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Andres Arcila - Ferrado Lido, LLC • 40 is\ Aim, •• DocuSign Envelope ID:D6CF1484-COD8-46D2-A1B2-15209D1390E6 RECENED /'v'\AA I,AAAI BEACH Office of the City Clerk JUN 30 2U2 1700 Convention Center Drive CITY OF MIAMI BEACH Miami Beach, 33139 OFFICE.OF THE CITY CLERK 305..673.744 11 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 each principal represented on each specific issue. I. LOBBYIST INFORMATION: Arcila Andres NAME OF LOBBYIST (Last) (First) (Middle Name) Naturalficial 6915 Red Road,Suite 224 Coral Gables FL 33143 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)321-2341 andres@naturalficial.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS • II. PRINCIPAL INFORMATION: • Barnett Andrea NAME OF PRINCIPAL (Last) (First) (Middle Name) Ferrado Lido, LLC. 20411 SE Birch Street Newport Beach CA 92660 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (949)474-9884 • PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS RIMICELeib12319&CD @LAM 2482(h)120!p principal OEM co poration, partnership,CF d CQa` appears n3 p .,e ' 3(Tnl CrIladikt RaVoulabagi special compensation C•7i CdI for 0110 appearance,diGlEionEgt MEM,CF contingent,QOM(goal;CQca.o+.osition tti • -n item shall register with the Clerk as required by this subsection but shall not be required to pay any registration fees. O N 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): • NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH O a CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): LL Please see the attached. Page 1 of 5 Dwna.Ramos y85•C116BE2AF2C7 L Page 1 of 5 I 1C116BE2AF2C7 'IIImaw"III DocuSlgn Envelope ID:D6CF1484-COD8-46D2-A1B2-15209D1390E6 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. Development Approvals&Planning Issues,including but not limited to the Historic Preservation Board, Design Review Board,Planning Board,Board of Adjustment,Land Use Development,City Commission, and any City Workshops or Committees,if necessary,relating to the property located at 40 Island Avenue in Miami Beach,Florida. 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 Staff for the Planning&Building Department None X Public Works&City Administration,PB,HPB,BOA None X DRB,City Commission,and Mayor as necessary None 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): None U . W m 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): $. p per hour Page 2 of 5 r DDocverweD FB88eEeA.98FA.CD2-9D86-C116BE2AF2C7 L Page2015 2C1169E2AF2C7 I 111115,`,1211111 •• DocuSign Envelope ID:D6CF1484-CODS-46D2-A1 B2-15209D1390E6 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 X 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 x No: 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 xNo:• 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 xNo: 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, has it been less than 12 months since the elected officialys) whomyouu provided campaign consulting semcices was sworn irn. 6) Pursuant to City Code Section 2-482(a)(4)a., a lobbyist who has within the past election cycle provided campaign consulting g 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 XNo: 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: N NN 0 YesXNo: f es were .ou •romised or did ,ou receive economic consideration in exchanee for cam'ai_ .0•••••••s FoltinTic'sr.' 9 o TO BE COMPLETED BY CITY CLERK'S STAFF ONLY 42 x.S1 t Annual Registration fee: [tc]Yes[ ]No Amount Paid$` jS�' MCR# Date Paid ��-J0 •?-d LL �Lobbyist.Registration Form received and verified by: w F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\LobbyistRegistration Form Revised 09-.20-18 REG.doc Revised 09/20/2018 m Page 3 of 5 DocVerify ID:FB86BE6A-98FA-4CD2-9D85-C116BE2AF2C7 www.docverify.com III I Page 3 of 5 3C116BE2AF2C7 I I tElmI III •• DocuSign Envelope ID:D6CF1484-COD8-46D2-A1 B2-15209D1390E6 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 COMPENSAT10tvc NG:THE REPORTING PERIOD.' 