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Jeffrey Friday - ABFF Ventures, LLC Vk- aI\ff• RECEIvED t'/\ N\A EAC _ I I Office of the City Clerk FEB 1 1 2020 1700 Convention Center Drive Miami Beach, FL 33139 CIN OF MIAMIACFI BE 305.673.7411 OFF/CE OF THE CITY 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 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: FRIDAY,JEFFREY B. NAME OF LOBBYIST (Last) (First) (Middle Name) ABFF VENTURES, LLC 6600 SUNSET BLVD, SUITE 316, LOS ANGELES, CA 90028 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 323-513-8539 201-207-6675 jeff@abffventures.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: FRIDAY,JEFFREY B. NAME OF PRINCIPAL (Last) (First) (Middle Name) ABFF VENTURES, LLC 6600 SUNSET BLVD, SUITE 316, LOS ANGELES, CA 90028 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 323-513-8539 201-207-6675 jeff@abffventures.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): FRIDAY,JEFFREY B. • 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): NA 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. American Black Film Festival, an annual event dedicated to recognizing black talent and showcasing quality film and television content by and about people of African descent. 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 a �+ Title of Person to be Lobbied VCA— 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): 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): ()coo 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": _ Yes XNo: 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 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. 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 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_No: if yes, has it'been less than 1F2'months sirice the'elected official(s).whom you provided campaig Consulting services was sworn int 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 No: If yes,'were you promised or'did' receive economic'consideration in exchange for campaign — _ consulting services? TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ -]Yes[?No Amount Paid$ �\\ MCR#� ��� � ?., �f;.G R.&S Date Paid Lobbyist Registration Form received and verified by: , t_l - RACIER\$ALL\aFORr9S\LOBBYIST FORMS\Lobbyist'Registration Fon-WileVied 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 COMP TIO DURING THE REPORTING PERIOD.'- Signature of Lobbyist: Date 2/? 20 Lp 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 theprovisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and all '-••wk.. reruiremen wAV Signature of Lobbyist: _ Date 2 ? '� 2c) I Signature of Principal: �r��`G Date 2 � ..441k VII. NOTARY SIGNATURE AND SEAL. LOBBYIST: PRINCIPAL / State of State of County of: County of: Sworn to(or affirmed)and subscribed before me Sworn to(or affirmed)and subscribe "efore me this day of / ,20_, by this—day of / , 20_, by // ey lV/ NAME OF LOBBYIST / NAME OF PRINCIPAL V q , Produced ID \Y"�e f Lt e e V\Se _Produced ID Q(.1/2 . L 1 C e vAc e FORM OF IDENTIFICATION FORM/F/IDENTIFICATION _Personally Known �/ _Personally Known' n/ Signature'Signaturepf Notary Public Signature of otary Public Nam 'of Notary, Typed, Printed or Stamped Name (Notary, Typed, Printed or Stamped /NOTARY SEAL) ( OTARY 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 oppositionto 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 jee c;,-'ac lie d JURAT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. i s � State of California County of Los 41g.eles F 6.4 Subscribed and sworn to (or affirmed) before me on this j±lday of ree • , 20 20 by Uel Y2. 8 i i , , U A proved to me on the basis of satisfactory evidence to be the person(4) who appeared before me. �� • i • ,� E GOLRIZ A � Commission No. 2264142 6 I NOTARY PUBLIC-CALIFORNIA a `• 1 j LOS ANGELES COUNTY i Signature Seal:. My Cofliie.Expires OCTOBER 25;2022 t 1 s OPTIONAL INFORMATION INSTRUCTIONS The wording of all Jurats completed in California after January 1, 2015 must be in the form as set forth within this Jurat. There are no exceptions. If a Jurat to be completed • t does not follow this form, the notary must correct the verbiage by using a jurat stamp . containing the correct wording or attaching a separate jurat form such as this one with does contain the proper wording. In addition, the notary must require an oath or DESCRIPTION OF THE ATTACHED DOCUMENT affirmation from the document signer regarding the truthfulness of the contents of the M t• �t )3 C b�j s"� document.The document must be signed AFTER the oath or affirmation.If the document 0 i was previously signed,it must be re-signed in front of the notary public during the jurat (Title or description of attached d ument) (I process. ire°�S true 1'a to 1 evi • State and county information must be the state and county where the �f7 document signer(s)personally appeared before the notary public. ( or description of attached document continued) � • Date of notarization must be the date the signer(s) personally appeared which must also be