David McKinney - Daniel Ciraldo (4) t IS L L' i i4v
REC�IVhD
I A/v\I EACOffice of the City Clerk JAN
1700 Convention Center Drive 2020I
Miami Beach, FL 33139 CITY OF MIAMBEACH
305.673.7411 OFFICE 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 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 arealsosought to be lobbied shallrequire 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.
Separateregistration 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
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 CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none;write N/A): ..))6,9 e
• 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
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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.
(D-1 I -5 it\)cclvv,,-(44,v pve, (-1-3-ePi7 --());P)
IV: CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-482(a)(4), list the City Commissioner or City personnel sought tobe
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.toan
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):.
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a
contingency fee is prohibited pursuant to City Code Seca 2-485.3):
N/A:No special compensation
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•
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 ona 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 Lobbyist's 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 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
H 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 orother 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 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 No: Iti.Yes;vhasaitfbeenikless Hien;l2 `mo ithsisinceltriOaelectedroffacial(s") wli'o"mltVout'provldretcampaiq '
consulting serovices,was 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 XNo: 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:
•
a:.,
Yes No: Ift.yes; were you�promiseds,'or,cdidl.yourreceiveieconm
oic consideration inaezchangelifor campaign
• consulting services •
. TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes[ ]]No Amount Paid$ MCR# /v Date Paid —
Lobbyist Registration Form receive and verified by: R lrsc'€ r a eaa
FtAcLFR'\•,SAlll\aFORMS\L0613.Y,IST FORMS\Lobby;ist'RegistrationjForm)R'ev edl 01-01-18 R'fGI:doc Revised 01/01/2018• ,
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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 _ . jZCV.
I do solemnly swear or affirm that all of the foregoing facts, statements, and disclosures inthis form are true and correct,
and that I have read or am familiar with the provisions contained in:Chapter2,.Art.VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Code and all reporting requirements.
:::::::::
. . Daten: a-A/
VII. NOTARY SIGNATURE AND SEAL:.
LOBBYIST: PRINCIPAL
State of State ofUI Q- . .
/Vll Am.l �Qa� 1 apyi .-. .cafe
-
County of: County of::
Sworn to$raffirm and subscribed before menA SworntQ( and subscribed before;me
this /3 day of )Gt._4 ea- 201E-,Y . this: '^Tor affirmed)
day of.1 ityt u.a.r. �200,by
. . .
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�GVl . .Vk4Ct/12. c. .1 One CAA./ : CI r'�ao:
NAME OF LOBBYIST a NAME OF PRINCIPAL
LProduced.ID/ 2-5D i/-t 5•b : 14 . . Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION •
Personally Known, : V Personally Know
Signature of Notary Public Signature of Nota Public
Name of Notary,Typed, Printed or Stam•ed Name of Notary;Typed, Printed or Stamped
eNr Notary Public State of Flodia
4: MerleShama .
(NOTARY SEAL) My Commission GG 260468. NOTARY SEAL)
�� Expires 09!20!2022 is S
Notary Publ tate of Floritle
aw � 4e.; Merle Shama
des :My Commission GG 260468
'The term"lobbyist"specifically excludes the following persons:
• w n Expires 09120!2022
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 ofor 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.
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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: .0.,(Ajo
r'
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 untilall 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 ascompensation
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
$500.00 pursuant to:Section 2-482 of the Miami Beach City Code. '
/ zoic)
Signature of Lob Ndist Date
F:ICLERI$ALL1aFORMSLOBBYISTFORMS\Lobbyist Registration Form Revised 01-01-18 REG.doc
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