Michael Llorente - 1681 West Ventures, LLC 4 i OE� a E : /\ -i i 4
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 200409435.
1.-L O
NAME OF LOBBYIST: (Las
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BUSINESS NAME AND ADDRESS ( umber and Street) (City) (St-te) (Zip Code)
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TEL HON NUMBER: ,:NUMB E R:- EMAIL: - arifirt
Please notify this office if your contact information changes:address,phone, or e-mail address.
I. LOBBYIST RETAINED BY:
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N. • OFPRNCIP' C 1-'T:
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BUSIN - RA AND ADDRESS JLumber and Street) ( Ity (St:te) (Zip Code)
r °l lip
TELE •NE N'. BERT FAX NUMBER:(Optional) EMAIL:(Optional)
Fill out this section if principal 1s a Corporation,Partnership or Trust[Section 2-482(c)]
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: LC)c) 50 Y
• IDENTIFY ALL PERSONS HOLDIN=,DIRECTLY OR 'DIRECTLY,A 5%OR t ORE 0 , RSHIP_INTERS T A •U H C=R-* I ,
Q.PARTNERSHIP OR TRUST: f "awe i s A 0. • 1ii
ii.SPECIFIC LOBBY I SUE:
AO, I , • I A 1la _ 0 • Wed=_LEI
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 ci to the ,resent date sta tin; t he 2 eneral nature of the subject contractual relationship.
Sec 2-482(a)(4)Full Name of individual and Contractual Relationship(Explain) YES NO
title of person t. be lobbied
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CA rl..!..kA Or
Pursuant to City Cod: ectlon 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 flied.
Sec 2-482(2LAny Financial,Familial or Professional Relationship
----------- -71R. .-71 -I 1
—sus
F:1CLER1$ALL1aFORMSILOBBYIST FORMS\Lobbyist Registration Form.doc
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) k gip„ &R-,
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): .
(REQUIRED). s -4- '-(t - '$Z---
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":
_Yes -.54.6 A - au obb in! on a 'resent or •endin! bid for •o•d, . _ • ,1-I_ _IL_ = .o_ o, - •resent or •endl
, _for goods,a Alament or service?
2) Pursuant to Miami Beach City Code Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
s_No: Are you lobbying on a pending application for_a.Development A reement with the City or application for
Chan,a of zonin, ma• desi!n: i•n • i-.,•- tD 6-61t s Future Land Use Ma.?
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 oLOrttity without special compensation or reimbursement,
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28 OF EACH YE, I. OBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED S , i L D_
OATH LISTING LOBBYING E .= ,• S AS WELL AS COMPENSATION RECEIVED I THE CI • u s 1.1 - •
THE PRECEDING CALENDAR YEAR. A STATEM NT_SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIODS
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Signature•. obbyist r`
I do solemnly swear that all of the fore••ing facts are true and c• rest and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Beac, , Code d all reportin i requirements.
i
Signature of Lobbyist: _ . /��-�
m
Signature of Principal/Client: a ■ •
VI. LOBBYIST IDENTI''�'ATION: o;,� PRINCIPAL IDENTIFICATION:
zer_Produced ID .�••* 40; Produced ID
Form of Identification ''''"is.•� Form of Identification
i z
Personally known(Lobbyis#) 0.4.-c, �Personally known(Pri ,. �, ,; ANDREA S.FOLLOWELL
3 3 - =t: f!■ Ai MY COMMISSION#FT 067596
VII. SIGNATURE AND STAMP OF NOTAR �, E F. _�. � a, EXPIRES:October 3l,2017
co es m ,�����``, Bonded Thru Notary Public Undenrritera
State of Florida,County of Miami-Dade a T z . State of Florida,County of Miami-Dade 4 Ate■
Sworn to a subscribe. be .,K e 0 - ° ° Sworn anc subscribed before me
This `?�� day of .. ,201 w N T " is day of k,'I, ,201C cl'
Signature of ubllc Notary-.State of loride Si ature of Public ,otary—State of Fl rida
Notarization of Lobbyist's signature Notarization of Pr[ncipal's slgnatur
TO BE C OMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ l Yes[ No Amount Paid$ ea MCR# Date Paid
Lobbyist Registration Form received and verified by:
Revised 01/22/2014
F:ICL€R1$ALL1aFORMSILOBBYIST FORMS1Lobbyist Registration Form.doc
NA 1 A f\A 1 BEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov
CITY CLERK Office
Rafael E.Granada, City Clerk CityClerk @miamibeachfl.gov
Tel: 305.673.7411 ,Fax:305.673.7254
LOBBYIST NAME:
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 2485.1, a fine of$50.00 a day shall be assessed for all
Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade
County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal)
to file the Statement or pay the assessed fines after notification.
Any lobbyist, who fails to file the required Statement by April 30th of each year, shall be
automatically suspended from lobbying until all fines are paid, unless the fine has been
appealed to the Miami-Dade County Commission on Ethics and Public Trust.
• - • 9//A
Si!.nature: Date:
F:ICLERI$ALL1aFORMSILOBBYIST FORMS\Lobbyist Registration Fotm.doc
efarl
City of Miami Beach-Florida
Finance Department
1 City Hall
1524513-1 09IO2i�01PMR
Vied Sep02,2015 Trans#15-15
15 $700.00 MCRCLERK - MCR-City Clerk
* MCR#: 407147
.00
1 ITEM(S): TOPAI� $70,00
Check (0202)
Have a nice day!
Miscellaneous Cash Receipt ,, �.� . ci 2 '0,s-,01 coy ,d
CITY OF MIAMI BEACH v { -t IC4 Q7;4 rt $700.01)
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Received of t. f 1¢ 9 , l _ _
Address >7;9 ,'.. , /14 3
For .L -' �,',. a ,,� -. � 41'7 71-1-
(THIS INFORMATION MUST BE COMPLETED) Office of Finance Director
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r Account Number £ x :,Ft r 4 rj
Dept: s `. EXT:
Salvatore, Jason v tc,��` ar '
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. Clark Construction Group, LLC = $9,000 per month
4. Lincoln Road Business Improvement District = $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
x Director 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
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