Mark C. Alhadeff - Sacyr Construction USA, LLC • L \ - PIiMaw
2096 JUL 19 W: 10: 08
City of Miami Beach Office of the City Clerk CITY „i F !C
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,lresolution, 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.
Alhadeff Mark C.
NAME OF LOBBYIST: (Last) (First) (M.I)
The Alhadeff Law Group;P.L. 11900 Biscayne Boulevard,Suite 289,Miami,Florida 33181
BUSINESS NAME AND ADDRESS (Number and Street) .(City) (Slate) (Zip Code)
(786)618-9703 markjalhadefflaw.com
TELEPHONE NUMBER: FAX NUMBER EMAIL:
,....A7.-..;�JF_N_......., }- yar('1;. ov^-+_...,r••M1U.crn.�.—.n�'x„],,..��.rt rFl _ r I + �tr't-�Z,;�
rPlease,notify-thrs`officer rftyour,cotltacfinfocmatron changes xaddress,(phfoneoremarl,address;t.,.
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 Gary 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 attached Exhibit A
PR.1 2016-071 (I;igl fRai1/MOdem Streetcar'Project)and related matters
Issue to be bobbled
(Describe in detail):111. •
:
,eaIN5N •LS
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 ponoral 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
Mayor&City Commission,All Boards and Committees X
City Manager,City Attorney and all City Staff X
tl
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\SALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FIAT RATE OR OTHER}:
A) LOBBYIST DISCLOSURE:(Required)Fiat Fee b'1 5 000
8) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
Flat Fee r 00
(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":
XYes No: Are ou lobb -n• on a •resent o •endi • bid for •oods e•ui•mentor services or o - ,re-ent or •endin•.
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":
_YesXNo: Are you lobbying on a pending application fora Development Agreement with the City or application for
change of zoning map designation or change to the CitVs 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 ou e•resentin• a not- • -e rofit co •oration or enti without s•ecial corn•ensatio 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.
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 B,- ., Code and -II -pouf requirements.
Signature of Lobbyist: /i
Signature of Principal/Client:
-
c N co PRINCIPAL IDENTIFICATION: grAl
VI. LOBBYIST IDENTIFICATION: g zzE t8
•- N & O
Produced ID _Prod d ID
Form of Identification = o y Form of Identification „ ¢1'og
Personally known(Lobbyist) u Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY: c V9 cc 5 �: '
to of Florida,County of Miami-Dal .vf-,/,;
State of Florida,County of Miami-Dade 5 2>.6 g / worn d subscribed be ore Miami-Daj fir's°
Sworn to - d sday o b • •e ore me �r;;g.s,,. / ; - ""
This ( . day of J 201 _ �yj,- This 1 da /, \.
i.
Signature of Public Notary—State of Florida '''''" , s ••-S•gnature o .q•li-0 •tary— to a of I:.
Notarization of Lobbyist's signature otarization of Principal's signature
TO BE COMPLETED BY CI CLERK'S ST; F ONLY
Yes No..Amount,Paid 5'` .v 1NCR# Date Paid {5� f `"_ .` _
Annual Registratlonfee. (' (T :1 err. .
Lobbyist Registration Fo received and verified'hy .�:f+ ' • .i . aa.r. - • Revised 01/•23/2014
tF3\CLER\SALL\sFORMS.tLOBBYIST FORMS\Lobhyist,Annuai Registratian'form:rlac- _ -. • . - .
F:\CLERI$ALL\aFORMSILOBBYIST FORMS\Lobbyist Registration Fomi.doc
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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
A
100%owner
SACYR
CONSTRUCCION
S.A.
a Spanish corporation
A
100%owner
SACYR
CONSTRUCTION
USA,LLC
• a Delaware limited liability
company
l
. . . _ .
Miscellaneous Cash Receipt _
. , CITY OF MIAMI BEACH
4 1-0 75 Z
No.
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0 Cash i:ICredit Card ClCheak# $ 5 0 .,
20 1
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MiscellaneoAddras20j6/ I 1-1`-' 1,-2(5 c (. /3 I, ci $-4-c C1s ci ivi 1,,., , L., , ...,7 CI r
000320-0024 Jenel F..I07M016 10:08AM / 1
MCR OPENF°r itii.,""t il 4- / 15.cl.re
Payment Amount: 850.00
MC-R41 0752
(THIS INFORMATION MUST BE COMPLETED) Office of Finance Director
By
Account Number 0/f- &00 0 - -3 G cl 14 LI LI °C-) - 'S O 7- 3675 - o '
Preparer: --IKS.°11/4" -5,4-1-‘,717-(...512.e. Dept: C-C..... Err:-7 q / /
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