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Daniel Hanlon - Harris Corporation f ip ,2O(7 rob-- A • t Office of the City Clerk 1700 Convention Center Drive Miami Beach, FL 33139 305.673.7411 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 City Code Chapter 2, Article VII, Division 3, entitled "Lobbyists," for additional information. Instructions: Please complete all sections of this form and submit the completed form,with the applicable fee, to the Office of the City Clerk. If you need more space to complete an answer, use a separate sheet(s) of paper. If you have nothing to report in a particular section, you must write "none" or "n/a" in that section. Any change to any information originally filed, or any additional City Commissioner or personnel who are also sought to be lobbied shall require that the lobbyist file an amendment to the registration form. The lobbyist has a continuing duty to supply information and amend the forms filed throughout the period that the lobbying occurs. Separate registration forms shall be required for each principal represented on each specific issue. I. LOBBYIST INFORMATION: Hanlon Daniel NAME OF LOBBYIST (Last) (First) (Middle Name) Holland & Knight, LLP - 701 Brickell Avenue, Suite 3300 Miami Florida 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 789-7593 (305) 310-3888 daniel.hanlon@hklaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Harris Corporation NAME OF PRINCIPAL (Last) (First) (Middle Name) 221 Jefferson Ridge Parkway Lynchburg, Virginia 24501 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (434) 455-6600 PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS If the principal is a Corporation, Partnership or Trust, the following information MUST be provided pursuant to City Code Section 2-482(c): • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: William Brown - CEO • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: (See Attachment B) III. ISSUE TO BE LOBBIED: Describe with as much detail as is practical, including but not limited to a specific description where applicable of a pending request for proposal, invitation to bid, or public hearing number. RFP No. 2017-006-AK for Public Safety Radio Network l IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(a)(4), list the City Commissioner or City personnel sought to be lobbied,and whether the lobbyist has entered into any contractual relationship(paid or unpaid)with said City Commissioner or City personnel from 12 months preceding such commencement of service with the City to the present date, stating the general nature of the subject contractual relationship. Full Name of Individual and Contractual Relationship(If yes,explain) YES NO Title of Person to be Lobbied (See Attachment "A" Attached hereto. 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. List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an appearance of impropriety: IV it/ V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a contingency fee is prohibited pursuant to City Code Sec. 2-485.3): Billing at the rate of$390 per hour The following five(5)questions MUST be answered: 1) Pursuant to City Code Section 2-488, entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": _1(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 City Code Section 2-490, entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": _Yes Ao:• 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 City Code Section 2-482(h), any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481)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 city clerk as required by this section, but shall not be required to pay any registration fees. _Yes )4Vo: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement? 4) Pursuant to City Code Section 2-481, the term "lobbyist" specifically excludes the following persons: Expert witnesses who provide only scientific, technical or other specialized information or testimony in public meetings; any person who only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. Yes Akio: Are you providing only scientific, technical or other specialized information; appearing as a representative of a neighborhood association without special compensation or reimbursement or representing a not-for-profit based organization for the purpose of requesting a grant without special compensation or reimbursement? 5) Pursuant to City Code Section 2-482(a)(4), a lobbyist who has within the past election cycle provided campaign consulting services to an incumbent member of the City Commission shall disclose such particular service on his/her lobbyist registration form and shall orally disclose such particular service before lobbying the City Commission at a public meeting. _Yes_Q1o: Have you provided campaign consulting services to an incumbent member of the City Commission within the past election cycle?If yes,please list the incumbent member(s)of the City Commission: If yes,you must also orally disclose such particular service before lobbying the City Commission at a public meeting. • VI. