Corey Seltenright - ICON Condominium Association, Inc. � e
e Lis° Al4" ociLA
MIAMIBEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139 7016 JAN -8 Pil 48
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.
Seltenriaht Coreu
NAME OF LOBBYIST: (Last) (First) (M.I)
Enea Garden Design 7580 NE 4th Court, Studio 105 Miami, Florida 33138
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
13051576-6702 x 7205 1305)576-6703 c.seltenriahtaenea.ch
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes:address,phone, or e-mail address.
I. LOBBYIST RETAINED BY:
ICON Condominium Association, Inc.
NAME OF PRINCIPAUCLIENT:
ICON Condominium Association, Inc.; 450 Alton Road, Miami Beach, FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 695-6910
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:John Stimmel,President
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:N/A-Non-profit corporation
II.SPECIFIC LOBBY ISSUE:
Development approvals and permitting issues for arovertu located at 450 Alton Roa
'Issue to belobbied-(Describe-in-detail): ---- _._
Ill. 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 Contractual Relationship(Explain) YES NO
and
Staff for the Planning Department, Building Department, None X
Public Works, City administration, PB, HPB, BOA None X
DRB, City Commission and Mayor, as necessary 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
None
None
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCL SE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)$ `��•00 AftirAty
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): L - /YO.00 06-01/-
/
/
(REQUIRED). - 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 X No: Are you lobbying on a present or pending bid for aoods.equipment or services.or on a present or pending,
award for goods.eauipment or service?
2) Pursuant to Miami Beach City Code Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
_Yes X No: Are you lobbvina on a oendina application for a Development Agreement with the City or application
• 1 1!- • •1:1! 1 1:! !. _•!1 •. '.1 • 1 . 1 •: .• 1,; ..._ - - 1 .. - 1/
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 X No: Are you representina 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 COMPENSATI• CEIVED. IN THE CITY OF MIAMI BEACH
EQE THE PRECEDING CALENDAR YEAR. A STATEMENT SHAL l+ \, D EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR • i - • L . : L : - • : L - •1 i j.: �i
44,
Signature of Lobbyist , +'\
I do solemnly swear that all oft.- f� - 4:cts are true and correct and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami B:,,.-cad,-�;)' • and all reporting requirements.
�,
Signature of Lobbyist: ‘ _,i;
Signature of Principal/Client:
\ 1 G ' raie J
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
/ D Produced ID Produced ID
Form of Identification Form of Identification
Personally known(Lobbyist) _„N„ Personally known(Principal)
1� �V18 Solon
VII. SIGNATURE AND STAMP OF A;_..: Commission # FF934265
14c-dr, ' Expires'November 05,2019
State of Florida, County of Miami-Dade '� '''.� State of Florida, County of Miami-Dade
Sworn • ► subscrib-• be ore me
4,i �+ `�� Bonded 1N Aaron N Sworn and subscribed before me
This ¶d day o ” l• ' ,2016_ This day of ,2016_
4'A A 1.
•natu o17rublic Notary State of Florida Signature of Public Notary—State of Florida
No -ization of •• • I '. signature Notarization of Principal's,signature
TO BE COMPLEIE,• BY CITY-CLERK'S STAFJQ NLY .
Annual Registration fee: [ es[' ]No Amount Paid$ 5� MCR# �.0 D�C� Date Paid
I /4
yist Registration Fo celved and verified by. Revised 01/22/2014
F:\CLER\$ALL\aFORMS\ OBBYISTFORMS\LobbyistRegistrationF.,l&13.
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBY! T COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
(,
A) LOBBYIST DISCLOSURE:(Required) ` AQtr
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $ / /'I.GQ
(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 X No: Are you lobbying on a present or pending bid for goods.eauioment or services.or on a present or pending
award for goods.eauioment or service?
2) Pursuant to Miami Beach City Code Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
_Yes X No: Are you lobbvina on a pending application for a Development Agreement with the City or application
• 1 • 1 .- • •1 1• 11..• ' •1•. ••1 • 1• 1t- • 1' • 1 ! II- .7
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 X No: Are you reoresentina 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,
Mg THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD,
(gee (24-&- r 41e_Asr— CGUrArt:3141
Signature of Lobbyist
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Beach ity Code and all reporting requirements.
Signature of Lobbyist:
9 'r.
Signature of Principal/Client: 12/
VI. LOBBYIST IDENTIFIC ION: PRINCIPAL IDENTIFICATION: ed
a E
CC O N O
1
Produced ID Produced ID / w
Form of Identification Form of Identification ..
O
0 0 2„ (2..
Personally known(Lobbyist) Personally known(Principal) 0
VII. SIGNATURE AND STAMP OF NOTARY: wow
State of Florida, County of Miami-Dade .tat” • Florida,County of Miami-Dade
Sworn to and subscribed before me .w• :nd subscribed before me ;G.,' ...>o;'.,;
This day of ,2016_ Thi. A. ilday of Jan ,2016_ =n:'
Signature of Public Notary-State of Florida Sign.; re o Publ'A4 .tary-State of Florida
Notarization of Lobbyist's signature Not-r-ati•n of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Date Paid
Lobbyist Registration Form received and verified by Revised 01122/2014
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•
m I Am, B EAc H
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: Corey Seltenright
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, 2014, shall be
automatically pended from lobbying until all fines are paid, unless the fine has been
appealed t• t ,: y .:mi-Dade County Commission on Ethics and Public Trust.
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Signature*rr: v D e:
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