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Victor Morales - Miguel A. Caruso Pts 1 ° 5 1013 .- 125° ,00gfriAtioi Dil tre MIAMI BEA 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 q madidcaIion of any ordinance, resolution, action or decision of any commissioner, any action, decision, recommendation of the City t; Aanager orany 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 aclivities.The term'Lobbyists'has specific exclusions.Please refer to City Code Chapter 2,Article VII, Division 3,entitled'Lobbyists,' for additional information. SeticikittlE Please complete all sections of this form and submit the completed form,with the applicable fee,to the Office of the City 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 laort, you crust write 'rune` or 'n!a' in that section. Any change to any information originally filed, or any additional City _.... umfsaioner or personnel who are also sought to be lobbied shall require that the lobbyist file an amendment to the registration form. J Tabliyist has a continuing duty to supply information and amend the forms filed throughout the period that the lobbying occurs. Vie:registration forms shall be required for each principal represented on each specific issue. i LO MIST INFORMATION: i&ro I. M OiA4.$ NAME OF LOBBYIST (Last) (First) (Middle Name) I fs PALM Pig-. UiV1rf2 M tis FI✓. 3y i/2-- LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) g''o` • el if-—L ' ' 305 30 3 4170 Vtalliio-- eirYscape5. arj LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER MAIL ADDRESS II. PRINCIPAL INFORMATION: ,,��nn GA re v3 a /�11 c og./ klv/ NAME OF PRINCIPAL (Last) (First) gikw (Middle Name) ifs y0 y-grop J✓7f 7 Co//%is A/e— r6• 33/fec� PRINCIPAL BUSI S NAME AND ADDRESS (Number and Street) (Ci(y) (State) (Zip Code) 4'5q (#317 til b2g0 705 este ?5'76 JAI carvio&Ihaelroopme6•ezol PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS `'*a principat is a Corporation, Partnership or Trust,the following information MUST be provided pursuant to City Code i Hi n 2-482(c): , ,, NAME OF CHEF OFFICER,PARTNER,OR BENEFICIARY: - I yve� � C/�-,./-f© -Nra baa • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST:S // ,( N1A /,q- Nr 4'7"7.,-2 ry/rd 10 iii(y el4 / C-vSa . y0 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 pros knit lkar to bid,or public hearing number. o, , -ioI✓Aw use— Aapp/id3-a#"ii. : pi3- /6—D06f / - 3 6 — /'2 S'o j(loa of A ►A '7' fir, r -�'c,Ne- 27 j� PI ' "- 9 1327_ . iV.CITY AGENCiESRNDIVIDUALS 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 Title of Person to be Lobbied Contractual Relationship(If yes,explain) YES NO i PLANMPI 7317 A izj:30 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: h f V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION— Be Specific. (Note that a contingency fee is prohibited C /pursuant to City Code Sec. 2-485.3): i The following five(5)questions MUST be answered: 1) Pursuant to City Code Section 2488,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues": _Yes 14o: Are you lobbvina on a present r 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 o: Are you iobbvinp on a pending anniication for a Development Agreement with the City or aeollgetion for change of zonina man designation or chance to the City's Future Land Use Man? 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 VNo: 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 iiio: Are you providing only scientific. technical or other specialized information: appearing as a representative of a neighborhood association without special compensation or reimbursginent or representing a not-for-profit based organization for the purpose of requesting a arant without special compensation or reimbursement? 