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Michael Rossi - Miami Music Festival, Inc.
VCA- 62/10Jcj QEACM I AN\I B Office of the City Clerk 6 20 1700 Convention Center Drive FEB _ 2� 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 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 principal represented on each specific issue. I. LOBBYIST INFORMATION: Rossi Mirhapl Chri¢tonher NAME OF LOBBYIST (Last) (First) (Middle Name) Miami Music Festival. INC 16420 SW 91st Ave Miami FL 33157 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 703-867-8876 mrossi@miamimusicfestival.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMA ON: • oss /U Chrs4-o hem NAME OF PRINCIPAL (Last) (First) (Middle Name) V J mt /Iuc ,T N� �642n SW ° Osi ,ife /1A;(40,1-, PL �� t 7 PRINCIPAL BUSINESS NAME AND ADDRESS (Number a d Street) (City) (State) (Zip Code) 7L gig L )(liras s-,60 mus,c-4:\at PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS (C/dol 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): �ec1/V6t,( LCs • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,/ f N, PARTNERSHIP RTN(nRSHIP OR TRUST(if none,write 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. Application to the Miami Beach Visitor and Convention Authority Special Projects Grant for the Miami Music Festival, INC. 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 Board of the VCA 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 is p ohibited pursuant to City Code Sec. 2-485.3): Iv 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 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 City Code Section 2-490, entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": —Yes_ 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. cYes_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 rimbursement for 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-profit basedorganization 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. fro: 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_ o: If yes, ha it been less than 12 months since the elected o icial(s)whom you provided campaiq consulting services warns swoins 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_ if yes, were you promised or did you receive economic consideration in exchange for campaiq consuiting servicesi. TO BE COMPLETED BY CITY CLERK'S STAFF ONLY y� Annual Registration fee: [ ]Yes(K1 No Amount Paid$ MCR#Wc(A Si IL�� 1 _',p Date Paid Lobbyist Registration Form received and verified by: 1`k©N SV t tiv 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 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 P2/11/11Signature of Lobbyist: Date 2/5// 2 0 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 ail reportin/ requirements. / Signature of Lobbyist: I ( /I/i Date 2 l ,Sj 2_ 6 Signature of Principal: Date Z/57 VII. NOTARY SIGNATURE AND SEAL: 7.._>„serk t40 0--1-pitocApAL LOBBYIST: PRINCIPAL State of State of m 1 r Ai'44 n County of: County of: 1(C1' 4 Z 0 0 Sworn to(or affirmed)and subscribed before me Sworn to (or affirmed)and subscribed before rrAle this day of , 20_, by this day of. r_Ac vCsrcJ , 20(.4 by Vrl,c kl ,e ( ROCS! NAME OF LOBBYIST NAME OF PRINCIPALrr _Produced ID /C Produced IDVI (15 I15 I Nrc` Oc !tier La,( FORM OF IDENTIFICATION FORM OF IDENTIFICATION _Personally Known _Personally Known ." . Signature of Notary Public Signature of N tary Publicc , f'kLp £ Er Name of Notary, Typed, Printed or Stamped Name Of Notary, Typed, Printed or Stamped PHILIP L EARLY (NOTARY SEAL) (NOTARY SEAL) NOTARY PUBLIC,STATE OF MI COUNTY OFALLEGAN MY COMMISSION EXPIRES Apr 16,2023 ACTING IN COUNTY OF q f Z dd 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, 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 MIAMI 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: 305.673.741 1, Fax: 305.673.7254 NAME OF LOBBYIST: 1 c L U l G g_b;5 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. 