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MIAMI BEACHRECE'VEr
Offce of the City Clerk
1700 Convention Center Drive 2018 MAR 26 PM 2: 32
Miami Beach, FL 33139
305.673.7411 _CII ` G -:".A ,1! BRACH
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 pnnopal represented on each specific issue.
I. LOBBYIST INFORMATION:
PITTMAN SEAN
NAME OF LOBBYIST (Last) (First) (Middle Name)
PITTMAN LAW GROUP, P.L., WILHELMINA SQUARE, 1028 EAST PARK AVE,TALLAHASSEE, FL 32301
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (Slate) (Zip Code)
850-216-1002 772-215-1500 SEAN@PITTMAN-LAW.COM
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
POMS ERIC
NAME OF PRINCIPAL (Last) (First) (Middle Name)
SOUTH FLORIDA CFPNCG HOST COMMITTEE, INC., 14360 NW 77 COURT, MIAMI LAKES FL 33016
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (CiN) (State) (Zip Code)
305-341-4700 305-773-4288 ERICPOMS@ORANGEBOWL.ORG
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(if none,write N/A): a See-
-1(
• NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): N/A-A NON PROFIT
Page 1 of 5
a
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.
COLLEGE FOOTBALL PLAYOFF NATIONAL CHAMPIONSHIP GAME
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
CITY OF MIAMI BEACH 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(if none,write N/A):
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):
NONE -$0.00
Page 2 of 5
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 XNo: Are you lobbying on a present or pending bid for goods.equipment or services, or on a present or
pending award for goods.eauipment 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 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.
XYes_No: 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.
X 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 XNo: 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 members)of the City Commission:
_Yes_No: If yes- has it been less than 12 months since the elected official(sl whom you provided campaign
consultina 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.
_YesXNo: Have you provided campaign consulting services to an incumbent member of the City Commission
within the oast 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 CLERICS STAFF ONLY�
Annual Registration fee: [ ]Yes t')4No Amount Paid i\-_ e.MCRY* ill Date Paid
Lobbyist Registration Form received and verified by: `-h/45En4 ar=-1 1"T0
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 01-01-18 REG.doc Revised 01/01/2018
Page 3 of 5
VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR. EACH LOBBYIST SHALL SUBMIT TQ THE OFFICE OF THE CITY CLERK A
SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
j%ECEWED.FOR THE PRECEDINGy�C R YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBEXENDITUT RE OR COMBEEN PE♦J.11[• •DURI THE REPORTNGPERIOD.'A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
Signature of Lobbyist: a G -e-e------
7
�-- Date 03 43-)o fib"
I do solemnly swear or affirm that . • the foregoing tans.statements,and disclosures in the form are true and correct
and that I have read or am faml ar wi Sia pro ' ions contained in Chapter 2,Art. VII, Division 3, entitled'Lobbyists'of
the Miami Beach City Code and i I repopdrpg 'cements. O
Signature of Lobbyist. ��C��. - . _ Date 0 3- a3-aol%
Signature of Principal; i Date 3117 ken
•VII. NOTARY SIGNATURE ANO SEAL:
LOBBYIST: ^ PRINCIPAL
State of }�'CY(d,Q- Stale of -FIOCA DP
County al: LCon County of. tM I AV(I -DAtyL
Sworn (pr tamed)and subscribed before me Swom to(or afmred)and eybscribed beforenip
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�Lo,f,�,FALvch 2D18 by this J,thy of MLl'C'Ift 2Oj1 by
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NAME OF LOBBYIST NAME OF RINLIP L
Produced ID Produced ID
FORM OF IDENTIFICATION FORM OF r -TION
ldr‘Personally Known nasally Know•r
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Name of Notary.Typed.Ptinted or Stamped Name of Notary.Typed,Printed or Stamped
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yl specifically excludes the following persons. �earywMelalarlFaaw
Expert witnesses who provide only scientific,tome-deal or other specialized Information or testimony in public meetings;any person who
only appears as a representative of a neighborhood aesodatlon without compensation or reimbursement far the appearance,whether
direct indirect or contingent to egoress support of w opposition to any item;end any person who only appears as a representative of
not-forprofil community peed organization hr the purpose of requesting a grad without Spedsl compensation cr reimbursement for
the appearance.
Page 4 of 5
NAME OF LOBBYIST: CLAN PIT h/AB ,
1 j LOBBYIST FEE I XrPENNITURE AND COMPENSATION STATEMENT
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princhear woo fa 1 . to Fit tiae . '; I obneistf ne E:parlddw , and Camp mention Sraron: nt
" „nett). In addition to any nines pe i ilei-:_ that am no imp° cc as d :irdeo m
5 .-:tion 2-461 t a fine of EiLia an a day snail s_I for ,..aenr rt, hied JILL of
CAN date:. Th3 ChetCie k slim notify the Miami-DadeCuunt`i contraiseharti on Ethics and
l'ihdis bunt of :airure of a inbbyisi iCf erine:pall to ten to State :Int fir pay Ur::
t ,..d Erma a nohfird)ketr
Any Ano I inLyihr wan fails to hie the inquired statement by r , i :iliac of :inch yr r shat. LP
really ,ceded fr a holtiruhip until all fires are p'111 t r fn:: hee heat.
ornealau it, Fria Maori IffiyiA n , Cern,r i r. hairecei rid white Tao=:
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Salvatore, Jason
From: Mireya Carballosa <mcarballosa@flapartners.com>
Sent: Tuesday, March 27, 2018 11:37 AM
To: Salvatore,Jason
Subject: Lobbyist registrations confirmation email
Hi Jason,
Per your request, below is an email confirming the CEO to South Florida CPNCG Host Committee, Inc.
Thank you,
Mireya Carballosa
235 Catalonia Avenue
Coral Gables, FL 33134
305-461-4260 Office
mcarballosa@flapartners.com
www.flapartners.com<http://www.fla partners.com/>
On 3/27/18, 11:31 AM, "Licursi, Maureen"<MLicursi@OrangeBowl.org>wrote:
>Hi Mireya,
>From Eric:
>Eric Poms is the CEO of the corporation as it currently exists,with
>the following three designated officers:
>-Michael Chavies, President
>-Brad Houser,Secretary
>-Frank Gonzalez,Treasurer
>They are in the process of making changes, but as of now the
>information above is correct.
>Let me know what I can do to assist in making any updates to the
>paperwork.
>Thank you!
>Maureen Licursi
>Orange Bowl Committee
>mlicursi@orangebowl.org<mailto:mlicursi @orangebowl.org>
1