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COM SATI DURING THE REPORTING PERIOD.1 Signature of Lobb ___.) Date ." /3//7 I do solemnly swear or affirm that all oke foregoing facts, statements, and disclosures in this form are true and correct, and that I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code -nd al •-portin• requirements. • Signature of Lobbyist: ` Date 4/R/ td _ -.-yr_. o 4 I / / / ^7 Signature of Principal: ter. ', ~� � ' ' � �i': �J2--, Date I ( 1� � 1 • . Jr► A fy foe v, . 4,i-t' ci Anse1 VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: • PRINCIPAL State of Florida State of \/ 1 ae ' i PC- County of: Miami-Dade Co J1 of: (--'7 tJ C 14 (-k ILLS- Sworn to(or affirmed appd subscribed before me Sworn to(or affirm rrJ d) and subscribed before e this P'e 1L day of 64.i , 20a, by this k'�lay of /\ ` , 201` [, by laniel Hanlon l41 u2 QS()t iievt(.I /1St( et.- Harm-S NAME OF LOBBYIST NAME OF PRINCIPALf _Produced ID _Produced ID •- , ! IDENTIFICATION FORM OF IDENTIFICATION 4 _ Per =,t4I 7 ow =' Personally Known ...,`.o/N. W Al&• ,,,, aAAA4,t4— -W, Cova.(-)' :AQ NOTARY 9� Sign. ure •' = -ry Publi Signature of Notary Public e Q ;' PUBLIC N REG.#7692327 ' r. n :MY COMMISSION 6 - VA Ilwt��.� �c�iyr .��,q i,J�� UYtI = O ••• a PIRES '2 Name of Notary, Typed, ' .4,..‘i taI INAISSIONIEE865190 ' ame of Notary, Typed, Printed or Stark*,\06/30/2020; cei »,,‘-;::-I.i7 EXPIRES:April 26,2011 1, �''.........• '��''�.• (NOTARY SEAL) ;8f ;��' . •nderrrlte= NOTARY SEAL) ••'••.,FALT i OF '',/01111111,,,,,,,, TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[10'1No Amount Paid 4./0 MCR# 4//,,s-/ if2- Date Paid LW/3`/) Lobbyist Registration Form received and verified by: ,ta. t�✓t F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revis 08-18-16 REG.doc Revised 08/18/2016 1 The term"lobbyist"specifically excludes the following persons: Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings; any person who only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance, whether direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov Office of the City Clerk Rafael E. Granado, City Clerk CityClerk@miamibeachfl.gov Tel: 305.673.741 1, Fax: 305.673.7254 NAME OF LOBBYIST: Daniel Hanlon 1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT Pursuant to City Code Section 2-485(d), the City Clerk shall notify any lobbyist (or principal) who fails to file timely a Lobbyist Fee Expenditure and Compensation Statement (Statement). In addition to any other penalties that may be imposed as provided in Section 2-485.1, a fine of $50.00 a day shall be assessed for Statements 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. I hereby acknowledge that on February 28 of each year, I shall submit to the City Clerk a signed Statement under oath listing all lobbyist expenditures, as well as compensation received, for the preceding calendar year with regard to the specific issue on which I have been engaged to lobby. 2) LOBBYIST WITHDRAWAL Once an issue I have registered to lobby has concluded or I am no longer lobbying on that issue, I shall immediately file a Notice of Withdrawal with the Office of the City Clerk. 3) ANNUAL LOBBYIST REGISTRATION FEE I understand annual registration of all lobbyists shall be required for each 12-month period commencing October 1 of each year, and the fee for such annual registration shall be $500.00 pur ant to Section 2-482 of the Miami Beach City Code. 3/23/1 7 Signatur of Lob yi t Date FiCLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 08-18-16 REG doc • ATTACHMENT A Full Name of Individual and Title Contractual YES NO of Person to be Lobbied Relationship (If yes, explain) Commissioner Micky Steinberg N/A X Commissioner Michael Grieco N/A X Commissioner Joy Malakoff N/A X Commissioner Kristen Rosen N/A X Gonzalez Commissioner Ricky Arriola N/A X Commissioner John Elizabeth N/A X Aleman City of Manager Jimmy L. Morales N/A X The City of Miami Beach N/A X Contracting Officer responsible for RFP No. 2017-006-AK Public Safety Radio Network Any City of Miami Beach staff N/A X member involved or directly responsible for RFP No. 2017-006- AK Public Safety Radio Network 477746/4A.1' w r )0 agreements require us to indemnify these directors and Stock Non-Employee Directors for officers with respect to their activities as a director,officer Non-Employee Directors or employee of Harris,or when serving at our request as a To further align the interests of our non-employee director,officer or in any other capacity for another directors and shareholders,our Board has adopted stock corporation,joint venture,trust or other enterprise,againstp judgments,fines, ownership guidelines for our non-employee directors.Our expenses(including attorneys'fees,judgm , penalties and amounts paid in settlement)actually and non-employee directors are expected to own,within five reasonably incurred by them in connection with any years after election or appointment to our Board,Harris feted action,suit or other stock or stock equivalent units having a minimum value of threatened,pending or comp $500,000.As of August 31,2016,all of our then-serving proceeding,whether civil,criminal,administrative or non-employee directors met the stock ownership guidelines investigative,to which they were,are or are threatened to or were on track to achieve such ownership within the be made,parties as a result of their service to us. applicable compliance