the same date the jurat process is ::,,completed. Number of Pages Document Date 2`7/7_Q 2V. Print the name(s) of the document signer(s)who personally appear at 4 0 ! the time of notarization. S Ilii c t(S c. pf%V)L�\ pa L • Signature of the notary public must match the signature on file with the o Ah itional information 1 office of the county clerk. • The notary seal impression must be clear and photographically reproducible.Impression must not cover text or lines.If seal impression smudges, re-seal if a sufficient area permits, otherwise complete a , different jurat form. Additional information Is not required but could help j to ensure this jurat is not misused or attached to a different document. Indicate title or type of attached document,number of pages and date. www.NotaryCiasses.corn 800-873-9865 • Securely attach this document to the signed document with a staple. JURAT A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document. State of California County of LOS An 7 e Ie S Subscribed and sworn to (or affirmed) before me on this - day of e. ,.. , 20 n . by jeg Ye- B fir, cj , proved to me on the basis of satisfactory evidence to be the person( "� who appeared before me. / Ltmia� E GOLRIZ • Commission No. 2264142 z / �� ��� �' �, ` NOTARY PUBLIC-CALIFORNIA Signature . ,. LOSANGELES COUNTY (Seal) -j -zla 5'" My CornM.Expire OCTOBER 25.2022 A A OPTIONAL INFORMATION INSTRUCTIONS The wording of all Jurats completed in California after January 1, 2015 must be in the form as set forth within this Jurat. There are no exceptions. If a Jurat to be completed does not follow this form, the notary must correct the verbiage by using a jurat stamp containing the correct wording or attaching a separate jurat form such as this one with does contain the proper wording. In addition, the notary must require an oath or DESCRIPTION OF THE TTACHED DOCUMENT affirmation from the document signer regarding the truthfulness of the contents of the / 1- document. The document must be signed AFTER the oath or affirmation.If the document M am )3 (� Lo �J j I was previously signed,it must be re-signed in front of the notary public during the jurat (Title or description of attached document) process. I ,� f (Po on • State and county information must be the state and county where the J p t r document signer(s)personally appeared before the notary public. itle or description of attached document continued) • Date of notarization must be the date the signer(s) personally appeared which must also be the same date the jurat process is completed. Number of Pages S. Document Date 2/1/7A9 2-0. Print the name(s)of the document signer(s)who personally appear at I-0 L the time of notarization. .5.1.7Y1 4 Cls C' L0 T9 y 1 • Signature of the notary public must match the signature on file with the A conal information t/ office of the county clerk. • The notary seal impression must be clear and photographically reproducible.Impression must not cover text or lines. If seal impression smudges, re-seal if a sufficient area permits, otherwise complete a different jurat form. • Additional information Is not required but could help to ensure this jurat is not misused or attached to a different document. • Indicate title or type of attached document,number of pages and date. www.NotaryClasses.corn 800-873-9865 • Securely attach this document to the signed document with a staple. MAM1 t AC 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: 305.673.741 1, Fax: 305.673.7254 NAME OF LOBBYIST: JEFF FRIDAY 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. z./7/20, Signature of •► Date F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 01-01-18 REG.doc Page 5 of 5 Salvatore, Jason From: Rocky Luckey <Jfridayassist@abffventures.com> Sent: Tuesday, February 11,2020 12:33 PM To: Amelia Winfree; Salvatore,Jason Subject: RE: CMB Lobbyist Registration Form [THIS MESSAGE COMES FROM AN EXTERNAL EMAIL-USE CAUTION WHEN REPLYING AND OPENING LINKS OR ATTACHMENTS] Thanks, Amelia! Humbly, Rocky Luckey Executive Assistant ABFF From:Amelia Winfree<Amelia@abffventures.com> Sent:Tuesday, February 11, 2020 9:27 AM To: Rocky Luckey<Jfridayassist@abffventures.com>;Salvatore,Jason <JasonSalvatore@miamibeachfl.gov> Subject: RE: CMB Lobbyist Registration Form Hello, Just one correction, it should be the Miami Beach VCA board we lobby, not the GMCVB. Thanks, Amelia Winfree From: Rocky Luckey<Jfridayassist@abffventures.com> Sent:Tuesday, February 11, 2020 9:19 AM To:Salvatore,Jason<JasonSalvatore@miamibeachfl.gov> Cc:Amelia Winfree<Amelia@abffventures.com> Subject:CMB Lobbyist Registration Form Hi Jason! I hope you are well. Please use this as written confirmation to update the registration form submitted by the American Black Film Festival (ABFF): SECTION IV. GMCVB—'we lobbied the board. SECTION V.$0 Secondly, please destroy the registration check in the amount of$500. Finally, please forward the stamped registration form in email so we can upload to the site for compliance. Please let me know if anything else is needed. Humbly, Rocky 1