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David McKinney - Daniel Ciraldo (3) - Coll`•�► s ,g,, RECEIVED JAN`:1 4 2020 .I Office of the City Clerk . 1700 Convention Center Drive CITY OF MIAMI BEACH Miami Beach,FL 33139_ OFFICE 305.673. 11 OF THE CITY CLERK 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 time period of the entire decision-making•process onsuch action,'decision or recommendation that foreseeably will be heard or reviewed by the'City commission,or a Cityy board or committee. The term specifically includes the principal as well as any employee engaged in lobbying activities.:The term"Lobbyists"hasspecific exclusions.Please refer to City Code Chapter 2,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 are also sought to be lobbied shall require that the lobbyist file anamendment to the registration form. The lobbyist has:a continuingdutyto supply information'and amend.the forms filed gthe periodthatthe:lobbing occurs. Y PPYthroughoutPlobbying Separate registration forms shall be required for each principal represented on each specific issue. • I. LOBBYIST MAT , . 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 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 Drive Miami.Beach FL 33139 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) • (City) (State) • (Zip Code) n daiel@mdpl org. 'PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS 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 CHI F OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A): 11-141e f Lc< ft/L® •: '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 l 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. Y 1)1 (H ) 9 03s� 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 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 asidentified 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): N/A=No special compensation 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": 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 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. XYes 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: reimbursement for the appearance. _YesX_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 XNo: Have you provided campaign consulting'services toan incumbent memberofthe City Commission within the past election cycle?If yes,please list the incumbent member(s)'of the City Commission: • • Yom. -a- _�y ,. . 1.. F..- _I .-_ .NCy ;. � Yes No: fire h silit1beentless ttianifi1P2frmonthstEsmcelithe"telectedrrofficial(s)�wh m you provide dicampaiani onsultinq services Was sworn in,d. 6) Pursuant to City Code Section 2-482(a)(4)a-, a lobbyist who has within the past election cycle provided campaign consulting services town 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 lobbvina 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 member(s)of the City Commission: Yes -No: If�a es weres oui«•'romisedvoradid1 ou" receiveieco om ccs`on is derationiniexccha"e for m consult'"""ingTservicesaT TO BE COMPLETED BY CITY.CLERK'S STAFF ONLY - Annual Registration fee: [ ]Yes[`l0 No Amount Paid$ MCR# �+✓ P Date Paid Lobbyist Registration Form received and verified by: '— m S -i St.if,,C1 G . F:1 CJ Ek\SALL\?FORMS\LOBBYIST FORMS\,Lobbyist Reg,Lstration Formlg'evisedl 01-01,18 REG•.doc, Revised 01/01/201B 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 PRECEDINGCALENDAR 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: CK Date l l zif e_el. 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 resorting requirements. Signature of Lobbyist: 0 Date / / 7.,6 Signature of Principal: �1 � /4 Date I3 O VII. NOTARY SIGNATURE AND SEAL:. LOBBYIST: PRINCIPAL A 4.^ State of El6 State of Io. ti►^�.. �_ -. �I � "�. Countyof: �I C�YY► 1 ..-'� Com:. Count of: . . N�.�. I LJ Pi At. . y Sworn toor affirmed)and subscribed before me Sworn to(or affirmed)and subscribed before me this i3 7.day ofvA;‘u,e..c+a^ ,202o by this OfAday of 0acti u4.- 20 2?by D Ca-tatva-rw. g e... "ir1 Vi�� .. 7)64/1;0 ----Ira-1�o Nr7E OF LOBBY T NAME OF PRINCIPAL urs vera LI e o=. Produced ID fli 25-O "4E-1" 5 1,-0 _Produced ID FORM OF IDENTIFICATION ' / FORM OF IDENTIFICATION _ Personally Known.. Personally Known • . . g., .A09_6, ,,c„,_,.., Signature of No/ry Public . Signature of Notary Public . Name of Notary,Typed, Printed or Stamped . Name of Notary,Typed, Printed or Stamped y�• Notary Public State of Florida (NOTARY SEAL) +PMerle Shama (NOTARY SEAL) elite_ Notary Public state of Florida 41. • My Commission GG 260468 , Merle Shama No, Expires 09/20/2022 +Jjr. � My Commission GG 260468 or,, Expires 08/20/2022 • 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. Page4of5 • • • . . • : MIAMI BEACH is ! : • • 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. : NAME OF LOBBYIST: - 1) LOBBYIST:FEE EXPENDITURE AND COMPENSATION STATEM NT 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 toan otherpenalties that may be imposed' as provided: in (Statement). Yy P Section 2-485.:1, a fine of $50.00 a day shall be assessed for Statements filed after the due dater 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•fle: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 onEthics:and Public Trust: I hereby acknowledge that on February 28 of each year, I shall sub mit to,the City Clerk a signed Statement under oath listing all lobbyist :expenditures, as well 'as compensation received,-forthe preceding.calendar yearwith regard to the specific issue'onwhich I have : been engagedto 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, andthe fee'for such annual registration shall be $500.00 pursuant to Section 2-482 of the Miami Beach City Code. Vii : / lid • Signature of L• ist: Date F:\CLER\$ALL\aFORMS\LOBBYISTFORMS1Lobbyist Registration Form Revised 01-01-18 REG.doo . . Page 5of5. •