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Carter McDowell - Able Business Services, Inc. /V\ I ANI I BEACH Office of the City Clerk NOV -8PM �. ^J 1700 Convention Center Drive " , r� ` �� `� Miami Beach, FL 33139 305.673.7411 a:: i I; r LE y; 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: McDOWELL CARTER N. NAME OF LOBBYIST (Last) (First) (Middle Name) Bilzin Sumberg Baena Price&Axelrod LLP, 1450 Brickell Avenue,Suite 2300,Miami,FL 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-350-2355 cmcdowell@bilzin.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: BERRY WILLIAM L. NAME OF PRINCIPAL (Last) (First) (Middle Name) ABLE BUSINESS SERVICES,INC., 1234 N.W.79th Street,Miami,FL 33147 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-636-5099 ablmaintl@bellsouth.net PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pt eity Code Section 2"482(h0)15): A prin'eipal of�i corporation; partnership,cir other entity who `•a Epp lobbyist b he alf of that entity,Magi special compensation J?reimbursement for11 T appearance,vagiodloa,indirect,Or contingent,to(RUM •.• (110y oo•osition to an item shall register with the elerk:as required by this subsection but shall not be required to payanyregistration fees; 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): William L.Berry • 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): William L.Berry Pagel 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. Janitorial Services Ptd 1 ` 01 0 r J Ci 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 City Manager,City Staff,Mayor and Commissioners Not applicable 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): N/A 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): $740.00 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": x 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 xNo: 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 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 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. _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: ffi es, has it�been less than 1 months since the elected official(s)_whom you provided 'campaign consulting services was sworn_ 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 Vou promised or did ou receive economic consideration in exchange for campaigl consulting seruicesi TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes IN No Amount Paid$ j�O" ' MCR# - Ll L/iO s# Date Paid Lobbyist Registration Form received and verified by: 5c7�1 �d F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.dac Revised 09/20/2018 Page 3 of 5 t 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 RECEIVEDLFOR 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 COMPENSATI¢N DURING TE REPORTING PERIOD.1 Signature of Lobbyist: Z--....... "1/71 Date November 5018 CARTER N.McDOW LL 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 wit• the provisions cont ' ed in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and all -•arting re• it s Signature of Lobbyist: f� Date November'2018 Carter N.McDowell Signature of Principal: x Date November ,2018 William L.Berry VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of FLORIDA State of FLORIDA County of: MIAMI-DADE County of: MIAMI-DADE Sworn to (or affirmed) and subscribed before me Sworn to (or affirmed) and subscribed before me this S day of November . 20 1$ by this_day of November , 2018, by CARTER N.McDOWELL WILLIAM L.BERRY NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION xx P ona own 1 personally Known Signature of Notary Public Signature of Notary Public . +s em. ;42-- Name of�ry ��c, Typedd or Stamped Name of Notary, Typed, Printed or Stamped * �`~° Commisslon8GG208272 * ,' H j_ * Expires Flay 24,2022 (NOTA: ovFl,-.` asam )eooaeolot nsalts s (NOTARY SEAL) 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 f 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 COMPENSATIOON DURING T EptPORTING PERIOD.1 Signature of Lobbyist: // Date November ,2018 CARTER N.McDOW LL 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 wit• the provisions conta' ed in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and all -•a rting re•uir: s Signature of Lobbyist: Date November ,2018 "Car/ o o> ell o/ Signature of Principal: 1 ) Date November ,2018 William L.Berry VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of FLORIDA State of FLORIDA County of: MIAMI-DADE County of: MIAMI-DADE Sworn to(or affirmed)and subscribed before me Sworn to(or affirmed)and subscribed before me this S day of November ,20 1$ by this_day of November , 20 18, by CARTER N.McDOWELL WILLIAM L.BERRY NAME OF LOBBYIST NAMEMEOF PRINCIPAL _Produced ID ' Produced ID I MIAMBEACH 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 CityClerk@miamibeachfl.gov Tel:305.673.7411, Fax:305.673.7254 NAME OF LOBBYIST: CARTER N.McDOWELL 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 $500.00 punt to Sectio - 482 of the Miami Beach City Code. /// Signature of Lobbyist CARTER N.McDOWELL Date( I F:\CLER1$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc Page 5 of 5 6086813.1 Salvatore, Jason From: Liz Ortiz <lortiz@bilzin.com> Sent: Thursday, November 8, 2018 3:30 PM To: Salvatore,Jason Subject: Lobbyist Registration on behalf of Able Business Services, Inc. Mr. Salvatore--in accordance with your request: 1. The issue for the registrations which you received this afternoon for filing is RFP No. 2017-070-JC for Janitorial Services; 2. Carter McDowell's compensation rate is$740 per hour; and 3. I should be receiving via U.S. mail from our client,Able Business Services Inc.,the original counterpart signature pages in the next day or so; as soon as they are in my possession,they will be hand delivered to you. Thanks very much. Liz Ortiz Legal Assistant Bilzin Sumberg Baena Price&Axelrod LLP 1450 Brickell Avenue, 23rd Floor Tel 305.374.7580 x 3058 Miami, Florida 33131 Direct Fax 305.374.7593 www.bilzin.com lortiz(a�bilzin.com This message contains information which may be confidential and privileged. Unless you are the addressee(or authorized to receive for the addressee),you may not use, copy or disclose to anyone the message or any information contained in this message. If you have received this message in error, please advise the sender by reply e-mail or reply to info@bilzin.com, and delete the message.Thank you very much. 1 Miscellaneous Cash Receipt I P CIT"OF MIAMI BEACH 7' 1e) i ti No. 422097 1. ' ❑ Cash E3Credit Card Check# I f - L $ /(`) c)-0 - 00 I i P 20 /% Reed of A 1 i f :i,r( l,n. l,F LJ- c.:✓r7t RCI-},),A/ 'L. - --eiiarir R u �Adt"Sig3 i2 A- c N1 r- � o c') , A)r i i .r•C. 7, -3(31 00298 �0 Cnari 1 i IroWICF P Iv MPR} C /5 5t, C 3 Payment Amount: 1,050.00 i41CR4242007 (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director By Account Number: OH - ''''''5(:)0C)• S76C/ L/tf .f' '=x) - 7:01 5./(.1 . rQ cit) .<.,:r-) • Preparers ----- A-..501,1 `,,,4, -'t. ti I i-'7-C:,t f,'1 ( Dept: C c- EXT:—RI 1