Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Victor Agnellini - Harris Corporation
I`pr? 02o11'1-ooh-A f vl I A 1 C F-1 Office of the City Clerk 1700 Convention Center Drive Miami Beach,FL 33139 305.673.7411 LOBBYIST REGISTRATION FORM Lobbyist means afi 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`Tone' Or ante 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: A&NEL L IIl1/ V/ TOIe NAME OF LOBBYIST (Last) (First) (Middle Name) ff41Yls 494042xT/O /000 SAct11,44f ecRPp 7r PXwy. SvA//2/1°C FL 3.3323 LOBBYIST BUSINESS NAME AM)ADDRESS- (Number and Street) (City) (State) (Zip Code) (3S-V)S72-16 92 (9fY,) /a—/O'62 VAb/ L/ £174412R/l,cOrL, LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II.PRINCIPAL INFORMATION: NAME OF PRiNCiPAL (Last) (First) (Middle Name) 2 2 1 J;c,FfieyZ.ro,u . ✓04 e -,PJ(t, y- L,YAle/Y r G VA 2 9,t 10 PRINCIPAL BUSINESS NAME ANI ADDRESS (Number and Street) (City) (State) (Zip Code) (4'3 ) 4,,i-r=. 161 PRINCIPAL BUSINESS TELEPHONE'1 CELLULAR TELEPHONE NUMBER EMAIL ADDRESS If fire principal is a Corporation.Partnership or Trust,the following information MMDI be provided pursuant to City Code Section 2482(c): • NAME OF CHIEF OFFICER,PARTNER.ORBENEFICIARY: , /j/../IA At $/ c)tAJ/1' C C U NAME OF ALL PERSONS ROLD1NG,DIRECTLY OR INDIRECTLY,A 6%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION.PARTNERSHIP OR TRUST" (Id`EE AT�Acffi rf ,B) III.ISSUE,TO BE LOBBIED_: Die with as much tri as is Prat:boat,including but not limited to a specific desciptionwhere appfipbte of a pending request for proposak ineitatien tetio.or public"#ming number, , 410jE a Scanned by CamScanner c7r,co6_,7 IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(aK4),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 E ATr4 MK.t)r ,4 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 flied. List any Business,Financial,Familial or Professional Relationship,or other relationship giving rise to an appearance of impropriety: 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): The following five(S)questions MUST be answered: 1) Pursuant to City Code Section 2-488,entitled`Prohibited Campaign Contributions By Lobbyists On Procurement issues": i/Yes_No: Are You tobbvina on a present or pending,bid for goods.eaulvmsnt or services,or on a present or pendint award for Goods.eouiement or service? 2} Pursuant to City Code Section 2480,entitled Prohibited Campaign Contributions By Lobbyists On Real Estate Development issues*: i„ Yes ifNo: Are You lobbvinti on a osthdina Poilcation for a Development Agreement with the City or application for chanes of amino map dssianation or change to the City's Future Land Use Map? 3) Pursuant to City Code Section 2-4824h), 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 shag not be required to pay any registration fees. Yest4lo: Are you rept a not-for-mvfit corporation or entity without special compensation or LIIMBSItiEtina 4) Pursuant to City Code Section 2-481,the term lobby'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 neightxxhood 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 VNo: Are you providing only scientific, technical or other specialized information: aopearina as a fepreeentatve of nridtbarhood association without spacial compensation or reimbursement or reortseriOna a not-forcroft bested organization for the purpose of reauestina a grant without special comuensation orxeimbursement? 5) Pursuant to City Code Section 2-482(8x4),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 hismher lobbyist registration form- „ILL!, .:,i•,r- ! • u.' +bj - .-MI : .. Yes✓No: Have you provided caenpaian consuttna services to an Incumbent member of the City Commission within the oast election cycle?lf°tres.Mamie tlMAILIl atanlrant' )ofotthe CltvComf on; If yes,you must also orally disclose such particular service before lobbying the City Commission at a public meeting. Scanned by CamScanner 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 COMPENSAT a DURING THE REPORTING PERIOD.1 Signature of Lobbyist , Date (ta I ill 7 I do solemnly swear or affirm that all of the 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 and all reporting requirements. i Signature of Lobbyist Illinti Date T'" /1/11 Signature of Principal:_ /I0 , �!" : e l` d R4 BEACH t t x City of Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33'39 www m ar,Eoo hR qov Office of the City Clerk Rafael E Granada,City Clerk CiyClerk4rniamlbead fi go, Tel 305.673.741 1,Fox.305 673 7254 NAME OF LOBBYIST: V/ 6,JEL 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 $501 i t pursuant to Section 2-482 of the Miami Beach City Code. _.; qz/ri Signa e.yfst Da fiGLEm$AU FORMst OeBY