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Michael Larkin - Nicole Thompson-Floyd Iii\VA AIM Office of the City Clerk i RECEIVED 1700 Convention Center Drive 'MAY —1 2019 Miami Beach, FL 33139 305.673.7411 i f 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 decision of any commissioner; any action, decision, recommendation of the City Mana9er 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 throughput the period that the lobbying occurs. Separate registration forms shall be required for each principal represented on each specific issue. 1. LOBBYIST INFORMATION: Larkin Michael W. NAME OF LOBBYIST (Last) (First) (Middle Name) Bercow Radell.Fernandez &Larkin, PLLC 200 South Biscayne Blvd.,Suite 850 Miami,Florida 3313.1 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 374-5300 mlarkin@brzoninglaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Thompson-Floyd Nicole NAME OF PRINCIPAL (Last) (First) (Middle Name) TD Bank 1035 N. Miami Avenue,Suite 201 Miami, Florida 33136 PRINCIPAL BUSINESS NAME AND ADDRESS (Number.and Street) (City) (State) (Zip Code) PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant to CitY,Code Section 2-482(h)(l)(a) A pl ofrincipaany corporation; partnership, orotherentity who,appears:es a lobbyist on behalf of,that entity,withett special compensation or reimbursement for the appearance;=whether direct;indirect,or contingent to express support pf or,opposition to an,item,shall register reguired by this;subsection tiuf shall not be,requiredito,pay any registration feesF 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): 5�'-Q-' g;i4S t4 d \ NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A.5%OR MORE OWNERSHIP INTEREST IN SUCH OR TRUST(if none,write N/A : CORPORATION, PARTNERSHIP ) See Attached. Page 1 of 5 '�� III. ISSUE TO BE LOBBIED: Describe with as much detail as ispractical, including but not limited to a specific description where applicable of a pending request for proposal, invitation to bid, or public hearing.number. Development Approvals &Planning Issues,including but not limited to the Historic Preservation Board, Design Review Board,Planning Board,.Board of Adjustment,Land.Use Development, City Commission, and any City Workshops or Committees, if necessary,relating to the property located at 1570 Alton Road in 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 intoany contractual relationship (paid or unpaid) with said City Commissioner or City personnel from 1`2`months preceding such commencement of-service with the.City to the present date, stating the general nature of thesubject contractual relationship. Full Name of Individual and Contractual Relationship (If yes, explain) YES NO Title.of Person to be Lobbied Staff for the Planning&Building Department None X Public Works &City Administration,PB,HPB, BOA None X DRB, City Commission, and Mayor,as necessary 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 riseto 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 feeis prohibited pursuant to City Code Sec. 2485.3): $650.00 per hour 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,equipment or service?. 2). Pursuant to City Code Section 2-490,entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate.Development Issues": Yes X 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 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._X 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;andany 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. _YesXNo: 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 2-49.1(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 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: 7 Yes No: If yes has it been less than'12 months. since the electecLofficial(s) whom you provided campaign- consulting-services:wa'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 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 XNo: If.