Andrew G. Suarez - Cambridge Security Services Corp. 5ecu y, �er'-.& S
MIAMI BEACH (0. 2o15-oi3rYG
City-of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139 r h
LOBBYIST REGISTRATION FORM 2015`I�,ItM1.?' 18
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourag .,the passage, defeat orb
modification of any ordinance, resolution, action or decision of any.commissioner; any action, decision, rec�riimendatiori,,of;thei_City,_
Manager or any city board or committee; or any action, decision or recommendation of any city personnel during the time period of
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.
SuP 6l AN DREW .
NAME OF LOBBYIST: (Last) (First) (M.I)
Laysuta aSb I "T itcitE1'- q-✓C .54kt gby lu (Am( , • -q!
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
. 3 1 5. (o"d 13 7441s GIMEI gGy44,4ta' (Zit(
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes:address,phone, ore-mail address.
I. LOBBYIST RETAINED BY:
eihm6it4DcrE s'iea 1i( sevi IFS C P (izi,4, w GOAAz
NAME OF PRINCIPAUCLIENT:
57o0 N FEbEe-A-1- �w y �ogr G uc xD fl- 3301
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
�pi. 3z o. '/ o' M Lo&2 a CAM732/afeESEGule,TY"erv/cc. car)
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: t'T /V 1.44 ZF e. , MItuo l 0?E2-
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: E fli ff-Ti LLiZAR
ii SPECIFIC LOBBY ISSUE:
sE«/2/i-r occcrie save ces , 61/6-- 013- /I�T
Issue to be lobbied(Describe in detail):
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
40HD,2 oiru P (5V(Nc Co/nos 5rWRrtR rf,, SaiN /
Comm. 01 cKt L 4e1 Ew, Cow,M.l.oY/1AL4f f
COMM..fp IRAN No(,FSaN/ it fhw rc4hv
C 0/uan city c O e I Section G 2-482(g)Every registrant required any p
Pursuant to it ode Section 2-482 Eve r® istrant shall be re uired to state the extent of an 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 /Up,
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
iV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURL Y,FLAT RATE OR C HER):
;=`: L>.?D8;!S T DISCLOSURE:(Required)
_______5:0 P O PP? /f0niTH -
Ei R 1Nvr",.AL:t D.SCj n Si RC r,(OF LOBBYIST COMPENSATION).
(REQUIRED .
T DLe.t7t its _.._
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled-Prohibited Campaign Contributions B;Lobbyists On Procurement
issues': /V 0
\./Yes_No: Are you lobbying on a present or pending bid for goods.equipment or services. or on a present or pending
award for gnaws, ec ulorrier?t or service?
2) Pursuant to Miami Beach City Code Section 2-4:0 _-iit c ✓ro-1;tlri Can-pc:yn Contributions
By Lobbyists On Real Estate
Develoon-ie issues^" .
_-n Yes r o: Are.Y at, lobbying on a pending application for a Development Agreement ith the City or application for
change of zoning map designation or-change to tl�e Cittsture Land Use Map?
31 to Miami B • C Code Section 2482(h} Any person (except those exempt from the definition of-lobbyist-as Cet
Pursuant.c� neac�City�,r�tc^e sec_;!y n^.2.y 82 (t 5^ (` corporation /� (�, �+
fo to in Section 2-481 above) who only appears as a representative of a not-for-profit corporation or entity without special
e ibl ent the appearance. whether direr indirect. .o. express support of or opposition w any
compensation cr r,�irr reimbursement for ,h apC�c � cti. whether direct: or t e., p
tern shall r BaiSter with i o clerk as required by this section but, s :cl I not be required to pay any registration fees.
Yes 1o_Are ou re•resentina a not-for-•rofit cor•oration or entity without special compensation or reimbursement.
V. SIGNATURE UNDER OATH:
I 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 FILER EN IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
_
igrla turt^'tjt i obbyi /�/ _.-
I do solemnly shear that all of the fore .ing facts are a id correct and that I hay,: read ? familiar with the provisions e .
true , v •i a u d or am dill.,ai ii'! Ilc ()f.Yi lor._ coiitainet;
2-482 i . Beach f! d d 'e.' f C "-flits
;i4 Sr:^tiC"3':i�-�icL of the"?'iul?li�v�1L; :j�I��;�and all reporting '�c•.iUif_.rt°s::,,....
SKJnatur e of Lobbyist: �I, -7 -..-_.
Signature of -)rit'Cioci/L:3! {l: -- - ,« __ _r _- -' - ---
(
Vi. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
-:,,t,d u ce in Produced !r
� n......... _ ---
Form of lnentificaiion Form of
lc,en tifcatioi 1i
00 /l k� �0111"',',1111#
•
� L GALL()
y!....- GPLLO 0
r esonally known(Lobbyist) �• • °• j• // v ��t,.oralI .�. of, iPr•ncip\ . $SOl •
•• �' .00
•
VII. SIGNATURE AND STAMP OF NG:AR cs) bgt 19,2,9,9 p• �. / ?p�9�•� Z•e C • = • •
•,- • r •. Os •
r'� Z �Q® •QB �.' pp^ of r± ^ �i •
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t to of County - 1'Miami-Dade••v - • • 4 State of Florida. County of tt.iia/°.-tom de FF •
Sa c Florida. of i,'fiami Dad 5 .o4 County # 175675 •
•�.,�
i t. ,..4.fir O` S„o "- bscribecl before it Q y Bpi oN i OQ Sttdorn t1 and subscribed before me • `` /� 1�ta:i,C•s:. subscribed p`,,_
y'- State /4);;1 1i 4
Signature C t ub i.r 3t ar f r li 3 Signature ignature of ubn c Notary”-
Sate of Florida
oiar i ati of Lobbyist's sic tature Notarization of Principal's signature
,4ll
__T_O BE COMPLETED BY CITY CLERKS STAFF ONLY _�__ _._.�
Annual Registration fee: i :Yes[e j No Amount Paid S -� MGR# y Oy ���y- __.._Date Paid X61_11 T _
Lobbyist Registration Form receive and verified by: '' �r_!
Revised 01f 22;2014
. i'.,.4_LER\.tiALL\aFORMS\LO8BYIS T FORMS\Lobbyisi Realstr ation Form.doc
I
. .
M1A/V\ 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: N Z)1 1-41 2-
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 Mia ,' de County Commission on Ethics and Public Trust.
_ ■ 06//5/7„0/45
Signature: Da :
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
Miscellaneous-Cash_Receipt ' :p ry ,iqq,: ;� ,-r 4,,0- yy-..-.
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