Jose M Silva - Lime Island 31 LLC i to S t-4-;b5cOle
RECEIVED
Al I AM I BEACH Office of the City Clerk APR 2 0 2021
1700 Convention Center Drive
Miami Beach, FL 33139 CITY OF MIAMI BEACH
305.673.7411OFFICE 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:
Silva Jose 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 (786) 942-3075 jsilva@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 ialrashicl@gmail.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
nfs gTf all;).§20:15) 1)at A pr'nc p J o r corporal nn,100 17+moi- appears MEI I o bbyis C 0 'C(;�t:at
,wit o t spec al compe sation Cpl i o° siyQ or( .o o g-.4 minm5,c251=TCDM indirec, conti sent [po su Tont J @I7 otpositia to
T@6""2aa do,)re°ste 7IMINP(gIttbEP reoulgClb if o CPg null' ?l reoui ed °a =re.re.stra'on
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2-482(c): -I-
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A): 21R N)14 14 1.-RhS_�} f�
• 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): IA RA NI Al A 1-7 s/� 0 Ps 1gTk us 7
Page 1 of 5
in. ISSUE TO BE LOBBED:
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
V. CITY AGENCIES/INDIVIDUALS TO BE LOBBED:
Pursuant to City Code Section 24820)(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(It yes,explain) YES NO
Title of Person to be Lobbied
I& . PGS X
Pursuant to City Code Section 2-432gg), every registrant shall be required to state the extent of any
business, ffunanciai, familial or professional relationship, or other relati.nship 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 Qiff 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):
N/A
Pane 2 of 6
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"1o: 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 iNo: 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 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:
_Yes LNo: r irP l,103:< Ito•'c I _. MaSEIMEEPT2 al f a1? .i•o cal,':il,N1.1' iMS%22o o Q a lSE=TEID
0=fiTaTISM25M C971.173 MI. `
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:
_Yesx_No: ,ere r0 T tyro s`'tio 0, °"o Y°'y `\e . sn o `a co_m,?'o•;rra iaS"i
-A,II W A SEI , ;ens
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Ann.ual]Registrationrfee:; [ttl,Y.es[i NO, Amount Paid$1%tSo MCR#' ,Date;Paidl ��" 2.
Lobbyisty-Regisfrationi Form receivedlandlverifiedlbw,
E:APIEF. AiLkaF,ORMS�I]OBSY[6Ti'FOF.MSMio liyiMBRgorstratiort)For i,rte,ri5,e 0s;t•11-20)ae ;_d'oci RevisediO3/j /2020)
Page 3 of 5
' ' ' .
. . ,
______ ..... .
• .
7
. . • . .
• .
. . .
, _ . .
. . .
. . .
•
. .
•
. , •
• .
• . ,
. ,
. . . .
. . . .
. .
. . . .
. . .
. . .. . . . ,
VI. SIGNATURES UNDER OATH: . .
ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OP 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 N WHICH THE ,
LOBBYIST HAS BEEN ENGAGED TO LOBBY.A STATEMENT SHALL BE FILED EVEN IF THERE HAS:BEEN.NO
EXPENDITURE OR COMPENSATION DURING•THE REPORTING PERIOD.' '
Signature of Lobbyist l • *-7---•• 4=0- Date ..V//0 A/ •
I do solemnly swear or amrm that all of the foregoing f- , . e ,, "<,and disclosures In this form are true and correct, , •
and that I have read or am familiar with the provisio withal,- n Chapter 2,Art.VII,Division 3,entitled'Lobbyists'of
the Miami Beach City Code and all reporting r•• •men
( ' . :3 lZ
ISignature of Lobbyist: j/ Date
___,v --
(f/Z/Signature of Principal: Cate
1 VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
1 State of Florida State of Florida
t 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❑physical presence by means of 0 physical presence
or 0 online notarization, or CI online notarization
this 3rri day of March 20, jby thls4tttiayof March 2021by
Jose M Silva Ibrahim Al Rashid
NAME OF LOBBYIST NAME OF PRINCIPAL
Produced ID XProduced ID Driver License
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
_KPersonally Known Personally Known
1 YL'I 7 - 1 .-L�t-Lr�.t/ a J _ I—
S..;nalure of Notary Public Signature of Nolan;Public
Ham.. • ,/ .. , . •1 Name of Notary,Typed,P. •.::• • -v•-d
. •rt. emery PublicStdofRores
.Lie H Freon N
NOT•R�a^ rRF+wrCr�ayt �aT3D1 (NOTARY SEAL) s. Mo a H Frage Public tate of Fronde
My Cormmiuion GG 847391
I -- or ft. Expires 05/10/2024
1 The larm'lobbyist specifically excludes the following persons:
EA pert•rnmes es who prowdr,only sdentifc.Technical or other specialized information or teshenony in public n meetings any person arc
one/appears as a representative of a neighborhood as;ouabon without compensation or ro,mburseinord for the appearancerrn•rtnel
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
•
_ -
r k
•
VI. SIGNATURES UNDER OATH: _
ON FEBRUARY 28 OF EACH VEA F LCt3BYtS•T Stf LL SUB BCA. E f} u+ s.F niE I F(CLERK.S '
SIGNED STATEMENT UNDER rZ4Tt/,'.QGSL1NQ's.LOBBYING''postortraaEs, 45 tR6Ef f -EtS-COS Ei SATEO tB -
RECEtbED.FOR THE PRECEDifiVG CALSWAR SfEEOR•4t6tTEf REGARD.Tel TRE SPECIFCC ISSUE Qtf Kmai TELE.
