Naureen Kazi - Christine Turner "• . :
F? \-. R
•
RECEIVED .
.A •Y . .Office of the City Clerk. : .
�ECE
:
.:-1700 Convention.Center Drive
APR 19 2019
Miami Beach,:FL 33139 . . . :. .
305.673.7411 .. .. .. . . ..
CITY OF MIAMI BEACH
. LOBBYIST REGISTRATION FORM .. OFFICE OF THE CITY CLERK
• 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.decisionof 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:changeto any information.originally filed, or :any.additional City
Commissioner or personnel who are also sought to be lobbied shall require that thelobbyist file an amendment to the registration form.
• The lobbyist has a continuing-duty to supply information and amend the forms fled throughout the period;that the lobbying occurs.
Separate registration.forms shall be required for each principal represented on each specific issue. ..
• •I. LOBBYIST.INFORMATION:
I{azi : Naureen : Mujeeb :
NAME OF LOBBYIST . ' (Last). •. ' : (First) .-- .. - (Middle Name) • .• • .•.
TURNER 2222 Ponce de Leon Blvd,-, Suite 300; Miami ' .. FL- - 33134
•
LOBBYIST BUSINESS NAME AND:ADDRESS (Number and:Street) • : (City) (State).: (Zip Code) •
305-859-'0987. : 305=: -34-0987 naureen.kazi@turnerpr.com
LOBBYIST:BUSINESS TELEPHONENUMBER :" .. • :; :CELLULAR TELEPHONENUMBER :.. • • : :; EMAIL ADDRESS :: ;
•;II. PRINCIPAL INFORMATION: '
Turner Christine: Elizabeth -.
NAME'OF PRINCIPAL (Last) : (First) .- •• ,(Middle Name) '
TURNER
...1614 15th Street. 4F .. Denver . .. CO.. • •802.02. . ....
• PRINCIPAL BUSINESS NAME AND,ADDRESS (Number and:Street) (City) '(State): (Zip Code).•
303-333-1402 : 303-888-0332 Christine@turnerpr.com
PRINCIPAL:BUSINESSTELEPHONE:NUMBER ::: :.CELLULARTELEPHONE:NUMBER ::: :: EMAIL ADDRESS:::'::
. Pursuant to City Code Section 2u482(h)(1i)(5) A principal of alW corporation, partnership„ci other entity who appears(MEI lobbyist CR)behalf of that
. . entity,isfflacall,special compensation L•]7reimbursement forn((`t9- appearance,whether i indirect,cg'contingent,t affizim faim-a Oar o..osition to
' . ,an item shall register with the Glerk 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): Christine. Turner . . .. .
: • : NAME OF ALL,PERSONS HOLDING,DIRECTLY OR INDIRECTLY;A S%OR MORE OWNERSHIP INTEREST IN SUCH: . , .
CORPORATION,PARTNERSHIP OR.TRUST(if none,write N/A): Homer C. :.Patton
Page 1:of 5: . .. ..
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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.
Invitation to bid for "Public Relations Services for the Miami Beach Visitor
and Convention Authority (MBVCA) . " ` f- /W//9
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
Grisette Roque Marcos, Executive Director x
MBVCA Board of Directors 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):
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):
Page 2 of 5
• The following six(6)questions MUST be answered: . . . -
1) Pursuant to City Code Section Z488,bntitled"Prohibited Campaign ContributionsBy: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 Ciity.Code Section.Z490, entitled`Prohibited Campaign Contributions.By.Lobbyists On Real Estate Development
ssues
•: _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 oropposition to any item,shall registerwith
.. the city clerk as:required by thissection,.but shall not be.required.to pay any registration fees.
... .. ._Yes xNo: • • • 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 orinformationestimony in publicmeetings; any person who only appears
•as-a representative of a neighborhood association.withoutcbmpensation 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 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::1 . • •
•• 5):• Pursuant'to City'Code-Section 2-491(1),' no campaign consultant hall 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 incumben€member of the City Commission
within the past election cycle?If yes,please list the incumbent member(s)of the Citv•Commission:. ....
