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Joaquin Vargas - David Smith ARRP Miami, LLC. £i 1 y $ 1 s & s.r � 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 specific exclusions. Please refer to Ordinance 2004-3435. Vargas Joaauin NAME OF LOBBYIST: (Last) (First) (M.1) Traf Tech Engineering, Inc. 8400 N. University Drive, Suite 307 Tamarac Florida 33321 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (954) 582-0988 (954) 582-0989 ioaguinCc-traftech.biz -- �- TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone, or e-mail address. . V• I. LOBBYIST RETAINED BY: David Smith NAME OF PRINCIPAL/CLIENT: ARRP Miami, LLC and Wells Fargo 2200 Biscayne Blvd. Miami Florida 33137 = CD BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 374-5700 _ 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: Y��j% /; l! • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II.SPECIFIC LOBBY ISSUE: Development Board Approvals for 1212 Lincoln Road, Miami Beach, FL Issue to be lobbied(Describe in detail): Ill. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2482(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 general nature of the subject contractual relationshi . Sec 2-482(a)(4) Full Name of Individual and Contractual Relationship(Explain) YES NO title of person to be lobbied Planning Staff, PB, HPB, BOA, DRB, Commission None 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(g)Any Financial, Familial or Professional Relationship NONE s C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc "T3 Oq/17/zai ul 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):$, Q� (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.equipment or services.or on a oresent 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 X 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 Section 2482 (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 reimbursement. V. SIGNATURE UNDER OATH: FEBRUARY Obj B CITY CLERK CO OATH, LISIINr2 LOBBYING EXPENDIIIURES, AS WELL AS B C EM C EXPENDITURES OR QOM ENSATION DURINQ2 THE REPO Signature f Lob yist I do solemnly swear that all f the foregoin ,fa s r e and co rect and that I have read or familiar with the provisions contained in Section 2-482 of the Miam Beach City de n all porting r uir ments. Signature of Lobbyist: Signature of Principal/C en VI. LOBBYIST ID T FICATION: PRINCIPAL IDENTIFICATION: 0 `Produced ID V 2 L"�i'zS"° Produced ID orm of Identification Form of Identification Personally known(Lobbyist) `� Personally known(Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade tate of Florid iaml- a e Sworn to a subscribe befo a me ;;off "° worn and su c "�gr me DAYAMI AGUTAR ��. � , , '.. JOSHANA PAN54 o blic-State of Florida This day , 2014 •= MY COMMISSION#F hiS _ y Expires Mar 16,2015 EXPIRES September "'" oP'� Commission # EE 70292 Signature o ublic Notary—State of Flo 98.0153 Flondallotaryservi Public N Notarization of Lobbyist's signature Notarizati6h of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# AP R Date Ppid Lobbyist Registration,Form received and verified by: C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc istration ForniAot Revised 04/27/2012—] N City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, wxy-vy.niiaunibeachfi.gov CITY CLERK Offlice Rafael.E. Granado, City Clerk CityClerk@miamibeachfl.gov Tel: 305.673.7411 , Fax: 305.673.7254 LOBBYIST NAME: -Joaquin Vargas 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 lobby t, who fails to file the required Statement by April 30th, 2012, shall be automatica ly suspended from bying until all fines are paid, unless the fine has been suspended 0 o appealed t the Miami-Dade Co; ty Commission on Ethics and Public Trust. Signatu D te.4 C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Forrnrevised 5-30-2012.doc i L -a o r V CN VOW Li. 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