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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.
ea---\e 'e 000 der .
NAME OF LOBBYIST: (Last) (First) iN (M.I)
LAN G — X601 ui 6 T P ' VA (1-490 tv ' i i'/'.GO -L 1
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) i (Zip Code)
'V I 1 6 (--- WtO,A1. le
TELEPHONE NUMBER: FAX NUMBER: EMAIL: eC/I ' 1
Please=notify this-of ice if your:contact info ation:changes::address;:phone, or;e-mail address:..
I. LOBBYIST RETABtEE;E�Y: �
°� .t/ v hl A _ &A •1 4 r
NAM P LIrIPCLIfC-lA: ct 9 Iv r t 1. ba I 2� � I I i1 1c / ]�/e lvec�� �BUSINESS AM Io'ESS` nbe d Street) Ci ) (State) (Zip Code) a�/�/�' .�Qc4' -PL 311 it — a 1 ✓ µg^'1''1 �f`'"ivy l�
TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional) '7)tIV
Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(c)]
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY:
Of
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: A 11,.$x. :ici `i ..�`..a' . e L C�...._
,j-vS.4s�) I�Par t�- _
—
Issue to be lobbied(Describe in detail): - --
III d Y AGE b1 ; :: l -_
Pursuant to City Code Section 2-482(a)(4)include the commissioner or personnel sought to be lobbied,and whether the lobby 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
C, __c1 1 M 044 f-)___. k 1..) (,
C t (jn' yNNf-,s\o ()
Pursuant to City Code S ion 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
0/Ac
/
1 F:\CLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
CP)
1
Iv. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) j—i Pc
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): 0
it , ?1::....,.."
(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
Is ues":
®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,eguipr ent 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.
®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 SH LL S BMIT 'r TH• G TY CLERK A SIGNED STATEMENT UNDER
OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS 1 OM"ENSA ,DN -E IVED, IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT S-IAL_, BE FLED '� 'N .F ERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
Signature of Lobbyist
I do solemnly swear that all of the fo -*+ g fa s are ue an correct and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Beach + i ode nd all eporti g requirements.
Signature of Lobbyist:
Signature of Principal/Client: yy
VI. LOBBYIST IDENTIFICATII'f' : -�• PRINCIPAL IDENTIFICATION:
Produced ID �•�?ir•s! Produced ID
Form of Identification ` Form of Identification
known(Lobbyist) # #/
/Personally Iff‘m( y ) Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY: i., «M E i
State of Florida, County of Miami-Dade $ T E s State of Florida,County of Miami-Dade
Sworn to and subscribed before me i T • $ Sworn an�j�subscribe efor me
This (trwV\ day of Ma OJT ,201� 1 w i: I1 This fTt''day of r tAi 201 ff
BONNIE LOPATA
L� 1/� I• if •4�, l.� F MY COMMISSION#FF 1433
Signature of Public Votary– tate of Florida Signature of Public Notary ` tate of Flrx., '2..,- * EXPIRES:September 27,2018
Notarization of Lobbyist's signature Notarization of Principal's signature �+'Iii,.
4fre vP Bonded Thru Budget Nary Settee
TO BE COMPLETED BY CLERK'S STAFF ONLY
Arvot alRe istration fee:: ( .
� [ ]'Yes( l iVs�::d�rs�uht Paiif$ .. M4;R:
n .Bate:Palc1 3: ��'.:1 : .....
Labbyist Registration Form re eived:and verifed:br.
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
1
City of Miami Beach, `:700 Convention Center Drive,Miami 3eoci.Florida 33139,wvrw.miamihaachfl.g,v
CITY CLERK Office
Rafael E. Granada. City Clerk CityClerk.@rniamibeachfi.gav
Tel:305.673.741 1 . Fax:305.673.7254
LOBBYIST NAME: ( . A-ech-eir
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$50.00 a day shall be assessed for all
Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade
County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal)
to file the S:111 1_ement or pay th assessed fines after notification.