21 51 26 Signat re of Lobbyist Date F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 01-01-18 REG.doc Page 5 of 5 DIVISION OF CORPORATIONS ADP/Bic:if; Of tin qjfkot ttte /8. ilitirt Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Not For Profit Corporation MIAMI MUSIC FESTIVAL, INC. Filing Information Document Number N14000007647 FEI/EIN Number 47-1624928 Date Filed 08/15/2014 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 10/10/2019 Principal Address 16420 SW 91ST AVENUE MIAMI, FL 33157 Mailing Address 16420 SW 91ST AVENUE MIAMI, FL 33157 Registered Agent Name&Address Rossi, Michael 16420 SW 91st Ave 404 Palmetto Bay, FL 33157 Name Changed: 10/10/2019 Address Changed: 10/10/2019 Officer/Director Detail Name &Address Title DP ROSSI, MICHAEL 16420 SW 91ST AVENUE MIAMI, FL 33157 Title DVPS RIVERA, LETICIA 7 anon CM/01 CT A\/CMI IC IU'-LUJVV FIJI t VCIVUC MIAMI, FL 33157 Title Trustee CHECKOVSKY, NAIRI 16420 SW 91ST AVENUE MIAMI, FL 33157 Title D BALIAN, SEVAG 16420 SW 91ST AVENUE MIAMI, FL 33157 Title DT HERNANDEZ, MARK, DR 16420 SW 91ST AVENUE MIAMI, FL 33157 Title Trustee BACLEA,ANDREEA 16420 SW 91ST AVENUE MIAMI, FL 33157 Title Trustee GOLDWASSER, LESLEY 96 RYE ROAD RYE, NY 10580 Title Trustee WU, XIAODONG 16420 SW 91ST AVENUE MIAMI, FL 33157 Title Director Melin, Olga 16051 Collins Avenue 2601 Sunny Isles Beach, FL 33160 Title Director Pohanka,John 369 South Lake Drive H-1 Palm Beach, FL 33480 Titles flirartnr Birdman,Angela 812 Meridian Lane Hollywood, FL 33019 Annual Reports Report Year Filed Date 2017 07/20/2017 2018 05/01/2018 2019 10/10/2019 Document Images 10/10120/9--REINSTATEMENT View image in PDF format 05101/2018--ANNUAL REPORT View image in PDF format 07/20/2017--ANNUAL REPORT View image in PDF format 0712012016--AMENDED ANNUAL REPORT View image in PDF format 04/2912016--ANNUAL REPORT View image in PDF format 09/21/2015--Name Change View image in PDF format 03131/2015--ANNUAL REPORT View image in PDF format 08/15/2014--Domestic Non-Profit View image in PDF format MIAMI MUSIC FESTIVAL Michael Rossi-Founder and Artistic Director Miami Music Festival, INC 2020 Board of Directors ROSSI, MICHAEL 16420 SW 91ST AVENUE MIAMI, FL 33157 President mrossi@miamimusicfestival.com 703-867-8876 RIVERA, LETICIA 16420 SW 91ST AVENUE MIAMI, FL 33157 Secretary Irivera@miamimusicfestival.com 786-553-3202 CHECKOVSKY, NAIRI 16420 SW 91ST AVENUE MIAMI, FL 33157 Trustee nairibalian@icloud.com BALIAN, SEVAG 16420 SW 91ST AVENUE MIAMI, FL 33157 Board Chair GSBALIAN@Haverfordhomes.com HERNANDEZ, MARK, DR 16420 SW 91ST AVENUE MIAMI, FL 33157 Treasurer markmd@bellsouth.net BACLEA, ANDREEA 5562 Pine Tree Road MIAMI, FL 33139 Miami Music Festival 16420 SW 91"Ave Miami,FL 33157 Miamimusicfestival.com 786-250-6042 Trustee asbaclea@me.com GOLDWASSER, LESLEY 96 RYE ROAD RYE, NY 10580 Trustee lesleygoldwasser(a�gmail.com WU, XIAODONG 16420 SW 91ST AVENUE MIAMI, FL 33157 Director drxiaodongwuyahoo.com Melin, Olga 16051 COLLINS AVE, APT 2601 SUNNY ISLES BEACH, FL 33160 Trustee olgamelin@me.com Pohanka, John 369 SOUTH LAKE DRIVE,H-1 PALM BEACH, FL 33480 Trustee jjpohanka@pohanka.com Birdman, Angela 812 Meridian Lane HOLLYWOOD, FL 33019 Trustee angela.birdman@gmail.com