Yes: No; If yes, has it been less than 12 months since the elected official(s) whom you provided campaign
consultin services was sworn ini. :. ..
•
• •6) Pursuant to City;Code Section-2-482(a)(4)a.;0 lobbyist-who has-within the past election cycle provided campaign.consulting - .
services toan.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.x 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 campaiq
consulting sei icesr.r —
• TO BE COMPLETED BY CITY CLERK'S STAFF •
ONLY
Annual Registration fee0� R 1,3 "i
8.1
g Yes[ I No .Amount Paid$ •
�L. MCR# Date Paid 0 1 l•1. •
Lobbyist Registration For n3 received and verified by '!t'f`e 4 Skt.l.•!"r ie'Z-C:.
•
F:'`CEEB\$ALL•\aFORMS\LOBSYIST FOR-h1S\LobbyistRegistration Form,Revisee 09-20-18REG.doc ' •- - . 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 ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.'
Signature of Lobbyist: r'A! Date LI — Q— ` 1
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 nd all reporting requirements.
Signature of Lobbyist: Dld ) 1c( -1 Date `j - `
Signature of Principal: 0� ,I, '&i.1via kiltILLA Date 1—VAI "1
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of 'FL.-- State of L" t,l fh(`a_tA p
County of: 0410L,
County of: V1../421—
Sworn‘-ll
(or affirmed) and1spscribed before m Sworn to(or affirmed) and subscribed before me
`
this. _l _day of L ,20 by this_}day of 1Ner i\ ,.20B by
N a.0 re erg In. Ka 2-k 0 � c i St ikr P -Tur,ne(--
NAME OF LOBBYIST NAME OF PRI CIPAL
K Produced ID • _Produced ID
FORM OF DEN IFICATION FORM OF IDENTIFICATION
•
_Personally Kno )ersonally Known \,.,,`'` ;
Walk .
'gnat e of Notary Public gnature.•f No a J= _
.1 (15Ave IWO Ma D
Name of Notary,Typed, Printed or Stamped Name of Notary, Typed, inted or Stamped
s A�Y A ANDRADES
e = Notary triJbllc,State of Florida (NOTARY SEAL) TRACEY L ORNELAS Y
_ " COmmisslIc, GG 227672 NOTARY PUBLIC
iii
STATE OF COLORADO
!
My comm.expires July 17,2022 NOTARY ID#20044001087
I The term"lobbyist"specifically excludes the following persons: MY COMMISSION EXPIRES MARCH 30,2020
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.
Page 4 of 5
•
•
MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive;Miami Beach,Florida 33139,:www.miamibeachfl.gov.: •
Office of the City Clerk
Rafael E.•Grahado,City Clerk • : CityClerk@miamibeachfl.gov •
Tel 305:673:7411;Fax 305.673.7254
NAME OF LOBBYIST:: Naur:een Mujeeb :xazi
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 An
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 Trustof: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 suspendedfrom lobbyinguntilall 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
p..
:received, for the preceding calendar year with regard to the specific issue on which I have
11 been engaged to lobby.
... .. . ....
2) LOBBYIST WITHDRAWAL
Once an:issue I have registered:to lobby has concluded or I am no longer lobbying iop
: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 forsuch annual registration shall be
$500.00 pursuant to Section 2-482:of the Miami Beach City Code,
4/44Al2: 1
1 19
Signature of Lobb ' t Date
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.Revised 09-20-18 REG.doo .. :
•
Page 5.of 5:
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Miscellaneous Cash Receipt
CITY OF MIAMI BEACH
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No, 423188
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(THIS INFORMATION MUST BE COMPLETED) Office of Finance Director
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Account Number: --- I k ' k.)`--)''-30 ' 5 11 1 ''t (-1 / 00 .:)' (.7)-7. .,-, ' -)
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Preparer: ---.\AISM.-.,r...,) 5Art,$.,/4 7'9 i(,(-- Dept: C C EXT: