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Armando Gutierrez/MCM (Magnum Construction Mgmt Corp) .lD - MIAMIBEACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 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 dty board or committee; or any action, dedsion 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 dty commission, or a city board or committee. The term spedfically includes the principal as well as any employee engaged in lobbying activities. The term "Lobbyistsn has specific exclusions. Please refer to Ordinance 2004-3435. Gutierrez Armando NAME OF LOBBYIST: (Last) ( First) (M.!) Gutierrez & Associates BUSINESS NAME AND ADDRESS 305-350-1988 TELEPHONE NUMBER: 1201 Brickell Ave #320 Miami, (Number and Street) (City) 305-358-5645 FAX NUMBER: Florida (State) 33 (Zip Code) Armando@Gutierrezandassociates.com EMAIL: I. LOBBYIST RETAINED BY: Magnum Construction Management Corp. d/b/a MCM Corp. NAME OF PRINOPAL/CUENT: Magnum Construction Management Corp (MCM Corp) 6201 SW 70th St Miami, FI 33143 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-541-6869 TELEPHONE NUMBER: 305-541-9771 FAX NUMBER: (Optional) pmunilla@mcmcorp.com EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] NAME OF CHIEF OFFICER, PARTNER, OR BENEFIOARY: Jorge Munilla IDENTIFY ALL PERSONS HOLDING, DIREITLY OR INDIREcrLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Pedro Munilla, Jorge Munilla, Fernando Munilla, Juan Munilla, Raul Munilla II. SPECIFIC LOBBY ISSUE: Construction Improvements for the City of Miami Beach South Pointe Park (South Beach) ITB#09-06/07 Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship City Officers None City Elected Officials None IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLATRATEOR OTHER): A) LOBBYIST DISCLOSURE: (Required) Monthly Retainer B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $2,000/month - Retainer The following information must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": .,; Yes No: Are YOU lobbying on a oresent or pending bid for goods. eQuioment or services. or on a oresent or oendinQ award for goods. eQuioment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": 'es ". No: Are YOU lobbying on a pending aoolication for a Develooment AQreement with the City or apolication for change of zonina map desianation or chanae to the City's Future Land Use Map? 3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481 above) 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 clerk as required by this section but, shall not be required to pay any registration fees.. Yes ..... No: Are YOU representing a not-for-orofit corporation or entity without special comoensation or reimbursement. V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEND S OR COMPENSATION DURING THE REPORTING PERIOD. Signature Of Lobbyist I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions cont I d in Se ion 2-482 of the Miami Beach City Code and all reporting requirements. Signature of Lobbyist: VI. LOBBYIST IDENTIFICATION: J.p. Signature of Principal/Client: PRINCIPAL IDENTIFICATION: o Produced ID o Produced ID Form of Identification Form of Identification w Personally known (Lobbvist) o Personally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: ;t'~ STEPHANIE RODRI~UEZ ~~ MY COMMlgsWtj:ilcWFlClH& ~" EXPI~VvffiW<<~ I"":~AP.Y FL County of Miami-Dade cribed before me f ,20_ Signature of Public Notary - State of Florida Notarization of Principal's signature FOR CLERK'S USE ONLY Annual Registration fee: [ ] Yes [ ] No Amount Paid (~ MCR # 2~ I fo Date Paid \/~o-f Lobbyist Registration Form received and verified by.: t::?~ F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM Os:dbc Revised 12/08/04