ST FORMSI.abbyk/ReosbaYan Farm Relined CO-18-16 REG doe Scanned by CamScanner i 1 ATTACHMENT'A Full Name of lndlvidual 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 I 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 Salty Radio Network Scanned by CamScanner • 4 /f to --7:17"" 13 Stock Ownership Guidelines for agreements require us to indemnify these directors and Non-Employee Directors officers with respect to their activities as a director,officer or employee of Harris,or when serving at our request as a To thither align the interests of our non-employee directors turd altureholders,our Board has adopted stock director,officer or in any other capacity for another corporation,joint venture,trust or other enterprise,against ownership guidelines for our non-employee directors.Our non-employee directors are expected to own,within five pens (including attorneys'fees,judgments,fines, years after election or Appointment to our Board,Harris penalties and amounts paid in settlement)actually and stock or stock equivalent units having a minimum value of reasonably incurred by them in connection with any 5500,000.As of August 31,2016,all of our then-serving threatened,pending or completed action,suit or other proceeding,whether civil,criminal,administrative or non-employee directors met the stock ownership guidelines or were on track to achieve such ownership within the investigative,to which they were,are or are threatened to applicable cotnpiiance timeframe. be made,parties as a result of their service to us. Under the indemnification agreements,each director indemnifieatkm or officer will continue to be so indemnified with respect to We have entered into indemnification agreements his or her service to or for us,even after ceasing to occupy with each of our directors and Board-elected officers, a position as an officer,director,employee or agent of including the executive officers named in the Fiscal 2016 Harris. Summary Compensation Table on page 54.These OUR LARGEST SHAREHOLDERS SEC rules require disclosure regarding any persons known to us to be a beneficial owner of more than 5%of our common 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 Nem and/addreasof Beneficial Owner Beneficial Ownership Percent of(•torr T CeA�; 13,061,8181'1 10.4%481 l The . _Bttlehilor043,21202... 11,294,557121 9.07%(2/100 V Boulevard Malvern,PA 19355 1/11e30412*. 8,721,789"" 7.0%"' b55 thee*55 Boston Padua 7,130,29/01 5.73.14' One Beacon Street,30th Floor Boston,MA 02108 (1) Beneficial sad percentage ownership information is based on information contained in Schedule 130 filed with the Sen.on lune 10.2016 by I Rowe Price Associates,Inc:The schedule indicates that,as of May 31,2016,T.Rowe Price Associates,Inc.had sole voting pourer over 4,232,142 shoes, shared voting power over 0 shams,sole diapositive power over 13,042,818 therms and shared dispcoituvc power over 0 shares- (2) Beneficial And percentage ownership information B based on i„ftxuaadon contained in Amendment No 4 to ScheeJuie 170 Mad with the SEC ors February 11,2016 by The Vanguard Croup.The schedule indicates dor,as of December 31.2}15,The Vanguard Croup had solo voting power o.`er 227.452 stares,shared voting power over 12,000 shares,sole dispositive power over 11.031,102 shams and shared dispositive power over 24:1,455 shares. (3) Beneficial and percentage ownership information is based on information contained in Amecndribmt No.7 to Schedule 13( tiled w.h the SIX on January 26.2016 by BIackRock,Inc.The schedule Indicates that,es of December 31,201S,BtaekRoa,Inc,had sots voting power over',i94,662 shares,shared voting power over 0 shots,sole disposidv'e power over 8,721,789 shares and shamed dispositive power over 0 shares- (4) Beneficial and percentage ownership information is based on mibetnatior contained in Schedule 13G filed with the SEC on February 12,2016 by Boston Partners.The schedule indicates that,as of December 31.2015,Boston Partners had sole voting power over 6,221,901 shores,shared voting power over 21.161 Blares.ante dispositive power over 7.1 30,298 shares and shared dispositive pastier over 0 stares 28 Scanned by CamScanner gr r'-',"1-,.:,:f7:;'::-'27-','1.51::;',At!ri.:7;-'.---:4--'-'' 'I'- _-=',.-._: F j; .1 n o -� fD C�_ © ) Z Z �' 5-'� L.,-...-,,,-;._ -k.,--,---_,.....,_....„ :_..„-..?,,,,.„-_,..:23 �, p __,,,,, ,,..- ,,,-. _,,,,,,..-,:-..:._--__,_,,-_-- . ..:,-,_L--- .'". --.: - m - y .X . .....1 Dr:-:::„ _,...-__-:- .,,„ _,. a ._,.. a--_ - - - .73 ' -_ --1a - -: "-- '- o 0;;._-.:-i''''''N - xj to ... . .. 0 - - , : -,1 [--- --"''''-' ' r ' Z -i Z, 0 o '1 j [ii,.- ' - - -0 a _ ,_ _ ,, .,i,--,- - - ----. -i:-.- :"'d" 4 1,- y t o may. • �