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Don DeLoach - Joanne Diorio on behalf of Unisys Corp MIAMI BEACH 00 to� City of Miami Beach Ofice..of the City Clerk 1.700 Convention center Drive, Mianii Beach, FL 33139 LOBBYIST REGISTRATION FORM Lobby-ist means all persons employed or retained,whether paid or not,by a principal w6 seeks-to encourage the passage;defeat or modifidation of any'&dj.n.anb6, resolution, action or dedsion.of tny commissioner;—a.py-action, depisiod,,recommendation of the City Manager orany city'board or cornmittee.'or any action,.d6cision,of recommendation-of:any city personnel during the time period of the entire decision-making pro6e§s ch such action, 'decision'or rec6mtft6nda'lion that fores6eably will bei heaid or'reviev�6d. .by the city commission,or a city board or committee. Tlie iorni'speciticalfy includes the principal as well as any employee engaged in lobbying activities. The terYn"'I_o.bbyisW'has specific exclusions. please refer to Ordinance 2004-34.35z �e:iloc�c-fir; porn C NAME OF LOBBYIST: (Last) (Fist) (M.1) CIV)Su w h" q k)o,(+k Mp,,f l(I I:ow, cLL 6.6x vs-e_,e Fz 3ZC-50 BUSINESS NAM ADDRESS (Numbeta)W Street). (City) (State) (Zip Code) TELEPHONE NUMBER: FAX NUMBER: EMAIL:- P16ase notify this bfflceff your contact inf6fination changew-addrdss,phon6b,or e-mail address. I. LOBBYIST RETAINED BY: T) NA,M�OF PPJNCIPAUCLjkNT: -V,i�S(4 S A f'� 4 k4 L.6r 0000, Y) C11 6Lke 1��l t Pe.nV)Sjoluo Ce BUSINESS NA M9 AND ADDRESS and Street) V (City) I (State) (Zip Podkq "A%(P- LiQ11 . ,.00_Ar%n e--CA i or(6 Ob LJLYX k cbm TELEPHONE NUMBER: FAX NUMBER:(Optional) L-j EMAIL(Optional) WL Fill out this'section If principal Is b Corp6ration.Partneishi pbr Trust[Sectioh 2-482(c)] • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: C-ci UX(d- col e-ff-)Q r) J , L • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INPIRECTL A.s%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION. PARTNERSHIP Ok TRUST: ' o$ft CAF30if-' 0 V -<e cunj"'A _4P�� I&d4 aN-A "pi, 6-- J' 6 cg ovj,� Issue'to be lob Describe in detafl):11(7 Qj(h n t+OA-,AUPV' 'Sk cL?p4C0C10A-c) III. Pursuant to City Code Section 240.aH4)Include the commissioner or personnel sought to be lobbied,and Whether the lobbyist has entered Into any contractual relationship (pant'or unpaid)wfth.sajO city commissioner or personRel.from 12 months preceding such person's commencement of.service with the city to the resent'date,stntIng the eneral nature of the.subject contractual relati-onship, S66 2482(aH4)Full Name of Individual and Contractual Relationship(Explain) YES NO Oft of person to be lobbied j GiDnzalez /"-' C>t'F%reC 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 rlse'td an appearance of an Impropriety,with any current city commissioner or city per�,bhnel Pilito is sought to be lobbied as IdentffiW on the lobbyist registration form filed. Sec 2-02(g)'Any Financial,Familial or Professional Relationship C' i% CIE CIE C-,1L)ter!Aci6rhaU%ppDataV-odalXMicros6ftAWindowskTemporEiI Internet FilbsIContent.Oijtldok183LGQDDH1L(>bbyist Registr6tion Formrevised 5,30-2012.doc IV. DISCLOSURE OF TERMS AND AMOUNTS OE LOBBYIST COMPENSATION(iiISCLOSE WHETHER HOURLY FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(itequired) tv�0 . .0-F q, --, AVA�A .0 r� B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):. HSOD1 ff)n The iollowirs-6-iftiormabdri Must be answered:. 1) Pursoaht to Miami Uap:City,Qo&Section"S Ehtitl ed"Prohibited Campaign Contributions Oy Lobbyists OnProcurement Y66 Zas,: Are You lobbying on apresent 6ir oandirig bid for hoods,e4ijipMent or services,of 6n:a pir6sent.or Oefidlhq award for_goods:equipment or"rvlce7 .2) Pursuant to Miami Beach City Code Section.2-496 Entitled''Prohibited Campaign Contributions By Lobbyists On Real Estate Develppsnent Issues": Yes 1XI': Are you lobbying on a pending application for a Development Agreement with the City or application for chance of-zohinvfmao designation or change to the Cit,/,9 Future.Land Use May? 3) Pursuant to MiQmf Beach City - e Sectiori 2482(h)Any person(except OW exempt from the definition of"lobbyist"asset forth in S6ctibni-481 