Tom Talesco - Jonathan Bennett P�
/\AIAMI R E OF �t�
�
i
City of Miami Beach Office of the City
�0914 �� IO 02
1700 Convention Center Drive, Miami Beac ,
LOBBYIST REGISTRATION FORM (_"i l Y C L.."R K S OFF o �1,V.
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.
3/
Talesco Tom
NAME OF LOBBYIST: (Last) (First) (M.I)
Talesco Associates, Inc. 1111 Kane Concourse, Suite 301 Bay Harbor Islands FL 33154
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 866-1014 : (305) 866-3317 infoCc�telescoassociates.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:
Jonathan Bennett
NAME OF PRINCIPAUCLIENT:
1144 OD, LLC 1400 Broadway Address New York NY 10018
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 779-8700 (305)421-6281 info(cDthomsonhotels.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:Jonathan Bennett , member of 1144 OD, LLC
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
II.SPECIFIC LOBBY ISSUE:
Development Approvals for renovations to the Hotel Victor at 1144 Ocean Drive
Issue to be lobbied(Describe in detail):
Ill. 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
arson'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
Planning Department and Building Department Staff None X
B, HPB, BOA, City Commission, as necessary* None X
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
C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc
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 X No: Are you lobbying on a present or pending bid for goods,eauioment or services.or on a nresen or
pending award for aoods.eguipment 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 lobbying on a pending application for a Development Agreement with the City or application
fr change of zonina map designation or change to the City's Future Land Use Map?
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.
Yes X No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursemen
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR. EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER
OATH, LISTING LOBBYING EXPENDITURES, Aj ZIELL AS COMPENSATION RECEIVED, IN JJJE CITY- F MIAMI BEACH
EM THE PRECEDING rgALENDAR YEAR, A STAJEJJENT SHALL BE FILED EVEN IF JH AVE BEEN NO
EXPENDITURES OR
i
Signature of Lobbyist
do solemnly swear that all of the foregoing fact fe-trae-and- orrect and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Beach City C nt
ture of Lobbyist:
4Z
-9 o
,Signatur of Principal/Client: N
'NI. N OBBYIST IDENTIFICA N: y PRINCIPAL IDENTIFICATION:
o o
� p3 ®
t w
0.90`° Produced ID .c Z LD Produced ID
I Form of Identification I v 5
� �.�, � ._ CL Form of Identification
0 0; Personally known(Lobbyist) 5,a, 60- ® ersonally known(Principal)
Za2W 9
SIGNATURE AND STAMP OF NOTARY! 0 6 5 E
t Z �!
} lorida, County of Miami-Dade 00 C.D late of- County of
PA@Fni ad
n , d subscrib e i orn a d subscrib f re me
da f NtO2012 s 1.da o • , 2012
OIL
Signat re of Public Notary—State of Florida Signature of Public Not ry tate o da
Notarization of Lobbyist's signature Notarization of Principal's signature
TO BE COMPLETE 8YOU CITY CLERK'S STAFF TLY
Annual Registration fee: [ ]Yes[ No Amount Paid$ETE MCR# 3H"H Date Paid 1020 112,
Lobbyist Registration Form receiveU aind verified y:
C:\Users\clerhatl\HppData\Local\Microsoft\Windows\Temporary ternet Files\Content.0utlook\83LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc
• F:\CLE istration Form.doc Revised 04/27/201
MIAN" A' IBEACH
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 305.673.7411 ,Fax: 305.673.7254
LOBBYIST NAME: Tom Ti tlesco
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 $50.00 a day shall be assessed for all
Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade
County Commission on Ethics and Public Trust of the failure of a lobbyist (or principal)
to file the Statement or pay the assessed fines after notification.
Any lobbyist, who fails to file the required Statement by April 30th, 2012, shall be
automatically suspended from lobbying until all fines are paid, unless the fine has been
appealed to the Miami-Dade County Commission on Ethics and Public Trust.
Signature: Date:
C:\Users\clerhatlWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc
• m`s >
"t. .;8 ~
>$ ^
3~
T
•a ae
m
O
.a
T
Z
A a"
"�� ;8
� T
,y 2
.+ u
"9S 3g
n �
o z
t w z
v g
~
z
w u U S ° Z
C �
uSl�QY d N m J S Q, Z
in
a a m 3
Z z sc
U W Z Z 3
-H q} pyr
L �+ 0°aR
N m 00 Z
ILI
ii Y V° Y
m Q zp g "b Em
Q.
E
0
to
u al
L � .� ; oz>
z Z o LL a~ o
u E
v
"z
ro
E m w LL>
2 v f,>°
Ln
Q
Ln
�z z
g� T cc
u z o8 r
J v=ic0� ,� a�ig
u z N r O T.�
0 • �n Z
O MW�•�W N° 3S�
m T
go W
t}! Z ae
4 4 W n
3 � ° m
T
H U, w Q Z
pQqq • O
CL
m Y O "
15 o�gx vaf ,n a S� � �g K
> Zed UU.0 R `p �y .0>0 ♦ .°,i'a� �y ni
l7 T t �3�3~ o m`� 2z
= O� W , N Qr1WZ
?3 Z
IN
U• �g >
9
r� Z n •��
m y m C C
°
t�7 Qi Z C
� ,Z �2i
`oaY mae
y>�>°�8 75g��8E
N Z
�§T
.J Wiz$
n
J u Z O v
L•i 5 to W^l7
y-a>`bn;
W~
n