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Nelso Padarelo - Golden Mile Shoppes, Inc. AA IAM BEACH ti 3a L of le n g,Qvc. 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. Padarelo Nelso NAME OF LOBBYIST: (Last) (First) (M.1) Isaac Sklar & Assocites/Architects, Inc. 8979 mw 11 Street, Suite 103, Miami Lakes. FL 33014 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) ( 305) 825-9575 ( 305) 825-9340 sklari @att.net TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone, or e-mail address. I. LOBBYIST RETAINED BY: Golden Mile Shoppes, Inc. NAME OF PRINCIPAUCLIENT: 6930 Collins Avenue Miami Beach FL 33141 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) ( 305) 825-9575 ( 305)825-9340 sklari @att.net 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: Isaac Hector Taraman, President (40%) • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: ErneStO T Taraman (VP( 30%) , Enri que H Taraman (T) (30%) ',SPECIFIC LOBBY ISSUE: All prn prf-yy i ssnc s pprtai ni ng to 6930 Collins Avenue, Miami Beach, F.T., 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 Mayor, Cnmmi ssi onPrs, Commi 1-1r-pp TX Manager, Any City personnel X c) 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-persnel wh o is sought to be lobbied as identified on the lobbyist registration form filed. ?� Sec 2-482(g)Any Financial,Familial or Professional Relationship None is ' ee F:\CLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc c2C/' IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) Architect & Owner Agreement (Hourly & Flat Rate) B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED). Same as IV. A above. 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":J 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.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 No: . •u I i• • I a. • :I.• j• , • •1. _ '• f o a I : elo L.0 e i , .! e t,e, .i is 't o : lic .o f• change of zoning man designation or change to the City's Future Land Use Man? 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 ,em.shall register with the derk as required by this section but,shall not be required to pay any registration fees. Yes No' •r_ o r: • :s: in o--ftr•!rofl car•or: ion or : .1 wl.,• ,•e_I.. •m.en _ •n .r re a. t-. an. e _ V. SIGNATURE UNDER OATH: O►. :. ►. • • ► ---Cs . : S • ..� SU ;.i • r, C r: C- ►: 1. . S i1 _L OATH. LISTING LOBBYING EXPENDITURES.AS WELL AS COMPENSATION RECEIVED. IN THE CITY OF MIAMI BEACH FOR .... _ ! ■ L•-,: - _1i__L _■.- -_ • k '.a_:_ :._ -_ - _,►. ■ _. -__L • ►-_ • : COMPENSATION DURING THE REPORTING PERIOD. li. .�. Sign=Lure o Lobbyis I do solemnly swear that all of the fo =•oing facts are tru- and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami B '- •tty Cod a and all reporting requirements. Signature of Lobbyist: L,i. .. . i MPOSIninpr Signature of Principal/Client: %.!��r VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: _Produced ID ®Produced ID Form of Identification Form of Identification , Personally known(Lobbyist) X Personally known(Principal) VII. SIGNATURE AND STAMP OF NpT4RY: MARIA S.RAAIIREZ ? ....... o MY COMMISSION i«FF 030827 o,°�Y�"` MARIA S.RAMIREZ State of Florida,County of Miami-Dade. c-_- * State of Florida,County of Mia = MY COMMISSION t FF 000827 Sworn to and subscribed before me 0 '!:'' EXPIRES:July 22,2017 Sworn and subscribed befor :-i- This—day of�T c v _,201542ov �''� Bonded Thru Budget Notary Services This.day of Nov '"r tl1-:`'',o� EXPIRES:get N 22,2017 OF' , ). Bonded Thru Budget Notary Services C2.�ra-cam __ _ Signature of Public Note State of Flori 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[` j No Amount Paid$ 2 la MCR# ; Date Paid _ t �i. Lobbyist Registration Form received and verified by: IAW �� © F:\CLER\$ALL\a�'ORMS\LOBBYIST FRMS\Lobbyist Annual Reg tr,_-• er ..o_ Revised 01/22 2014 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc •tVUAMI BE CH 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: Nelso Paradelo 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. ® /b a?-ooa-- Signat e: Date: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc f\A I Am City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 2Q15 tml -2 rA, 3o .on www.miamibeachfl.gov City Clerk's Office F `-. .. . Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: Nelson Paradelo Business Name: Golden Mile Shoppes, Inc. Address: 5979 NW 151st Street, Suite 103, Miami Lakes, FL 33014 Office Telephone Number: ( 305)825-9575 Cellular Telephone Number: _ Email Address: sklari@att.net If more than one lobbyist,please list: 1) Manuel Lauredo 2) Hernan Taraman 3) 4) 5) 6)• 7) 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 Amount paid: c S S Date paid: /// 7.J. 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Pre parer::: f, Dept ...-,.-. . - fi ,r, .- :-- -:'-.-'...:'•Off. , - ---. - '-' -- P . r ; x4,i .s..r. u t .,,.r. } � r,l [.1:v:w I. r r". _e.r;,,. . . P,- +.s^": a-�., .E r'.., .. . ,..x _r,,. s } • • • Wit. - City of Miami Beach-Florida Finance Department 1 City Hall 1530613-1 11/02/2015 BR1 T113 Mon Nov02,2015 03:32Rh1TMCRSC1 -2 Clerk 2 $2550.00 MCRCLERK - * MCR#: 408079 1 ITEM(S): TOTAL: 2$��50 00 Check (001715) PAID Have a nice day!