Tony Recio - Flavio Rossato A.-It)C
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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 tern 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.
Recio Tony
NAME OF LOBBYIST: (Last) (First) (M.I)
Weiss Serota Helfman Pastoriza Cole&Boniske, P.L. 2525 Ponce de Leon Blvd.,700,Coral Gables, FL 33134
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)854-0800 (305)854-2323 trecio @wsh-law.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:
Flavio Rossato
NAME OF PRINCIPAL/CLIENT:
6080 Collins LLC 1815 Purdy Avenue,Suite 3 Miami Beach FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(786)888-1702 frossato @domusgroupusa.com
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: �G�V%O CZOSS�
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
II.SPECIFIC LOBBY ISSUE:
Development approvals for 6080 Collins Avenue
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
cormnencement 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
See attached Exhibit"A" None (as to all) 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 fonn filed.
i
Sec 2-482(g)Any Financial, Familial or Professional Relationship
�1
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(R quired)
Hourly rate of 5350.0
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
(REQUIRED).Hourly rate of$350.00
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 lobbvin2 on a present or nending bid for izoods, equipment or services,or on a present or vending
award for goods, eauipment or service?
2) Pursuant to Miami Beach City Code Section 2490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
_Yes X No: Are you lobbvine on a pending application for a Development Agreement with the City or application
for change of zoning man 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-profitcornoration or entity without special compensation or reimbursement.
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, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
lam.
Signature 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 Beach City Code and alllw-perVg requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID Produced ID �ta%i�( WOO C%v l
Form of Identification Fonn of Identification
f
Zersonally known (Lobbyist) Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida,County of Miami-Dade St to of Florida,County of Miami-Dade
Sworn-to and subscrib �eore me S m an subscribed before me
This day e 2 NSOMODEVILLA s day of tj t, 201
/6A4j:._; MY COMMISSION#EE 116532 0 �e,a��o RA L.CHAVARRIA EXPIRR;-Sep!mbar 13 2015 MY COMMISSION 0 EE M610
Signature of P lic Notary', ,, 'eP o��i OMMudget Notary Services Signa�ure,�°f Public Notary — lori '�lacst?6,,2014,
OF Notarization of Lobbyist's signature Notarization of Principal's BondediThIU, l,dW( W§en760
TO BE COMPLETED BY CITY CLERK'S STAF ON
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# ty C7 Dat Paid
Lobbyist Registration Form received and verified by: 3
F:\CLER\$ALL\a FORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc Revised 01/22/2014
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
Exhibit"A"
Mayor& Commissioners:
Mayor Philip Levine
Vice-Mayor Micky Steinberg
Commissioner Michael Grieco
Commissioner Joy Malakoff
Commissioner Jonah Wolfson
Commissioner Ed L. Tobin
Commissioner Deede Weithorn
City Manager:
Jimmy L. Morales
Planning Board:
Jean-Francois Lejeune
Frank Kruszewski
Jonathan Beloff
Brian Elias
Jeffrey Feldman
Jack Johnson
Randolph Gumenick
Design Review Board:
Annabel Delgado-Harrington
Carol Housen
Edgar Sarli
Elizabeth Camargo
John Turchin
Kathleen Phang
Vincent Filigenzi
Acting Planning& Zoning Director:
Thomas Mooney
Planning Staff
/\AIAMIBEACH
City of Miami Beath, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfi.gov
CITY CLERK Office
Rafael E. Granado, City Clerk CityClerk @miamibeachfl.gov
Tel: 305.673.7411 , Fax:305.673.7254
Tony Recio
LOBBYIST NAME: -
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 30' of each year, 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.
eel
5-30-14
Signature: Date:
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