Andrew Suarez - Towerhouse Condo Assoc. SSoo Co Ave.
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d ►I �,_ ` Office of the:City Clerk _
1700.Convention Center: Drive Lei 9 FEB `I �;f •g f• 3v
Miami Beach,'FL 33139
305:673.7411 t''1'
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. Pleaserefer 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, orany 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 eachprincipalrepresented on each specific issue..
I. LOBBYIST INFORMATION:
A1V 2
NAME OF LOBBYIST (Last) :(First) ' '(Middle Name) '
Cvl tT-1-t CONS( - 25-01 3z.tC.tt� A— cgAT ' a57 emOrMi,�,,. 33(
LOBBYIST BUSINESS NAME AND ADDRESS' ' (Number and:Street) (City): (State) (Zip Code)
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LOBBYIST BUSINESS TELEPHONE.NUMBER' CELLULAR TELEPHONE'NUMBER EMAIL ADDRESS
II: PRINCIPAL INFORMATION:
NAME OF PRINCIPAL (Last) (First) (Middle Name)
10 W etil H9 t S corePOkeirs 06. 550 l llwl6 s It tcM i 77190
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and.Street) (City). . (State) (Zip Code)'
30-s. S 3s- (0®1 ! weiViDus c?doff-LT etki4414 Chmic.c
PRINCIPAL'.BUSINESS TELEPHONE NUMBER'. CELLULAR TELEPHONE NUMBER . • EMAIL ADDRESS•
Rgamett)(c$ oo gl 0 2-482(h)(1n a principal dug corporation, partnership,CR Ca12200 Zan appears m p lobbyist ant a-nt i(20'g Et
ma,&BEd special compensation op Qp(I ri oz'or�a, (It ,indirect,Cp contingent,cb Ggi o e o CQC!spa position{C:
=n item shall register with the Clerk as required by this subsection but shall not be required to pay any registration fees.
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): .YO/3/ Yl'6 l4IL)OS 7/�
`p11Vi
• NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR.MORE.OWNERSHIP INTEREST IN SUCH.
• CORPORATION,PARTNERSHIP OR TRUST(ifnone,write N/A): Ati"I Q,
Page of
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.
PALS EN1 l Mo 7a 77ff -Pt,5/6 N f Aryl ELJ �a41,6 / ' n ,bAY'C'v l
64 C. 1 .r Z,41. ee,ies ri i w /�usc C6iv�a ss o6 (17X!A s
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
withhe City to the present date, stating the general nature of the subject contractual relationship.
t.t- CA4 eiCeKir me wgeitz or 7) k 8
Full Name of Individual and Contractual Relationship(If yes, explain) YES NO
Title of Person to be Lobbied
1'4 g .1 441,61 /4aIv 4-4 k
Jj R 4,t-44i511 10-i?LEN X
M5 ELI 2A7Jc174 (41444 4.0 X
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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):/I
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):
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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":
_Yesko:. Are you lobbvinq"on a present or pending bid for goods. equipment orservices, 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.L•obbyists:On Real:Estate Development
Issues":. .
- No: Are you lobbying on a:pending application for a Development Agreement with the City or'application
—
for change of Toning 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 forthe appearance;whether direct or indirect tb express support of or opposition to any item,shall register with
the city clerk•asrequiredby this section,but shall not be required to pay any registration.fees.
_Yes No: Are you representing. a not-for-profitcorporation 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. .
• (esNO:. Are:you providing.:only scientific,..technical or otherspecialized information; appearing as .a
' representative'of a neighborhood association.without special compensation or reimbursement_or
representing•a not-for-profit based .organization•forthe purpose of requesting a grant without
special compensation or reimbursement?
5) . Pursuant to City Code Section'2-491(1),:no campaign consultant shall lobbythe.City.Commission for a period of 12 months
following:the swearing in of any elected official(s)for:whomthe campaign consultant provided campaign consulting:services.
within the.past election cycle.See Section 2-491 for more information.
YesNo: : Have'you provided campaign consulting:services to an'incumbent member of the:City Commission.
X
within the past election cycle?If Yes,please list the:incumbent member(s)of the City Commission:
_Yes XNo: If yes, has it been less than 12 months since the elected official(s) whom you provided campaign.
• consulting services was sworn inr. •
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 . f yes, were you promised or did you receive economic co sideration in exchange for campaig
— consulting services
• TO BE COMPLETED BY CITY CLERK'S.STAFF ONLY
Annual Registration fee:
f
]Yes[ ']No Amount Paid$( 0 m(_1 MCR# ( 2 - ''? ' Date Paid c�-o5`
Lobbyist Registration Form received and verifed by: _' tian � Ja L l
F:ACL'ER\*A.Ll0F'ORMS\1_,OZ YTST FORMS\Lobbyist Registzwrion Form RjVLed O9-2O-1m R.EG..ioc Revised.09/20/2018
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 .EN.GAGED.TO LOBBY. A.STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENSATI N DIJIRING THE REPORTING PERIOD.1
Signature of Lobbyist: Date 7o /9
I do solemnly swear:or affirm that all:of.the forego✓✓ing facts, statements,.and disclosures.in,this form are.true and correct,
and that I haveread oram familiar ith the provisions contained in Chapter 2, Art. VIIDivision 3 entitled "Lobbyists" of
the Miami Beach City Code and all r-port'fig r-. irements.
Signatureof Lobbyist: rt. , ,,- Date . //313
( � � . 1.
Signature.of.Principal: ,.,J �^M ( t__♦ Date . .`\31)\',42‘
VII:. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of 17.43(1,1 04 State of 1`"'LO R-1 DA
County of: 114 / Andi 77AiC •. County of: fri)AM I 1bMFDe-
Sworn to(or affirmed)and subscribed before me Sworn to (or affirmed)and subscribed before e
this 3 0 day of ,14-/AI 1�4. ,2011 by this 3O day of 3A,..)I)AA-y ,201 , by
NAME OF LOBBYIST NAME OF PRINCIPAL
_Pr.:uced: _,� -004-.6y-,-21='D v Produced.ID .1::1-k Lim
FO-M.OF Ir, TIFICATION : .. FORM OF IDENTIFICATION
411111
Perso :Ily Know .. _Personally;Known '1
41111111166,
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Signature.of.Notary Pub i Signature of Notary Public
�..� 011E ISI iC rL ftT LLA-
Name of Notary,Typed, Printed or Stamped Name of Notary, Typed, Printed or:Stamped
„,...,„-y„ MICHAEL PATRELLA
(NOTARY SEAL p""`°°0b JOSE DAMIAN GALLO (NOTARY'SEAL) •''i°``''" ` -0 MY COMMISSION#FF920331
NZ? MY COMMISSION#GG58338 EXPIRES:DEC 04,2019
S��"' 2021
"EXPIRES:January O5, Bonded through 1st State Insurance
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, indirectorcontingent,to express support of or opposition to any item;.and anyperson who only appears as a representative of
not-for-profit community based organization for the purpose ofrequesting a grant without special compensation or reimbursement for
the appearance.
Page 4of5
MAM1 BEACH
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:305.673.7411, Fax:305.673.7254
NAME OF LOBBYIST: 4ivD€ez(J SUEZ
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.
I / Zo /
Signatur,/of Lobbyist Date
F:\CLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20.18 REG.doc
Page 5 of 5
HBF
City Hall
1700 Convention Center Dr.
Midin i Beach , FL 33139
305-673-7420
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