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David McKinney - MDPL • La- 0365 RECEIVED MIAMI EAS HFEB 2020 Office of the City. Clerk 1700 Convention Center Drive . Miami Beach, FL 33139 CITY OF MIAMI BEACH 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 VIII; Division 3,entitled"Lobbyists," for additional information. Instructions: Please completeall 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: 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 daviddmckinney@yahoo.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) daniel@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): `--"/ l 4, D • 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 ' 'i 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 ending request for proposal, invitation to bid, or public hearing number. 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 ofany 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 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) Pursuantt.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 compensatioh 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. . _YesXNo: . Are you providing onlyscientific; technical or other specialized information; appearing..as a representative-of a neighborhood association without special compensation or reimbursement or • representinq'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 inof 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 Ifweslhaelitibeenilessl.ttian l2irnontfis" sincelEtherelected official(s)"iw holn ou p v de campaiq co' mining services was sworn inu 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 Iobbvinq.the.City Commission at a.public meeting. YesX No: Have you provided campaign consulting services to an incumbent memberr of the City Commission withinthe:past election circle?If yes,please listthe incumbent members)of the Citi,Commission: Yes No: IfAves S, vou6p omisedter�Ldid you'er,eiveteca mics nsideratiolii n exchange for`campaig — w aco.`"nsulfinqnerviees?l : .. - - — -- ---.- TO BE COMPLETED.BY CITY CLERK'S STAFF ONLY ' Annual Registration fee: [ ]Yes No Amount Paid$ MCR# Date Paid Lobbyist Registration Form received and verified by: ] Y 9 F:\CLER\SALL\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 LOBBYISTHASBEEN.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 z/16 a a 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 a porting requirements. Signature of Lobbyist: Date �G 020 Signature of Principal:. y Date l �.) (7 VII. 'NOTARY SIGNATURE AND SEAL: LOBBYIST:Il -. PRINCIPAL /b State of f' Ida State of a b e. I County of: N la-K1 boLJ-e- County of:: M I 14-NI. I n-b Sworn tokor affirmed) d subscribed before me ' Swor taa(or affirmed) nd subscribed before me this )O day of (-raj 20 °by this"'clay of E ^u 2020 byid . . bctind ua v12, ,n r1e_� a f1`eJ 1 rex-, NAME OF LOBBYIST' �.. NAME OF PRINCIPAL Produced ID Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION Perso•ally Known Personally Known r./ / �. �� . , Signature pf Notary Public Signatur f Notary Public Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped V (NOTARY SEAL) (NOTARY SEAL) Or N4._ Notary Public State of Florida Notary Public State of Florida Merle Shama /' Merle Shama My Commission GG 260468 .My Commission GG 260488 Expires 09/20/2022 Aril Expires 09/20/2022 The term"lobbyist"specific. - .•: - • • • • . 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 associationwithout 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 BE H e . : City of.Miami Beach,1700 Convention Center.Drive;Miami Beach,Florida 33139,www:rniamibeachfl.gov Office of the City Clerk Rafael E.:Granado,City Clerk ` : CityClerk@miamibeachfl.gov Tel:305:673.741 1, Fax: 305.6737254 . " NAME:OF:LOBBYIST:.DAVID MCKINNEY ". 1) : LOBBYIST FEE EXPENDITURE AND.COMPENSATION STATEMENT Pursuant to: CityCode Section 2-485 d : the .Citnotify (or :Clerk shall . lobbyist . . Yany Y 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 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 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 onEthics: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 Officeof the:City Clerk: • 3) ANNUAL LOBBYIST:REGISTRATION FEE I understand annual registrationof 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. Signature of Lobby! Date F:\CLER\$ALL\aFORMS\COBBYIST FORMS\Lobbyist Registration Form Revised 01701-18 REG.doo • : Page5of5