Kent Harrison Robbins - Lincoln Bay Neighbors Assn. HO/ L i m Cot_J9
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Office of the City Clerk
1700 Convention Center Drive
Miami Beach, FL 33139 � $ —5 QK 12 Si
305.673.7411
LOBBYIST REGISTRATION FORM ( )� (`� )Ei:AC4�
�;-,-i4IW't� TSE t,lTY CLERn
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:
ROBBINS KENT HARRISON
NAME OF LOBBYIST (Last) (First) (Middle Name)
LAW OFFICES OF KENT HARRISON ROBBINS, P.A., 242 NE 27TH STREET, MIAMI, FL 33137
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 532-0500 (305) 632-1770 KHR@KHRLAWOFFICES.COM
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
LINCOLN BAY NEIGHBORS ASSOCIATION,AN UNINCORPORATED POLITICAL ASSOCIATION,AND ITS INDIVIDUAL MEMBERS
NAME OF PRINCIPAL (Last) (First) (Middle Name)
SEE LIST OF MEMBERS WITH ADDRESS AND CONTACT INFO ATTACHED HERETO
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
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:
RICHARD CONTE, INDIVIDUAL MEMBER AND LEGAL LIAISON
• NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
SEE LIST OF MEMBERS WITH ADDRESS AND CONTACT INFO ATTACHED HERETO
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.
LEGAL REPRESENTATION OF LINCOLN BAY NEIGHBORS ASSOCIATION,AN UNINCORPORATED
POLITICAL ASSOCIATION, AND ITS INDIVIDUAL MEMBERS, CONCERNING DESIGN REVIEW BOARD
FILE NO. 17-170, 1409 LINCOLN RD, MIAMI BEACH, FLORIDA.
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(It yes,explain) YES NO
Design Review Boar(Thle of Person to be Lobbied NONE X
Historic Preservation Board NONE X
Planning Board ,NONF X
Zoning Board of Adjustment NONE X
r•.ity Aitnrney's OffIre. C)NF X
Planning Staff NONE X
AAaynr'a QM." ICAIF X
City Manager's Office 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.
List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an appearance of
impropriety:
None
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):
$595/hr- Flat Fee for one hearing: $6,000.00
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":
—Yes XNo: 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 XNo: 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 i Code Section 2-482(h), an yyy person (except those exempt from the definition of "lobbyist" as set forth in
Section 2-4811t Who onapears as presentative of a not-for-profitoco oration or entitwithout special corn ertsation, r
teimlurse en or the appearance,whether direct or indirect to express suppo 0 or opposition o any item,shall register with
he city clerkas requiredbythis section, but s all not be require to pay any registration ees.
Yes ( No: 're ou re•resentln!, a not-for-•rofit cor•oration or entit without s•ecial corn•-nsation
or-reimbursement
4) Pursuuant to CI Code Seection 2-48b, the ter tobbp ist" specifically excludes the,followin ersons: Exert witnesses who
provide only scientiic technical or other specialized.intormatiion or tesstimonyr p public meet •any ersoti who only appears
as a representta CI
ofnee bo oo asociation withoutcom ensation or reimbursement o� fie appearance whethero direct,
induct or po ng to express support, or opposition to an i item,an anyperson w o on y appears as a representative o
net- r-profit o uni base organization r the purpose of requesting a grant withoutspecial co pensa ion or
reim u semen or the appearance.ty
Yes XNo: 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 LNo: 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.
The following six(6)questions MUST be answered:
1) Pursuant to City Code Section 2-488,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues":
_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 2No: 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 2No: 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./No: 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 2-491(1), no campaign consultant shall lobby the City Commission for a period of 12 months
following the swearing in of any elected official(s) for whom the campaign consultant provided campaign consulting services
within the past election cycle.See Section 2-491 for more information.
—Yes j(No: 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:
—Yes_No: If yes, has it been less than 12 months since the elected official(s) whom you provided campaign
consulting services was sworn in?
6) Pursuant to City Code Section 2-482(a)(4)a., a lobbyist who has within the past election cycle provided campaign consulting
services to an incumbent member of the City Commission (which lobbying activity is not otherwise prohibited by Code section
2-491) 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 No: 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:
—Yes_No: If yes, were you promised or did you receive economic consideration in exchange for campaign
consulting services?
