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David R. Custin - SACYR Construction USA, LLC a l 071 4 t.■dtli- ita.; gei aktor...ar MIAMI [ ) EACH :ii_ City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 3313?9161-l~. o Pi`g • 0a LOBBYIST REGISTRATION FORM CITY I-L L ;., O G i L L- 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. Custin David R. NAME OF LOBBYIST: (Last) (First) (M.I) David R. Custin & Associates, Inc. 6401 SW 113 PL Miami FL 33173 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 607-8576 custindrAdavidreustin.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: SACYR Construction USA, LLC NAME OF PRINCIPAUCLIENT: 1701 Pennsylvania Avenue NW Suite 300 Washington DC 20006 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305 704-6426 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: Eduardo de Lara Garay on behalf of Sole Member/Partner • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:See Exhibit"A" II.SPECIFIC LOBBY ISSUE: CALL.MATTERS-RELATED-,TO_PRD20-16-074-K13(LigfifRail%Modern-Streetcar-Project) Issue to be lobbied(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 and Contractual Relationship(Explain) YES NO title of person to be lobbied / City Manager, Administration Staff& City Attorney °nC Mayor& Commissioners a-le As-j2 i 4 Li. L®ASk,t 16•11 Q" C�AtMw..i.:a.flAS .r sue+ �( Evaluation Committee Members fk°°a�1 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 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:\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) $5,000 per month B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED). $5,000 per month 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": X 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 X_No: 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. YesXNo: 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 • OMPENS• ION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT = - F . •-E IF T AV BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. • __4 A _ 4111.4 . Signature of Lobbyist I do solemnly swear that - •f the ire• -= fact re true --• • rect a • that I have read or am familiar with the provisions contained in Section 2-482 of the MI mi Beac) city C.•e jilt all r,'orb - eq ; ents. Signature of Lobbyist: ......fasi111111111 _ ANIL .x ,._,,,._a. e of Principal/Client: — i Z.vit4.:°'ac 's, LOBBYIST IDE IFICATION: ;,,,.1o�.,; (PRINCIPAL IDENTIFICATION:) t '%;e; • ?•-'• Produced ID ;��... 0;= l Produced ID 1 Q Z Form of Identification Form of Ideritificatiii u. e 4 ,c o d z S w is o c-, t c o �o . a 3 - r ' Personally known(Lobbyist) a. c '- Personally known(Principal)) s f �VU.CP ),SIGNATURE AND STAMP OF NOTARY: rn Z d v o vi , ve H m e ' � �. . m b io> %a T 3St�tQofi,londa,County of Miami-Dade , s N d State of_Florida,-Cou_nry ofMiami=Dade] z n w -' rRo i tl; and subscribe; before me ; d ■o a ■Swom and sutiscri6ed=before me tr,G;�'Fss,,,ii, day of A C_� ,201 - CT TI . ,This as:, -day of may 20112 1 r Si' ature of Public •tary-State of Florida ,,z_ "';_•natue oof Public Notary State f Floidar . Notarization of Lobbyist's signature !Notarization of'Priiicipal's;signatui] TO BE COMPLETED BY CITY CLERK'S ST FF ONLY Annual Registration fee: [ ]Yes\]No Amount Paid$' O. O MCR# 0/61 Date Paid ©5'oZt;-/fn Lobbyist Registration Form received and verified by: ,.J 69 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc . Revised 01/22/2014 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl_gov CITY CLERK Office Rafael E. Granath), City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.7411 , Fax: 305.673.7254 LOBBYIST NAME: David R. Custin 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, 2012, shall be automatically suspended from lobbying until all fines are paid, unless the fine has been ap z = • t• i- - • n Commission on Ethics and Public Trust. © �2 72-0 /� S Signa ure: Date: • F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc EXHIBIT "A" DISCLOSURE OF INTEREST SACYR CONSTRUCTION USA, LLC CITY OF MIAMI BEACH DEVELOPMENT REVIEW BOARD APPLICATION DISCLOSURE OF INTEREST SACYR S.A. a Spanish corporation Publicly traded on the Madrid Stock Exchange 100%owner SACYR CONSTRUCCION S.A. a Spanish corporation n 100%owner SACYR CONSTRUCTION USA,LLC a Delaware limited liability company Miscellaneous Cash Receipt CITY OF MIAMI BEACH 4 0 9 9 3 9 • ❑ Cash edit Card ❑Check# $ 350, L • , 05 - 6 20 1 City ofMian a edof ,sil, C ` s-nN MiscellaneouAdd 20 6 LI 0 I s "J t \3 i I ti%,-stit k (,- I. 3 731 -7) 000119-0061canel F j.05/ a26A6r0g:10PM MCR OPEN Payment Amount: 350.00 MCR409939 (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director By :{ Account Number: C7 I 1 0 U 00 .3 Grp `l Lit y- ^d c,-7 7>e„ S _ o n_ ---q...--, cr, i Preparers 1 5 5�'i "�VIM'?<' Dept: L 1 '�- C�... .'4.k EXT: � -I/ l :1 i 1 • o ° o °o o a C- 0 C L.r.I C O . p L `n - CT C," - C (U \ �'- J � � d E f0 C ^ c C O to 2 O M L a -1-,U t.0 U Q W O c. ili ,ail v U n 4-- CC ce i-, ."- . -- = a tal U� >-U )O a = = CZ - C') J - W a LO Z U O O U - I- C Q C 0_ Sn rC', J a) O C'-) co- ._. .. U v- U C t 0 ¢ C V CO -CI O G7 CU M N 7 Crl = t0:-! O _ ,O C = cia t- C-7 C_ •