Joaquin Vargas - ARRP Miami, LLC and Wells Fargo Banki qq gg
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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 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.I)
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
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes:address, phone, or e-mail address.
I. LOBBYIST RETAINED BY:
David Smith _
NAME OF PRINCIPAL/CLIENT:
ARRP Miami, LLC and Wells Fargo Bank 2200 Biscayne Blvd. Miami Florida 33137
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: Ae�114
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: ���/r' WWVk, tin
ii.SPECIFIC LOBBY ISSUE:
Development Board Approvals and Roadway Vacation for 1901 Alton Road, Miami Beach, FL
Issue to be lobbied(Describe in detail):
III. CITY AGENCIEWINDIVIDUALS 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 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 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 - -�-
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Formrevised 5-30-2012.doc .�-
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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 aoods equipment or services or on a present or pending
award for aoods.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 lobbying on a pending application for a Development Agreement with the City or application for
chanag 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:
QN FEBRUARY 28 OF EACH YEAR. EACH CITY(9LEISK A SIGNED STATEMENT UNDER
MiTMENT SHALL B FILElb,ZWN IF THERE HAVE BEEN NO
RECOVED, IN THE CITY OF MIAMI BEACIJ
FOR THE PRECEDINQ D
EXPENDITURES OR CQMEEN�ATION DURING THE EPOE TING PERIOD,
atur of Lobbyist
I do solemnly swear that all o he foregoing facts are ue nd orrect and that I have ad or am familiar with the provisions contained
in Section 2-482 of the Miami each City Code an a repo ing requirements.
Signature of Lobbyist:
Signature of Principal/Cli t:
VI. LOBBYIST IDEN IFI ATION: PRINCIPAL IDENTIFICATION:
�roduced ID ?rS 62— Produced ID
Fo m of Identification Form of Identification
Personally known(Lobbyist) " Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
�` P '• YAMI AGUTAR
State of Florida,County of Miami-Dade tate of Florida,
Par P;;e•., tary Public-State of Florida
Sworn t and subscribed before me ; JOSHANA PATEL worn and subs i e=rrs
_: ,�, :° Expires Mar 16,2015
This 1- day of �--a°-2014 •= MY COMMISSION#FFO 08 iS day Nffrrl.
„�.. FF� ,. ommission# EE 70292
":qfo? EXPIRES September 1. 0 7 t
of�,
398-0153 Florida Notary Servi
PIAAn
nature of Public Notary—State of Flori f Publi otary—State of Florida
Notarization of Lobb isignature Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY 45P/—_7 7 A
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Da aid
Lobbyist Registration Form received and verified by:
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Formrevised 5-30-2012.doc
xl n Revised 04/27/2012
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.rniarnibeachil.gov
CITY CLERK Office
Rafael E.Granado, City Clerk CityClerk 0am iami beach fl.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 lobbyi t, who fails to file the required Statement by April 30th, 2012, shall be
autornatical y suspended from lobbying until all fines are paid, unless the fine has been
appealed to he Miami-Dade Coun mmission on Ethics and Public Trust.
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Signature: D6te'
C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.0utlook\83LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc