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Phillip M Armstrong - Florida Fine Wine and Spirits, LLC MIAM1BEACH 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. Armstrong Phillip M. NAME OF LOBBYIST: (Last) (First) (M.I) Florida Fine Wine and Spirits, LLC 11325 Seven Locks Road, Suite 214, Potomac, MD 20854 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (301)634-1543 (301)795-1081 parmstrong@totalwine.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: Florida Fine Wine and Spirits, LLC NAME OF PRINCIPAUCLIENT: C) r-sa Florida Fine Wine and Spirits, LLC 11325 Seven Locks Road, Suite 214, Potomac, MD 20854 —? BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) c__ 301-795-1000 = ' TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional) ) -. Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(c)] Cr; —0 • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: see Exhibit A i • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH COORATION, PARTNERSHIP OR TRUST: see Exhibit A II.SPECIFIC LOBBY ISSUE: 1 Request for a variance from the 300'distance separation requirement between a retail package store and a place of worship. C14 1101 5tii Issue to be lobbied(Describe in detail): ,,...!. Ill.CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: CCCC1l 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 City of Miami Beach Planning Department staff none X City of Miami Beach Board of Adjustment none 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 who is sought to be lobbied as identified on the lobbyist registration form filed. Sec 2-482(g)Any Financial,Familial or Professional Relationship none r IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) Part of Job/ Salaried B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (Required). None 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": El 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 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": El 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 2-484(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 ®No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement. . V. SIGNATURE UNDER OATH: ON FEBRUARY 28th 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 HERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. Si• a ure of Lobby. I do solemnly swear that all of the foregoin• fa,s ar: rue nd corr.. that I have read or am familiar with the provisions contained in Section 2-482 of the Miami c/ ity , •i,.(anc all re rtin•,i:1 •�-• . Signature of Lobbyist: j, —Th Signature of Principal/Client: G VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: El Produced ID ❑ Produced ID Form of Identification Form of Identification XPersonally known(Lobbyist) Personally known(Principal)CHERYL A. COLE VII. SIGNATURE AND STAN OF NOTARY:CHER L A. COLE NTARY PUBLIC M&r j(ANM . Mom tgoivlerg NOTARY PUBLIC tin rskedd 0 !�' 07/11/2015 �J,1G� 7..a!-.-Xp State offer ia, County of Commission Expires 07/11/2015 State of errda,Countt8 , - Sworn to and subscribed before me Sworn ncsubscribed before me . T is t day own-NUa r3 2 1-12O/5- This riday ofT/A)002.rj 2911.201 A 1..(_)71(,ZW/4 , / , 41-ZL, Signet"- of Public_Nota"ry-State of-Glerida/ac 1Q1/d Signatur- if Pu lic otary-State o�Ha/'eJ,Iaiu NOtar ati.on of,Lobbyist's signature Notariz, ion of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLY • . _IL Annual Registration fee: [ ]Yes[ V]No Amount Paid$_3S-C..) MCR# yn I // 3 Date Paid / A Lobbyist Registration Form received and verified by: ,e-La......_ G� iZ..,.___ F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Forna.doc Revised 1/11/2011 r MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov CITY CLERK Office CityClerk @miamibeachfl.gov Tel: 305.673.7411 ,Fax:305.673.7254 LOBBYIST NAME: Phil Armstrong I understand that no later than February 28th 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, I am required to immediately notify the City Clerk's Office of lobbyist withdrawal in writing. i/g aoi5 Signature: ,/ Date: Exhibit A FLORIDA FINE WINE AND SPIRITS,LLC-Ownership NAME' TITLE. Ownership Beneficiary I ADDRESS 11417 Skipwith Lane David J.Trone Managing Member 5.00% Potomac,MD 20854 9829 Avenel Farms Drive Robert L.Trone Managing Member 5.00% Potomac,MD 20854 11325 Seven Locks Road,Ste 214 Robert L.Trone Member 22.50% Potomac,MD 20854 11325 Seven Locks Road,Ste 214 MCT 2013 LLC Receiving Trust Member 11.25% Michelle Cynthia Trone Potomac,MD 20854 11325 Seven Locks Road,Ste 214 JET 2013 LLC Receiving Trust Member 11.25% Julia Elaine Trone Potomac,MD 20854 11325 Seven Locks Road,Ste 214 NRT 2013 LLC Receiving Trust Member 11.25% Natalie Rachel Trone Potomac,MD 20854 11325 Seven Locks Road,Ste 214 RJT 2013 LLC Receiving Trust Member 11.25% Robert Joseph Trone Potomac,MD 20854 11325 Seven Locks Road,Ste 214 SPT 2013 Receiving Trust#2 Member 22.50% Sophia Parisi Trone Potomac,MD 20854 100.00% l Y iggr YkF _ate nt �: City of Miami Beach-Florida Finance Department 1 City Hall 1501313-1 01/13/2015 BR1 T121 Tue Jan13,2015 04:33PM Trans#34-34 34 $350.00 1`1CRCLERK - MCR-City Clerk * MCR#: 401413 1 ITEM(S): TOTAL: $350.00 Check (30015937) PAID $350.00 Have a nice day! Miscellaneous Cash Receipt �{ r = CITY OF MIAMI BEACH ��3" `� No. • i F El Cash D Credit Card o Check# ?' ' , ' 20 A /I 2 Received of ;" - .s �' Address //3 \"" c *Forte . - - �- ,'a ^few ,r 3- kf (THIS INFORMATION MIDST=EE COMPLETED) ffice of Finance Director • ,ls Account Number D01_ 3( --Y, j Preparers �- ._. De t: .. F / Dept: E)(T. r f • • 03 5 P'3 k 7 /\'\ I ,At\/\ I BEM I AM BEACH J.: am, City of Miami Beach 2015 ,1A11 ) 3 PM t1: 31 1700 Convention Center Drive Miami Beach, Florida 33139 CITY r L E R S OFFICE www.miamibeachfl.gov City Clerk's Office Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM • Name: Phil Armstrong Business Name: Florida Fine Wine and Spirits, LLC Address: 11325 Seven Locks Road, Suite 214, Potomac, MD 20854 Office Telephone Number: 301-634-1543 Cellular Telephone Number: 301-461-3330 Email Address: parmstrong@totalwine.com 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#: 0/y/4,( Amount paid: 500 • Date paid: / /3 Processed by: CI'? Ka L-9- ZJ A Date: /A 3 1.�� F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx 0.)/4/ 10f-'' `aN City of Miami Beach-Florida Finance Department 1 City Hall 1501313-1 01/13/2015 BR] T121 Tue Jan 13,20 1 a 04:34PM Trans#35-35 35 $500.00 MCRCLERK - MCR-City Clerk * MCR#: 401414 1 ITEM(3): TOTAL: $500.00 Check (30015938) PAID $500.00 Have a nice day! _ t Miscellaneous Cash Receipt -_. CITY OF MIAMI BEACFI No 0 Cash 0 Credit Card ® Check# �. /_ = $. : / a . 20 ' Received of '� 0 r a..•; ! ,�./ l a ! K ? :.�'.�„� Address if _; _,.. L d re:' 1 Cr' /? A;7/11,. I) .-- 0`e 1 ) For Ai 7 rf y _ t �/ �.",, / q p {f / `.�?�ir�` � 'f�2.+�? �� ` Y' � � ,f/�f} l� -� i if�+ r st�'� , ' t>.'^ !.�.. :•� ;_ (THIS INFORMATION MUST BE COMPLETED) - Office of Finance Director By Account.Number = ri. 577)1.) �= � :.. _ 1 Dept: 4> �. , EA Prepares: 4_ �_ .