Daniel Ciraldo - Jack Johnson Loot Oc.c p IJvF
MIAMI BEACH1pie�pRFn�/��
Office of the City Clerk '1;? .
1700 Convention Center Drive ,`7
Miami Beach, FL 33139 ., r„ / /•
305.673.7411 `,^/ f-,^ i2B
LOBBYIST REGISTRATION FORM ✓``F•
Lobbyist means all naemployed
olu or retained, whethercisipaid or not,o by i principalo ; who seeks. atencourage
co the passage,defeat or
modification any ordinance,rcommittee;
any or decision ci of any commissioner; any action siorecommentme i the City
Manager e cis any City or co an such or ion a sidecisionror reenrnmendthat of asen Cably willpersonnelhand ogr thetimeperiodyof 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'Lobbyits°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:
Ciraldo Daniel c
NAME OF LOBBYIST (Last) (First) (Middle Name)
Miami Design Preservation League 1001 Ocean Drive Miami Beach FL 33139
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-672-2014 daniel@mdpL org
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORM NJi ��
tsC"„5- \ 1
NAME OF PRINCIPAL (Last) (First) (Middle Name)
Miami Design Preservation League 1001 Ocean Drive Miami Beach FL 33139
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 2482(c):
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(it none,write N/A):
N/A
• 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
Page 1 of 5
The following six(6)questions MUST be answered:
1) Pursuant to City Code Section 2488,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues":
YesXNo: 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 2490,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.
)(Yes_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 tens "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.
VesX 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 shalt 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 member(s)of the City Commission:
_Yes_No: If yes, has It been less than 12 months since the elected official(*)whom you provided campaign
consulting services was sworn in?
6) Pursuant to City Code Section 2482(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 meetinq.
_YesX_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: N yes, were YOU promised or did you receive economic consideration in exchange for campaign
consulting services?
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY �
Annual Registration fee: I 1 Yes�I No Amount Paid$ MCR. Date Paid
Lobbyist Registration Form recelfied and verified by: Revised 01/01/2018
F:\CLER\SALL\.FORMS\LOBBYIST FORMS\LObbyist Regl#rOtlon nn Revised 1-01-18 REG.
Page 3 of 5
. wl' ( Ii
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeochtl.gav
Office of the City Clerk
Rafael E. Granado,City Clerk CityClerk@miamibeachf.gov
Tel: 305.673 7411,Fax: 305.673.7254
NAME OF LOBBYIST: Daniel Ciraldo
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
00.00 pursuant to Section 2-482 of the Miami Beach City Code.
7
Signature of Lobbyist Date
F CLER1/45ALL aFORMBtOBBviST FORMELLCLbyist Rpistratm Femi Revised 01-01-18 REG dec
Page 5 of 6
l00k OcEr/1/J 5±(2-) vc
MIAMI BEACH I�%4,oa, Pi.
Office of the City Clerk j '�
1700 Convention Center Drive "G").) C- �9
Miami Beach, FL 33139 r,j" � �
305.673.7411 ""';%. Of
LOBBYIST REGISTRATION FORM • ��'Y Vic^ g
C< ^'
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat or 0'
modification of any ordinance, resolution, action or decision of any comme ; any action, decision, recommendation of the City
Manager orr 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:
Ciraldo Daniel
G
NAME OF LOBBYIST (Last) (First) (Middle Name)
Miami Design Preservation League 1001 Ocean Drive Miami Beach FL
33139
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-672-2010
daniel@imdpL ory
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORM N•
\�
NAME OF PRINCIPAL
(Last) (First) (Middle Name)
Miami Design Preservation League 1001 Ocean Drive Miami Beach FL
33139
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
1 1
CELLULAR TELEPHONE NUMBER
PRINCIPAL BUSINESS TELEPHONE NUMBER ii� dn/
EMAIL ADDRESS/
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2482(c):
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A):
N/A
• 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
Page 1 of 5
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.
ft I Col Oma-
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 Commission and Commission Committees
City Administration/Staff
City Boards(HPB, Planning, DRB)
Pursuant to City Code Section 2482(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):
n/a
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):
N/A-No special compensation
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':
_YesXNo: 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 %No: 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 Mao?
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-profd 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_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
reimbursementurfor 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-profd 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 %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 offciaffe)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 members)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: [ I Yes 'No Amount Paid$ MCR 9
Date Paid r(o
��'
Lobbyist Regbgatlon Form raced and verified by:
F\CLER\$AL \BFORMS\LOBBYIST FORMS\Lobbyist Registration m Revised 1-01-18 REG.ZZ'"snara...._ Revised 01/01/2018
Page 3 of 5
VI. SIGNATURES UNDER OATH:
ON FEBRUARY
LISTINGLOBBYIST SHALL SUBMIT TO THE OFFICE
SIGNED STATEMENT UNDER OATH, 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 COMPSATION �G T REPORTING PERIOD.1
Signature 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 familiar with the provisions contained in Chapter 2, Art. VII, Division 3, eenntitled 'Lobbyist& of
the Miami Beach City Co and all r portin require ents. et—q- /uX
(/
Signature of Lobbyist: Date /
Signature of Principal: 5?.,�-%1' "A���"�• �� v Date (-'1 7I% /
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State ofT �dState of Wt`1^a h/��.�Q
County of M�V✓\I �'c- County of:�Q�l "- u'^'
Sworn to(or affirmed)and sybscribed before Zme,/
by this orn rn (or ofaffixed)an;subscribed before itl,
tm p
thisday of _9(4 1O
by
NAME OF LOBBYIST.tcvt a^t �Np/M/�E OF PRINCIPALT)T eta._ �.o
Produced ID'I) el•1•4 VS C i QQ✓1%C 1Lcroduced ID I)N J LYS n�•
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
Personally Known 'e o ally Known
SiSia. atur of Notary Public Sir ature .f Notary Public
JOA/ <-r leg S .1iitr 2e -i-ro-s
Name of Notary,Typed,Printed or Stamped Name of Notary,Typed, Printed or Stamped
t1/4 ,ARY SEJA4IFER S.REYES N9y;g1,FLY,SEAL)JENNIFER S.REYES
Notary Public-Stale of Florida Notary Public -State of Flalta
-� a My Comm.Expires Jun 9,2018 . �y4J My Comm.Expires Jun 9,2018
•• C•un .� • .1663 :ale
6Or itC �' Commission # FF 130663
I •...ILt,c.
•, -- - - _ C, 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 tor
the appearance.
Page 4 of 5
•
Hill !, ( I I
City of Miomi Reach, 1700 Convention Center Drive,Miami Beoch, Fbrida 33139,www.miamibeachll.go,
Office of the City Clerk
Rafael E Granada,City Clerk CityClerk@miamibeachfl.gov
fel: 305.673.7411, Fax: 305.673.7254
NAME OF LOBBYIST: Daniel Ciraldo
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
07
00.00 pursuant to Section 2-482 of the Miami Beach City
/�Code.
Signature ofLobbyist Date ' ��
F eLERSPLLaIOFMSLLOBBYIST FORMS'U obbysl Registration Farm Revnee 01.01-19 REG doc
Page 5 of 5