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Bernard Zyscovich - Plan Z for Miam, Inc. • RECEIVED MI AI BEACH Office of the City Clerk JUN " 3 2021 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 ornot,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 thatforeseeably 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: Zyscovich Bernard (President) NAME OF LOBBYIST (Last) ' . (First) (Middle Name) . Plan Z for Miami, Inc., (not-for-profit) 100N. Biscayne Boulevard,27th FIr,Miami . FL 33132 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) . (City) (State) (Zip Code) 305-372-5222 Bernard@zyscovich.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR:TELEPHONE NUMBER EMAIL ADDRESS, II. PRINCIPAL INFORMATION: NAME OF PRINCIPAL (Last) (First) ' '(Middle Name) Plan Z for Miami, Inc:(not for profit) 100 N Biscayne Boulevard,27th FIr. Miami Fl 33132 PRINCIPAL BUSINESS NAME'AND ADDRESS (Number and Street). (City) (State) (Zip Code) 305-372-5222 Bernard@Zyscovich.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR.TELEPHONE.NUMBER . , ' EMAIL ADDRESS • rsuant m City ode S= on 21482(h)(1)(5): A principal of Q0 corporation,p- ip Ci'other e who appears a3 0.„, .,,rr« compensation GI reimbursement for(Z)appearance,whether direct,Indirect,Cl contingent to ax< -..: sumo opposition an r sha reitlaterwrith a CIE as t.' • , thin,sub_. tib CM3 ...> • requlredtipsy a >letrationtees 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 NIA): 3t0._ • 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): ''QRS \Q A Page 1 of 5 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. Plan Z Project 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 City of Miami.Beach None X Pursuant to City Code Section 2-482(g), everyregistrantshall 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): $0 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 pendinil 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 clericas required by this section,but shall not be required to pay any registration fees. XYes 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. . YesXNo: Are youproviding onlyy scientific, technical or other specialized information; appearing as a representative of a neighborhood association without special compensation or reimbursement or representing a not-for-profdbased organization for thepurpose 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 members)of the City Commission: _Yes No: f has It been less than 12 months since the elected officio wh• o ,ro :J ,•a, nsultinu services was sworn in? 6) . Pursuant to City Code Section 2-482(a)(4)a., a lobbyist who has within the past election cyde 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 registrationform and shall orally disclose such particular service before lobbvina the City Commission ata public meeting. Yes.XNo: Have you provided carmonian 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: Yee. were vou promised or did you receive economic consideration In exchange for cs inalgp onsuitinrl services?l, TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ ] No Amount Paid$ MCR a Date Paid Lobbyist Registration Form received and verified by: d 03/11/2020 F\CLER\$ALL\aFORMS\LOBBYISTFORMS\LobbyistRegistration Form'Revised 03=11-20REG:docRevised 1/ Page 3of5 . 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 COMP ATION DURING THE REPORTING PERIOD? '// Signature of Lobbyist !/ Date fG/ 2 0 2/ I do solemnly swear or affirmthat all • the foregoing facts, statements,and disclosures in this form are true and correct; and that I have read or am familiar ' the provisions contained in Chapter 2,Art VII, Division 3, entitled`Lobbyists"of the Miami Beach City Code a all repo', g requirements. Signature of Lobbyist ir Date 4 .1.20-1-4 Signature of Principal; / r 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❑physical presence by means of 0 physical presence or 0 online notarization, or 0 online notarization, this 1 day of ' 11 aL a ,2021 by this day of 'uk%II ,2021,by Bernard Zyscovich $ Qk,1SCbeit 2..145Co MtA NAME OF LOBBYIST. NAME OF PRINCIPAL . Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION X'Personally Known Personally Known • Ptakat61-0e + ANM413S>D1%3 Signatu f.Notary Public Signature of Notary Public Angela R. Davidson Name of Notary,Typed,Printed or Stamped, Name of Notary,Typed;.Printed or Stamped (NOTARY S (NOT. - �. 4-, nov oceNotary Public State of Flonda ?°u�r^W Notary Public State of Florida: ` Angela R Davidson Angela R Davidson. Commission GG 179817 • My Commission GG 179817 ` ° Expires 0112812022 1 The term"lobbyist' ,• ° ". e • dint;B1 lfYing persons w Expert witnesses wh• p •vide 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 orreimbursement for the appearance,whether direct indirect or contin9ent,to exprress 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 spedal compensation or reimbursement for the appearance. Page 4 of 5 . . . . Aor '' Angela R Public Davidson Ronda . My Commission GG 179817 Expires 01/28/2022 MIAMIBEACH City of Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov Office of the City Clerk. Rafael E.Granada,City Clerk CityClerk@miomibeachfl.gov Tel:305.673.7411;Fax:305.673.7254 NAME OF LOBBYIST: BERNARD ZYSCOVICH 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 beassessed 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 calendaryear 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-monthperiod commencing October 1 of each year, andthe fee .for suchannual registration shall be $500:00 ours nt to Section 2-482 of.the Miami Beach City Code. 6. /402/ Signature o • •• ,ist Date F:ICLERItALL1eFORMSLLOBBYIST FORMSILobbylst Registration Forth Revised 0511-20 REG.doc . Page 5 of 5 . L• MIAMI BERECEIVED. City of Miami Beach 1700 Convention Center Drive JUN - 3 2021 Miami Beach, Florida 33139 www.miamibeachfl.gov City Clerk's Office CITY OF MIAMI BEACH Tel: 305-673-7411 OFFICE OF THE CPTY CLERK Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Bernard.Zyscovich, President Name: . Business Name• Plan Z for Miami, Inc. (not-for-profit) Address: 100 N. Biscayne Blvd., 27th Floor, Miami, FL 33132 Office Telephone Number. (305) 372-5222 Cellular Telephone Number: Email Address: BernardOzvscovich.com If more than one lobbyist,please list: 1) 2) 3)_ 4) 5).. 6) 7) Submit this form to the Office of the City Clerk, along with a check for $500 for each lobbyist Please make the check(s) payable to the City of Miami Beach. For City Clerk's Office Use Only. MCR#: Amount paid: Date paid: Processed by: Date: F:10LERR$ALL1aFORMSILOBBYIST FORMSIANNUAL LOBBYIST REGISTRATION FORM rag docx DIVISION OF CORPORATIONS f'tf ryiNts!.f?}a ;+'e is}Y!ld1 wii it Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Not For Profit Corporation • PLAN Z FOR MIAMI, INC. Filing Information Document Number N17000001644 FEI/EIN Number 81-5378475 Date Filed 02/14/2017 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 10/17/2019 Principal Address 100 N. BISCAYNE BLVD. SUITE 2700 MIAMI, FL 33132 Mailing Address 100 N. BISCAYNE BLVD. SUITE 2700 MIAMI, FL 33132 Registered Agent Name&Address Strauss, Kenneth 515 East Las Olas Blvd 15th Fl. Fort Lauderdale, FL 33301 Name Changed: 10/17/2019 Address Changed: 10/17/2019 Officer/Director Detail Name&Address Title P, D ZYSCOVICH, BERNARD 3860 POINCIANA AVE. MIAMI, FL 33133 Title D,V YAFFAR, SURIA 100 N. BISCAYNE BLVD. MIAMI, FL 33132 Title D, S Strauss , Kenneth T 515 East Las Olas Blvd 15th Fl. Fort Lauderdale, FL 33301 Annual Reports Report Year Filed Date 2019 10/17/2019 2020 06/25/2020 2021 04/28/2021 Document Images 04/28/2021—ANNUAL REPORT View image in PDF format .1 -06/25/2020--ANNUAL REPORT View image in PDF format 10/17/2019--REINSTATEMENT View image in PDF format I 07/15/2019--Amendment View image in PDF format I 01/22/2018--ANNUAL REPORT mm— View image in PDF format l 02/14/2017--Domestic Non-Profit View image in PDF format '.......:...............of state.Divi.ak n of <..........