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Jason Weisman - Tricarico Architecture and Design City of Miami Beach Lobbyist*Expenditure and Compensation Stateme. City Code Section 2-485 Expenditure report for the period of: TAN.. 2 015 through D re, 2015 A statement shall be filed even if there have been no expenditures or compensation during the reporting period. This statement is to be signed, notarized and returned to the City of Miami Beach, City Clerk's Office, 1700 Convention Center Drive, Miami Beach, FL 33139 by February 28th.A fine of$50.00 per day, per issue, shall be assessed for statements filed after the due date. If you require any assistance, please.con act has,office,at-305:673.7411.or-at city cle— miamibeac,,higov...,,.. . ... Lobbyist T/93 ON /A/CIS/kJ/AN/ Principal Tk1 CARtCC' AI' .CHITEc72?l AND pESlail Issue D .SIGN PEVElN u1PPPOVeb ANt} rioAL G alc O IssyCn PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 5E A rsAC1-161) CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: S A -n,AG/E h Communication: Media Advertising: Publications: Travel: Lodging: Special Events: I xiCHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: 12 s 3 1 . IS OATH State of Florida, County of Miami-Dade I,the undersigned lobbyist do hereby depose under oath and affirm that the information disclosed here'n and any attachment hereto are true and correct. Ye24--- Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: Produced ID _ �' eL-7*--e--- / / Form of Identification Signature of Public Notary—State of. -a \/ Personally known Sworn to and subscribed before e�`'..��Sz This .5— day of.JA 14 ,20/6 • r ,..Tit,) ia. aOZC 4111, ME adf � F ' Additional Services Authorization To: Doortje Van Der Lee Date: January 7,2015 Client: SuitSupply From: Jason Weisman Project Name: SuitSupply-Miami Client's Email: dvanderlee @suitsupply.com Project Location: Miami Beach,FL Project Number: 140461.00 City, State: Miami Beach,FL Revised Project Number: 140461.02 Reason For Additional Services Project Manager to attend the Pre-Application Conference for the Miami Design Board and prepartion of drawings in anticipation of that meeting. Once the Pre-Application Conference is complete and initial feedback is provided by the Design Board,Tricarico will prepare a proposal for the next meeting. Estimate To Perform Task $7,200.00 *Reimbursable expenses are an extra to the above quoted number as per the base contract. Client's Approval Signature Date W:\!JASON'S GROUP\Suitsupply\140461 -Miami,FL\Docs\Additional Services\Additional Services Authorization .02 1/15/2015 3:50 PM . M• 0 EXPENSE REPORT EMPLOYEE NAME: Jason Weisman DATE OF TRIP FROM: 02.08.15 TO: 02.14.15 PURPOSE OF TRIP: PROJECT NAME: PROJECT NUMBER: 140461.02 PROJECT LOCATION: Miami,FL CHARGE PROJECT: O YES ONO HOURS IN STATE: 16 TRAVEL SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY TOTALS DATE: 02.08.15 02.09.15 02.10.15 02.11.15 02.12.15 02.13.15 02.14.15 AIR TRANSPORTATION 627.20 627.20 CAR RENTAL - TAXI 86.50 40.00 126.50 CAR SERVICE 52.50 52.50 TRAIN - HOTEL 305.10 305.10 MEALS: BREAKFAST 6.28 25.40 31.68 LUNCH 23.97 15.99 39.96 DINNER 47.50 47.50 GRATUITIES - PARKING - TOLLS - MILEAGE 0.45 - - - - - - - FUEL - OTHER Groceries 3.00 6.00 9.00 OTHER ATM Fees - OTHER Foreign Fees - OTHER _ - TOTALS - - - - _ 1,099.55 139.89 - 1,239.44 ENTERTAINMENT DATE PLACE PERSON(S)ENTERTAINED BUSINESS PURPOSE AMOUNT TOTAL - COMPANY PAID CHARGES I SETTLEMENT DATE CREDITOR AMOUNT TRAVEL EXPENSES $ 1,239.44 02.12.15 VISA-6870 627.20 02.12.15 AMEX 1002 292.67 ENTERTAINMENT EXPENSES - TOTAL EXPENSES: $ 1,239.44 LESS: COMPANY PAID CHARGES (919.87) TOTAL 