LOSEWESt flAs BEEN(ENGAGED ITO WSW-A SF.4i11EI!Ew Sfr ALL' E Ft E10'E'GECA tF T@tEIE3E:tBrtis EPEES,NO -
EXPENDITURE OtiR COMPENSATEONi DUBOW TKE REPORTING PEEtRICt' :
Signature ; ` Cate - gip �
•
cto scrawly swear or affirm VW all of tttea tangoing .•, i a attd disclosures hi This firm are true and cefeciL
and that t have read or ant fiarrelfar vara the pt visio, _osnfa' 'r Chapter 2.Art VII,Qivisioril 3,etttitled'Lobttyats of
the Miami Beach City Code and alt reporting. the
Signature of Lobbyist 1 j- - - Date 3 (21
Signature of Pnncipat / . Date /
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of Florida state of Florida
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 0 physical presence
or 0 online notarization, or 0 online notadzatiQn
this Ord day of March 2021 by this allay of March 2o21by
Jose M Silva Ibrahim Al Rashid
NAME OP LOBBYIST NAME OF PRINCIPAL
Produced ID XProducedt€1 Driver License
FORM OF ICENSF1CATIOtl FORM OF IDENTIFICATION
PersonaltyKnown Personalty Known
7' i fr-
1 .14i
.1,1_
S;rrstauz or Notary Public Signature of Notary Public
Name of Notary.Typed.P s:.• •r -
NtryyPWMStakscanto*
,;,;OT PT Frege GG war
SEAL) Notary Pudic State of
Floods
isc.„ iaaaz+ • An H Fraga
t, Expires05/1Q/Z024 my Commission GG 947391
t The term'lobbyist'speciticalty excludes the folfn g persons a.�o
ter esa t es• s Awn p.oc'-d only soterRfct¢Rm.ort ur roarer spaGlalIzed inMmvrmro or a sa+menr us purific meetings;any ev sem.''Arc
an.p ar-r-ars as a remesentaaae of a relteurroud ctratran withatttcompens-taon sr eo,rnburSernuret for the appearenza r.Peirar
Queer redirect or contingent,to expose sepport of or eppoel�an to any item:and any person who only appears as a representative of
root-fat-profit rmmra asst'fared argarlizatiew Ifsr the ramose at requesting a grant without special compensation or reimbunsetnent for
the appearance
Page 4 of 5
• ��pr a Notary Public State of Flonde zQ1t sr NotaryPublic State of Floods
• ). Ana H Fraga Ana H Fraga
'y My Commission GG 947391 MY Commission GG 947391
4 a, dr Expires 05/10/2024 qO Expires 05/10/2024
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Horida 33139,www.miamibeachil.gov
Office of the City Clerk
Rafael E.Granado,City Clerk CityClerk@miamibeachfl.gov
Tel: 305.6731411,Fax:305.673.7254
NAME OF LOBBYIST: � j 4(41EL �j l LVA
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.
\I.
Sig at e ur of Lo b ist Date
F:\CLERISALL\aFORMS\LOBBYIST FORMS1Lobbyist Registration Form Revised 03-11-20 REG.doc
Page 5 of 5
Misceila
nsOus Cash Receipt • . -
CITY OF MIAMI BEACH: • . -
.-7,-, No, 427681
.fit
0 Cash OCredrt Card � 'Check# ,/L', . lic f
'spa aneeoous _ . .�' ?'' 1 fi` :..
. i,- .' , . c lti c U.`i C;�. -- .r t 0 f �( _ t
•
1
.
•
aiFou .
TION MUST BE.COMRLETED)
Fa►of 1nnat Dltwctor
EXT:, '