Todd Tragash - Francisco Ruiz I A�0�I EJAC?-,'O'
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.
Tragash Todd
NAME OF LOBBYIST: (Last) (First) (M.I)
STA Architectural Group, 3526 N. Miami Ave., Miami, FL 33127
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)571-1811 (305)571-1821 Todd @staarchitecturalgroup.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes: address,phone,or e-mail address.
I. LOBBYIST RETAINED BY:
Francisco Ruiz
NAME OF PRINCIPAUCLIENT:
FCC Properties, Inc 135 San Lorenzo Ave., Suite 670 Coral Gables FL 33146
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)529-0404 fruize—oleservices.com
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:Jose Roberto Colnaghi &Fransisco Carlos Jorge Colnaghi
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:Same as above
ILSP,ECIF'IC. LO,BB,YISSIIE
Lot split application for 35 and 36 E. Star Island Dr.
Issue to be lobbied(Describe 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 servico with the city to the present date,statiii tha^e;.oral 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 X
Planning Department and Building Dept. Staff
X
1313, HPB, BOA, City Commission, as necessary
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.
Sec 2-482 Any Financial,Familial or Professional Relationship N/A
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) Hourly/$275
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): Hourly/$275
(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 Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
_Yes X_No: Are you lobbvinq on a pending application for a Development Agreement with the City or application for
change of zoning map designation or charge to the City's Future L and Use IlWara?
3) Pursuant to Miami Beach City Code Section 2-482(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.
YesXNo• Are you representing a not-for-profit corporation or entity without special compensation or reimbursement.
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR EACH LOBBYIST SHALL SUj3MIT TO THE CITX-CLERK A SIGNED STATEMENT UNDER
OATH LISTING LOBBYING EXPENDITURES AS WELL AS CO E NVATION RECEI ED IN HE CITY OF MIAMI BEACH FOR
E
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL FIL D EVE H RE A BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
Nature I Lobb
do solemnly swear that al a forego' fa s are ru a d cor ct a that I have read or am fa iliar with the provisions contained
in Section 2-482 of the ml B C1 a d a e Art g req ents.
Signature of Lobbyist:
g 1
Signature of Principal/CLftyU q�
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID Prcduc2d ID'
Form of Identification Form of Identification
/Personally known(Lobbyist) 4-Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida,County of Miami-Da - State of Florida, County of Miami-Dade
00 Notary Publie State of Florida
Sworn to and subscribed before e 4p William Pinkus Sworn and subscrib e r
This a day of 1 My Commission EE1089i4 This rZ y of •:2 WRIAM NICHOLLS
Expires 10/03/2016 _ Commission#EE 1500 80
04 0% :�= Expires January 13,2016
Signature of Public Notary-State of Florida Si gnat of Public Notary-State f SordedThruTmyFalnhwmSWOOM-7019
Notarization of Lobbyist's signature Notarization of Principal's signa
TO BE COMPLETED Y ITY CLERK'S STAFF ONLY
Annual Registration fee: ( ]Yes[ ]No Amount Paid$ MCR# Date Paid
Lobbyist Registration Form received and verified by: `
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F:\CLEI jistration Form.doc Revised 04/27/2012
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City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
CITY CLERK Office
Rafael E. Granado, City Clerk CityClerk @miamibeachfl.gov
Tel: 305.673.741 1 ,Fax: 305.673.7254
LOBBYIST NAME: Todd Tragash
I understand that no later than February 28 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, or I am no
longer lobbying on that issue or for that principal, I am required to immediately notify
the City Clerk's Office of lobbyist withdrawal in writing.
Pursuant to Section 2-485 (d), the City Clerk shall notify any lobbyist(or principal) who
fails to timely file a Statement and in addition to any other penalties which may be
imposed as provided in Section 2-485.1, a fine of$50.00 a day shall be assessed for all
Statement(s) 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, 2012, shall be
automat' Ily suspended from lobbying until all fines are paid, unless the fine has been
appeal d t the M' m - ade County Commission on Ethics and Public Trust.
Signat re: Date:
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