919.87 LESS: ADVANCE (Enter minus then amount) EMPLOYEE SIGNATURE DATE REIMBURSABLE TO EMPLOYEE $ 319.57 SENIOR PROJECT MANAGER DATE VICE PRESIDENT DATE --FOR ACCOUNTING USE ONLY-- MILEAGE RATE CHART HOURS IN STATE CHART I I RECONCILIATION COMPLETE Accounting-Initials/Date Updatcd 5/9/14 ka Additional Services Authorization To: Doortje Van Der Lee Date: February 17,2015 Client: SuitSupply From: Jason Weisman Project Name: SuitSupply-Miami Client's Email: dvanderlee @suitsupply.com Project Location: Miami Beach,FL Project Number: 140461.00 City, State: Miami Beach,FL Revised Project Number: 140461.03 Reason For Additional Services Design Review Board including revisions to the submission package as per Board comments,Emeral Coast Permitting expediting fees;Required Mailings;Miami Beach Registration fee;Miami Beach Application Fee;attendance and presentation at the design review board hearing. Estimate To Perform Task $9,500.00 *Reimbursable expenses are an extra to the above quoted number as per the base contract. Client's Approval Signature Date W:\!JASON'S GROUP\Suitsupply\140461 -Miami,FL\DocsWdditional Services'Additional Services Authorization .03 2/18/2015 9:57 AM 1 0 Mk .. EXPENSE REPORT EMPLOYEE NAME: Jason Weisman DATE OF TRIP FROM: 05.04.15 TO: 05.06.15 PURPOSE OF TRIP: Design Review Board Meeting PROJECT NAME: Suitsupply Miami PROJECT NUMBER: 140461.03 PROJECT LOCATION: Miami,FL CHARGE PROJECT: O YES ONO HOURS IN STATE: 19 TRAVEL SUNDAY MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY SATURDAY TOTALS DATE: 05.03.15 05.04.15 05.05.15 05.06.15 05.07.15 05.08.15 05.09.15_ AIR TRANSPORTATION 524.20 524.20_ CAR RENTAL 42.00 83.46 125.46 TAXI 35.00 48.00 83.00 CAR SERVICE - TRAIN HOTEL 438.35 438.35 MEALS: BREAKFAST 3.11 10.92 13.95 27.98\ ,, LUNCH 22.82 18.35 39.17 ''• DINNER 29.08 40.00 69.08 GRATUITIES 'PARKING - TOLLS - - MILEAGE 0.45 - - - FUEL - OTHER - OTHER Supplies 16.16 20.32 36.48 OTHER OTHER - - TOTALS 672.37 87.59 583.76 - 1,343.72 ENTERTAINMENT DATE PLACE PERSON(S)ENTERTAINED BUSINESS PURPOSE AMOUNT TOTAL _ COMPANY PAID CHARGES I SETTLEMENT DATE CREDITOR AMOUNT TRAVEL EXPENSES $ 1,343.72 04.23.15 VISA-6870 524.20 04.23.15 438.35 ENTERTAINMENT EXPENSES - TOTAL EXPENSES: $ 1,343.72 LESS: COMPANY PAID CHARGES (962.55) TOTAL 962.55 LESS: ADVANCE (Enter minus then amount) EMPLOYEE SIGNATURE DATE REIMBURSABLE TO EMPLOYEE $ 381.17 ---TC / SENIOR PROJECT MANAGER DATE ast Ni,'p5 VICE PRESIDENT ' DATE ,,* a ******************!M******iii ****************************************** **** ********,r. i --FOR ACCOUNTING USE ONLY-- MILEAGE RA CHART HOURS IN STATE CHART 5/,61! I I RECONCILIATION COMPLETE Accounting-Initials te Updated 5/9114 a5 -Ri ads q Tricarico Architecture and Design PC TRANSMITTAL 502 Valley Road Wayne,NJ 07470 T(973)692-0222 F(973)692-0223 www.tricarico.com Nicholas J.Tricarico,Architect Via: Federal Express Company: Office of the City Clerk Date: 01/05/16 Address: 1700 Convention Center Drive Project# 140461 Miami Beach, Florida 33139 Project: Suitsupply Miami Beach Location: 1000 17th Street, 3rd Floor Attn: Jason Salvatore Miami Beach, FL 33139 Phone: 305.673.7411 ❑Plans ❑ Working Drawings ❑ Revised Drawings ❑Specifications ❑ Final Drawings Q Documents ❑ Preliminary Dwgs. ❑ Shop Drawings ❑ Other Signed proposal&check QUANTITY DRAWING DRAWING DRAWING El DATE OF ISSUE DESCRIPTION NUMBER DATE • LATEST REVISION 1 Requested Documents 01/05/16 ❑As Requested ❑ For Coordination Purposes 0 Approved As Submitted ❑ For Your Use 0 For Your Information and/or Comments ❑Approved As Noted ❑ For Field Use ❑ For Approval and/or Correction ❑ Not Approved REMARKS: cc: BY: Marina Lokshina