Timothy Riera-Gomez - Amano McGann, Inc. MIAMI BEACH
qt , 01/4)/rvv‘""jj-4)0 ._
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.
RIERA-GOMEZ TIMOTHY
NAME OF LOBBYIST: (Last) (First) (M.I)
FLORIDIAN PARTNERS, 235 Catalonia Avenue Coral Gables FL 33134
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)461-4260 (305)444-1128 Timgomez3 @gmail.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:
Joe Survance
NAME OF PRINCIPAL/CLIENT:
AMANO McGANN, INC., 5830 Bond Street, Suite 300 Cumming GA 30040
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip code)
(678)679-6787 (678)679-2431 Joe.Survance amanomcgaen.com
TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional) ery sn�
Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(c)] 1.
- • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: Lawrence Feur, CEO )
• IDENTIFY ALL,PERSONS HOLDIN9,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATIOF'II,
. PARTNERSHIP OR TRUST: L—liwr C.�_- 'P ✓'
ii SPECIFIC LOBBY ISSUE:
PARKING REVENUE AND ACCESS CONTROL SYSTEM
Issue to be lobbied(Describe in detail):
III.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
CITY OF MIAMI BEACH 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
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F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
MIAMIBEACH
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.
RIERA-GOMEZ TIMOTHY
NAME OF LOBBYIST: (Last) (First) (M.I)
FLORIDIAN PARTNERS,235 Catalonia Avenue Coral Gables FL 33134
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)461-4260 (305)444-1128 Timgomez3 @gmail.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:
Joe Survance
NAME OF PRINCIPAUCLIENT:
AMANO McGANN, INC.,5830 Bond Street, Suite 300 Cumming GA 30040
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip ode)
(678)679-6787 (678)679-2431 Joe.Survance @amanomcgann.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: Larry Feuer, President and CEO-wholly owned subsidiary
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY O INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: Lex,rr
n.SPECIFIC .LOBBY ISSUE: PARKING REVENUE AND ACCESS CONTROL SYSTEM
Issue to be lobbied(Describe in detail):
m.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
CITY OF MIAMI BEACH 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
F:ICLERI$ALL1aFORMS\LOBBYIST FORMSILobbyist Registration Form.doc
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)
$7,000.00 monthly for three months
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
(REQUIRED). $7.000.00 monthly for three months
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 lobbyinq•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 XNo: 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.
_YesX 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 FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL; FILED EVEN IF THERE -'VE BEEN NO EXPENDITURES OR
• COMPENSATION DURING THE REPORTING PERIOD.
i ' -
1../mot, �: _ ../J
Si• ?e of Lobbyist !I othy Riera-Mmez M
I do solemnly swear that all of th• foregoing facts are true a d correct and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami :.-ac/�ity Co.- -nd all pr'ing requirements.
T
Signature of Lobbyist: ': / `.��, ..
Signature of Principal/Client: i " �
VI. LOBBYIST IDENTIFICA •N: PRINCIPAL IDENTIFICATION:
_Produced ID _Produced ID
Form of Identification Form of Identification
'Personally known(Lobbyist) v/ Personally known(Principal) `\`\� t i i i l�,,, .
��` �PETTy
VII. SIGNATURE AND SIAM • "n.ARY: MIREYACARBALLOSA - ,` mac,\ St
,:, ,*__ MY COMMISSION#FF 170941 �i �.
m
State of Florida,County of Miami-D :-:,�",i,,.`, EXPIRES:February 22,2019
-,, � �rnN��ryPub u22:er+rtlteB State of Florida,County of Miami-D:1.11'7......."\..C...°
� OfgRy c
Sworn to and subscrib-d beforg me .•, ,inV, -- Swor. n. subs ri efor me .�
a�O d-• oI%reA . - T,rts��_ day • 0 UBLIG -I i 1_4.1 I 1 1 1__—_ .A It_ y �J' .'O_0 API RES h • ._Alm -
ig�ature 1- Pi]:' 'otary-State of Florida Sign�■of oblic ota State of Florida �'2,,yC'0IJN;.,•:-
No ariza 1.n of Lobbyist's signature Notarization of Principal's signature ''1/4,,,,•
TO BE COMPLETED BY.CITY CLERK'S STAFF ONLY I i
Annual Registration fee: [ ]Yes[ ]No Amount Paid S MCR# (k 0 M 0\ Date Paid 4 j 1.\
Lobbyist Registration Form receive and verified by: , r , \ `
F:\CL ER\5ALLlaFCRMS\L333Y[ST FORMS',LDbbyist Annual R. ',,o,' orri. .1" Revised 1/ 2/2014
•
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
MIAM BEACH
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: TIMOTHY RIERA-GOMEZ
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 Commission on Ethics and Public Trust.
t. l
ature: te:
F:\CLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
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 • ice Use Only
. .
ANNUAL LOBBYIST REGISTR . ....•N c
Name: Timoth Riera-Gom:Business Name: Floridian Partners FATBW
Address: 235 Catalonia Avenu- Coral G '
a� - ". ;.134
Office Telephone Number: (305) A 6-.-4260`.
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Cellular Telephone Number: (305)79�•-3998
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Email Address: _A. .. - • ass: . 47) r,,it
If mo than one ,r byist,please list: ® r , = �a-
%Millr - T '-,. ..-.,
3) MIL% . , ._ _
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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#:
Amount paid: Date paid:
Processed by: Date: •
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx
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City of Miami Beach-Florida
Finance Department
1 City Hall
1509120-1 04/01/2015 BR1 T121
Wed Apr01,2015 04:1BPM Trans#22-22
22 $700.00 MCRCLERK - MCR-City Clerk
* MCR#: 403401
1 ITEM(S): TOTAL: $700.00
Check (012444) PAID $700.00
Have a nice day!
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