timeframe. Under the indemnification agreements,each director Indemnification or officer will continue to be so indemnified with respect to his or her service to or for us,even after ceasing to occupy We have entered into indemnification agreements a position as an officer,director,employee or agent of with each of our directors and Board-elected officers, Harris. including the executive officers name ei54 54. e These 2016 Summary Compensation Table on pap OUR LARGEST SHAREHOLDERS SEC rules require disclosure regarding any persons known to us to be a beneficial owner of more than 5%of our coon stock.The following table sets forth the beneficial ownership of our common stock,as of September 2,2016,by each person who has reported to the SEC beneficial ownership of more than 5%of our common stock,based on the reports filed by these persons. Amount and Nature of percent of Class neficial Ownership --------- Name and Address of BenBe eficial Owner 13,061,8181t) Class lt) T.Rowe`Price Associates,Inc, 100 E.Pratt Street Baltimore,MD 21202 11,294,557121 9.07%(2) The Vanguard Group 100 Vanguard Boulevard Malvern,PA 193557 0%t31 Blackrock,Inc. 8,721,789(3) 55 East 52nd Street New York,NY 100555.73%141 Boston Partners 7,130,298141 One Beacon Street,30th Floor Boston,MA 02108 ---- (I201 a,oTcRontained we Peke Schedule Inc.had,witole voting SEC onnr over10,4,232,44216 o ) Beneficial and percentage ownership information is based on information contained in Schedule 13G filed with the June 2U 16 by T.Rowe shared Price Associates,o Inc.The schedulees,indicates s that,as of May 31, ositive power over 0 shares. share f voting ppercow ershi pin ormation ispower based one nform tions ontained nshared Am ndment No.4 to Schedule 13G filed with the SEC on (2) Feneficial and percentage6P 31,2015, 2745ry 11,a s, by The Vanguardoer over p12,000 shardule s,soletdispos dispositive powererover 11`,051,102 shares and shared dispositive e Vanguard Group power sole voting power 243,455r 227,452 shares,shared voting power shares. indicates that,as of December 31,2015,Blackrock,Inc.had sole voting power over 7,394,662 (3) Beneficial and percentage ownership informationisbased on information contained in Amendment No.7 to Schedule 130 filed with the SEC on January 6o byin Blackrock,Inc.Thschedule shares,shared rpower over 0 shares, is based on information contained an Schedule 1res and 3Gfi ledwith the SEC ove power overn February 12,2016 by Boston (4) Beneficialner . od percentageownership informationevg1 Partners.The schedule indicates that, over 17),130,298 sharesU and shared da positive power over Op shares. 6,221,901 shares,shared voting power over 21,161 shares,sole dispositive p I 28 Miscellaneous Cash Receipt CITY OF MIAMI BEACH No. 415182 = • ------.., ...•) r Cash InCredit Card [12.6heck# iaFr--R--'--!,-=' 3 0 cio i ,::- / $ '3 )• e)t-/ ' City of Miami Beach ,-;•-•‘ 3 20 ""t ' misceReceivedof-2o1f/Ct kl ,` eI /4 4id Pi 001241-AR-ndunAieriren %.nebtira/2n.t17,ili:A-197M.L..._ if/ A tie MCR OPEN(MC , .e. . 4315.0‘,66 # r 5-.). 4,c /zee 4..6„17 -af,‘ 4/4, . PayrneRiev-nount. .... Z-4. 415182 ',. (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director By _ --_,..„, 0-7-- 4-, s,„ .,„„.„,„" ..... _ c.-•• ,,....3,..., --,_ , Account Number: 0/1- 0,-'0-), - Li a '--) ie_ . 6/ ,..... Preparer: -4- -. ',-- A . ,... C- ' ' - , , Dept: (i i Y ( ir,c/C._ EXT: f ti 11 9 -4 C1) I El 1 : Q.. ,-- --, I CC CD 7:74,.. --,•-• f7.‘ -4,(7) en n N.) = rD ^ 4Q". 1./ 1 EP I ! 1 i •<..- ci: c7.-. --; c_o - c-6 • - -: L-__; ...._, ,...,, -----5 -6 ... 5:,, RI '-- = 171 •—t ......1 = ,-.... I i i ; 1 .---.=. a7-.• a: -.•.., `,"-" .__. = ^ I --.•=tr t— =--- __,. ,-.. r-i- ! --:-...----- - .-_-_-:. ....... --. m 1 -.„---, cx = '-' .._,. 7....--, _. rri Z _ , N..; -C CD . ta; .73 =.- §-, w m . . ___al c) LC) = n , ; -r-, ..1::. -r-, c--) "" --'• -0 , --- C....' NJ t- CC .. • CD = , 14:. t. LE' ' !1 ---------- , ,__ C:::i 7 a, —.._:.-_.—.. -- ii LC = ----., "1 Itfl E ' C-.) • • Ex., I ul ,....,- 1 c ' _ = ' e•L.--,- = = - ' C t.c City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeachfl.gov City Clerk's Office Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: Daniel Hanlon Business Name: Holland & Knight, LLP Address: 701 Brickell Avenue, Suite 3300 - Miami, Florida 33131 Office Telephone Number: (305) 789-7593 Cellular Telephone Number: (305) 310-3888 Email Address: daniel.hanlon@hklaw.com If more than one lobbyist, please list: 1) 2) 3) 4) 5) 6) 7) Submit this form to the Office of the City Clerk, along with a check for $500 for each lobbyist. Please make the check(s) payable to the City of Miami Beach. For City Clerk's Office Use Only MCR#: Lfi-C7 8- Amount paid: COO. O eJ Date paid: WI 3/) Processed by: 6 � �7,ti�,�. Date: / 3A F.\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx , Miscellaneous Cash Receipt t CITY OF MIAMI BEACH j No. 415181 !1 Cash I Credit Card ❑Check#'*30 at / ' ;rt /i? 20/2 r Miami Beach i Miscell.6.iVd&4tf*4 ci. A i�e e �7'> a .k`1 °a124_ en s t14t / R11 171 RP MCR OPEN MCR ' 1 Paymem9rnn,int- , cr(a kt'1 I./,,,--1. � s A 'A ) / 1(4•..--.- :, ¶ ''- "�;y:-) : 415181 I i 1 (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director '; By 1 Account Number.5/! 'u -.J.: 6 f‘-; LI '' :