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Ronald L. Book - National Marine Manufacturers Assoc. MIAMI 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 specific exclusi N s. Please refer to Ordinance 2004-3435. D 7® L NAME OF LOBBYIST: (Last) (First) (M.I) R ON A L,[) L--?�OO L PA - 1 B8 S i N& 229 /k-K-- • t ST-/c3 I y AVEMyrriA F L BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) �l 3a,�-•oi35�. f 8' 935--T733 (Zorn & (Z LBO 0K-PA • Cb TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone,or a-mail address. I. LOBBYIST RETAINED BY: S O LA 10 b 1 C , AT 16 NL -l -1A C NAME OF PRINCIPA (CLIENT: ip Ho M 8 ss h c+ws v'-. S; 520 S &'-6N bG 0600 BUSINESS NAME AND ADDRESS (Number and S z 7• C L (State) Zp Code oZ • 737. 1-7&j 2-02 •'73 �7�s DDtc�� oiJ & &1� MA 62G— TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional) Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(c)] v �o • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY.. SEE 4 � • IDENTIFY ALL PERSONS HOLDING,DIRECTLY�R INDIRECTLY,A 5%OR MORE OW RSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: S u:MECIE_I_C LOBBY ISySUE; N -E-A-CA —f-r A-A)b 3Qk-r1AJG- Issue to be lobbied(Describe in detail): uI.,CIAGENCIES"L.INDIVIDUALS TOBELOBBIED: 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 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 pe{rson&gwho Is sought to be lobbied as Identified on the lobbyist registration form filed. Sec 2-482 Any Financial Familial or Professional Relationship-� l - 1 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc r � ,4�- I� IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) Rerk.I u f L5 00 o L'C, tkb/-/ 8) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): 57 OOO (REQUIRED). r h—.O.i1 , 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 Aloe Are you lobbying on a eresent or pending bid for-goods,eguioment or services,or on a present or vending award for goods,eguipment or service? 2) Pursuant to Miami Beach City Code Section 2.490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Deve opment Issues": _Yes_ o: Are you lobbving on a pending application for a Development Agreement with the City or application for change of zoning map designation or change to the Citv'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, hall register with the clerk as required by this section but,shall not be required to pay any registration fees. Yes o: 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 sjjim'�r TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH LISTING LOBBYING EXPENDITURES AS WELL AS COMPENgATION RECEIVED IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE EEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. /Signature of Lobbyist I do solemnly swear that all of the foregoi facts a e true and correct a that I have read or am familiar with the provisions contained in Section 2-482 of the MiamLBeach Ci Code aKd all reporting requir a ts. Signature of Lobbyist: Signature of Principal/Client: j VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: r Nor Pr a duced ID ®Produced ID Form of Identification "'° Form of Identification 7 � Personally known(Lobbyist) o c Personally known(Principal) o m VII. SIGNATURE AND STAMP OF NOTARY: '° M N N State of Florida,County of Miami-Dade o State of Florida,County of Miami-Dade Sworn d subsc4Notary be e m ;�a o Sworn and subscribed before me This day 1 ° w v This day of ,201_ N n co IV- L co Sig ature of Public - e Signature of Public Notary-State of Florida tarization of Lobbyist's si nature Notarization of Principal's signature TO BE COMPLETR BY CITY CLERK'S TAFF ONLY Annual Registration fee: [ I Yes[ ]No Amount Paid 5 Cl MCR 0 ate aid Lobbyist Registration Form received and verified by: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc Nevlsed 01/22/2014 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc N. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FIAT RATE OR OTHER): A)LOBBYIST DISCLOSURE(Requked) {� ]�_f r x--000. c+p a + B)PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATIONr I n � j l (REQUIRED) '�L�{ �;�f. 5 CWT;00, The following information must be answered: 1) Pursuant to Miami Beach City Code Section 2488 Entitled'Prohibited Campaign Contributions By Lobbyists On Procurement Issues': Yes Nlo: Are you lobb)ina on a present or nandIna bid for goods,eauiament or services,or on a present or vending award for-goods,eauipmeM or,Fervlce? 