Daniel G. Ciraldo - MDPL 8701 Collins Ave. M I AM I B EACH VQ 6x j4-vt .
City of Miami Beach Office of the City Clerk -31•(+r,%o re-I-erlvtt
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.
Ciraldo Daniel G
NAME OF LOBBYIST: (Last) (First) (M.I)
Young Folks Consulting 3961 SW 47th Ave Davie FL 33314
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-496-9535 dgc223 @gmail.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please noPfy this 00f6Ce`if your contact infbhnation changes:,address;:phone,or a-:nail address
1. LOBBYIST RETAINED BY:
Miami Design Preservation League
NAME OF PRINCIPAUCLIENT:
PO Box 190180 Miami Beach FL 33119-0180
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-672-2014 info@mdpl.org
TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional)
Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-182(c)]
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: 0 I f
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%O MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
u:SPECIFIC LOBBY ISSUE:'
8701 Collins Avenue-Renovation/Restoration/Demolition of Biltmore Terrace and new construction proposals
Issue to be lobbied(Describe in detail):
III.CITY AGENCIESANDIVOUALS.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 eneral nature of the sub
'ect contractual relationship.
Sec 2-482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES NO
title of person to be lobbied
Commission n/a X
_ � •T zE
i
Pursuant to City Code Section 2.482(8)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 personner'who is
sought to be lobbied as identified on the lobbyist registration form filed.
Sec 2-482 Any Financial,Familial or Professional Relationshipa
n/a
F:ICLERI$ALLIaFORMSILOBBYIST FORMSIobbyist Registration Form.doc 3
IV. .DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) n/a-no special compensation
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): n/a-no special 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":
_Ye�o: Are you lobbying on a present or pending bid for goods,equipment or services,or on a present or pending
I1�-11 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":
Ye ✓ lo: 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 2-482(h)Any person(except those exempt from the definition of"lobbyist"as set
forth in Section 2481 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.
P11 Yes—No: Are you representing a not-for-profit corporation 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 STATEMENTS BE FILED EVEN IF THERE HA BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
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 2482 of the Miami Bea ity Code a all re ring re i ents.
Signature of Lobbyist:
Signature of Principal/Clien
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
' 1 JJ
_Produced ID Produced ID
Form of Identification Form of Identification
Personally known(Lobbyist) Personally known(Principal)
VII. SIGNATURE AND STAMP
� Notary Public State of Florida
State of Florida,County of Miami-D e� Theresa E Keesling State of Florida,County of Miami-Dade
Sworn to and subscribed`befo a me a My Commission EE 165379 Swom And subscrib befo a me
This ( `� day of 1 VO 1 orw Expires 03/18/2016 This day of 0 ,20114
Signature of Public Notary-State of rida Signature of Public Notary-State of Florid
Notarization of Lobbyist's signature Notarization of Principal's signature
TO BE COMPLETED BY ITY CLERK'S STAFF ONLY �� �q/y
Annual'Re istration fee Yes F'- P_. -
9�. I l I ]Ido Amount Paid.$ MCR# j t- Date Paid" J
Lobbyist Registration Form received and verified by-
F:XCLEkt $ALL\aFORMS\LABBY%ST`FORMS\Lobbyist Annual Registration:Forrn.doc Revised 01/22/2014
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
b
MMAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
CITY CLERK Office
Rafael E. Granado, City Clerk CityClerk @miamibeachfl.gov
Tel: 305.673.741 1 , Fax: 305.673.7254
LOBBYIST NAME: 6rv.
I understand that no later than February 28 of each year, l must fie 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 1 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 2485(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 2-455.1, 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 fails to file the required Statement by April 30th 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.
, 1
Signature: Date.-
FACLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Forrn.doc