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Todd Tragash - Stephen Sawitz , to MIAMI BEACH , ,, .. City of Miami Beach Office of the City Clerk 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, 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 foreseeabiy 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"Lob yists"has specific exclusions. Please refer to Ordinance 2004-3435. A4/A--54 -7;111 NAME OF LOBBYIST: (Last) (First) (M.I) 57g eeif-cX,'%c,c., ( a i f ...3s.wc, ,v. r72,•em, ,4 ve , •-l..I,� FL- 3?f.1-7 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) ae)S —S7/ --/8// oS-s 7 /-/ga.1 ,dI• s74Arc4►T c,4.,z.4-Z ,2oUio. cor-' TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone,or e-mail address. I. LOBBYIST RETAINED BY: NAME OF PRINCIPAUCLIENT: _11 ei s Ues-4-n-o.,-Vs kip , 11 u)AsIN'tr,olr-VO N Pt0Q )41v►, c-ti,,FL ! (Number 3 313 BUSINESS NAME AND ADDRESS Number and Street 3 os--A7 3-o36S Street) (City) (State ttr (Zip Code) 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: epJ't& Sew if- • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY, 5%OR MORE OWN RSHJP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:''Qtd/p1! 54 w,'Z f «70 INDIRECTLY, Boss, St /law SAii,/L 7 '7,mil e a y II.SPECIFIC LOBBY ISSUE: / irc.ii 1. Issue to be lobbied(Describe in detail): III.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 • T ,i2 /fln4//1y b 7 l'vi/alit/ . }� eafic ide't/Cs A Add 10i4 4?,on,'984014, 130 /2 O x _/ / am02;-55/04, � 0,4)OP As /leo'$saty i/o A Z- Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,familial or professional relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner or city personnel who is sought to be lobbied as identified on the lobbyist registration form filed. ' Sec 2-482(g)Any Financial,Familial or Professional Relationship 4r10 A-4.-. I --• F:ICLERI$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc e. IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) V/75% o a pet. 11/01.i4 , B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): 5 (REQUIRED). Ac 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 XN.o: 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'': _YesXNo: 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? Y 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.01o: 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 S IT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES,AS WELL AS CO PE -ATION RECEIV, • THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHAL :E Fl D EVEN IF TH' - V BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. A&I _ Sign . ureof/foibyis ' Mr '' I do solemnly swear that all o foregoing facts - u and co ect and that I ha - --. or am familiar with the provisions contained in.Section 2=482 of.the Mi-••i B-:i_ ity,■••- a • . ,•�• , • equirements: - Aijrii Signature of Lobbyist: i Atil / Signature of Principal/C'-nt• ■ / �/ f ;m�o� r, VI. LOBBYIST IDENTIFICATION• ` PRINCI AL IDENTIFICATION: Produced ID Produced ID F--•4-5 32"9l 57-2-611/- Form of Identification Form of Identification /Personally known Lobb 's .• "" Personal) known Princi al ��O�e,1111'111///��i(Lobbyist( _' MAMA LAURA JAEN Personally ( P _∎0 ES F MCC -;0,�•Notary Public-State of Florida .• VII. SIGNATURE AND STAMP oit f l 4 �� Q�;. a' COmrltRIA L Fif e�A.93 ` ' O�M1!8:1°:y O� - My Comm.Expires Sep 18,201 r :a�'J�4: 46;-,'S);�A%;2 State of Florida,County of Miami-Dad ,z,„--1Q;,`t•�' Bonded through Nano tom to of Florida,County of Mian *ade' Q : . Z _Irn . Sworn to and subscribe before me torn and_subscr'•,ed before nit- a �� v7 , This 2�-( _day of: v ,20110 T is :47 day• 1T/ ti 4 7-0: #FF 042552 a/ I �._— i i 9��e fp��Bpnd@d thN �O e°Q� Sig re of P•blic N -State of Florida, Si• ur- of,-u•Iic Notary-State,.f•lorid:,co'•.'°vbic Unae . - Notarization of Lou• 's signature N• ization.of Principal's signature //�i�9��..'8TA e�\���\\ TO BE COMPLETE BY CITY CLERK'S STAFF ONLY ,/�ff/10111111N'��\ Annual Registration fee: [ ,]Yes[y]No Amount Paid . - ,00. _ SCR#• .6 - ( 7 -Date Paid 0?--e [C •Lobbyist Registraton Form.recely and verified-by:. c . wr 0:ca-E11,1$ALL\aF0RMSALOBBY1STFdeMS\Lobbyist;Annual,Regiitratton Form.doc Revised 01/22/2014 F:ICLERI$ALLIaFORMSILOBBYIST FORMS1Lobbyist Registration Form.doc • %. MIAMI BEACH City of Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl:gov CITY CLERK Office Rafael E. Granada,City Clerk CityClerk@miamibeachfl.gov Tel:305.673.741 1 ,Fax:30.5.673.7254 LOBBYIST NAME: icI'd6 (` 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 t.. Miami-Dade County Commission on Ethics and Public Trust. alb a1 ( Signatur . Up Date: F:ICLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc Salvatore, Jason From: Mirta Ruano <Mirta @staarchitecturalgroup.com> Sent: Tuesday, March 08, 2016 10:36 AM To: Salvatore,Jason Cc: Todd Tragash Subject: Lobbyist Registration Form -Todd Tragash Attachments: Addendum to Lobbyist Registration Form.docx Dear Jason: I have added the Principal's Disclosure of Lobbyist Compensation. See attached. If you need anything further, kindly advise. With best regards and thank you! Mirta Ruano Controller STA ARCHITECTURAL GROUP 3526 North Miami Avenue Miami, FL 3 3 1 2 7 p. 305.571.1811 x 228 El f. 305.571.1821 mirta @staarchitecturalgroup.com www.staarchitecturalgroup.com REDUCE YOUR FOOTPRINT.PRINT WISELY. 1 Date: March 8, 2016 ADDENDUM TO: Lobbyist Registration Form Project Address: 11 Washington Avenue, Miami Beach, FL 33139 Section IV. Disclosure of Terms and Amounts of Lobbyist Compensation (Disclosure Whether Flat Rate, Hourly or Other): B) Principal's Disclosure (Of Lobbyist Compensation) Required: $175.00 per Hour. Principal:Stephen Sawitz Lobbyist: Todd Tragash Jigs Investment LTD STA Architectural Group 11 Washington Avenue 3526 North Miami Avenue Miami Beach, FL Miami, FL 33127 (305) 673-0365 (305)571-1811 , .:)1 1,,( +_;i.i ,, :--, #:'0'+f` t. -ha a.. r'1, -.i.-4Zr (.,•,t I. Y+-'t.:.Y' Fj.r,,.s t,- r.A ti•? 1 r -h''' - .q r •:,1^ }, .;�,'t`. fir}°,'� ,� ,�:=rx:- _-d:sq=.,,r..�',,,- -�,. x,T 1.'Mrt'••;,[ 'L. t_ ��• r+1. '� - ' if,l•• tt,'a- S.w {'?L-. �+' o.r r .R. ,� ,I•_,Y'-rr, '� �&•ir�l-. :=.lr't•S i4'- _i�.,,t.;KF, ,.:1. °+ (r -,!.. - '.4•• 'F�- r a a it t(.. � ` ' ^i ,.}+`:r., rr. - ,r.4��: �>v:*trr t. '1•t ,�. ,a x, .r•h]5•�' at, 'Y } �'J„r, �.f 5 :�,' .o - ,� -^'A'..iw� .'a� _"e .rr i�:.. r•�. PH>. r (l7t ,�t..I,.,•... `f,:.� � �.. 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