The URL can be used to link to this page

Timothy Riera-GOmez - Eric Hellstern Ltdsx4t MIAMI BEIAMI BEACH 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 foreseeabiy 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: ERIC HELLSTERN NAME OF PRINCIPAUCLIENT: CITELUM US 490 L'ENFANT PLAZA, SW, SUITE 8214, WASHINGTON, D.C. 20024 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (202)320-6583 (202)488-0500 ehelistern @citelum.com TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional) Fill out this section if principal is a Corporation,Partnership or Trust[Section 2482(c)] • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: Pierre Devilliers, CEO-(202)320-8328 • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Only Citelum SA owns 100%of Citclum US n.SPECIFIC LOBBY ISSUE: LED LIGHTING 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 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$ALLIaFORMSILOBBYIST 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) $3150/monthly-August 2015 to July 2016 B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED). $3150/monthly-August 9015 to July 2016 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 )(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 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 BE FILED EVEN IF THERE Hi E BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. ,d ,.i. AbuidomA. arA ."....AL .--- Signalw of Lobbyist othy Riera-~mez I do solemnly swear that all of the regoing facts are true and correct and that I have read or am fam - , ith the provisions contained in Section 2-482 of the Miami Be City Code and all re"orti'g requirements. Signature of Lobbyist: 1 _Aelr '/��J_: , i /�' (Timothy Riera-GOmE Signature of Principal/Clie %� ��/`-/ // (Eric Hellstern) VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: _Produced ID c2 =MOM. ID Dr T \/ Q ' '. . '• Form of Identification Form of(dent' _,;z ., ... Personally known(Lobbyist) —Personally known(Princi +: i` M F r0 VII. SIGNATURE AND STAMP OF NOTARY: My Commission Expires _'s b'- c s.�'--- ^ , a Y State of Florida,County of Miami-Dade September 30, 2017 State of F F. - L. 1. , Sworn to and subscribed before me Sworn and subscribed before me h' /� the Al/ '' .0' "t, This/_day of /�Ce..- 20 Y P•• MIREYA CARBALLOSA ' ' 4 i • / =t• - X COMMISSION ti FF 170941 '---)/ ,(/ ,( li! '-�.�� EXPIRES:February 22,2019 G`�'Vv�'� ° I� �,��r i natur�of P Notary-State o I.riE r:,�� Bonded Thn,Notary Public under 8 ature of Public Notary- • ;alb 'U N tariza�tipn of Lobbyist s signatu _ rization of Principal's signature V TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [I]Yes[ ]No Amount Paid$ CO-0 • 0 U MCR# 4 0g 3d 4 Date Paid I„k 1,121 1s Lobbyist Registration Form received and verified by: ..1k-g0JJ ,SA-LV ke F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc Revised 01/22/2014 F:ICLERI$ALL1aFORMSILOBBYIST FORMS\Lobbyist Registration Form.doc MIAMIBEACH 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 Statements) 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 •unty Commission on Ethics and Public Trust. ,� II Si•*ture: Dat• : F:ICLER\$ALLIaFORMSILOBBYIST FORMS\Lobbyist Registration Form.doc - . _ - _ 3 - • • ` ��. • '------- -