TO BE COMPLETED BY CITY CLERK'S STAFFONLY
`�
Annual Registration fee: [ ]Yes[ ]]No Amount Paid$ J�D MCR# "1 1 I Date Paid C�f�r/�
Lobbyist Registration Form receivAd and verified by: �, . A6 w`� / /
F:\CUR\$ALL\aFOR.MS\LOBBYIST FORMS\Lobbyist Regis/a Itrir s It*;rsed 01-01-18 RFG.doc: Revised 01/01/2018
Page 3 of 5
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 COMPE ATION RING REPORTING PERIOD.1
6-
il 4-s//T
Signature of Lobbyist: Date
I do solemnly swear or affirm tha all of the foregoing facts, statements, and disclosures in this form are true and correct,
and that I have read or am famil r with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Codp a d II report g equir.
(1 7 GliC h
Signature of Lobbyist: / Date
Signature of Principal: sem- L _ Date
//--C77-47?
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL ,_/
State of 44.4 State of -!/��I:-1.i 4--)
County of: 9060ottt.-Dft County of: 0ji(! bal.C.
SwornjtQ4r affirmed nd subscribed before mei. Sw (or affirms%.)and subs bed before
this V day of 20a, by thi day of cJ1R11VUC./l . 200 by
iclAf Louis Som o
NAME OF LOBBYIST NAM OF PRINCIPAL
_Produced ID Produced ID DO -t2OS?jj-9) 2$ -O
F•RM OF IDENTIFICATION FORM OF IDENTIFICATION
V Pe • ? _Personal)
Signat - of No7''� blic Signature o ot- 'Tab,.
51,, -s70 - tJpve jv �►�'`f 1
Name of Notary,Typed, P` ted or Stamped Na a of Notary,TypPct, printed or Stamped
-�^ - ERNESTO REYES
(NOTARY SEAL wYt0ERNESTO REYES AY Pe
(NOTARY SEAL) :°'` r�o MY COMMISSION#66085389
''-�-a, My COMMISSION#66085389 EXPIRES:MAR 21,2021
?;f MES:MAR 21,2021 op1 Bonded through 1st State Insurance
atid'. Bo ^:etl lhrougit�tite TED BY CITY CLERK'S ST F O 4C
Annual Registration fee. es o Amount Paid$ aD MCR# Il t7 CS Date Paid cr "1 ' ri.
Lobbyist Registration Form receive and verified by: ..,\PSOIJ /,
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.
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 COMP N ATION DURING THE REPORTING PERIOD.1
G
,/sh vSignature of Lobbyist:
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 famili•r with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Coda d :II reportin uire e s.
OYCP�
Signature of Lobbyist: Date
L
Signature of Principal: dilliiir
.�/ �7, Date 7' 5 0-0
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST:// PRINCIPAL ,/
State of �"(c1va4-� State of fi n co�ry
County of: €(OGV-0t Dpi( County of: 114,/Q4ft4,—DG•(Ci
Sworn,12,(pr affirmed d ubscribed before me Swor II
(or affirm d)and subscribed before -
this 5-1-1.'"`day of 20L,, by this742E day of , 20 o.by
Ciu r t--so iN ' Rani S I45A11 J tiPiv
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID -4roduced ID LI
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
11
=Pers.- . I;1Kn. n _Per owr
le 7
MP
Signa Ore •f ota -ublic Signa e of to - "ublic
fiawt10 t'Cs
KTU
Name of Notary,Typed, Printed or Stam ed Name of Notary,Ty' -, " •-
MY-
-ai .:G085389
(NOTARY ERNESTO REYESo<'"Y"°q� ERNESTO ES
=o. ��� p�Y COMMISSION#GG085389 (NOTARY SEAL) ?f ° COMMISSION
p(pIRES:MAR 21,2021 of EXPIRES:MAR 21,2021
=* Bonded through 1st gl to Insurance Bonded through 1st State Insurance
T PLETED BY CITY CLERK'S STAFF ONLY
Annual Registrati . es ]No Amount Paid$ MCR 8 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.
