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Cesar M Molina - Lime Island 31 LLC MIA {- I S 11,ksokr Dr, I RECEIVED i'AAtv\I BEAC Office of the City Clerk APR 20 2021 1700 Convention Center Drive Miami Beach, FL 33139 305.673.7411 CITY OF MIAMI BEACH 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: Molina Cesar M NAME OF LOBBYIST (Last) (First) (Middle Name) CMA Design Studio Inc., 232 Andalusia Avenue, Suite 101, Coral Gables, Fl. 33134 LOBBYIST BUSINESS NAME AND ADDRESS • (Number and Street) (City) (State) (Zip Code) (305) 448-4200 (305) 632-5699 cmolina@cmadsi.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Al Rashid • Ibrahim NAME OF PRINCIPAL (Last) (First) (Middle Name) • Lime Island 31 LLC, 200 S Biscayne Boulevard, 6th Floor, Miami, Florida 33131 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 281-7383 ialrashid@gmail.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS ^nsfDC y QUO 2-4a2(.)( )(a :,A pri c'pal COM'corporation pa•nets Ip,87c20 Gga,dID appears eii2i a lobbyist CW[ CRali- MEgR e special corn.-nsation CeigUtlEMMIglfo ll appearance aftgAgraiiGglimdrrec` cif continoent,IJC . su,00rtde20000siio_ fa ^,�1#II'pf1j, .11 eoserWattle t ''�m3F§requiredC:39002,subsection_[ E �(greouiredODBMamreoistratio..- 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 none,_write N/A):.Ipp A H )M r7 L— RPS J • 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):Z8R A H I M /L-R F S H ) £ OS 9 ve.a- Page 1 of 5 HI 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. Architect representing the client for a DRB for a new residence located at 184 and 190 South Hisbiscus Drive, Miami Beach, FL 33139 IV, CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-48214(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 Narrne of Individual and Contractual Relationship(if yes,explain) YES NO Title of Person to i.r- Lobbied k,GtI kette. DR B 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 Sipecifice (Note that a contingency fee is prohibited pursuant to City Code Sec. 2485.3): N/A 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 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: "vies:, ;as i' o een l•ss tan rrl.o7l:r s • P's e1 ;'•,d off ei: ) An o fn Au pro,,sided ear0:p1 Iroosx.Ancoreeraileestwaelswarligl 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 LNo: 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: r YesLNo: -eswere .,OLr piom sen o o'd. 'o: re e0 e o ; o,m0 eon-J.•`ra ; e ;alloe fo camp ;Dais d, sser�rreesi? TO BE COMPLETED BY CITY CLERK'S STAFF ONLLYQ / f / 10 Annual:Registration fee:, ]Yes[� ];No Amount Paid. Q' MCR,* 1.17:76 lit Date Paid' �''L+-Z�` Lobby,.ist,Registration Form],received'and.ver,�ified by:. 3_3 I Fnt,C4Elitk$,1VQ0FORNi5A1013R16A5T eORlMS\Lobbyikk I egjskrati:OniEbroF.eviled.034:1 ?o:Rt O.dac Revised1030J1/.2020! Page 3 of 5 r I ,- e11. SIGNATURES UNDER OATH: - - t } , r':3aLi AR1v 29 O:EACH YEA EACH LOBBYIST'SHAL' .'`'.LF.l.4.41.1.4' ler.di'i'.:1a, ..-ii A 1.tl .11(37:7312, •I•s _. STArE11ENF UNDER OATH. LISTING LOSSYNGa EJQk�OMPTURES7ASAWEEL+�STa, -- `• . _E`'r_) Fa3R THE PREOEOMIG CALENDAR YEA -WITH Er: •a+:T, u L..t .>3z".a-1:71-1, 1'.r;1 11 _h Lt _'J'?3'+':st•tlaS etEtch ENG,GED rel EO@5 Y A STAT us%i T S14 , r•at. ..-o i .f�i 1. i a., I.- 1 -�;I ° . ,' `, Et?ENTOITURE OR COMPENSATION DURING WE REPORTtEEg1 mica rt, • .. , `1,--•'' t r. A"n' / �` �, o +t.• r'L ti r rr nif' Signature.of Lobbyist a' oaQt ,� fir r� ._.." air :t,+1 '� .•,a t : e-N,} nue tie ocxr sok t qct soteennigf sweat'®+r antral Stoat ail tattle and� .r• ,sw, ••_ '. and that I have react or atm familia:with the g5 6'4'tt0 crtapr '2.k ,414014P23:3.etKtirf'3 BK'�e ' , the t3tarnr Beach City Code said cel`�rtdn t ctentea > If' Signature of Lobbyist ;�. . 1 'gate - . � Signahi a of Prtncipat _ fats @90L NOTARY SIGNATURE AND SEAL: ILOBBYIST: PRINCIPAL 232 ANDALUSIA AVENUE, SUITE 101, CORP State of Ejori 9a State of ` county of Dade �ourtty QP_ Dade Sworn to Ear affirmed)anal subscated before me. Count to(or affirmed),and subscribed before me. bit means of O.physical presence by mearts tie O.pttysicat presence e or .online notarization, as O a ljj a tar halt ��� �,� — dots 3rd day of___Martth r"tb t y F thus y of 1141 2Q v Cesar A. Molina q IbrahimAl Rashid Yale aCFL 6E e:S t I�tAL4E f1F:-.1z/z,,,;,,,.:114.fit I �C Produced ID Driver 1 firer�r 1 Produced le e�6i146QF't®Etr�R�FiC:b4Ftt�Pi GElfit Q i0EPF71FIC�eT c��t 1 X Persartai4r�taolnm Personalty kfnauan 4 S