Carlos Prio-Touzet - 2301 N. Bay Road wow MI AM BEACH
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 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 Ordinance 2004 -3435.
Prttt To aT CA,a. t.o 5
NAME OF LOBBYIST (Last) (First) (M I)
To 4) ET Srui)%0 y54 5 P.,scc. DC I,mou Si.vd. t zo t C044a c m .eS , r[.. 33( E CG
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305 ?tat 2 -67-o 3os• ?A4• 247.2. CARt.,ot 'To uarr s-ruE. < 0. C-0101
TELEPHONE NUMBER FAX NUMBER EMAIL
.•
Please notify this office If your contact information changes: address, phone, or e-mail address.
LOBBYIST RETAINED BY.
C,42 t„o5 Pm.'0- — T ou! E•T
NAME OF PRINCIPAUCLIENT
Mutt/ S tta•tlo N54C PoOtEbe L o0 13l..vb. 20( CoisAt- eoAe►rrs Fi. 3314 4
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305. 7 t7 3os -7b7- z87 c.4aco ( Toot TSTJJco �►
TELEPHONE NUMBER FAX NUMBER (Optional) EMAIL (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust (Section 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST
II.SPECIFIC LOBBY ISSUE: 33.0 ry mei K�>�
PiteseNT9,TioNS 0.'s OA•.xAS As An-Cl {ITEc -C pe_ pyLOJ >S 13E1 c kt�ll�lu�
Issue to be lobbied (Descnbe in detail)
III. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-482(a)(4) Include the commissioner or personnel sought to be lobbied, and whether the lobbyist has entered
Into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such person's
commencement of service with the city to the present date, stating the general nature of the subject contractual relationship.
Sec 2 -482(a)(4) Full Name of Individual and Contractual Relationship (Explain) YES NO
title of person to be lobbied
• / • i/
413 arIA_ I %j 1
Pursuant to City Code Section 2-482(g) Every registrant shall be required to state the extent of any business, flnanclal, familial or professional
relationship, or other relationship giving rise to an appearance of an Impropriety, with any current ON commissioner or city personnel who is
sought to be lobbied as Identified on the lobbyist registration form flied. j J l (1� �1; -' �� ;Al
Sec 2 -482(9) Any Financial, Familial or Professional Relationship
IN-1 at,. 0 I' 1 :OI WV L- 130 110Z
UJAIj:1
Iv. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHERHOURLY, FLAT RATE OR
OTHER):
FLA - r rz.4 T2.
A) LOBBYIST DISCLOSURE ((Required)
Ili PRGSSLJX•Tii rl ) OF C.t.t'WT l4 F S6iU1 ,OAS T o B D M R . . 6 S . f ' - k ,4Dar -r c L I 4 ) . co te 7 41
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION)
(Required) Ckt.gilr PhY 1=sei p'ut't Adis( fTECrJfA4. SaMlt.[[ . FLIT RATE,
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contnbutions By Lobbyists On Procurement
Issues"
❑ Yes *No: Are you lobbying on a present or pending bid for goods. equipment or services, or on a present or pending
award for floods. equipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues"
❑ Yes Ili No • Are you lobbying on a pending application fora 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 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 - profit corporation or entity without special compensation or reimbursement .
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28th OF EACH YEAR. EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER
OATH. LISTING LOBBYING EXPENDITURES. AS WELL AS COMPE. - • RECEI )' B. IN TO CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL : ILED EVE IF T RE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
Signal I rrir r rist /
I do solemnly swear that all of the foregoi r ! ., -are tru: and Corr and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Bea Code and all • •ortn• rywrements
`t.
