Joe Antunovich - ARRP Miami, LLC and Wells Fargo BankF -
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City of Of Mi@mi Beach Office of the City Clerk
1 700 Convention Center Drive, Miami BeExCh, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encouragq the passage, defeat or
modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recri-mendation of the City
Manager or any city board or committee; or any action, decision or recommendation of any city personnel durAg"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.
Antunovich Joe
NAME OF LOBBYIST: (Last) (First) (M.1)
Antunovioh Aa000|oteo 224 VVaot Huron 8tnaat Chicago Illinois 00054
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(312) 266-1126 (305) 569-1334
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes: address, phone, or e-mail address.
|. LoeBv|mT msnu|mso BY:
David Smith
NAME OF PRINCIPAUCLIENT:
ARRP Miami, LLC and VVo|/o 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- Vj,
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR IND31ECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST.-
ILSPECIFIC LOBBY ISSUE:
Development Board Aporovals and Roadway Vacation for 1901 Alton Road-, Miami Beach, FL
Issue to be lobbied(Describe in detail):
III. CITY GUES NDI\ _D' A|�, '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 ounuamuo/ m|ounnomp (paid or unpaid) with said city commissioner or personnel from 12 months pmnomnm such
person's commencement of service with the city the
Sec 2-482(a)(4) Full Name of Individual and Contractual Relationship(Explain) YES I NO
title of person to be lobbied
Planning Staff, PB, HPB, BOA, DRB, Commission None X
pu,uuort to ouv Code Section 2-482(g) Every registrant ohmx be required to state the extent of any uuoin000.nnonnum ^ professional
relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner or-city
onno|who is
sought to be\uumem as identified on the|ouuvot registration,vnn filed.
Sec 2-482(g)Any Financial, Familial or Professional Relationship
NONE
Cu
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AV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) 4 9M• 1 1� -
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): a�. Qb ��-
(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 p2nding bid for goods equipment or services or on a present 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
chanae 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 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:
ON FEBRUARY 28 OF EACH C LOBBYIST H L L SUBMIT TO THE WY CLESK A SIGNED E E UNDER
LOBBYING OATH, LISTING I E AS/aOMPEN EUIVED, IN THE CITY OF MIAMI BEACH
FOR THE PRECEDING CALENDAR Y L EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATIOW15URING T N
S* ature f Lobbyi
I do solemnly sw I of ore goin e e and correc and at 1 have read or am familiar with the provisions contained
in Section 2 of the Miam ch City o d reporting re re ts.
Signa re of Lobbyist:
Signa re of Principal/C' nt:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID Produced ID
Form of Identification Form of Identification
V/Personally known (Lobbyist) `Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida,County of Miami-Dade a ."QFFICIAJL SEAL„ State of Florid , C,o�yxtt.;�o Miami-7:Public AGUTAR
Sworn to d ubscribed before me MEREDIT,° T. TORR.ES Sworn and su �i' - Q&rState of FloridaThis day o 014 pjlppig This ` day = es Mar 1G,2015
Ndigpubfic,
Coirimi�ian EX019SWI1-20 -
%�;F�,r F<<;�;� Commission #FE 70'L92
Si a re of Public No a — to of Flor� ; • ' ' SignafvreW Public of y— ate o lorida
Notarization of ignature Notarization of Principal's signature
TO BE COMPLETgp PY CITY CLERK'S STAFF ONLY 12 A )^ 112 /1
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ "— MCR# Date
Lobbyist Registration Form received and verified by:
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Formrevised 5-30-2012.doc
I
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 eauiament or services, or on a present or pending
award for goods,eauioment 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: A&2 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 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:
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
EM THE PRECEDING CALENDAR YEAR A STATEMENT SHALL BE FILED EVEN IF THERE HAVE 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 2-482 of the Miami Beach City Code and all reporting requirements.
Signature of Lobbyist: t^
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID Produced ID
Form of Identification Form of Identification
Personally known(Lobbyist) " Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade State of Florid , CAS ,e�o Miami-DMI AGUTAR
Sworn to and subscribed before me Sworn and su cY' Q@ry Public-State of Florida
This day of ,2014 This day , t i - W4.Expires Mar 16,2015
Id, commission#EE 70292
WIA
°iii
Signature of Public Notary—State of Florida Signaivreldf Public of — ate 7olorida
Notarization of Lobbyist's signature Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONL
Annual Registration fee: ( J Yes[ ]No . Amount Paid$ MCR# Date Paid
Lobbyist Registration Form received and verified b
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Ei: :Gt•F _,;;tratjor :°,) rmdoc Revised 04/27/2012
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachil.gov
CITY CLERK Office
Rafael E. Granado, City Clerk CityClerk(mmiamibeachil.gov
Tel: 305.673.7411 , Fax:305.673.7254
LOBBYIST NAME: Joe Antunovich
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 fill the required Statement by April 30th, 2012, shall be
automatical s spended fr to ying until all fines are paid, unless the fine has been
appe th Miam' a o ty Com "ssion on Ethics and Public Trust.
2Co ZoI�
Signatur Date:
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