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David McKinney - Daniel Ciraldo (2) 9 1- el 21 LiVIcok RECEIVED I JAN 1 4 2020. Office of the City Clerk 1.700 Convention Center Drive CITY OF MIAMI BEACH Miami Beach, FL 33139 . OFFICE OF THE CITY CLERK 305.673.7411 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 timeperiodof 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 Chapter2,Article VII; Division 3, entitled"Lobbyists, for additional information. Instructions: Please complete all sections of thisform 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 arealsosought to be lobbied shallrequire thatthe 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: McKinney David NAME OF LOBBYIST (Last) (First) (Middle Name) Miami Design Preservation League 1001 Ocean Drive Miami Beach .. FL .- 33139. LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State). (Zip Code). 305-672-2014 david.d.mckinney416@gmail.com dav'd d.mcki il.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Ciraldo Daniel NAME OF PRINCIPAL (Last) : (First) (Middle Name) Miami Design Preservation League. 1001 Ocean Miami Beach FL PRINCIPAL.BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) : (Zip Code) • da ni'el@mdpl org PRINCIPAL BUSINESS TELEPHONE NUMBER : CELLULAR TELEPHONE NUMBER EMAIL ADDRESS If the- principalis 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): av1/er' • NAME.OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): N/A Page 1 of 5 , O r III. ISSUE TO BE LOBBIED: Describe withas much detail as is practical,including but not limited to a specific description where applicable of a pending request for proposal, invitation to b'd, or public hearing number: 101 -- °i ,D- ( J f7I 03x-r5 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 City Commission and Commission Committees X City Administration/Staff X City Boards(HPB;Planning;DRB) X • Pursuant to City Code.Section 2-482(g), every registrant shall be required to statethe 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 lobbiedas 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):. 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): N/A:No special compensation Page2of5 • • 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":. . YesXNo • 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 XNo: Are you lobbyingon 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 Matta 3) - Pursuant to City Code Section 2-482(h ), any person (except those exempt from the definition of"lobbyist" as set forth in • :.•Section 2481)who only appears as a representative of a not-forprofit 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. . • . XYes No: Are you representing a not-for-profit corporation or entity without special compensation: or' ; .' reimbursement? , 4) . . Pursuant to CityCode•Section.2-4871, the term "obb ist" sPecificallYexcludes the:following Persons ExPpert 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.. :•: . . Yes_X_No: Are you providing only scientific; technical or:other specialized information; appearing-as a : representative of a.neighborhood•associatiion 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 campaignconsultant 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 incumbent memberof the City Commission— :. • • . within the past election cycle?If yes,please list the•incumbent members)of the City Commission • .. — rhas ah i ,` � 4 Yes No: fiyesllit beeniilessEtharivl2imnts)ts•rce�theeleteoicsw�mur`kided camaigJ "aimtsrwnm?(_ __ : : 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 jdieclote such particular service'on his/her lobbyist registration form and'shall orally disclose such particular service before lobbvinq:the City Commission at a:public meeting.: ':. : • YesX No:. Have you•provided campaign consulting services to an incumbent member•of the City Commission within the past election cycle?.If yes;.please listthe incumbent members)of the City Commission: - • • • • Yes No• : Ifikves;�,werekvoubpr misedl"orgdidsyoulireceiveteccnomic cam'nsiderationlinse cha cie fo campaiq-, Iconsultinq services? :. . . - - . •" O BE COMPLETEDCLERK'S S I - T .BY CITY TAFF`ONLY • . Annual Registration fee: [ }Yes[ ]'Na Amount Paid$ -e. MCR# ki) Date Paid Lobbyist Registration Form received and-verified by: "‘-)rYa " S-4.,luso l F\CCER'\5l+LL}alciRM6j@L©' ftlYIsaT golgi6 6j\1Lol t)yi st`Regjstr,,ationi goon R'ev se4 Q•1-.0.1,1S`REG49A Revised 01/01/2018 ' • Page3of5 ' 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: Date /3 'Zd 2C) • 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,r quirements. Signature of Lobbyist: Date 1 .�3 2 l/74 . . Signature of Principal:. Date : / —--� - • VII: NOTARY SIGNATURE AND SEAL LOBBYIST: rr. f PRINCIPAL J State of F/L 7'/:fit State of /b�l�Cc County of: County of: Sworn to,2raffirmed)and subscribed before me Sworn t (or of iped)and subscribed before me this /-5 day of . a,v►l—r ,202A by this j day of cJQvt.+-la-ry ;202Q by D"'� p n ay iG�( :.�L-4ne-: 1 nvn2� �Ot-Pti C rc__.\ NAM OF LOBBYISTF4 Driver/5 1s' NAME OF PRINCIPAL - ` Produced ID /(45 1) //'/54 `T� Q Produced ID FORM OFDENTIFICATION FORM OF IDENTIFICATION _Personally Know: : Personally Known Adc—gi, —_ Signature of Notary Public Signatur of Notary Public M�+'I.Z c6_ma: Name of Notary,Typed, Printed.or Stamped Name of,Notary,Typed, Printed or Stamped '.yrNotary.Public State of Florida (NOTARY SEAL) a' `f; Merle Shama (NOTARY SEAL) ji My Commission GG 280468 0I0 Notary Public State of Florida +a w Expires 09/20/2022 1/ `F Merle Shama 2 My Commission GG 260468 AoF 08/ Expires 2012022 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 MIAMIBEACH - 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 ` rr NAME OF LOBBYIST: -... 141471±eet 'cOrAA4 1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMEN Pursuant to City Code Section 2-485(d), the City Clerk shall notify any lobbyist (or principal)who fails to filetimely 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 s 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 understandannual 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 $500.00;pursuant to Section 2-482 of the Miami Beach City Code. .13 Zd Signature of Lo byist Date F,:\CLER1$ALL\aFORMS1LOBBYIST FORMS\Lobbyist Registration Form Revised 01-01-18 REG.doc Page 5 of 5