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Ruth Newell - Capital One Financial Corporationr / oAo /03) L ip.oi J Kok,. mi Ami B EAc H City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 2016 JAN N ` 9t 3: A LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage,defeats or i- 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. Newell Ruth NAME OF LOBBYIST: (Last) (First) (M.I) Capital One Financial Corporation, 15000 Capital One Drive, Richmond, VA 23238 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (661) 466-6910 (312)260-2728 ruth.newell(c�capitalone.corn TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone, or e-mail address. I. LOBBYIST RETAINED BY: Capital One Financial Corporation NAME OF PRINCIPAUCLIENT: Capital One Financial Corporation, 15000 Capital One Drive, Richmond, VA 23238 BUSINESS NAME ANU AUUKESS (Number and Street) (City) (State) (Lip Code) (661) 618-0706 (312) 601-1601 ruth.newell(c�capitalone.com 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 B NEFICIARY: Capital One Financial Corporation is publicly traded corporation on the New York Stock Exchange(NYSE). c;-ci CO, C+■rn\c • IDENTIFY ALL PERSONS HOLDI G,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Ab 1∎cA y II.SPECIFIC LOBBY ISSUE: Vevelopmerft App vor als and Permitting Issues, including, but not limited to the Historic Preservation Board, Design Review Board;Planning Boa d Board of Adjustment, Land Use Development Committee, City_Commission, and any City Workshops or Committees, if necessary, relatina to the pronertu located atGl_029-1031 Lincoln Road. Miami Beach?Florida:] Issue to be lobbied(Describe in detail): nl. 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 Staff for the Planning Department, Building Department, None. X Public Works and 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. C:\Users\clerhatlWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required)$ 5t. r oiV B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $ 5 `-}e,./ \n3o f (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.XNo: Are you lobbvina on a present or pendina bid for goods.eauioment or services.or on a present or pending award for aoods.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.XNo: Are you lobbvina on a pendina application for a Development Aareement with the City or application for chanae of zonina map designation or chanae 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. _Yes JC 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 COMPENSATION RECEIVED. IN THE CITY OF MIAMI BEACI-t EQ$ THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD, jk3c-- F-&QUPe.t-LJ 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 City Code and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: CA,`/'l- \PAU b✓'Q-QkJ VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: �� �������iiii I Produced ID CA- V L q �o 1_Produced ID D`- _o_,, 6 Form of Identification `_ '<_ ' Form of Identification Ls Personally known(Lobbyist) Personally known(Principal) Z � o VII. SIGNATURE AND STAMP OF NOTARY: o n ? ° •c ? 3 3 v ao State of Florida, County of Miami-Dade H Q m • State of Florida, County of Miami-Dade ) o x Sworn to And subscrib d before me �„ g ° � " Sworn and subscri•ed before me ii This '0 da •. J' ,..1.,2016 4 N m -� Thi _ day • .ice 016 T-22 o • 1 624.4.A..._z. ° f. /4,0 011111P • Signatu - of PutITINo ary—State of Florida 4 c N o ''I gnatur- of Publi f'• � —State of Florio a N co o. Notarization of Lobbyist's signature ^' ° o •tarization of - •i i• signature TO BE COMPLE`E.' B' C TY CLERK'S STAFF ONLY ff Annual Registration fee: [ Yes[ ]No Amount Paid$_ 6©d' MCR# L1 O '(-� 7 Date Paid 0 )° iLrr 1' Hb Lobbyist Registration Form received and verified by: fle501Q SMAIk-O C. r • MI AM1.BEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139, www.miamibeach8.gov CITY CLERK Office Rafael E.Granado, City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.7411 , Fax: 305.673.7254 LOBBYIST NAM E: Ruth Newell 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 appealed to the Miami-Dade County Commission on Ethics and Public Trust. ,)al/1 S'I 2-0 1(0 Signature: Date: C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc rr r THEiFACE`OF THIS DOCUMENT HAS ACOLORED BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT SECURITY SCREEN'ON BACK WITH PADLOCK SECURITY ICON. ' 2223 DYNAMICA ARCHITECTURE&INTERIOR DESIGN CORP. Bank of America 888 BISCAYNE BOULEVARD,SUITE 201 1 SE 3rd Ave MIAMI,FLORIDA 33132 Miami,FL 33131 63-27/631 12/1712015 950 PAY TO THE ORDER OF Ci ty of Miami Beach **2,400.00 Two Thousand Four Hundred and 001100************ ***************************************************************************"**"***************** DOLLARS ^ Security features Detals on back. 1700 Convention Center Drive Miami Beach,FL 33139 11 , VOID AFTER 60 DAYS 4,,N 15 ^�Z.. �Q6't'CAf OCIe^L.1 cic7 �C yE �F". fir MEMO Lobbyist Registrations and Annual Fee ��bY °a AUTHORIZED SIGNATURE 11100 2 2 2 311® 1:06 3 /00 2 7 71: 22905237398011■ THE FACE,OF THIS DOCUMENT`HAS A COLORED.BACKGROUND ON WHITE PAPER AND ORIGINAL DOCUMENT SECURITY SCREEN ON'BACK WITHPADLOCK SECURITY ICON. DYNAMICA ARCHITECTURE&INTERIOR DESIGN CORP. Bank ofAmerica 2226 888 BISCAYNE BOULEVARD,SUITE 201 1 SE 3rd Ave MIAMI,FLORIDA 33132 Miami,FL 33131 63-27/631 • 12/21/2015 950 ORDER E THE City of Miami Beach ORDER OF tY � $ **350.00 Three Hundred Fifty and 001100************************************************************************************************************************* DOLLARS Secunty features 1700 Convention Center Drive n=don bade. Miami Beach,FL 33139 VOID AFTER 60 DAYS 4401"N O pNp u MEMO 1508.02 Capital One-Lincoln Rd-Additional Lobbyist Registra'°W °s\ AUTHORIZED SIGNATURE 11'00222611' 1:06 3 /00 2 7 71: 22905237398011' ice' +. ;" i• - � , MIAMIBEACH 20I6 JAN t+ PM 3: 52 cITY ..,LL_i`li's �� OFFICE SCE= City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibeachfl.gov City Clerk' Office Tel: 305/673 — 7411 Fax: 305/673 - 7254 ANNUAL LOBBYIST REGISTRATION FORM Name: Ruth Newell Business Name: Capital One Financial Corporation Address: 15000 Capital One Drive, Richmond, VA 23238 Phone: (661) 618-0706 Email: ruth.newell(a�capitalone.com If more than one Lobbyist,please list: 1) 2) 3) 4) 5) MCR#: 1-10I b a-1 Amount paid: 6 OO°Cd Date paid: 01 Processed by: 3,6:5-0N SAtAimze Date: 01- I1 Send this form with a check for $500 payable to the City of Miami Beach for each lobbyist F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM.docx • • f ` - _.,K - a• � d @ �R j-. m o . _ n• :a.n [,'...._ _ - " .z r - - (11' C r- • --. 1 . , .L,) .0 Q, .., •. ____._ . ,_ , a r. ---- )`*-: 8 .•;:: ms-` [ - C , ..:._.: _ . ..., c--• -- — .c ' f n er. }, Q _ ? -1 ! . ~` =j ._Q • - 9--. 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