Daniel Diaz Leyva - Miller Nuttle 13t:ke• �
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Office of the City Clerk
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1700 Convention Center Drive
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Miami Beach, FL 33139 E~! C)f=k'` ;f;; l (;fir•�!T
305.673.7411 ` ' ' = i3r l s,
Gil� CLERK
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:wilt 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 shallbe required for each principal represented on each speoific issue.
I. LOBBYIST INFORMATION:
Diaz Leyva Daniel ..
NAME OF LOBBYIST (Last) -(First) (Middle Name)
Diaz Leyva:&-Gil PLLC •999 Ponce De Leon Boulevard, PH-1120 Coral Gables, FL 33134
LOBBYIST BUSINESS NAME AND ADDRESS- :(Number and Street) - (City) (State) (Zip Code)
305-203-0673 305-846-268:1 DDL@DLGPLLC.COM
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER z EMAIL ADDRESS
II-PRINCIPAL INFORMATION:
Nuttle.. Miller
NAME OF PRINCIPAL (Last) (Flirt) - (Middle Name) -
548 Market.Street;:'Suite 68514 San Francisco, CA 94104
PRINCIPAL BUSINESS NAME.AND ADDRESS (Number and Street) (City)- (State) (Zip Code)
855-946-7433 607-592-9500 mnuifletc7r lvft:com
PRINCIPAL BUSINESS TELEPHONE NUMBER: - :CELLULAR.TELEPHONE:NUMBER EMAIL ADDRESS-
.
'ursuant tlb l Node Sectio 2 2(h)I a! A principal t71Qi/corporation,partnership a'of er entity Ii•j Egimeit ®1156byist C.)behalf of tha
•ntity.t El compensation CP reimbursement for flki2 appearance,tZIGIftwarga mdi act,Cii'contingent Q7( C+Ii o+•es'tio to
n EtIMEriElftregIste tliptE3@te-apcklikag by MO s bsection Meilen iitCa i re•uirea l gy any ga istration f :
If the principal is a Corporation, Partnership orTrust,=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): t.fjC�CA
C L- VAN" z,
• NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST(if none,write NIA): k,J I v'—6,52/110e
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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.
Scooter/Bike Share
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 intoany 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 i:. Contractual Relationship(If yes,explain) YES NO
Title of Person to be Lobbied
Mayor N/A X
City Commissioners N/A 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 asidentified 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):
$2,500.00 r10.
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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,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.desiqnation 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 spedial-compensationor
reimbursement for the appearance;whether director indirect to express support of oropposition 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 orreimbursement 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
not4or-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 CityCommission 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:
YesX.No:. ... tf s fres it been less than 12 months since thr$elected official lli whom you provided campaign,
onsulting 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.
_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(s1 of the CitvCommission:
liummo_Yes No: f yes were you romised or slid you ecsiv economic consid ration in exchan•e for cam'ai
consulting services?
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TO•BE COMPLETED BY CITY CLERK'S STAFF ONLY. •
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;Annual Registration fee::[ J Yes[Y1 No Amount-Paid$_ ✓S° -�'O MCR# � O 1 Date Paid C7.Z'(S-
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-Lobbyist Reglstration.Form received and verified by: . Rl;ioA.)' _ - . .
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc: j Revised 09/20/2018
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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 AR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAGED TO LOB= : 4 STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMP ' . • 'Uri G-T. -EPORTING PERIOD:'
Signature of Lobbyist: Date .Q\ O:a
tai
I do solemnly swear or affirm that all of the foregoi 0 -cts, statements, and disclosures in this form are true and correct,
and that I:have read or am.f ili:r ,ith:the v - contained in Chapter 2, Art VII, Division 3, entitled"Lobbyists" of
the Miami Beach City:Cod and:- -i•• 1:,r `- ts.
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Signature of Lobbyist ` Date �\ _C>,. a-Q\
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Signature of Principal: r Date 'Q \ Q a .ma c
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL y
State of Florida State of . 11 G S 5 OM U S'V 15
County of: Miami-Dade County of: M I Ul(A It S
Swornto(or affirmed)and subscribed before me Sworn to(Or affirmed)and subscribed before me
this c\ day of January : i 2019, by this l ay of January .2019 ,by
eir MI Hu Nvi-nit
NAME OF LOBBYIST : NAME OF PRINCIPAL
Produced.ID. ProducedlDTRIO S Ir1rlV"C/1' VIV/145"`''
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FORM OF IDENTIFICATION FORM OF IDENTIFICATION
Personally Known- ..- Personally Known
, I c I I Lit,c �[ 1 �.�1Lr�11- k
Signiate*a;ef.Nbtary _ublic a'gnature of otary Public
Diana L. Villares G r Q Oi 1 ` - Da lei r
Name of Notary, Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped
_ '' - ;,Ah<gn AOAAAw.r.�AM✓.I.A�AAAAA An AA AAA.AtAA�
1 s„ozr,VQTARY SeltruiARES. I (NOTARY SEAL) S ,p 4,,; AMANDA M. DeANGELO
?a°,'.. `�'; Notary Public-State of Florida I 1) 1 Notary Public. _ 4 • ,':
-•: ' ._. 'GuinmisSion'N:SG:055568 Commonwealth'of Massachusetts y
-°� ti t�= My Comm Expires Apr 9:2021'r >
'r • My Commission Expires May 17,2024
1.440:11,4,4140=m3440,�' � f.
the:following persons:
Expert witnesses who,provide only scientific,technical or other specialized information or testimony in public-meetings;any personwho
only appears as a representative.of a.neighborhood association withoutcompensation 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 requestingz a grant without special.compensation or reimbursement for
the appearance.
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MiAMI EACH
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: Daniel Diaz Leyva
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 a 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•ursuant to Se tion 2-482 of the Miami Beach City Code.
.� ,17110)
Signature of obbyist Date
F:ICLER\$ALL1aFORMSILOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc
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Certificate of Completion
This is to certify that
Daniel Diaz Leyva
has satisfactotiyfai filled the requirements for lobbyist refresher
training under Section 2-11.1(s),Miami-Dade County Code, bj►participating.in
"Ethics. Refresher °Course for Lobbyists"
conducted by the Miami-Dade Commission on Ethics and Public.Trust on
January 31, 2019
Jose Arrojo, xecutive arrector.
Miami-Dade Commission on Ethics &
Public Trust
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