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Scott B. Robins 2010-09-13 Scott Robins Scott Robins Companies Failure to identify person(s) who hold 5% or more interest in principal To achieve compliance, we contacted Scott Robins Companies and the equity holders' information was provided via a scanned updated Lobbyist Registration Form as an email attachment. Latest Update on 2014-12-15: A response to our request has been received via an email, which included a revised lobbyist registration form for Scott Robbins listing: 1) The name of Chief Officer, Partner or Beneficiary; and 2) The Identity of all persons holding, directly or indirectly, a 5% or more ownership interest in such corporation. LaRosa, Clara From: Wendy Chernin <wendy @robinscompanies.com> Sent: Monday, December 15, 2014 11:14 AM To: Prieto, Silvia Cc: LaRosa, Clara Subject: corrected forms attached Attachments: SCAN1676_000.pdf Corrected forms are attached. Thank you, Wendy 1 J M I AM I B EAC H _ ��� � r..rF.I City of Miami Beach Office of the City Clerk 3 0 3 I 1700 Convention Center Drive, Miami Beach, FL 3 �3J LOBBYIST REGISTRATION PORM CST%f CLERK'S OFFICE Lobbyist means all persona employed or retained,whether paid or ncf by a principal who seeks to encourage the passage,defeat or modification of any ordinance,resolution,action or decision of any commiseloner,any action,decision,recommendation or the City Manager or any Giy board or committee;or any action,decision or recommendation of any city personnel during the•pme period of the entire decision-making process on such action,decialon or recommendation that foreseeably will be heard or reviewed by the city commission,or a city board or committee. The term apaclAaeliy Includes the principal as well as any employee engaged In lobbying activities, The term"Lobbyists".has specino exoiuslons, Please refer to ordinsnce 2Q 436. = © , s Sao NAME OF LOBE ST: Lsst} (First) S Co r9 o,r3, Mtfl 9rd BUSINESS NAME-AND ADDRESS (Number and Street) (City) (State) p Code) ....tea, TELEPHONE NUMBER: FAX NUMBER: EMAIL; Please notify this office if your contact lnformadon changes;address,phone,or e-mall address, I, LOBi3YlST AIN D BY: /S NAME OF PRINCIPAUCL►ENT: BUSINESS NAME AND ADDRESS (Number and Street) (Cfty) (State) (Zip Code) TELEPHONE NUMBER: FAX NUMBER,(Optional) EMA L:(Optional) -Fill out this section If principal to a Corporation,Partnership or Trust jSec on 2482(c)) • NAME OF CHIEF OFFICER,PARTNi:R,OR BENEFICIARY: ..- Zoo • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATiON,PARTNERSHiP OR TRUST: ILSP FIC LOBBY LIE: „ Issue to be lobbied(Describe In datall): ' III,CiTY AGENCIES/INDIVIDUALS TO BE LOBBIED:Pursuant to City Code Section 2.482(g)Include . a statement-of the extent of-any business, financial, familial, professional or other relationship, giving rise appearance of an impropriety with any City personnel sought to be lobbied--further,pursuant to City Code Section 2• „ 432(a)(4) Include a statement of any contractual relatlonship (paid or unpold) from.12 months preceding said City pars onnel'.•commtancament of service w)th the City to•the-present data, stating the general nature of the aub)egt .,t contractual relation, r' ' ' I A Full Name of Ind idual Itie B)Any Financial,Familial or Professional Relatlonshl .46L/X P.4 A. 0 s � • I s I IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): ~^ (Required). 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 ~o: Are you lobbvinq 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 Miami Beach City Code 2-490'Entit{ed "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": ^'Yes L1V No: -Are you lobbvinq 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 Miami Beach City Code Z-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 anot-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. ~I Yes ^ No: Are you representing snot-for-profit corporation or entity without special compensation or reimbursement. . V. SIGNATURE UNDER OATH: Signatur''e of Lobbyist: _ ~ ~m p~R ~S,..Y me a C N~ ~~ W ~8~~ ~ ~ Signature of PrincipaUClient: LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Produced ID ~ ~~~ K ~$2 ~ga X03"3~ ~ FL 171-1.~ 'Produced ID l~ 15a -7 ~Sa - ~ 3 -336-0 Form of identification Form of Identification ^ Personally known (Lobbyist) SIGNATURE AND°STAMP OF NOTARY tate of Florida, County of Miami-Dade ~"Y~~: ~`~~~~''~ w~ worn to and subscribe befor me `• "'~'^~.`.= ~ , his ~,3 7`'~day off ~ 010 ~':`:;i,"~~.~~ -J~/ Ali, /i n _ \~ -~,..:~.~.::..s Signature,bf Public NdtaTy =State of Florida Notarizat•fon of Lobbyist's signature TO ^ Personallyknown (P ISABEL SATCHELL +~p htY CQMMISSION # DD 879891 *a ':"f ;; ExPIRES: Apri113, 2013 ~~' ' ~6'' firntdQd Thm Notary Public Underwriters State of Florida, County ~~~"` Sworn and subscribedpb f~e me This /day f -'~=--, 0 ~~~ Signature Public No - tate of Florida Notarization of Principal's signature CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes [ .rj'fio Amount Paid- T$~ c7 _ M.~C,~R~ Date Paid - Lobbyist Registration Form received and verified by: ~ 12~~]A ~ ~e.~- F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form 2010.cfoc ReVlsed 05$/2010 I do solemnly swear that 4~f'~'-- is are true and correct and that 1 have read or am fami{iar with the provisions contained in Se ami Beach'City Code and all reporting requirements. m MiAMIBEACH City of Miami Beoeh, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office Tel: 305.673.741 1 ,Fax: 305.673.7254 CityClerk@miam i beachfl.gov Acknowledgement of fines/suspension from lobbying for failure to comply with City of Miami Beach lobbying Laws .LOBBYIST NAME: ~~~ o~ ~~r I understand that no later than October 1st of each year, lobbyists subject to lobbyist registration requirements shall submit to the city clerk a signed statement under oath listing all 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 have been no expenditures or compensation during the reporting period. The statement shall -list, in detail; each expenditure by category, including food .and beverage, entertainment, research, communication, media advertising, publications, travel, lodging and special events. FAILURE TO TIMELY FILE THE EXPENDITURE AND .FEE .DISCLOSURE REPORT WILL RESULT IN A FINE OF $50.00 PER -DAY. ANY LOBBYIST WHO FAILS TO FILE THE REQUIRED EXPENDITURE :REPORT BY DECEMBER 1, SHALL AUTOMATICALLY BE 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. In -the event a lobbyist fails to either file the report and/or pay the assessed fines, the Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust. IN ADDITION, ONCE AN ISSUE i HAVE REGISTERED TO .LOBBY ON HAS BEEN .RESOLVED, 1 AM REQUIRED TO IMMEDIATELY NOTIFY THE CITY CLERK'S OFFI F-LOBBYIST WITHDRAWAL IN WRITING. ---__ Signature: ~ ~~ ~~ Date: