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Mitchell Bierman - Alchemy Miami Beach, LLC • 60-5 sk,ovk( pk-k-rtihk3i,r_t5 RECEIVED M / MI BEACH Office of the City Clerk FEB 2 6 2020 1700 Convention Center Drive Miami Beach, FL 33139 CITY OF MIAMI BEACH 305.673.7411 OFFICE 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 eachprincipal represented on each specific issue. I. LOBBYIST INFORMATION: Bierman Mitchell A NAME OF LOBBYIST (Last) (First) (Middle Name) Weiss Serota Helfman Cole&Bierman,P.L.-2525 Ponce de Leon Blvd,#700,Coral Gables,FL 33134 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)854-0800 mbierman@wsh-law.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Alchemy Miami Beach,LLC NAME OF PRINCIPAL (Last) (First) (Middle Name) 1384 Broadway,Suite#804,New York,NY 10017 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City)it' (State) (Zip Code) (/'4 U ✓1V O W'E' •903- M"MI I maf@alchmymedia.net PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant to City Code Section 2-482(h)(1)(a).,A.principal.of-any.,corporation,,partnership,dor other entity who appears-es a lobbyist on behalf of that entity;without special compensation or reimbursement for the appearance,whether direct,indirect,or contingent,to-express support of or opposition to an item shall register wdh;the-Clerk asrequired eby this,subsection but shall not berequired;to.pay any,registrationfees. 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): Michael A. Freedman • NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR/ ORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A):- 1\ Page 1 of 5 i 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. Miami Beach Bus Shelter Advertising P3 Unsolicited Proposal 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 Mayor X City Commission X City Manager X City Attorney 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): $675.00/hourly Page2 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 x No: 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 x 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(s)of the City Commission: Yes x No: If yes.tics it been less than.12 months"since the"elected official(s)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 lobbying the City Commission at a public meeting. _Yes x 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(s)of the City Commission: Yes XNo: If"yes,•were you promised or did you,receiveeconomic'consideration in exchange for campaign consuitinq'services? TO BE COMPLETED BY CITY CLERK'S STAFF ONLY 7 Annual Registration fee: [ ]Yes Iso]No Amount Paid$ 350••C90 MCR# 'T vJ / 3 2. Date Paid d�r-t6- 1-6 Lobbyist Registration Form received and verified by: si So,v) „71'-Ltnt'9'e'' F;\CLErt\$ALL\aFOR SS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc Revised 09/20/2018 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 COMPENSATI N DURING THE REPORTING PERIOD.1 Signature of Lobbyist: Date 2- 200-D 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 Code and all reporting requirements. c� Signature of Lobbyist: ��� Date Signature of Principal: Date 7 190 • VII. NOTARY SIGNATURE AND SEAL: LOBBYIST:ST ,, ,, PRINCIPAL/ State of 1 - r"- "Q`0"— State of �'v Yak County of: IA, CLM County of: /vim .fri az Sworn to (or affirm and subscribed before me Swor tR(or affirm,�d) nd subscribed before me this t .C) day of ,20a4by this I--day of , lora doer , 20W, by NAME OF LOBBYIST AME OF PRINCIPAL Produced ID '" Produced ID C Di i i/1/ 1 haen 5'' FORM OF IDENTIFICATION FORM OF IDENTIFICATION ersonally Known _Pers,, illy Known Physic I Presenc0 ine NQtariz n —Ph, al es, 46nline Notarization Si nature of otary u is Signatof Notary/ blic V� a C(2e4 Gac Ath/S4 Name of Notary, Typed, Printed or Stamped Name of Notary,Typed, Prinr Stamped pip- 491....?ei, MARILYN V SOMODEVILLA (NOTARc�_ '�k) Commission (NOTARY SEAL) RICHARD ENGLANDER ";f I"•'`ma Expires September 13,2023 Notary Public,State Of New York FOF Ft,O bonded TinBudget Notary$wybgr No. 01 EN5045343 qualified In Nassau County 1 The term"lobbyist"specifically excludes the following persons: COMMISSION Expires July 15, 20v�G 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 1 IM A I\A City of Miami Beach, 1/00 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: ‘vk e°-Vt A-, OJ\-ef wirk.v\ 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. / L� Z • 77c-) U 7 9gnature_of LoWrist Date • F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc Page 5 of 5 Salvatore, Jason From: Marilyn Somodevilla <MSomodevilla@wsh-law.com> Sent: Wednesday, February 26, 2020 11:29 AM To: Salvatore,Jason Subject: Lobbyist Registration For Mitchell A. Bierman and Edward O. Magas - Principal Alchemy Miami Beach, LLC p THIS MESSAGE COMES FROMEXTERNAL. ElAii - USE CAUTION JTlON WHEN REPLYING N D OPENING LINKS t ..H T MEd,i`�S r'�tl e:�1f.�o Good morning, as per our conversation the following is the agencies/individuals to be lobbied (Section IV. Of the Lobbyist form) Mayor Manager Commissioners Clerk Planning&Zoning Building Public Works Procurement City Attorney Thank you so much for your help in this. Have a great day. Marilyn Somodevilla Legal Assistant to Gil Pastoriza,Gail Serota,and Tony Recio Y moi• WEISS SEROTA HELFMAN A COLE & BIERMAN <' '�-- A2 Mc CRossROiDs.Of BUSINESS,GOVERNMENT&Tau: L.ativ YEARS rouerAtoostiws- 2525 Ponce de Leon Blvd.,Suite 700 I Coral Gables,FL 331-34 1' (305)854-0800 1: (305)854-2323 v, coin I turd PI Li 'al THINK BEFORE YOU PRINT This message,together with any attachments,is intended only for the addressee.It may contain information which is legally privileged,confidential and exempt from disclosure.If you are not the intended recipient,you are hereby notified that any disclosure,copying,distribution,use,or any action or reliance on this communication is strictly prohibited.If you have received this e-mail in error,please notify the sender immediately by telephone(305)854-0800 or by return e-mail and delete the message,along with any attachments. Pursuant to the Fair Debt Collection Practices Act,this communication is from a debt collector.Any information obtained will be used for the purpose of collecting a debt. 1 • • • r1 Miscellane.us Cash Receipt . . - , �' , CITY OF MIAMI BEACH ; .- ,. , No 425.732 ElCash �7Credif Card ©Check# 1 $, x RW ivied of t :.,--..-:,:l 1 ,'v , t'l.f f.0 'r 4 t r4 u.�t:t . / ` 't " •, eUaneo f ' iV1CR=2020^ _ • ` r s� A' e n ;�c t A r Lac / J( ),:F (., 1- f a ! OU4�66-UttD6 . NI .029 O10 i f s Fur;R OPEN(MCR) a _ c (a r _ I`fl"> ?'''","C'.,IC:10/00,,; r V Payment Amouint 700 00,• 1 4237^^ (THIS'INFORMATION MUST BE COMPLETED) %Off-.7,1of Finance-Director: s . �� .BY Account;Nutr`mber . "' L a ...t . I ' St � �, ��1 �Li LI- �� � ash . ?thc ,, � Prepares. � Dept: ; � p �� EXT � It d b x t 4f' S b r;.