2) Pursuant to Warm Beach City Code Section 2.490 Entitled'Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues': � � ,� `Yes X10: AM you lobbying on a mridi(+a application for a Development Agreement with the City or application for change of Earilncl map destanatlon or chancre to the City's Future land Use Map? 3) Pursuant to Mam)Beach City Code Section 2-482(h)Any person(except those exempt from the definition of'iobbyisf as set forth in Section 2-481 above)who only appears as a representative of a not4or-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 rewired to pay any registration fees. _YeO-4 Are You representing a not-for-profit corgoraHon or entity without soselal Comm"W- lon or M1mbursement' V. SIGNATURE UNDER OATH: O FEB A O A C SIGNED M NT U D OATH,LISTINQ LOBOYIN2 EXPENOLTURES. NT E CITY OF MWAIDEACH FOR T CE T ' A B O H EN P COMPIENSATION QURING THE REPORTING PERIM F Signature of LobbytSt I do solemnly swear that all of gWfdmgoi fads ale true and correct apd,that i have read or am familiar with the provisions contained in Section 2.482 of the Mia 3�8each Cl a and all reporting requi Signature of Lobbyist r Signature of PrindpaiX lent ' r. ,✓ VI. LOBBYIST(DENTIFICATiQPI: PRINCIPAL IDENTIFICATION: � Produced ID ID $�� Produced ID Form of identification ' orm of Identification o � _Personatly known(Lobbyist) o o" _Personally knoAin(Principal) =:R MW VIL SIGNATURE AND STAMP OF NOTARY: :°.I S'* SQL! State of Florida, ununfy Miami-Dade o m and subscrib before me Thigation day of 1 m'0� This V achy of 201 ta f _ Si blic Notary— e >>SiGfhature'f Public Notary—,5MULdJile�f LobbvisY a s ure Notarization of Princtual's signature r TO BE COMPLETED BY CITY CLERKS STAFF ONLY �[rtntlAllZ¢ tt�l04,f �! � R�yjr_�SItPB $ c. Rx r t u+ a.�tQCit 3I7YRr{l.Fw�.►1��17Ci1a�7P ..J• •�_.,5 c 5 ' �!f i.T7fIIGY Q.L�F!4lii•1g1� .•'r! F:I CLERI$ALL1aF ORMSi.LOBBYISTFORMS1Lobbyist Registration Form.doc a'•�,,'�`..•••••.;r� AN L Ts a _ /OIAMIBEACH City of Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,www.miomibeachfl.gov CITY CLERK Office Rafael E.Granada,City Clerk CityClerk @miamibeachfl.gov Tel:305.673.741 1 ,Fax:305.673.7254 LOSEYIST NAME: Po� AL,_b (, . B 6 0 K 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 301'of each year, shall be automaticall ended from lobbying until all fines are paid, unless the fine has been appealed th iami-Dade Co Commission on Ethics and Public Trust. 1� C ) - _�( L Signature: Date: J FACLERULWFORMSILOBBYIST FORM I-obbyist Registration Form.doc I MEMORANDUM TO: Lobbyist Registration City of Miami Beach FROM: Rana G. Brown Ronald L. Book, P.A. DATE: September 30, 2014 RE: Registration &#A e- lWftoklk eOW-7 As required by the City of Miami Beach Lobbyist Registration form, below is information regarding the names of officers for the National Marine Manufacturers Association(NMMA). Fill out this section if principal is a Corporation, Partnership, or Trust. [Section 2-482(c) ] • Name of Chief Officer, Partner, or Beneficiary: Thom Dammrich, President Mark D. Schwabero, Chairman(elected) • Identify all persons holding, directly or indirectly, a 5% or more ownership interest in such Corporation, Partnership or Trust: No person or entity within the association owns directly or indirectly, more than 5 percent of NMMA. Additionally, please find the registration fee of$350. Thank you for your assistance! CL Ak t JA lid' CL Lu _ i -- `- _ _ ► ` :OC ID I 3 3 41 2N."Lt t ` I MIAMI BEACH City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeachfl.gov City Clerk's Office Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: Ronald L. Book Business Name: Ronald L. Book, P.A. Address: 18851 NE 29 Aye. . Ste. 1010 Aygntiira, FT. 33190 Office Telephone Number: 305.935.1866 Cellular Telephone Number: 305.510.2000 Email Address: Ran@r1 hnnkna_rnm If more than one lobbyist,please list: 1) 2) 3) 4) 5) 6) 7) Submit this form to the Office of the City Clerk, along with a check for $500 for each lobbyist. Please make the check(s) payable to the City of Miami Beach. For City Clerk's Office Use Only MCR#: %&O! 7''7 Amount paid: Date paid: Processed by: 6 Date: I 7L F:\CLER1$AWaFORMSU.OBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docc r �_..MI -- Ronald 1.Book, P. 9. low OfEI(ES PROFESSIOpol ASSO(INTIOn RRY T0: O Harbour(entre-188510.1.29th Avenue,Suite ioso-Nventura,Florida 3318o-Telephone(305)935-1866-.Fax(305)935-9131 0 1o4 West Jefferson Street-Tallahassee,Florida 32301 -(850)zzV3V1