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Stewart Allen Robin - Mishal Alsbbagh L35 A-Id , P . FlE E lI F Office of the City Clerk DEC 11 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 "Lobbyist"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: ROBIN STEWART ALLEN NAME OF LOBBYIST (Last) (First) (Middle Name) NEST PLANS INC. 2601 EAST OAKLAND PARK BLVD SUITE 203 FORT LAUDERDALE FL 33306 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (954)529-9000 STEWART@NESTPLANS.COM LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: ALSABBAGH MISHAL NAME OF PRINCIPAL (Last) (First) (Middle Name) 4625 ALTON ROAD MIAMI BEACH FLORIDA 33140-2806 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)903-0059 MISHAL.ALSABBAGH@HOTMAIL.COM PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS MIREan)tat aft)Section 2-482(h)(1)(a) principal corporation, partnership,C dThar f appears en lobbyist;(. . Mbh without special compensation Cp reimbt rsement for fin 3 appearance;;zGrAkripaGill indirect,Cg contingent, ammacti,o o•osition trSID Clerk as re+unl b ,this subsectionjShall not be reouiredfl eag Ba 7re°istration 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): N/A • 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 Page 1 of 5 7� 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. SITE PLAN APPROVAL FOR THE DEMOLITION AND DESIGN NEW CONSTRUCTION FOR SINGLE FAMILY RESIDENCE LOCATED AT 4625 ALTON ROAD TO GO BEFORE THE DESIGN REVIEW BOARD 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 DESIGN REVIEW BOARD 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 NIA): 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): NO ADDITIONAL LOBBYIST COMPENSATION 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 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: a,..,r .;tc'�.. `.? ar.�j ::; s. Yes No: If yes, has it!been ssstthanil:1�2 months4amce the"elected official(s) whom you provided campaign consulting services was sworn-in4 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(s)of the City Commission: Yes No: Aes, were you promrsed'o tlrdlvoureceive economicconsideration'in exchange_for campaiq,n consulting service— TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [I]Yes[ ]No Amount Paid$ � ii -CO MCR# \'-1 �LA Date Paid I 1` k' Lobbyist Registration Form received and verified by: `) c9n� > t�✓�"T) F:\CLERVALL FORMS\LOBBYIST FORMS\Lo'sbyist Registration Form Revised 03-21-20 RF5.doc Revised 03/11/2020 Page 3 of 5 • VI. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YEA (CH 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 PRECEDINGCALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED TP LOB Y. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.' Signature of Lobbyist: 4:2-----Z_____ Date JZ��1-�ZC�7<" I do solemnly swear or affirm that - I of-the ff 9ing facts, statements, and disclosures in this form are true and correct, and that I have read or am famili-r with the ovls�ions contained in Ch pt r 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and -Il.r=p i re•direments. Signature of Lobbyist: -` e / i/_a r Signature of Principal: RE Date i 2 -11 - azo VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of \' I\. State of 7 L-4 ) p County of: 9:.+04•11\49:.+04•11\4County of: j /6- � d , Sworn to (or affirmed)and subscribed before me, Sworn to(or affirme rid subscribed before me, by means of IA physical presence by means of ysical presence or 0 online notarization, or 0 online notarization, this i.\ day of Dacey ,20_, by this /D day of be 2P_JY)LCL ,20 ZO by .sR,r\- \rN N.\; kl a. A ►sa h h < f -- NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID 'VProduced ID Ft- ���� ee�S a �� FORM OF IDENTIFICATION FORM OF IDENTIFICATION X Person I own 'ersonally Kno Signature of�lotary ublic Sign- ure o Notary Fah is VG'r.2.c- cr_, Ise 14 S w . Name of Notary,Typed.Printed or Stamrad Name of Notary, Typed, Printed or Stamped ; '%� WINSTON BENJAMIN VIDIELLA F (NOTARY SEAL) °�_,i Commission 4 GG 75674 (NOTARY SEA :a� vdNESSAVEtASCO ,�f .r' My Commission Expires '79'.,a '_ MY COMMISSION#GG 137366 "'".;a��°,. February21, 2021 `�= „��,,,, : •v&,gip. EXPIRES:August 23,2021 .:Fcr I+°. Bonded rnru Notary Public Undenrttters 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 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: STEWART ALLEN ROBIN 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 issu I have registered to lobby has concluded or I am no longer lobbying on that issue, I hall immediately file a Notice of Withdrawal with the Office of the City Clerk. 3) ANNU L LO BYIST - . STRATION FEE I and: stanann - res stration of all lobbyists shall be required for each 12-month period corn enc' g e ctobe, 1 of each year, and the fee for such annual registration shall be $.,0.00 • - suant to Section 2-482 of the Miami Beach City Code. Illi/ ' ill /2 —//--2&aa Signa re of Lobbyist 4111.111 Date F:\CLER1$ALL1aFORMS\LOBBYIST FORMSlobbylst Registration Form Revised 03-11-20 REG.doc Page 5 of 5 • Miscellaneous Cash Receipt CITY OF=MIAMI BEACH N0,-427204_ \ , ❑ • Cash Deredit-Card Ctieck# • s (:?i 20. °• o • ineo of Misce(aneous - P ,. r^ 7 ' i42-6.29(-0-2.61444'h A3y iJ�t' ..� i 3�<tie� (.? r ;. 1. ) l .�t- i4f OPEN°(iUf ):):' ' 4„.c_ fw : d - /•V V• , LI Q>. v{ J.VV• /44:. Paymen Amount:. ,..850.00 ,427204 £ (THfSINFORNIATION MUST BE COMPLETED) ^C3Rtco of FMatm►Director`; Accoing Nwa6.e rt r^.