Signature of Lobb ist —. „ , 4
Signature of Principal /Client
VOW'
VI. LOBBYIST IDENTIFICATION: ' PRINCIPAL IDENTIFICATION:
`�/� RJe� -�/
0(1 Produced ID ' I�(7� Produced ID
/ / /���
Form of Identification Forn of Identification
❑ Personally known (Lobbyist) ❑ Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
Sta o Flo da, County of Miami -Dad: State of Flonda, County of Miami -Dade
Sw
, +, • ] I• - n, subscrif 20 1JM bed b fore me Sworn and subscribed before me
hr P tate of Fbiida
S . Not ary
All ' ' Eni Vega
t i f Expires 06/12/201E57023 This day of 2011
Signature Of . u • is Notary — S tat of - . ' - • -ore of Public Notary — State of Florida
Notarizatlo • Lobbyis s' ature Notarization of Principal's signature
TO BE COMPL BY CITY CLERK'S TAFF ONLY
Annual Registration fee: [ 1 Yes [ ) No Amount Paid $ XS MCR it l7 Dat Paid f /( //
Lobbyist Registration Form received and verified by:
F: \CLER Witt \aFORMS \LOBBYIST FORMS\ Lobbyist Annual Registration Form doc 0 Revised 1 /11/2011
/Ix /Aj /A '- Sr 7.t/47/.4/R E ffNv /A/zj
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I
Durable General Power of Attorney
THIS is intended to constitute a DURABLE GENERAL POWER OF ATTORNEY pursuant to Article 5,
Title 15 of the New York General Obligations Law / )/he / /4/7/V7 V/) , do hereby appoint:
Sii,, , f ai/e my attomey(s)-
in -fact TO ACT IN MY NAME, PLACE, AND STEAD, in any way which I myself could do, if I were
personally present, with respect to the following matters as each of them is defined in Title 15 of Article 5
of the New York General Obligations Law to the extent that 1 am permitted by law to act through an agent
(A) real estate transactions; (F) estate transactions;
(B) bond, share and commodity transactions; (G) claims and litigation;
(C) banking transactions; (H) records, reports, and statements;
(D) business operating transaction
s; (1) p g s, I) retirement benefit transactions;
( ,
(E) insurance transactions; (J) tax matters,
This Durable Power of Attorney shall not be affected by my subsequent disability or incompetence.
To induce any third party to act hereunder, I hereby agree that any third party receiving a
duly executed copy or facsimile of this instrument may act hereunder, and that revocation or
termination hereof shall be ineffective as to such third party unless and until actual notice or
knowledge of such revocation or termination shall have been received by such third party, and 1 for
myself and for my heirs, executors, legal representatives and assigns, hereby agree to indemnify and
hold harmless any such third party from and against any and all claims that may arise against such
third party by reason of such third party having relied on the powers of this instrument.
This Durable Power of Attorney may be revoked by me at any time.
In Witness Whereof, I have hereunto signed my name thisa ^ day /1,11 v > 200 9 •
Aiiird14
p'Si„ : ure of Irincipal)
ACKNOWLEDGEMENT
Or use within the State of New York)
STATE OF NEW YORK, COUNTY OF A.. yW/ ss.•
On the/.2 day of/14rh ,4N in the year 9 , before me, the undersigned, a Notary Public in and
for said State, personally appeared '/
/ 9 /dee/ A4/i7/ ary
personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose
name(s) is (are) subscribed to the within instrument and acknowledged to me that he /she /they executed the
same in his/her /their capacity(ies), and that by his/her /their signature(s) on the instrument, the individual(s),
or the person upon behalf of which the individual(s) acted, executed the instrument
,0\ it rr
, : , , tary Public: State of New York
11y Gomm F..xptros
1 &rc 6, 2011
- • _,... •£398290 ' `
State of New
� /York
Iv )
County of &/V� C/ J )
On N/YC# d 2 ,2-011 before me, Nlrlyt a notary
public, personally appeared Litt S WPP F , v'e
,who
proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is /are
subscribed to the within instrument and acknowledged to me that he /she /they executed the same
in his/her /their authorized capaclty(ies), and that by his/her /their signature(s) on the instrument
the person(s), or the entity upon behalf of which the person(s) acted, executed the Instrument.
I certify under PENALTY OF PERJURY under the laws of the State of New York that the
foregoing paragraph is true and correct.
WITNESS my hand and official seal. ,,,.,,
N ,, w1NF
't plies Fe
v o rApY yc
Signature L. / I 'LW A (Seal) 4 4 — .+6. -- y
o. doh A ,
•
CD AAIAm' BEAc
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 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 teen 'lobbyists" has specific exclusions. Please refer to Ordinance 20044435.
Preto -Tou? s%. t...40
NAME OF LOBBYIST: (Last) (First) (M.I)
TO a - ti; S-r ✓b.o y5 5 t'e..ct=.. tat Levi ?ratio. ZO t Coe.4k 6,144,wS , rati 3 f'F(P
BUSINESS NAME AND ADDRESS (Number and Street) (City) (state) (Zip Code)
305 'IS 1• 0 303 'PAT. z$ GAMt.,oS TOttar'STLY(s4 40P1
TELEPHONE NUMBER FAX NUMBER. EMAIL.
