 20L. .. 13 F'1, 12 1700 Convention Center Drive Ft 12: 4$ Miami Beach, FL 33138 305.6737411 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 "rife" 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 fours 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: r115(3t1 0 V-w-ty l e J -V NAME OF LOBBYIST (Last) (First) (Middle Name) - c�� \"4. UCC 1(.hy� � c11-rt-,n 1vej. N Q -�1 \-/ltdmt ti-,{lchl c- 3313`r LOBBYIST BUSINESS NAME AND ADDR25S (Number and Street) (City) i (State) (Zip Code) (.3(--0) .3--) "LCA LOI ( s) 3-;-4151 Ccniyie0436J`Clot . OLA/1 LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRIN IPAL INFORMATION:/I /� a r 2 ' ciNber ' P lrf / NAME OF PRINCIP•L (Last) (First) (Middle Name) u <rn /. ,pn .rt/ LV Zine./ I/7rt.e 1 Lf ,, C c/%% Lncco/ otn / Qv, 70/n( 392 / A ik,, re-Jk lid fkle4en, b 44 E4 33.5'0 PRINCIPAL BUSINESS NAME AND ADDRESS 'number and Street) (City) n/ (State) (Zip Code) ,dell 7; -s -3G Jar Y7Cr(sC idefe1 0 5,�rc#/e' PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER / .f ENTAIL ADDRESS If the principal is a Corporation, Partnership or Trust, the following information MUST be provided pursuant to City Code Section 2482(c): • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A): J e'Trr y /"d S a"I e- x /m eiwt ,4. . 2,a<./n ?tore /?.oad- 4. . • NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR/ MORE OWNERSHIP OWNERSHIP INTEREST IN SUCH • CORPORATION,PARTNERSHIP OR TRUSTn (if none,write N/A): 4v (7/7 92 l'v"'Cr5. /. lrrcM IRE ILS/(-f r f /o✓N j• ;Aro /'� Page 1 of 5 Fl 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. itPi3 tl1ct-R iNcp Fot\., (0 5g btR-ci & kvv )vc . ApF5 18 -0225 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 °F +{P& e609/2a 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): Wfr 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): 4 325ttooa Page 2 of 5 The following six(6)questions MUST be answered: 1) Pursuant to City Code Section 2-488,entitled Prohibited Campaign Contnbutions By Lobbyists On Procurement Issues': _Yes Jlo: 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_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 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. YesjNo: 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. _YesjNo: 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 wham the campaign consultant provided campaign consulting services within the past election cycle.See Section 2-491 for more information. YesxJflo: 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 membeds)of the City Commission: _Yes_No: If yes, has it been less than 12 months since the elected officialls)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 lobbvinq the City Commission at a public meeting. _Yesklo: 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 memberls)of the City Commission: _Yes No: If yes, were you promised or did you receive economic consideration in exchange for campaign consulting services? f TO 6E COMPLETED BY CITY CLERK'96T �• LY _ Annual Registration fee: I YI Yes[ )No Amount Paid§ P)c' MGRY 441 Date Paid Lobbyist Registration Form received and verified by: r .tCR AMA AOFORMSLOBBYIST FORMS.t bbylt Rett. m tot Far n1-r:-Se RE69ua 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 COMPA71fC7JJ ING THE REPORTING PERIOD.1 Signature of Lobbyist: (U\�J o( Date 6 ( 1 4 I i g I do solemnly swear or affirm that all of the foregoing facts, statements, and disclosures in this farm are true and correct, and that I have read or am li. i4 e provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Cod=and,:l :• i . equirements. •• m 18 Signature of Lobbyist: Date O I" Signature of Principal: ' Date 2 I (9 I 1 , VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of 171 it d U T State of florid of:County M(& 1ll' R �f= County of: M1c ry 17 m )14 DC" Sworg to(or affirmealand subscribed before me Sworn to (or affirmed)cud u�scri ed before me this 81+h day of 2) J 2018, by this i Vyklay of P f) 202 by 0 YYtYles II . 3enso1 4y tce4,c NAME OF LOBBYIST NAME OF PRINCIPAL V Produced ID LLLQ Y)aQ Produced ID LAU r136 FORM OF IDENTIFICATION FORM OF IDENTIFICATION Personally Known Persona ly Known _ .. Signature of Notary Public �Q la pU � A VANPI A PIIfA N me of Notary,Typed, ted or Stamped Nome , t ly, ikjptpfl ped www444"" YANEIA PUGA EXPIRES April 12,2020 Yi .nmwiourye.rvn.cem 1�YA6®OAINELANkFF981822 (NOTARY SEAL) `.tirv ,,. EXPIRES Apd112.2020 l07; .gas Beneemeyikeemeorn 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 Reach Florida 33139,wwwmiamibeochfl.gov Office of the City Clerk Rafael E. Granado,City Clerk CityClerk©miamlheachfl_gov Tel: 305673.74 I I, Fax: 305.673.7254 ''22,^, NAME OF LOBBYIST:0 V.k Y� 4.h T \ • r- SOn 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 pursuant to Section 2-482 of the Miami Beach City Code. Signature of Lobbyist Date F CLER‘SALLkaFORMS10136YIST FORMStodryiSt R egistraton Form Revised 01[1.18 REG 4w Page 5 of 5 carkitect3@aol.com From: Charles <cbe1810783@aol.com> Sent: Friday, July 06, 2018 12:36 PM To: Charles H. Benson Subject: Vp Drexel Vani Don't recall if I asked you to add lobbyists fee for project and annual fee payment to next invoice. I need you to fill out both applications and seek any signatures from client Regards, Charles LCG.t.( I S h - LSCC) - ; j _ r (YtC4I CA • I �EPt goln ` - a)0 cinotior )Cts c Lc p ably to %, �� (-ccclrn bQoch a �� aus r- �� c t , C S orn _fes GPp1 . QLn 51nIf CV�� j�c�P� t �e(IAA to IeO V-PU ,fw t fir) s � . VC! n 1 a >= c =o i r 0 � 3I „ a y n - -0 H'An TI 3J O 3Pz o .e., W MBF = c Z � � yO I City Hall _ m T y A n 3 1700 Convention Carder (Jr. - w 0 Z n 03 N Miami Beach IL 33139 - n os-ens tam 3 x m m � � We lone. CO - r, a r r " -r o A iii/Ub4 fiO5S Adrian 4 J,'13/2U 18 I[,al;Phl m .- rt 0 0 o ❑ N RISC(i tMOUS o 0 n Dari let bin, MCR OPEN J MCP) 1 v N — m m ti n Reterel pee ' PERT/15IR ' -- o - MCF OPEN (M0R1 It ' ='�' 2u18 it0m: MLR O 1 _ m < � I la 8511 JD CH OPEN (MURl M`.,o, D vU •• �, es L. 8511.00 - - O m ` T Subtotal 850.00 Total 850.00 - .. '. O A OSO.00 3 — Z AMEF;ICAN LrPFLS O Ref Nunher`115a / 88/452 m GhauUe due 0.00 „ _ (XI J SIC ,J Co . Ly r�IdVl hS H 'SrNSUN N, m co N ^ p o ii'III'111111'dllilllNIIEIlUllMi!ill. o • Ilton Yru Iiia •Ula hd/r'eeul CUSINMHR COPY