06/30/2021 Signature of Lobbyist: ,—FAD360798256491... 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 Code and alliIt\_z_. lliuirements. Signature of Lobbyist: FAee7ss;!ss4s1 Date 06/30/2021 Signature of Principal: Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Florida State of Florida County of: Miami-Dade County of: Miami-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 l online notarization, or 0 online notarization, this_30th day of June 2021 , by this_day of ,20_, by Andres Arcila Andrea Barnett NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION x Personally Kno _Personally Known n Signature of Notary Public Signature of Notary Public 0 M Diana Ramos N Name of Notary_Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped N Diana Ramos 2 Commission#GG 308355 (NOTARY SEAL) W (Votary Public-State of Florida CO My Commission Expires Apr 10,2023 U 0 'o 1 The a., .,.n.�.�;;,;. persons: o o 0 Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings;any person who LL• only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether o • direct, indirect or contingent,to express support of or opposition to any item; and any person who only appears as a representative of W not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for o o the appearance. Page 4 of 5 DocVerify ID:FB86BE6A-98FA-4CD2-9D85-C116BE2AF2C7 Page 4 of 5 , 4C116BE2AF2C7 'III Mpg III www.docvenfy.com • 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 COMPENSATION DURING THE REPORTING PERIOD..: Signature of Lobbyist: 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 Code and all reporting requirements. :. Signature of Lobbyist:: Date Signature of Principal: Date.O03I VII. NOTARY SIGNATURE AND SEAL;. LOBBYIST: PRINCIPAL. State of::Florida State of Florida County . Miami-Dade County of: Miami-Dade Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of D physical presence by means of¢I physical presence or 0 online notarization; or 0.on.li9 e-notarization, this day of . ;.20 , by; this"2-3v13ay.of .lith 20a, by. Andres Arcila Andrea Barnett NAME OF LOBBYIST. NAME OF PRINCIPAL . . Produced ID JProducedID C & bYMI C-? -'11 41D FORM OF IDENTIFICATION FORM OF IDENTIFICATION x Personally Known _Perso - KnownOP Signature of Notary Public Signat e of N• -ry Public I3 41 L 1AI Thket'c.� Name of Notary,Typed, Printed or Stamped Name abf Notary,Typed, Printed or Stamped (NOTARY SEAL) (NOTARY SEAL) : : r.,-.."`,- -a"61.AIN rum�IMENENotary Public-CaliforniaZ Orange County T. �'f �+` Commission#2306499 Wel Comm.Expires Sep 23,2023 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 • DocuSign Envelope ID:D6CF1484-COD8-46D2-A1 B2-15209D1390E6 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@miamibeachfl.gov Tel: 305.673.741 1, Fax: 305.673.7254 NAME OF LOBBYIST: Andres Arcila 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. LL w DocuSigned by: 06/30/2021 FHuuo079nroo'a i... Date Signature of Lobbyist LL T F:\CLER\$ALL\aFORMS\LOBBYIST FORMSILobbyist Registration Form Revised 03-11-20 REG.doc m Page 5 of 5 IDDocVer�eD: FBB BE6A-98FA-4CD2-9D85-C116BE2AF2C7 Page 5 of 5 5C116BE2AF2C7 ,III ---�11111 Sandra Ortega Mera Marcos Ortega Mera Plaza Maria Pita 17 Plaza Maria Pita 17 La Coruna 15001 Spain La Coruna 15001 Spain • 89.24% 10.76% Rospa Coruna SL (Spanish Corporation) Plaza Maria Pita 17 La Coruna 15001 Spain 100% Ferrado Inmuebles SL (Spanish. Corporation) Plaza Maria Pita 17 La Coruna 15001 Spain 100% Ferrado Properties, Inc. 20411 SW Birch Street, Suite 360 Newport Beach, CA 92660 100% Ferrado Lido, LLC 20411 SW Birch Street, Suite 360 Newport Beach, CA 92660 • • C h. Miaaailanec�s Receipt - CITY OP MIAMt-BEA ,-- - No,.428257 . . li'''-'1:-.''' ''''''''p Cash C]Credt Card `,Check "> 20 & � r �tiy,.„-_,:5" 4.,-2 r ',t,T'l-.-4 c....- . .� :• ....\ 4 ' neoU Of,., '-- • '' •A ` isce aneous ,I ID .. t.. - For - r ` Payme 'mown: 1,700,00 D ;fit INFORMATION MUST BE CO.AWL. TED) —t wince of Fiis k"ator • 00 ,;> Lif ` ' Account NwnbIr , �a 1,�� T EX �!i