Victor Diaz - Robert Wennett r
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MIAMI BEACH
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City of Miami Beach Office of the City ClelV ®�' 20
1700 Convention Center Drive, Miami Beach, F6, a �
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.
Diaz victor M.,Jr.
NAME OF LOBBYIST: (Last) (First) (M.1)
119 Washington Avenue,Suite 402,Miami Beach,FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)704-3200
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this offrce if your contact information changes:address,phone, or e-mail address.
1. LOBBYIST RETAINED BY:
Robert S.Wennett and Entities to be formed;Tishman Realty LP and/or Affiliate.
NAME OF PRINCIPAL/CLIENT:
1111 Lincoln Road,Suite 760,Miami Beams,FL 3313
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
786-552-5701
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: Robert S.Wennett
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
II.SMCIFIC WOW'
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Response to RFQ#22-11/12,as applicable.
Issue to be lobbied(Describe in detail):
III.!`s��%`�� C +w AN,0 T '93- :
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 neral 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
City of Miami Beach Procurement Division staff;City Manager's
Office;Planning and Zoning Staff;City Commission;
Honorable Matti Herrera Bower Mayor
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
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE:(Required)
I AM A PRINCIPAL OW _S#�JOAI
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
(Required)) NIA
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 o2ods.egulpment or services,or on a present or pending
award for snoods.equipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
®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 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 COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHE.BE FILED EVEN HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
Victor M.Diaz,Jr.
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 contained
in Section 2-482 of the Miami Beach City Code and all reporting re irements.
Signature of Lobbyist: x
Signature of Principal/Client: X
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
r-i�..�':ler Leigh
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Personally known(Lobbyist) /Personally known(Principal)
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VII. SIGNATURE AND STAMP OF NOTARY: Z o
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State of Florida,County of Miami-Dade State of Florida,County of Miami-Dade ;; ca-
Swom t d subscribe d�efo a me Sworn and subscribec(►ba ore me s ° o
This da of ,2012 This. day of , �: 012
Sign tune of Public Not — ate of Florida Sign ure of Pubic Nota — to of Florida
No)rization of L bb signature No rization of i ignature
TO BE COMPLETED BY CITY CLERKS ST F ONLY
Annual Registration fee: j(.1/Yes[ ]No Amount Paid:$ MCR Date Paid. 1215 117
Lobbyist Registration Form received and verified by:
Revised4-111/2011
MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfi.gov
CITY CLERK Office
Rafael E.Granodo,City Clerk CityClerk@miamibeachfl.gov
Tel:305.673.7411 ,Fax:305.673.7254
LOBBYIST NAME: 1,[IKtr M.Dial,Jr.
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 tamely 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, 2013, 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.
X •
Victor M. Diaz, ]r. Date
MIAMI 3403504.176134/40305