Please notify this office if your contact information changes: address, phone, or e-mail address.
1. LOBBYIST RETAINED BY:
cY)neI pbvIylirnc►r1
NAME OF PRINCIPAUCLIENT•
010 RLO LLG , �5O West- S1 St -reef New Yo rk,) 101 0�
" ^ '". •' ^.,n ADDRESS /Number and Street) tCit) (State) n,. r ^rie'
(2 .12) - 7o - 9405 (212)215 - 23 _ 5 JCr*ILot i (Z-O c.e
TELEPHONE NUMBER. FAX NUMBER (Optional) EMAIL. (Optional)
` Fill out this section M principal is a Corporation, Partnership or Trust (Section 2.482 (c)l
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIPRY:
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST
n.SPECIFIC; LOBBY iSS[ 2;4 f 0. now tc9,46.
Prtese wrATo•S To VARLO.,s Zi OAPtt.S AS Ael-d TEcI' FO(L pica ecrs elCio( ('b`t CV - Lob - b.,
Issue to be lobbied (Describe in detail):
nl. CITY AGENCIESIINDIVIDUALS_TO BE " LOBBIED:
Pursuant to City Code Section 2- 482(ax4) include the commissioner or personnel sought to be lobbied, and whether the lobbyist has entered
into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such person's
commencement of service with the city to the present date, stating the !enteral nature of the subject contractual relationship.
Sec 2-482(aX4) Full Name of Individual and Contractual Relationship (Explain) YES NO
title of person to be lobbied
• _. 7 ' f1S'i'�� �
r
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 lobbyistregistratIon form filed. A31.4:10 S.1d 41 l) A113
Sec 2-482(g) Any Financial, Familial or Professional Relationship
b■.l i ∎011 WV L- 130110Z
g 7t1 .�3 8
W. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE (Required)
8) 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 ❑ 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 Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues"
Q Yes ❑ No: Are you lobbying on a pending application for a Development Agreement with the City or application for
change of zoning map designation or chance 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
[l Yes ❑ No: Are you representing a not - for - profit corporation or entity without special compensation or reimbursement. .
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28th 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 EXPENDITURES 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 1 have read or am familiar with the provisions contained
in Section 2 -482 of the Miami Beach City Code and all reporting r- • uirements
Signature of Lobbyist: �r. ■
r
Signature of Principal/Client • 1 /lI" it
L ,,,. "
i M• wo
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ;i'4Q� ExP 9,.
o rN .1'
❑ Produced ID D Produced ID g -412.
-r y g
Form of Identification Form of Identifica Y o Alia L\G 'o >
❑ Personally known (Lobbyist) krPersonail known (Principal) ` ` 9� �UN o ntw \e2, ,,1
- , STA� ,,,i'
VII. SIGNATURE AND STAMP OF NOTARY: Oi , - "'
tJew Yoe New VOA.
State of Florida, County of Miami -Dade State of Fiertda, Countyof
Sworn to and subscribed before me Sworn and subscri. - • before me
This day of , 2011 *#7 iss 2- day
� � 4W
oofff ` X1 ,( 1 i /. y /, 2011
Si nature of Public Nota t , 1 � ` t
9 ry - State of Florida f Public Notary - tate of Honda - NeW Yu
Notarization of Lobbyist's signature Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ] Yes [ ] No Amount Paid $ MCR # Date Pald
Lobbyist Registration Form received and verified by:
F : \CLER \BALL \aFORMS \LOBBYIST FORMS \Lobbyist Annual Registration Form.doc Revised 1/11/2011
el A 1 ANA BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www miamibeachfl gov
CITY CLERK Office CityClerk @miamibeachfl.gov
Tel 305 673 7411 , Fax 305 673 7254
LOBBYIST NAME: CSI, -OS TO UZT
I understand that no later than February 28th of each year, I must file the following
form, pursuant to Section 2 -485 of the Miami Beach City Code, with the City Clerk's
Office for all active lobbying issues
1) Lobbyist Expenditure and Compensation Form
Failure to file these forms on a timely basis will result in my name being transmitted to the
Miami -Dade County Commission on Ethics and for code violation evaluation.
in addition, once an issue I have registered to lobby on has been resolved, I am required
to immediately notify the City Clerk's Office o •bbyist withdrawal in writing.
�� _ _ I`w 01 0c-co f v2- ZO t(
Signat Date