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Jonathan Cardello - Pacific Star Capital • () WS Abboi+ AvQ,_ RECEIVED N1 f AN1 f BEAD H Office of the Cit Clerk y FEB -5 2020 1700 Convention Center Drive CITY OF MIAMI BEACH 305.673.7411 Miami Beach, 33139 OFFICE OF THE CITY CLERK LOBBYIST REGISTRATION FORM Lobbyistmeans 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. Th'e 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 submitthe completed form,with the applicable fee,to the Office Of the City Clerk. If you need more space tocomplete an answer, use a separate sheets) 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: Carole\16 or1G tnct NAME OF LOBBYIST (Last) (First) (Middle Name) Cu kiP 3 I I T tcwet - tSt F l OUY V✓►coni FL 33 I .30 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) Z05- 925 - 118O 3OS-glo% - 521 ()carnetto@r�ubl°3•c.0nn LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TEL HONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: M ehra b•l Aria .NAME_OF ERINC!EAt (Last) (First) (Middle Name) PCtPjc S1ar Cu i tGl 464 WGSlriinql"On Net cui It.1-50 SeGcha,Ft" 33129 PRINCIPAtzBUSINESS- ME-AND-ADDRESS) (Number and Street) (city); (State) (Zip Code) 31OIP44I14 T T 1 UMBERS Co - qt0LAR TELEPHONE Ines paIC-i EttaaMAIL AyItaDRESS•�� 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):ri1 iG Nleh RA vi • 5%OR MORE-OWNERSHIP INTEREST-IN-S,UCH �AME'OF AL`L-PERSONS-HOLDING,DIREC_T.LY_OR INDIRECTL'Y;�_'A CO10:0TeATI0'hl,-PART.NERSHIP`OR-TRUST`DEnone,wrife N1A . �� A WMG\01 Page 1 of 5 • III TISSUE TO1BE:LOBBIEft 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. DPS+gn review heGrinc Th recbueS- Gpprovcl oP a new devetopment- Gfi ,O9%5 Ptbbott P-ve n e ill FL 3311-1i. (U ng i hflo o(' \\7 Ul\itS ` l9 2(o; SCb. Ft-. 0a F A. R. P Y coroner ual 9 ret611 16) 'CeS1GentSGl bttWP1on npvi cievestopnipm hiSIOnc bui iciir�r3c. IV rCITY AGEN-CIE-S/INDIVIDUALS TO=BELOBBIEDD 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. LEull-Name of=lndividual-and LConf?actual-Relationship-(If-yes;explain)j YES NO /Title of-Person fo5.e�Lobbied� Decicin Qviev1 13nctrd mWrnbexS DIGnning Gocird 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 Pr 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): PGiCa Nour Iy 3oa I hr: 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 KNo: 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": • X(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 Map? 3) Pursuant to City Code Section 2482(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,shallregister with the city clerk as required by this section,but shall not be required to pay any registration fees. _Yes lo: 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 reimbuement 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 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 YNo: 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: _Yesk1o: If yes, has it been less than 12 months since the elected official(s) whom you provided compel(' 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 Jlo: 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 INo: If es were •ou •romised or did .ow receive economic consideration-in exchan•;e for car.•ze cco'sultin"TeMEVsL'= TO BE COMPLETED BY CITY CLERK'S STAFF ONLY - — Annual Registration fee: [ ]Yes[I]No Amount Paid$'35? MCR# Date Paid :O�`q " Lobbyist Registration Form received and verified by: � �u "� F;VcLFR\IAi L\aF'DRMS\LGi3r3'tiST FORMS\!abbyist Registration Form Revised 01,0148 rsF ;ii G 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 PRE : G CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN E,. AGE II TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR CO .ENSA ION DURING THE REPORTING PERIOD.- Signature of Lobbyist: Date I ` O 1202.0 I do solemnly swear or affi th. - I of the foregoing facts, statements, and disclosures in this form are true and correct, and that I have read or a fam . with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Cope andi reporting requirements. ir Signature of Lobbyist: All 4.te t 12)0 2020 Signature of Principal: , _ - Date 1 ; 01/4_6 VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of R o l O G State of V it O T 16C.p County of: Warm-uQj2 County of: Rc A.\ `C`-"c,C Sworn to(or affirmed)and subscribed before me Sworn to (or affirm )and subscribed before me this 3c) day of )CnuCrL' , 2020 by this day of VWC/Af 1 , 2026by 60n611-Ir,Gn Ca rale 110 A-c- P-An‘ral,b} NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Pro ced ID FORM OF IDENTIFICATION FORM OF IDENTIFI 'TION 0 Personally Known Personally ow 11 i / 0 -delliiiiip.- -- OW Signa ur- i•t , '••lic Signature of N pr-r Public H S'arnanthG 1aheen 0,11\t , Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stampeff (NOTARY SEAL) (NOTARY SEAL) ,%,,,,,,,,,,, CLELY MARISOL MERLOS • :::424f1%;Notary Public-State of Florida • %—, *= Commission #GG 91605 +iMy Commission Expires 1 The term"lobbyist'specifically excludes the following persons: ,,""`° October 05, 2023 Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings;any person who only aapears 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 r , 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@rriiamibeachfl.gov Tel:.305.673.741 1, Fax: 305.673.7254. NAME OF LOBBYIST: o"`°,4Ly` "c/e,110 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 ha_s 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 yearwith 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 06 00 pursuant to Section 2-482.of the Miami Beach City Code. fr I30 2026 Signature o L•bbyist Da e ' F:\CLER\$ALL\aFORMS\ OBBYIST FORMS\Lobbyist Registration Form Revised 01-01-18 REG.doc Page 5 of 5 h-ReceiP 42570 MiscellaneousBEACH . V MIAMI°— )1 , _ --. 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