5) Pursuant to City Code Section 2.482(ax4), 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 sh II orally disclose such particular service before lobbvina the City Commission at a public meeting. _Yes moo: 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 memberfs)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 COMPENSATION DURING THE REPORTING PERIOD.1 Signature of Lobbyist l / e/� Date G 'r L"( ' .io 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 etre Miami Beach City Code and all r- .•rting requirements. Signature of Lobbyis• Date 't• )-O /7 . `��111111/g11 .ature of Principal: Date ���� R�U1�� ��/� ��%%•••AR y'•,, 0 -mo ' �:_ VII. NOTARY SIGNATURE AND SEAL: ` IMV Comm r1 Februeri 702 • Qr LOBBYIST: PRINCIPAL S (p P \( •.• $ State of o✓�DA' ei 1, UBL.• 0Q`�� i+G✓ State of iei0gI 0FI`;``�� County of: County of: /1f1 Sworn to(or affirmed)anq subscribed before me Sworn to(or affirmed)and subscribed before me uric 1' day of t .2012,by this_day of .20_,, by V' 1-or YJ'1 -4Q5 A E OF LOBBYIST NAME OF PRINCIPAL Produced ID Pk—H Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION P� IIy Kno Personally Known / ignaiure of Notary Public Signature of Notary Public r ewl Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped (NOTARY SEAL) (NOTARY SEAL) TO SE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [sip)Yes[ I No Amount Paid$ SOC.w° 4m# 1&O & Date Paid OL 2S t"1 Lobbyist Registration Font received and verified by: S/rty v .g-r,�WiZ(&- F:ICLERI$ALLWORMSWOBByIST FORMS1Lobbyfst Registrabon Form Revised 08.18-16 REG.dor Revised 08/18/2016 I The term"lobbyist"specifically excludes the following persons: _..vcrc witnesses who provide only scientific,technical or other specialized information or testimony in public meetings;any person who umy appears as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether indirect or contingent,to express support of or opposition to any item;and any person who only appears as a representative of l-pr-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for tirappearance. 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 COMPENSATION DURING THE REPORTING PERIOD.' Signature of Lobbyist: Date 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 ire ents. Signature of Lobbyist: Agidi Date r. Signature of Principal: .01%%1A Date junio 12 de 2017.— VII. NOTARY SIGNAT,J-E ANDS L: • LOBBYIST: PRINCIPAL State of State of Cordoba _ Argentina County of: County of: Cordoba Sworn to(or affirmed)and subscribed before me Sworn to(or affirmed)and subscribed before me this day of ,20_, by this day of jun i° 12 2017 by Migue l Angel CARUSO.— NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID Produced ID DNI 11.973.340 FORM OF IDENTIFICATION FORM 0 IDENTIFICATION _Personally Known __Personally Known Signature of Notary Public Signature of Notar -.. c Name of Notary,Typed, Printed or Stamped Name of ► ry, Typed, Printed or tamped (NOTARY SEAL) (N OTARY SEAL) E'•' DANE E.AHUMADA kit ' 'ARID �;�t, h01 REGISTRO 2 9 0 CORDOS TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Date Paid Lobbyist Registration Form received and verified by: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 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: 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 $500.00 pursuant to Section 2-482 of the Miami Beach City Code. 19$ ' / -Signature of- obbyist Date F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 08-18-16 REG.doc �,� - a.- - )he 7 -4- f sc -= ate.t" :15.-41 •s rn ? - ��_.„ „_ - iD - -:% pr. o— >O7 03t as�' a Cl,-v2� Q -” =- -CD'c -Cl, --i .,AD te r - :1, . „., -:I :._____,;:, . _-_,__. ,_„=,,...„.„:„.:,....:,::::,_:„.„.„:„:„..z_::ii, _ L. ..._....,,.: ,, ,.:...,..,.„.._....._. ,.. .,,:,. ,,..., ,.,.. , .774Abd1; _. , _ _:„_,..„,::..ii,..:,„.i.. .::,..„.:..,..., „,,,i,,,,,,,,, __ _ - ., _______ , :_ .......„..:„.„,„,: „.. . ._,.,..:.,...:.„.....,..,, j2 o�m =m O_ Lm N 'a Tc.......'.-,-,...i:::,,,,,,,,,,, �.�n- w;v.��... .�sbts� v.-,4'--;�. . uvT TM�...tu �-ice ...�..h.....