above),who only appears' as a representative of a not-for-profit corporation or entity without special compensation or roirribursertitint for the appearafi6o, whothei direbt, or indirect, to express support of or opposition to any item,she)]register with the clerk as required by this section but,shall not be required to pay any registration fees. Yesk-4. Are you representing a not-for-profit c,rbO,,rggtl w�ut s�c-al compensation�r,reimbursement V., SIGNATURE UNDER OATH: 6N'FEdRUARY 28 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 FtLED EVEN IF IMERg HAVE DEEN NO VPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. SignAld.re of Lobbyist 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 Bea n ty Code and/aI rung r ents� Slghatur6 of Lobbyist: . rU %% N Ne Signature of Pfincipal/Client: e e alb.- . ........ 40 1. ------------ PUBLIC Vt. LOBEWIST IDENTIFICATION: RICO REG#7513557 MY COMMISSION —Produced ID a /-Produced ID PYPIPPQ Form of identification Form of Identifiral 7131/2016 Personally known(Lobbyist) CD Personally known(Principal) C1 M vil. SIGNATURE-AND STAMP OF NOTARY: j x L.:9 -C VA g M, LU yj,.?x, State of Florida,County of4i&pga U CA State'of 1119swe.County Of MiwodkAhi Sworn 1p ando i�tjbscrlbed belbrie rpe S nod subscribed before me This wo a3ILVIC day of \kk 20113 9; rhIsV, day of —A �"FR Z5 _. I 188,m F- Sighatute of Public Notary-5tate of Florida Sig tureof-PublidNoa -Stale ofFlEftr 914 Notarization of W&Wsrs signature N z tion of Principal's signature TO BE COMPLETER BY CITY CLERK'S STAFF ONLY Annual Registration fob. I I Yes No Amount Paid= MCR# Date Paid Lobbyist Registration Form received and verill6d by: C:\Users\c"lerhall.\AppDataXLocARMictosoMWihdowslTemporary.intOMet FlieslC6nt.ent.-Ou'tloi*N83LGODDA1-obbyist Registration Formrevised.5-30-20,12.doc SECURITY OWNERSHIP BY CERTAIN BENEFICIAL OWNERS AND MANAGEMENT Shown below is information with respect to persons or groups that beneficially own more than 5% of Unisys common stock. This information is derived from Schedules 13G filed by such persons or groups. Name and Address of Number of Shares Percent Beneficial Owner of Common Stock of Class BlackRock, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,270,48711 7.44 40 East 52nd Street New York, NY 10022 Fairpointe Capital LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4,750,739(2) 10.8 1 N. Franklin Street Suite 3300 Chicago, IL 60606 FMR LLC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,600,414(3) 8.138 Edward C. Johnson 3d Fidelity Management&Research Company 82 Devonshire Street Boston, MA 02109 Putnam Investments, LLC d/b/a Putnam Investments . . . . . . . . . . . . . 2,358,263(4) 5.3 On behalf of itself and: Putnam Investment Management, LLC The Putnam Advisory Company, LLC One Post Office Square Boston, MA 02109 The Vanguard Group . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,876,640(s) 6.54 100 Vanguard Blvd. Malvern, PA 19355 (1) Sole dispositive and sole voting power have been reported for all shares. (2) Sole dispositive power has been reported for all shares. Sole voting power has been reported for 4,660,650 shares,and shared voting power has been reported for 90,089 shares. (3) Sole dispositive power has been reported for all shares. Sole voting power has been reported for 373,358 shares. Includes 267,039 shares of common stock resulting from the assumed conversion of 121,941 shares of the Company's 6.25% Mandatory Convertible Preferred Stock. (4) Sole dispositive power has been reported for all shares. Sole voting power has been reported for 3,162 shares. (5) Sole dispositive power has been reported for 2,815,356 shares, and shared dispositive power has been reported for 61,284 shares. Sole voting power has been reported for 62,754 shares. 20 F:\CLEI listration Form.doc Revised 04/27/2012 MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov CITY CLERK Office Rafael E. Granada, City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.741 1 , Fax: 305.673.7254 LOBBYIST NAME: ` bn T�Warzk 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 appea d to the 7MI-0 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