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Olivia Ormos - Armo Productions, LLC VCA MIAMIBEACHmo Gt,voiki6jt 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. Ormos Olivia NAME OF LOBBYIST: (Last) (First) (M.I) Armo Productions, LLc. 1000 West Ave #721, Miami Beach, FL, 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 786.797.7717 olivia@ooandco.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone,or e-mail address. I. LOBBYIST RETAINED BY: Olivia Ormos NAME OF PRINCIPAL/CLIENT: • • Olivia Ormos Armo Productions,LLC. 1000 West Ave. #721,Miami Beach FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 786 797 7717 olivia@ooandco.com 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: Olivia Ormos • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Olivia Ormos and Michael Malone II.SPECIFIC LOBBY ISSUE: Miami Beach VCA Grant a l otct. IBM cla I/a LCt/ 6/1 -- Issue to be lobbied(Describe in detail): Ill.CITY AGENCIES/INDIVIDUALS 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 The VCA grant and its members/audience X 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 vo is sought to be lobbied as identified on the lobbyist registration form filed. --± --- Sec 2-482(g)Any Financial,Familial or Professional Relationship yh -77 co F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc it i� -,; • / IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $50 .000 B) PRINCIPA 'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED).$50,000 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": . X.Yes_No: Are you lobbying on a present or pending 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'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 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. . YesXNo: 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 STATEMENT SHALL BE FILED EVEN IF THERE AVE BEEN . • E • NDITURES OR COMPENSATION DURING THE REPORTING PERIOD. .AMC A fr4 .d# Sig lure of Lobbyist I do solemnly swear that all of the foregoing facts are true and correct an. •-t I have read or am -miliar with the provisions contained in Section 2-482 of the Miami Beach Ci Code and all reporting 1 - I • , • /. Signature of Lobbyist: `� /�� ''�`, 4. Signature of Principal/Client: i/ / -� `_� o c.' o cy b y t Q VI. LOBBYIST IDENTIFICATION: , PRINCIPAL IDENTIFICATION: o co''''' Q W o r• _Produced ID FL Drivers License ��o �o °k Produced ID FL Drivers Licenses o Form of Identification J� o` in,•Ica,i2.„0,. .7' Form of Identification ; o z co' c-; QQ °1 `bb.,• r 4 �C.h J� _Personally known(Lobbyist) \•. e? (i:'. � _Personally known(Principal) ,, ,..6 ° 'F .b �v •�.� v ,m o F�`. . VII. SIGNATURE AND STAMP OF NOTARY: � Q �' .° ��.r`�' o State of Florida,County of Miami-Dade /' .4', cf,*.,4 State of Florida,County of Miami-Dad Q'v°''• b o= i" ,' r - Sworn to nd subscribed before me ,,,,1,,,,,,,e�` �'.Qa,; om and subscribed before me 1,.-1:1 .,/, e_ This 1 .ay ofNOve ;,-)'201 4 °,s'g05„� •"F. °cry Th 1$day.' • ;4E1•a 2• :°�.`*Q 51 o: AM. " .'-' i,, * E= j . Werr'''',..,.'gig:,,,Nt,,,, i Signat •f Public N. ary–State of Florida 4'., -,,•'- 6 Signa ure.(Public Not- –State of Florida ' Notariza.on of Lobbyist's signature Notarizati„n of Principals,signature TO BE COMP;4 TED BYCITY CLERK'S STAFF ONLY Annual Registration fee: [ es[ ]No Amount Paid$ '5r/ MCR# 3 fa Q-Q a. Date Paid I%\1 g I‘•l Lobbyist Registration Form received and verified by: t–t 0` r'a-- LA-42.41 F:\CLER\BALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc Revised 01/22/2014 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc • M1AM1BEACF BEAC H 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:305.673.7411 ,Fax:305.673.7254 LOBBYIST NAME: Olivia Ormos 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 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 Corn II'-sion on Ethics and Public Trust _/� `iI tom` 11/17/2014 Si•�ature: Date: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc City of Miami Beach-Florida Finance Department 1 City Hall 1432213-1 11/18/2014 BR1 T125 Tue Nov18,2014 08:41AM Trans#1-1 1 $850.00 MCRCLERK - MCR-City Clerk * MCR#: 36202 1 ITEM(S): TOTAL: $850.00 Check (001118) PAID $850.00 Have a nice day! : _ i {.,_ 1 11:x 1F,,t12411 4 ( f l Miscellaneous Cash Receipt t.j r :� ,r- .. 6 Y 3°5 a ; CITY OF MIAMI BEACH No. 36202 ❑ Cash ❑Credit Card Check# I I 3 $; s 0 NO v• IT 20 /V Received of ino & )I)ocfloAJ ( Lc 0/i'vi A 0071 OS Address /000 4-p ' A 4.E / 44 ri 3 .3 7• For 7 0 1 t- A.4��f � _ , x = � 5 e (7)-- y e ' "rA - • (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director By Account Number. ! • 0` .369,4V �: C Y ��. EXT: Dept: (di Preparers 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: Olivia Ormos Business Name: Armo Productions,LLC. Address: 1000.West Ave #721 Miami Beach,FL, 33139 Office Telephone Number: 786.797.7717 Cellular Telephone Number: 305.433.0157 Email Address: Olivia@ooandco.com If more than one lobbyist,please list: 1) Olivia Ormos 2) 3) 4) 5) 6) 7) Submit this form to the Office of the City Clerk, along with a check for $500 for each lobbyist. Please make the check(s) payable to the City of Miami Beach. For City Clerk's Office Use Only MCR#: (P Ct o� • 0 Amount paid: ZD. xx Date paid: If I$ / Processed by: C/afra Lei. 4 i) . Date: f l/a/Pi F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx