Daniel Ciraldo - Daniel Ciraldo (6) • Vn - 036
I AiMi I EAC Office of the City Clerk FEB
1700 Convention Center Drive 2020
Miami Beach, FL 33139
305.673.7411 Cay oF OFF pFunIAMI BEACH
LOBBYIST REGISTRATION FORM 71-1E CITY CLERK
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 thatthelobbying occurs.
Separate registration forms shall be required for each principal represented on each specific issue.
I. LOBBYIST INFORMATION:
Ciraldo Daniel
NAME OF LOBBYIST (Last) (First) (Middle Name)
Miami Design Preservation League 1001 Ocean Drive Miami Beach .. FL 33139
(Number and Street) (City) ' ' (State)LOBBYIST BUSINESS NAME AND ADDRESS_ ) (Zip Code)
305-672-2014 .daniel@mdpl.org
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER ' EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Ciraldo Daniel '
NAME OF PRINCIPAL (Last) (First) (Middle Name)
Miami Design Preservation League1001 Ocean Drive Miami Beach FL 33139
PRINCIPAL BUSINESS NAMEAND ADDRESS (Number and Street) (City) (State) '(Zip Code)
daniel@mdpl.org'
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): -b ctiN' \ C roi (�O
• 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):
N/A
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III. ISSUE TO BE LOBBIED:
Describe with as much detailas 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.
I - O31 j a3 tf +- [ oS (ve,
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 - ` Contractual Relationship(If yes,explain) YES NO
Title of Person to be Lobbied
City Commission and Commission Committees
City Administration/Staff X
City Boards.(HPB,Planning,DRB) X
Pursuant to City Code Section 2-482(g), every registrant shall be required to state theextent of any
business, financial, familial or professional relationship, or other relationship givingrise toan
appearance of an impropriety, with any current City Commissioner.or City personnel who is sought to
be lobbiedas 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):.
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):
N/A-No special compensation•.
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The following six(6)questions MUST be answered:
1) Pursuant City Code Section 2-488,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues":
YesXNo: 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 lobbvinq on a pending application for a Development Agreement with the City or application
for change of zoning map designation or change to the ity's Future Land se 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.
XYes_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 otherspecialized 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. .
YesX.No:.. Are you providing only scientific; technical or_other specialized information; appearingasa
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 campaignconsultant 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 memberof the City Commission
within the'past election cycle?If yes,please list the incumbent members)of the City Commissions
Yes_No: �f y sw�has itlrfieenigless than�12tlinonthsfts nce$the$elected officialfs)iwho� uYprovided campaign
consulting services was sworn ins
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.:
YesXNo: Have You provided campaign consulting services to an incumbent member of the City Commission
within the:past election cycle?If yes,please listthe incumbent members)of the City Commission:
Yes No: Ifivesiawere'kyou4proinisedtiortdfd youtfire a ve iecono c c siderationil ttexc h a a for campaign
.
consulting services
TO BE COMPLETED,BY CITY CLERK'S STAFF ONLY.
Annual Registration fee: [ ]Yes[ jNo Amount Paid MCR# Date Paid --
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\aFORMS\LOBBYIST'FORMS\Lobbyist Registration Form Revised, 01-01-1$REG doc Revised 01/01/2018
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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 YEAR WITH REGARD TO•THE SPECIFIC ISSUE ON WHICH THE
LOBBYISTHAS BEEN.ENGAGED•TOLOBBY: A STATEMENT SHALL BE FILED EVEN IFTHEREHAS BEEN:NO
EXPENDITURE OR COMPENSATION DURING T E REPORTING PERIOD.'-
Signature of Lobbyist: V - - Date
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 the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Codeand all reporting.r quire e ts. 11 ll
9
/2tia?
. Date DSignature of Lobbyist: ,D�Signature of Principal: `/" _ Date a.- 10
VII: NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of 5o !as _ State of / K
ri
County of: : i et-
/u(i a i , �Joe! County of• /"`l.°PO - DQ'd2• .
Sworn tocor affirmed a d subscribed before me Sworn't (or affirm d' and subscribed before me
this O day of i2,�r/(z/ ,20 Z by thisIejday of 2 ztet-r• 20 2 by
ff .
Oul l e.1 �i FQ l t �. 7)an -I .Cf rai. o
:d :
NAME OF LOBBYIST NAME OF PRINCIPAL
Produced ID Produced ID
/ FORM OF IDENTIFICATION FORM OF IDENTIFICATION
t! Personally Known 14ersonally Known
40 t AAP _ •
Si at re of otary Public Sig ature of otary Public
h a„via_ efle, f
coma
Name of Notary,Typed, Printed or Stamped : Name of Notary,Typed, Printed or Stamped
•
(NOTARY SEAL) t,w' "'t►, .Notary Public State of Florida (NOTARY SEAL) `
Merle ShamaPgp, Notary Public State of FloridaoF .
1 My Commission GG 260468 a4 Merle Shama
major A ' .Expires 08!2012022 r My Commission GG 260488
'rte.„ow Expires 09/20/2022
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.
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MIAMI BEACH
City of.Miami Beach,1700 Convention Center Drive;Miami Beach,Florida 33139,www:miamibeachf.gov
Office of the City Clerk •
Rafael E.:Granada,City Clerk . • CityClerk@miamibeachfl.gov' :
Tel: 305:673.7411, Fax: 305.673.7254
DeGro4Xt) .
�
NAME:OF.LOBBYIST:
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 yearwith 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
: • $500.00 p rsuant to Sect on 2-482 of.the Miami Beach City Code:'
Signature of Lobbyist Date
F:ICLERI$ALL1aFORMSILOBBYIST FORMS1Lobbyist Registration Form Revised 01-01-18 REG.doc
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