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David McKinney - Daniel Ciraldo (5) • 1+„ 6 11- 03� tiecE yED • I • IfCity Clerk FEB Y 20 1700 Convention Center Drive Miami:Be ach; FL 33139. O n OF miA :305.673.7411 /CE OF THE ,• BEA CH • LOBBYIST REGISTRATION FORM JERK 'TYC Lobbyist means ail 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 Chapter 2,Article VII, Division 3,entitled"Lobbyists," for additional-information.' Instructions: Please complete:all sections of this:form and submit the completed forrn,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 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 oneach specific issue. I.: LOBBYIST INFORMATION: . McKinney David. NAME OF LOBBYIST • (Last) ' .. • ' -• • .. (First) .(Middle Name) Miami Design Preservation League -.1001 Ocean Drive :. Miami Beach 1 : FL 33139 . LOBBYIST BUSINESS NAME AND ADDRESS - (Number-and Street) . (City) (State) 'Zip Code). 305-672-2014 daviddmckinney@yahoo.com : :• CELLULAR TELEPHONE NUMBER ; EMAIL ADDRESS:• LOBBYIST BUSINESS NUMBER , • II: PRINCIPAL INFORMATION: .Ciraldo Daniel NAME OF PRINCIPAL • (Last) : - . '. . ' -: (First) : (Middle Name) : Miami:DesignPreservation League : 1001 Ocean Drive. - : Miami Beach • • FL 33139 (Number ) .. (City) : (State) • (Zip Code)• ' PRINCIPAL BUSINESS NAME AND ADDRESS and Street • `-. 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): . 24,%1/± (.. - Q • 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 • r' • • III.:ISSUE TO BE LOBBIED: Describe with as much detailas is practical, including but not limited toa specific description where applicable of a pending request for proposal, invitation to bid, or public hearing number. ta3Lt + I "),C)o /lye- 6. (/ ~ b 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 City Administration/Staff X City Boards.(HPB;Planning,DRB) X Pursuant to City Code Section 2-482(g), every registrant shallberequired 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 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 AMOUN_ T OF LOBBYIST COMPENSATION Be Specific. (Note thata 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 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 ofa 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: Ifayeslahasi itabeenhesstthans.12 f`month'swsm estheielectetlofficial(s)awhom you provided campaigns consulting services-was sworn iFi 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.: YesX No: 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 x .... �: •c�9++e> a: tf$=a%�icY " • Yes_No yes, were`Lyou epromise dhor�did iyouulrec i economic. cons'dera tion"'n iin exchange for campaign✓ cOhsultinc— ices : . TO BE COMPLETED.BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Date Paid Lobbyist Registration Form received and verified by: F,\CJER;\$ALL\aFORMS\LOBBYSST FORMSS\Lobbyist•Registration.Form Revised 01-01-1s REG.doc Revised O1/01/2018 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 LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT:SHALL BE FILED EVEN IFTHEREHAS BEEN.NO EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD:'- Signature of Lobbyist: Date // d ZAZA 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 _-port , requirements. Signature of Lobbyist: Date 0" )6/ZO ( 0 ti Signature of Principal: /� w Date - VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: Dade_ 0 PRINCIPAL State of /�l/air— ...(zJade_ FLr+�GYfLt_- State of L[9 1_1-04 .A • County of: WI i a-M-4 — b County of:. Pt i G.avi.►. — etd e_- Sworn tolpr affirmed)a d subscribed before me Sworn t (or affirme n subscribed before me this /d day of e /-4C4-r" 2020, by this 4 ay of � 20-0by DCVI 61 rip . I n/l.e'y Dai;'{ 3 — ih NAME OF LOBBYIST / NAME OF PRINCIPAL Produced ID Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION /Personally Known Personally Known Sign ture of Notary Public Signature of Nota Public(I . . Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped (NOTARY SEAL) O RY SEAL) � TA Notary Public State of Florida qty._ Notary Public State of Florida S A •• .Merle Shama Merle Shama p My Commission GG 260488 c 7 My Commission GG 260468 cP Expires 09/20/2022 n'Dn Expires 09/2012022 The term"lobbyist specificall•.- •- •-.. • - 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 - _ • • City of.Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,.www.rniamibeachfl.gov Office of the City Clerk Rafael E.Granada,City Clerk : Ci,tyClerk@miamibeachfl.gov Tel:305:673741 1,Fax: 305.673.7254. NAME:OF'LOBBYIST: DAVID MCKINNEY 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 toanyother 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, the required Statement by April 30th y y who fails to file 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 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: - e-C), • / Z Ze) - Signature of Lobbyit-) Date F:ICLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 01-01-18 REG.dob Page 5 of 5