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 COMPENS TION DURING THE REPORTING PERIOD.1
Signature of Lobbyist: Wa---. Date ;I /c h /
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 fami ar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Cod n all reporti equire s.
t,
Signature of Lobbyist: Date at's- /'
Signature of Principal: £ ii2 Date -JAM • .5 2-D `S
i
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL Qii-
State of ( /A•tett•-• State of 4101111101011glittli
County of: 214,011.4.! 'IZ DtX.R County of: ''44,ti _A
Sworn 1. pr affirms a pd subscribed before m Swor (or affirm )and subscribed before ..
this -VI' day of 2V, by this ay of , 20 16 by
Ow itlittgisw anti, Ocif- T CQNTE
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID `,Produced ID ��v1 -u�v��seG t- 74111S51a(V0
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
VPerso _Personal: ^n
Signatur Not ublicSignature Nota . c
tl
d 71FtS7, /'
Name of Notary,Typed, Printed or Stamped Name of Nota
Y,� ERNESTO REYES otay PCP.. ERNESTO REYES
(NOTARY SEAL) o. (NOTARY SE MY COMMISSION#GG085389
:j �n MY COMMISSION#99085389
EXPIRES:MAR 21,2021 SIRES:MAR 21,2021
°"" Bonded through 1 tote sppurance °1 Bonded through 1st State Insurance
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: ( ]Yes[ ]No Amount Paid$ MCR ft 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.
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 COMPEN ATION DURING THE R ORTING PERIOD.1
Signature of Lobbyist: 9
Date Ic ,11/ U
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 ith the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists"of
the Miami Beach City Code a.• :II eportin requirem s.
4g7/1
Signature of Lobbyist: Date
.i `/t `LAO/�sii......` / / /g
Signature of Principal: � A Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: / PRINCIPAL
State of State of ( / '4-/
County of: it 1% —7)045,/ County of: 341001—/ — DA'6 C_
Sworn t r affirm subscribed before me Swo (or affirme ,and sub,,sccr'bgd before me
this day of ,20Jby this day of I f fLni Xif ,2O/by
,g-Air- ~soh rogeims o,gt+ -r PGOEI-I4)
NAME OF LOBBYIST NAME OF PRINCIPAL Lie
___Produced ID Produced ID �� te4�-�
FORM . i NTI FICATION FORM OF IDENTIFICATION
ersonally no A0111° _Pers•-- „"
Signature o 'ota 'ublic Signature • N•to A "�:n'..'
t 6 ' '5 OLiveSTo -e3
Name of Notary,Typed,Printed or Stamped Name of Notary,Typed, Printed or Stamped
YES
(NOTARY S ERNESTO REVES (NOTARY SEP !Y"'*c COMMISSION
ERNESTO #GG
4"."',r, MY COMMISSION#GG085389 r - MY COMMISSION 21,202389
," EXPIRES:MAR 21,2021 ► EXPIRES:MAR 21,2021
-cf++r Rnnded through 1st SM fare*4PLETED BY CITY CLERK'S STAFF OtILY Bonded through 1st State Insurance
Annual Registration to [ 1 Y"s[ J No Amount raid$ MCR# Date Paid
Lobbyist Registration Form received and verified by:
F:ACLER\SIAL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised. O3-1S-15 REG.cloc 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.
t ' t`k :Iv', iit
B E AC H
e i
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granada,City Clerk CityClerk@miamibeachfl.gov
Tel: 305.673.741 1, Fax: 305.673.7254
NAME OF LOBBYIST: KENT HARRISON ROBBINS
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
co► mencing October 1 of each year, and the fee for such annual registration shall be
$-10.00 • r ant to S- io ,82 of the Miami Beach City ode.
/ '
5 /6
Si nature of Lobbyist D to
F1CLERI$ALLIaFORMSILOBBYIST FORMSILobbyfst Registration Form Revised 08.19-18 REG.doc
LINCOLN BAY NEIGHBORS ASSOCIATION
An unincorporated political association
MEMBERS
by Richard Conte,
Individual Member and Legal Liaison for Lincoln Bay Neighbors Association
Richard Conte
1450 Lincoln Rd, Apt. 904
Miami Beach, Florida 33139
Email: richardcontebellsouth.net
Robert H. Ploehn
1450 Lincoln Rd, Apt. 805
Miami Beach, Florida 33139
Email: rploehn(�usa.net
Susan Lipman
1450 Lincoln Rd, Apt. 705
Miami Beach, Florida 33139
Email: susan@susanlipman.com
Louis Solish
1450 Lincoln Rd, Apt. 705
Miami Beach, Florida 33139
Email: louissolish(a�gmail.com
MBF I
1O)cl 0
City Hall 0
1700 Convention Center Dr. -..-
co
Miami Beach , FL 33139
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305-673-1420 CY) , 0°
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