Loading...
Richard Pinsky - South Florida Vacation Rental Managers Association R A % t g z- -;.:.•.;.� a.. gp�y„ tad O \ q #x 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. Pinsky Richard NAME OF LOBBYIST: (Last) (First) (M.I) Akerman LLP 777 S. Flagler Drive West Tower#1100 West Palm Beach, FL 33401 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 561-671-3692 561-659-6313 richard.pinsky @akerman.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: South Florida Vacation Rental Managers Association NAME OF PRINCIPAL/CLIENT: 167 Cameron Court Weston, Florida 33326 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional) 305- 433-1374 Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(c)] • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: N/A ce-rr`a�n40 �S'\.o‘�-Z°` to 0% • PARTNERSHIP RAH OR TRUST: HOLDING,DIRF�GILY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, II.SPECIFIC LOBBY ISSUE: Vacation Rentals o 'YNGN t&e - 5e c • y — 11 0 S Issue to be lobbied(Describe in detail): nl.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 Council/City Attorney/Staff x C) CD Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial, famill-S1 or professional relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioneror city`persorfriel who is sought to be lobbied as identified on the lobbyist registration form filed. ` Sec 2-482(g)Any Financial, Familial or Professional Relationship r. . N/A ca3 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc ,!J IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) Hourly B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): Hourly y 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 XNo: 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 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. Yes XNo: 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 RECEIVE'. 1' THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF . AVE BEEN N• EXPENDITURES OR, COMPENSATION DURING THE REPORTING PERIOD. 1-00JSII■ Signature of L•'?T',ist I do solemnly swear that all of ,foregoing facts ar- -Vand correct -'r'that I have read or am famil'_:r with the provisions contained in Section 2-482 of the Miam' =: -• - reporting req.' ,ents. % -��i i Signature of Lobbyist: Signature of Principal/Client: CD NJ VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:-H� ` Produced ID Produced ID r—' --I Form of Identification Form of Iderrtificati X �,'ti;�,: ''''•; STACEY L PIESCO (--> Personally known (Lobbyist) f;: ,. r MY COMMISSION#FF022126 Personally known (Principal) , _?. EXPIRES:September 27,2017 k __, �'� VII. SIGNATURE AND STAMP OF N T ` Bonded Thrutrotary Public Underwriters i �� State of Florida, County of Miami-Dade State of Florida, County of Miariii'Dace Sworn to and ubscribed b f re me Sworn and subscribed before me This day of mD ,201 S This day of , 201_ ��,, Signature of Public Notary-State of Florida Signature of Public Notary-State of Florida Notarization of Lobbyist's signature Notarization of Principal's,signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [. ]Yes[ ]No Amount Paid$ R 5" MCR# -$$o6� Date Paid I b/2 s//S Lobbyist Registration For received and verified by: C.[a<a L� �oS1 F:\CLF \BALL\ FO . \LOB VIST FORM \Lobbyist Ar Huai Registration For•r-rr<dcc Revised 01/22/2014 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc • IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) Hourly B) PRINCIPALS DISCLOSURE(OF LOBBYIST COMPENSATION): Hourly (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 Issues": . Yes XNo: 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? 22) 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. Yes XNo: 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 CH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SIB_BE FILED EVEN IF T HAVE BEE NO EXPENDbTURES OR COMPENSATION DURING THE REPORTING PERK Q . i- IN) _ -Signature(p. i/ Ct.) 1 I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am f-mill. ith theprovisi ns contained in Section 2-482 of the Miami Beach City Code and all reporting requirements. ; r Signature of Lobbyist: 7 `M CO Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:NI _Produced ID Produced ID I- �d Form of Identification Form of Identification _Personally known(Lobbyist) Personally known(Princip I % S BAR //�,S VII. SIGNATURE AND STAMP OF NOTARY: ` 6(i°:�OTARy•.��'Is i State of Florida,County of Miami-Dade State of Florida,County ofaii made Comm.Wires Sworn to and subscribed before me Sworn and subscribed e e met c- 2019 I all This day of ,201_ his?�_ •- . c� $1 allat ' y ._ � � No,�205351 "i s : gamed ow Wens Fargo; Q- ; Signature of Public Notary-State of Florida S'=''"" �•� PG•lic Notary-State o ho A PUBOC. ��; Notarization of Lobbyist's signature No •r zation of Principal's signatur Q��N TO BE COMPLETED BY CITY CLERK'S STAFF ONLY '�/1/ $ es�e Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Date Paid Lobbyist Registration Form received and verified by: F:\CLER\SALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc Revised 01/22/2014 F:\CLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc 3 `f 4 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: 305.673.741 1 , Fax: 305.673.7254 LOBBYIST NAME: Richard Pinsky 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 30t of each year, shall be automatically suspe ded from lobbying until all fines are paid, unless the fine has been appealed to the - i-Dade Co ty Commission on Ethics and Public Trust. / 22-October-2015 ignature: Date: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc _ e us ash 777 ,' Fyr S • llNiscellaneo - - }ri►« � �: F-} - 5, e-ii: _fi aC4 CITY OF MIAMI BEACH _ . •• sy. , ::,;.,;;;;II-'07?,,Z==',,,i4.:,'::"_..,:...:::::::-...' ::::, ..:,--,...;,-...-..'-.....'...1,-...-:-.•,,-,',_. -.-:'::::::':,:..-..y':-,,,.=.._.::::.,::._.•,:,-:',:...•._-:-._-.-.-•„'...'--i'''....-...:1.'-..,. •.---:.'..-:-"-....,,:--.--•„.:-=.-::...;':::::=A- ::;:. -':....'-..'-':::=.,,..,:._:!=7. • -V -`� Check-# :tc:•,7 r x� Cl Cash Credit Card S / - 20' A t ( J J r �l ' f,- � ,- ,.-_- .. .. . . ...,. Received of ` � y I. : : --. i# ' � a - :•. -• For ry - . ifa -1 - - .f.Th ( # ' .---.....' -.• ' .- - •- -- -._,--_,- • . . vi-,,,,z.. .-i-,-;- _itt:4 1•_.,..tc„,21 •ov"-z-1),1 aA...e,.-..-f-- ....-i-.•..--.._.-, -,,- .., - - . .r, •-.._ - • -. - -..... ....•,f,. Office®t t°6nance Drrector : THIS INFOftMA�'ION iiiiiiST;�E COMPLETED) y; . ,....-.-::.:.........5_,... .r._0.,..,..,_...0./...;. :,,,7„/../.:.,..,........,...,,,..:...,..,:_.._,::,:....:,.,....,........:,....:,.:,..... ...,...:,.,..,........_,_.. ..,...,::;.;::,.....,.,......,.: .. ",...,r,....,:.:....,,...i...._.:,,,,,...,.:....,,:.:i.„„..,.,.:::,:„,,,.: .'..1--y::•:-..,::,::_.AccOUnt Number: ` e-% ' • ••. - .Dept: d . �,• Preparers �' - �-