-yea':"were you'promised or did you receive economic consideration in exchange for campaign Consulting se`rvices? TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee [ ]Yes No Amount Paid$ 0©0 MCR# /C Date Paid ' �Lobbyist Registration Form received and verified by. - �e 5 cs F:\CLEF\$ALL\aFORMS\LOBBYIST FORM>\Lobbyist,Registration Form Revised 09=2048 RES•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: -1 e: 1 K 1+ fki Date 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 and all reporting requirements. Signature of Lobbyist: V, • Date i Signature of Principal: / /7,7/-6( Date C- 697-712"`"/1• VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of State of 'Ott County of: County of: WNtaMl \IkQ Sworn to(or affirmed)and subscribed before me Swor to (or affirme )and tsubscribed before 99e this day of ,20_, by this k day of . f1 l 20l_`l, by Michael W.Larkin . 0-Puy$04k NAME.OF LOBBYIST NAME OF PRINCIPAL __Produced ID •_Produced ID FORM OF IDENTIFICATION / FORM OF DEN IIFICATION X Personally Known Personally K „op Signature of Notary Public Signature of Notary r u•lic Name of Notary,Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped (NOTARY SEAL) (NOTARY SEnA " „gar ir' Notary Public State of Florida Diana Ramos �.. v My Commission FF 207719 1 The term"lobbyist"specifically excludes the following persons:. r a As* Expires 04/10/2019 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 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.1 • Signature of Lobbyist: Date5) 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 and all reporting requirements. Signature of Lobbyist: Date a Signature of Principal: CSl.:e 1 l.t/1 c ply Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL: ,,,,r, State of State of �: County of: Ult lJad� County of: Olt t. (—D a% to(or affirmed)And sybscribed before me Sworn to(or affi d)and subscribed before e this 2'l day of 0-'(C.�. ,201 `by this day of ,20h, by f Michael W. Larkin �,Co k # 1�G NAME OF'LOBBYIST NAM OF PRINCIPAL Produced ID:'S Produce F. IRM 'F IDENTIFICATION FORM OF ENTIFICATION X Personal)% •wn er • =lly Known Signature of Notary`'ublic Signat e of otary Public TACK 4(14.65 Name of Notary,Typed;Printed or Stamped ' Nam; of Nota a,ITy ••Printed.gEL?,l ¢ , ?„h` •I Notary Public•State of Florida 1 s Q<. GG Commission299114 ���'o�°`•`•'' My Comm.Expires Feo 6,2023 ( (NOTARY SEAL4),."� (NO. ARY S A `Zi.,,,,,; NotaryPublicState of Florlda Lr Bontetthrough Nztiona:Notary Assn. a:Csuplana R . o7719MYCcmmission FF2� � 4�� [xPl�s 0411012019 The term"lobbyist"speifcltyca9 t e o ffi'lowing persons: Expert witnesses who provide only scientific,technical or other specialized information ortestimony 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 expresssupport 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 MIAMI BEACH City of Miami peach, i iuu convention center unve,Miami Beach,Florida 33139,www.miamibeachfl.gov Office of the:City.Clerk Rafael E.Granado,City Clerk CityClerk@miamibeachfl.gov Tel:305.673.741 1, Fax:305.673.7254 NAME OF LOBBYIST: Michael W. Larkin 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 $500.00pursuant to Section 2-482 of the Miami Beach City Code. (7\../ . ... . - 7 �1 Signature of Lobbyist Date F.:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised.09-20-18 REG.doc . .. f Page5o 5' EXHIBIT B TD Bank, NA Two Portland Square Portland, ME 04112 • TD Bank US Holding Company (100%) Two Portland Square Portland, ME 04112 o TD Group US Holdings, LLC (100%) Two Portland Square Portland, ME 04112 ■ The Toronto-Dominion Bank (100%) NYSE: TD • e4 c .T. w 0.a,a w 0 0 MBF z 71 A. o n' City Hall Oh 1700 Convention Center Dr. p .. Q M." .... •••• ~`." _ c � . Miami Beach FL 33139 Y" . , xi v0 m 305-673-7420 I (,.j,)NiA o n E 0 e collie �+ �i• r car, 1U 003461-0001 l_idia C. 115/01;2019 U1 ;02PH 6 c 1. 0 o ` C) c .� ,- a X = MISCELLANEOUS f ., ' 73 F ` a , oo Description; MCR OPEN Z‘ it • C)` Q CD Reference 1 : ,23/01 1.-.: q , ( ,-� �' 'o MCR OPEN (MCR) .. .° C)• 2019 Item; i1Clim L,, 1 0 700,00 k m C� MCR OPEN (MCR) 700.00 0 7 ))1� 700.00 Subtotal 700.00 L,., :t Total 700.00 '4 . Q. 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