Ian Nicholson - The Faena Group (� 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 speck exclusions. Please refer to Ordinance 2004.3435.
Nicholson Ian
NAME OF LOBBYIST: (Last) (First) (M.I)
The Faena Group 3201 Coliins Avenue Miami Beach FL 33140
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305.535.3009
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes:address,phone,or e-mail address.
I. LOBBYIST RETAINED BY:.
The Faena Group
NAME OF PRINCIPAL/CLIENT:
3201 Collins Avenuo Miami Beam FL 33140
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305.535.3009
TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional)
Fill out this section if principal Is a Corporation,Partnership or Trust(Section 2482(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:
u.SPECIFIC LOBBY ISSUE:
Faena District Zoning Overlay _
Issue to be lobbied(Describe in detail):
III.CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-482(x)(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 this 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 Dept., City Commissioners, City Mayor none x
Pursuant to City Code Section 2482(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 pemonnol who Is
sought to be lobbied as identified on the lobbyist registration form filed.
Sec 2.482 Any Financial Familial or Professional Relationship
igno
FACLER1$ALL1aF0RMSIL08BYIST FORMS\Lobbyist Registration Form cloc
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) ( y�.__
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): s
(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 QNo: 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✓QNo: 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 U-se 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-far-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.
YesONo: Are you repIp senting a not-for-profit corporation or entity without special compensation or reimbursement.
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR.EACH LOBBYIST_SHAL4 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 CALEND&ft YEAR. A STATEMENT SHALL FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD. ,'?
gignaLw*64t:odyist
I do solemnly swear that all of the f regoing-facts are tr4e and correct and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Bea City Code ofd repo g requifeffebnts.
Signature of Lobbyist:
Signature of Principal/Client r =�
VI. LOBBYIST IDEN T� �RINCIPAL ID CATION:
_Produced ID Produced ID
Form of Identification o Form of Identification
Personally known(Lobbyist) Personally known(Principal)
BARBARA T YEE
VII. SIGNATURE AND STAMP OF NOTARY: MY COMMISSION f EE 121637
ao.',R.°;'9r4, BARBARA T YEE * EXPIRES:August 15,2015
State of Florida,County of Miami-Dade MY COMMISSION ti EE 121637 State of Florida,County of M, Bonded Thru Budget Notary Services
Swom t nd subscrib f re me �* Swornand subscr �c� ore rn�";#�
This d f�,20 s, oY EXPIRES:August t5,2015 da 20 M�
"rEaF vine` Bonded Trru Budget Notary Services
ignature rc otary—State of Florida Signature of u ary—State of Florida
Notariz of Lobbyist's s' 'nature Notarizatio Principal's signature
_ TO BE COMPLETEP BY CITY CLERK'S STA.. X _
Annual Registration fee: ( ]Yes( J No Amount Paid S Ole # Date Phid
Lobbyist Registration Form received and verified by:
;4+�lt,.'.,. ..r.,• , evised 1/18/2013
FACLERI$ALL1aFORMS10BBYIST FORMS1Lobbyist Registration Form.doc
I
i '."I . . , BEACH
City of Miami Beath, 1700 Convention Center Drive,Miorii Beoch,Florida 33139,www-miamibeachfi.gov
CITY CLERK Office
Rafael E.Granada,City Clerk CityClerk @miomibeochfi.gov
Tel;305.673.7411 ,Fax:305.673.7254
LOBBYIST NAME: Ian Nicholson
I understand that no later than February 25 of each,year, 1 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 2-455(d),the City Clerk shall notify any lobbyist(or principal)who
falls to timely file a Statement and In addition to any other penalties which may be
Imposed as provided In Section 2-455.1,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 falls to file the required Statement by April 30,shall be automatically
suspended from lobbying until all fines are paid, unless the fine has been appealed to
the Mlaml-Dade Cout*Commission on Ethics and Public Trust.
� t',J
Signg&el �. Date
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