c"a:.:::a`Natant Fable i Signature of Notary ubllc ,3�,_ Name of Notary.Typed.Printed or Stamped son rarity trots attic"crcrao 4-- Flags t ��►�" NotaryPublic State of Ronda ENC.. '` ` entai.oc tiadczG,3,rser NOTARY SEAL) %�� �,;m¢�ttm Ana H Fraga r ter+ AAy Commisstrt GG 947391 a,, Expires 05i10t2024 'The term'tebbycsf'specifically excludes tie following persons Expert witnesses who provide only sctentt4c-technical or other spectacled informafton or testimony in public meetings,any person who only appears as a raptesentaDve of a neighborhood assoaabon without compensation or reimbursement for the appearance,whether direct,indaect or corrtingent_to express support of or opposition to any item.and any person who only appears as a representat'e of no.'-for-profit community based organization for the purpose of requesbng a grant'without special compensation Of felitibtArsanient for the appearance Page 4 of 5 • 40 Notary Public State of Ronde ;~; �cia; i'ubc State 0f Flonda Ana H Fraga . ';:,:; Ana t'r -,;;a +A, My Commission GG 947301 ", `r; .+ P.1y Cc:.,mi;;ipn GG 947301 '�}aor Expires 05/10/2024 •i-. ' "res e5/10/2024 �..•`a ."*. :tr,,. - a/n4._ cam"te"v`tel.- F�'1/ ,_ y1aola( `//ao/al iiiiA,?;:.4,... -,4 , .,. ,„. , . . .\ ,,,f-...:•:.-,-- end r u ., a �-, fly V,i45 �i `" ` ± '7'v ]W ,' • ..AF .; ' VI. SIGNATURES UNDER OATH: , ,. ass C ` a* .x ,". cE3RU:1RV 29 OF EACH YEAR EACH LOBBYIST SHA SU:r • t x t Rif 1 4.• h ;��, SIGN":' ST.aTE'tE'T UNDER OATH LISTING LOBBYING EXPENDITU-_S • -al '- OMP A'TION' c ' a:_r':‘:ED FOR THE PRECEDING CALENDAR YEA- WITH REGA-D TO: .P I�I S',,4reN�W tCt H t LO99v:SI' HAS 8 EN ELG GED TO LO9:Y AST T J S B a Ttf ' _ EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD. :: Signature of Lobbyist > 0' d/- Z Date � � -- I I do solemnly swear or affirm that all of the toregolnt acts,st t�ts,and disclosures to this farm,are true and correct. and that I have read or am familiar with the provi '.ns co , toed in Chapter 2,Aft VII,Division 3,entitled"Lobbyists of the Miami Beach City Code and/reornt,rn '. rem .' /` �" . Mata ;/01 Signature of Lobbyist r _ — . Signature of Principal - Date '/ �(�t ' VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of oma F�P 232 ANDALUSIA AVENUE, SUITE 101, CO State of i County of Dade county of Dade Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of 0 physical presence by means of❑physical presence or`online notarization, or 0 vitae notari�a n ms 3rd aay or_�ja rrh 20 21by I this 4ieay at arch �0 2' y Cesar A. Molina Ibrahim AI Rashid _ I NAME�CF1.�:66'':ST I NAME CF�lii7it{P:1L _Produced ID X Produced ID Driver I 'c rise FORM— OF IOENTiFIGATIOPt FORM CF IDENTIFICATION X Personally Known _Personally Known • i .1_ r, : k.•'-' - f --. „,"•'---1...4 . • 01111,L,.., .F._z‘,4–yd..4._______ { o: +:a:::::3'Notary Public ,:,• I Signature of Notary ublic I . , Name of Notary.Typed,Printed or Stamped -..iii‘ NOw ly�iiia' Coven Arlo%+ **s.: Notary Pubic State of Florida INC- rraGa '"' m.,PGo,r...r.�.¢t7361 (NOTARY BEAU cirA Esyemo�rertoz° : Ana H Frage r�.". Leif My Commission GG 947391 'The term'lobbyist"specifically excludes the following persons o"m Expires 05/10/2024 Expert..witnesses who provide only scientific.technical or other specialized information or testimony in public meetings,any person vino only appears as a representative of a neighborhood assodabon without compensation or reimbursement for the appearance,whet net direct,indirect or contingent,to express support of or opposition to any item,and any person who only appears as a representative of nor-for-profit community based organization for the purpose of requesting a grant without special compensation or rermoursernent for the appearance Page 4 of 5 MIAMI BEACH 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@miamibeachfigov Tel:305.673.7411,Fax:305.673.7254 NAME OF LOBBYIST: ( s67 r 4 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. Signature of Lobbyist Date g Y FACLERISALL1aFORMSILOBBYIST FORMS1.obbyist Reglslratlon Form Revised 03-11-20 REG doe Page 5 of 5 MisceJianoiais Cash Rotes! -, --,- CITY OF Limit,BEACH: - • ? No. 427681 oCash acct Card # � . . • B .-t •- fm , ' t �eti C.2.1.-- '- ham-'\ pp-II2�■ p.= 4 n�C ellaneoUs� J \ �.�i� �� v^y P al V ' .� 4. "F 1 I S. � a - - .' j ('K 2' �-v''y� ict9 t k s6 C-� ! �aC t fU I re' , , I)f Pam m un A.A.")\,k_ . 4 .6 s -i�. rip,,i 1t) : -„ ..J o f j. '' } INFORMATION MOST BE:t COMPLETED) yq gip) QlRes.of Roams ;rector • r EXT.'