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Javier Avino - Generator Hostels Ltd. /..)Vk CR-66-K- Ofrlv6 RECEIVED n, r ° r4 FEB 14 2020 '•lE - if Office of the City Clerk 1700 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 arty 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 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: Avino Javier F. NAME OF LOBBYIST (Last) (First) (Middle Name) Bi.l.zin Sumberg Baena Price E. Axeirod LLP 1450 Brickell Avenue, 23rd Floor, Miami. FL 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305).350-7202 javinoaabi1.zi.n.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Hocking Mark Henry NAME OF PRINCIPAL (Last) (First) (Middle Name) Generator Hostels Ltd. 27-29 Glasshouse, London, UK W1B 5DF PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 44-0-20-7432-7372 44-0-7833-650-811 mark.hosking o©staygenerator.com 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): Alastair Thomann:Chief Executive Officer • 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): No individual persons,the asset is 100%owned by George MidCo LLC. 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 pending request for proposal, invitation to bid, or public hearing number. License and agreement and authorization documents associated with City of Miami Beach Harmonization Plan for Indian Creek Drive. 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 Planning Department and Staff X. Pursuant to City Code Section 2-482(g), every registrant shallbe 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 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): None 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): $675/per hour 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": _Yes XNo: 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. Yes XNo: 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. _Yes XNo: 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 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 XNo: If yes, has it been less than 12 months since the elected official(s) whom you provided campaiq consulting services 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 list the incumbent member(s)of the City Commission: Yes XNo: If yes, were you promised or did you receive economic consideration in exchange for campaiq cow'"ns Iting""Tse ices? TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee:'[ ]Yes[14 No Amount Paid$ O. MCR# L j �� Date Paid 0L` � ''2. ` Lobbyist RegistrationForm received and verified by: Cl �,� 3ia' w.�lts- • F:\CLER\$ALL\aFOBtMS\LOSBYIST FORMS\Lobbyist Registration Form Revised 01701-18 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 LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPE A :N DURING E REPORTING PERIOD.1 Signature of Lobbyist: . l Date / // f I do solemnly swear or a- ` that all of the foregoing facts, statements, and disclosures in this form are true and correct, and that I have read or am f-miliar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code a • reporting ref' -- / / Signature of Lobbyist: Date. / r Signature of Principal: Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: d PRINCIPAL i(/J' State of r , '' State of County of: �I 4.1-Y1/ 044-e- County of: Sworn to(or affirmed and subs ibed before me Sworn to(or affirmed) and subscribed before me this / Y day of Ca'J'- ,20/by this. day of ,20 , by NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION o Il own Personally Known r it/lam gnature of Notary, Public Signature of Notary Public Name of Notary,Tv,p4d, Pri n �Bc $taP ed Name of Notary,Typed, Printed or Stamped ek,* * Commisslon#GG 309948, (NOTARY SEAka` Expires March 10,2023rni (NOTARY SEAL) o F sp Bonded 7lwBudget Notary Simko The term':lobbyist"specifically excludes the following persons: Expert witnesses who provide only scientific,technical or other specialized informationor 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 . . . E ,1 a\ I. SIGNATURES UNDER OATH: r, 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 COMPE SAT N DURINT E_REPORTING PERIOD.1 • Signature of Lobbyist: L� Date I 4l GC/1 I do solemnly swearor a that all of the foregoing facts, statements, and disclosuresin this form are true and correct, and that'l have read or am f-miliar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code a ;.,: reporting re•'- --.-:. l / Signature of Lobbyist: s Date / ?1 /Q I / 9 • , Signature of Principal: Date '-9 — \ s 1- - -A'S 02 - o -2co VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: d,/ . PRINCIPAL State of Pico State of E'at(.AtM D M County of: P-1/ Q.YYiI Odel- - County of: u_ 00>vi Sworn to/('or affirmed .and subscribed before me ` Sworn to(or affirmed)and subscribed before me. s"`�l;,. this / t day of 0(l-!!' 't J' .20J4by this'OL day of c vt.2Ac-C \ ,20_2�y NCg ' 'iii.w-er -lil4h v 40„e:w::'MA WIIEMAY iloSKIRO- NAME OF LOBBYIST °j? NAME OF PRINCIPAL t _Produced ID Produced ID UK?4z 6 6511.6600 i 4nownFORM OF IDENTIFICATION FORM OF IDENTIFICATION ►' L= /-o, _Personally Known Ignature of Notary Public Signature . Notary P . is / A J Gfe Notary Public London,England(Christopher G.Higgins) 7� `�f"'r I'� — C M Com i--ionexrires tDe Name of Notary,T d,PrinittBcarped_ Name of Notary, 'ype.. ;Ayala7iC�.0. Stam d 4§......N. ,, * R RAE Commission#GG 309948 b. ExpiresMuch10 2823 Tot+44 .' I (NOTARY SEAL a �` M i ' 023 (NOTARY SEAL) ' tin 'The term"lobbyist".specifically excludes the following persons: Expert witnesseswho provide only scientific,technical or other specialized information or testimony in public meetings;any person who I) 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 forthe purpose of requesting a grant withoutspecialcompensation 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: 305.673.741 1, Fax: 305.673.7254 • NAME OF LOBBYIST: Javier F. Avino 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 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, and the fee for such annual registration shall be $500.00 pursuant to Section 2-482 of the Miami Beach City Code. L /4/V/i ,gnature of Lobbyist Date Fi\CLER1$ALL1aFORMS\LOBBYIST FORMS1Lobbyist Registration Form Revised 01-01-18 REG.doc Page 5 of 5 ,.rot•mvs*r �+n 7. , b P Miscellaneous Cash Recei t 2 CITY OF MIAMI-,BEACH �' No..425721 i - ' . ,t.`4 D-; as Ch O Credit Card Check# 1 (4=55'61 $ 7 () MBF �''" �'' 41 Received of \ -fit.t 'f' 4'�#? k t�rl:'1. ,. ,- ).,4,..„,-, ,, , t,r'rJ,,(1 g �scellanaous ' 'R:-?Ozi) r a D� n��n� rori III kt 29 8( I t it-f c 1'r6 R ''Y s1'0, , S F� t r 4 (r^e t( i` ir1.+h y Pay_ment,Pmount., . " 425721 (THIS iNF,,,ORMATION;MUST'BE COMPLETED) Office of Finance.Director 1 Account Number. i) .;c:, 006 ; N.Y'` t t1It "° . . is L1. ` � t c <; Preparers - rJ, ��c.-v`i4 1 Dept " :, t �«.- EXT