Any lobby . fail:- �to file tit,' :.equired Statement by April 30th of each year, shall be
automatic, pen t ed from I t b.�: ing until all fines are p fine has been
appealed t iami.$ade C: �un: Commission on Ethicnl st.
1
Signature: Cat
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
LaRosa, Clara
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From: Lily Ferrando Iferrando @Isnpartners.com>
Sent: Wednesday, March 18, 2015 1:44 PM
To: LaRosa, Clara
Subject: Lobbyist missing info
Good Afternoon Clara,
I was told the issue is an upcoming item on the agenda with the Lincoln Road Association. There is no
specific district.
Best.
------------- -- Lily Ferrando
- Assistant
LSN Partners
801 Arthur Godfrey Road, Suite 401
Miami Beach, Florida 33140
(305) 673-2585, Ext. 328 -Office
(305) 673-2588 - Fax
www.lsnpartners.com
IMPORTANT -The information in this e-mail is confidential and may be legally privileged. It is intended solely for
the addressee. Access to this e-mail by anyone else is unauthorized. If you are not the intended recipient, you are
notified that any disclosing, copying, distributing or taking any action in reliance on the contents of this information
is strictly prohibited. Any views, opinions or advice contained in this e-mail are those of the sending individual and
not necessarily those of LSN Partners, LLC or its subsidiaries. It is possible for data transmitted by e-mail to be
deliberately or accidentally corrupted or intercepted.
1
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lassafassettagemssmar
City of Miami Beach-Florida
Finance Department
1 City Hall
1507720-1 03/18/2015 BR1 T131
H ,2015 :05PM Trans#45-45
45 ed $350Mar18.00 MCRC01LERK - MCR-City Clerk
* MCR#: 402765
1 S): TOTAL: $350,00
Check ITEM((0190) PAID $350.00
Have a nice day!
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Salvatore, Jason �'SVr"}C r
From: Erin Hendrix <ehendrix @Isnpartners.com>
Sent: Thursday, August 18, 2016 5:11 PM
To: Salvatore, Jason
Subject: Final Version, please review: Requested Lobbyist Registration Information
Good afternoon Jason,
I hope you are well. Below are the responses to the information you requested in your letters
to Alex Heckler, Diana Mendez and Michael Llorente dated August 1, 2016. Please let me know if you
need any additional information.
Have a great day!
Erin
1. Security Alliance = In 2015, the monthly fee was$2,500; however, there is no fee for the City of Miami Beach
matter.
2. Ashbritt, Inc. = No additional compensation for the City of Miami Beach over our national agreement fee.
3. c.Clark Construction Group,_LLC=$9,000 per month
4. LLincoln_Road-Business-Improvement_Distri $50,000 fee in 2015. $10,000 per month fee in 2016 for legal
services.
5. 1052, LLC = $10,000 per month; however, no longer a client
6. Serco/Daria Van Engelen = $6,000 per month
7. Yachting Promotions = $5,000 per month
8. 1 Hotel South Beach = $7,500 per month
9. Greater Miami Tramlink Partners = $20,000 per month, including other jurisdictions
10. 1681 West Ventures = $3,000 per month
11. Setai Hotel Acquisitions = $15,000
one-time
pay
ment
agreement
12. Fort Partners = $20,000 per month
13. Harris Corporation = No agreement in place
14. Collins Park Partners = No agreement in place
Erin Hendrix
E1Director of Client Relations
LSN Partners
801 Arthur Godfrey Road,Suite 401
Miami Beach, Florida 33140
(305)673-2585, Ext. 315-Office
(561)358-1289 -Mobile
(305)673-2588-Fax
www.lsnpartners.com
IMPORTANT-The information in this e-mail is confidential and may be legally privileged. It is intended solely for the addressee.
Access to this e-mail by anyone else is unauthorized. If you are not the intended recipient,you are notified that any disclosing,
copying,distributing or taking any action in reliance on the contents of this information is strictly prohibited. Any views,opinions
1