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Edward Martos - The Floridian of Miami Beach Condominium Association, Inc. F .41-r-ct,ft ss,4- Hwb /�1 n S oc 0J< a-414-DA 1`d fC P MIAMIBEACH 7 .JU O i ,. I2- k7 City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL:33139-i- / I_, r 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. Martos Edward NAME OF LOBBYIST: (Last) (First) (M.I) 2525 Ponce de Leon Blvd. , Suite 700, Coral Gables, FL 33134 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)854-0800 (305)854-2323 emartos @wsh-1aw.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: . Please notify this office if your contact information changes address, phone, or e-mait address. I. LOBBYIST RETAINED BY: The Floridian of Miami Beach Condominium Association, Inc. NAME OF PRINCIPAL/CLIENT: 650 West Avenue Miami Beach FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)604-6038 (305)604-6085 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: Dana Martorella/President • IDENTIFY ALL PERSONS HOLDING DIRECTLY QR INDIRECTLY f 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Not-tor-profit corporation II.SPECIFIC LOBBY ISSUE: Proposed T ransitHub_ .--5490�Q�� A P Issue to be lobbied(Describe In detail): ul.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 Commission No Planning Department No Public Works Department No • 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 %(41, f • • IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $300.00 hourly B) PRINCIPAL'S DISCLOSURE(O LORB�YIST COMPENSATION): (REQUIRED). ?3 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 3:Jo: 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": XYes_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. x Yes 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 HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. („4,44A0ee 4444/LOY- Signet e of obbyisst 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 Be City Code and all reporting requirements. Signature of Lobbyist: //. ,`i� At j Signature of Principal/Client: /% j ,/_ VI. LOBBYIST IDENTIFI ATION: / PRINCIPAL IDENTIFICATION: Produced ID —Produced ID — '. MILENA VEIGA Form of Identification Form • I.:! `• Notary Public-State of Florida '��+•�r Commission i FF 918433 LPersonally known(Lobbyist) >C Personally known(P �, ,C }T Comm.f� My Expires Dec 12.2019 VII. SIGNATURE AND STAMP OF NOTARY: " Borldedthou�tNananaltbtxyAssa State of Florida,County of MiarrtRerA t. MARILYN SOMODEUILL4 State of Florida,County of Miami-Dade Swom to and subscri... .efogp :;,r ,- YCOMMISSION f FF912347 Sworn and subscribe before me Thi day o �e,�4_rXPIRES:September 13,2019 This 2 day of ,201Lv �� `�,, �o�`O Bonded Thru Budget Notary Serrkb Signature of P lic Notary–State of Florida Signature ,, is Notary–State of Florida Notarization of Lobbyist's signature Notarization of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLx Annual Registration fee: [ ]Yes[�No Amount Paid$ ' . a-JR# 07 tt 7 Date Paid 67/:x1/A' Lobbyist Registration Form received and verified by ,i,�„2rh F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.dac Revised 01/22/2014 F:\CLER1$ALL\aFORMS\LOBBYIST 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: Edward Martos 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. e 4/ja. r - - v/44 2 d/ Signature: Date: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc o 1 City of Miami Bea L i 1700 City Hall Beach N i Convention Center Dr. Miami Beach .y>� :5:73-7420. FL 33139 , N'4 0 --:7.'i e Pi come E W P.- ® 000182 0006 Adr 06 M /10/,OIG 12 46PM z " ® MCR409978 �� MCR OPEN f^ 2016 Item: MCR -f., va f� 1 L� 350.00 ,, o t • MCR OPEN �, r1 350.00 C. u CL 350.00 \8 _� c Subtotal Total C U w 350.00 lt �_ f- CHECK 350.00 UU .se v Q Check Number'200607 350.00 O. 'v v V Change due tu C 000 cD m O t' BIERMEy I'1EISS SLROfA HALF N tfAN COLE & U z o l tn c0- . , a L IIIIIIIIIIIIII0IIIi/ I/hl'hIfI/jII/IfIiII,ihII G `-' • VIII dQ 22 C Q 1 ➢NU 21.. LI A Cie•v.OmlM J.4Y T. �.� Ti '1 O ca • m rn c • . . ::, in -� �I V 4gic Thank you for your payment . • • 4 WEISS SEROTA HELFMAN COLE&BIERMAN,P.L. ^ OPERATING ACCOUNT Check Date: 05/24/2016 Check Number 20060607 7 900679 Clerk, City of Miami Beach Date INV# Client Matter 05/24/16 1983.001 Atty EXP Description GL Accl 1983 001 TR MISC Lobbyist for Edward Martos Amount 1135000 350.00 Bank Code: 111 Check Amount: $350 00