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Yvette Harris - ABFF Ventures, LLC MIAMI EACHRECEIVED Office of the City Clerk 1700 Convention Center Drive MAR ®220 Miami Beach, FL 33139 305.673.7411 CITyp� MI UEAC LOBBYIST REGISTRATION FORM OfiPICE OMGg F Th( J('ITy H CLERK 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 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: Harris,Yvette N. NAME OF LOBBYIST (Last) (First) (Middle Name) Harris Public Relations, 780 NE 69th Street, Apt. 1904, Miami, FL 33138 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 786.897.8854 786.897.8854 Yvette@harrispublicrelations.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: FRIDAY,JEFFREY B. NAME OF PRINCIPAL (Last) (First) (Middle Name) ABFF VENTURES, LLC 6600 SUNSET BLVD, SUITE 316, LOS ANGELES, CA 90028 PRINCIPAL BUSINESS NAME.AND ADDRESS (Number and Street) (City) (State) (Zip Code) 323-513-8539 201-207-6675 jeff@abffventures.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): FRIDAY,JEFFREY B. • 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): NA Page 1 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. American Black Film Festival, an annual event dedicated to recognizing black talent and showcasing quality film and television content by and about people of African descent. — RC:a° 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 _ t/1 VIIM I �iCS'k,j VCA- 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 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): 0 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 No: 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. YesX 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. 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 No: If yes, has it been less than 12 months since the elected official(s) whom you provided campaign 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: ra5 °.PrA-_ Yg N(�o If„yes; .were you promised or did you receive economic consideration in exchange for campaign consulting services? TO BE COMPLETED BY CITY CLERK'S�STAFFF ONLY l” Annual Registration fee: Yes[ ]No Amount Paid$ tJ 50 • � MCR# "(2S F/1S/tj25 7. L( Date Paid 03- ID-2' Lobbyist Registration Form received and verified by: c‘Acaet F:\CLER\$ALL\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 PRECED NG CAL NDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN E GAG D TO . .BBY. A STATEMENT SHALL BE FILE A EVE IF THERE HAS BEEN NO EXPENDITURE O COM'ENS i TION U RING THE REPORTING PERIOD. ci � � d Signature of Lobbyist � ;Ili _�, Date 3 Oa to`3`� a� I do solemnly swear or affirm that :II of the foregoing facts, statements, and disclo ures i this form are true and correct, and that I have read ort am famili.r with •e %rovisions contained in Chapter 2, A r. VII, Division 3, entitled "Lob yisti" of the Miami Beach City Ccly and rep,. _,requirements. l/4I otz-i Signature of Lobbyist: ` \ ' I pat= / n 0"v L) c gI et 9 Y 1t.�Jp_ J� qjIPIPIPP— Signature of Principal: .d, Date 11120--e--6 --7r ipo Nor VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Ira r'•ctCi State of County of: Y'1\C/lh'li OCC County of: Sworn top!affirmed) and subscribed before me Sworn to (or affirmed) and subscribed before me this 1 0 day of yY)GI(C V\ , 20_W, by this_day of , 20_, by NIY)2.*4Q f,. MG ( .s NAME OF LOBBYIST NAME OF PRINCIPAL c)--Produced ID (c)1f 1 / Y 11 CthS? _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION _Person Ily K wn _Personally Known Signature of Notary Public Signature of Notary Public hn VV. Jctcjr t 0 Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped 20.sow Poe!/c, ANDREINAVILORIO (NOTARY SEAL) * c_� * Commission#GG 281682 (NOTARY SEAL) SEE ATTACHED U+,,. Lig• '0- Expires December 4,2022 `- NOTARIAL CERTIFICATE~ '6. 0F F\•O.\ Bonded Thru Budget Notary Services 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. Page 4 of 5 • { IN',i ill; ii JURAT �`3. If,' ; d i '4i I ?i:' IP ;4; A notary public or other officer completing this certificate verifies only the identity of c iii!is thbv e individual who signed the document to which this certificate is attached, and not (4i INI the truthfulness, accuracy, or validityof that document. ,li Y ,, iµi ,pilState of California 44 ,, lRi i,; Pi illl County of Los Angeles j a Il „fa I i Itil /1 j0 Nilt Subscribed and sworn to (or affirmed) before me on this S dayof 0 ; ' 3 n ' i ( t.;f 20 byh . f'f1 - ,it, DO t � ;i i iI proved to me on the basis of satisfactory evidence to be the person(4) who appeared* l O before me.- IF.4, r. ;'aiii i / M ifs i (/ -- R.PLOTKINA it IP wCOMM.2303198 o Eat � ? Ir;A , / . __ , `Zt.^ r Los AngelesCorxtty t'# if1 iiii Signature . (Seal) -- ----- Corrr _EE SSept24,.zo29 � l MI , ti (.;i ;4 ♦ ♦ wi • lHa OPTIONAL INFORMATION INSTRUCTIONS X11 kl 't0 The wording of all Jurats completed in California after January 1, 2015 must be in the 1f411 i i,,.,, form as set forth within this Jurat. There are no exceptions. If a Jurat to be completed PI W does not follow this form, the notary must correct the verbiage by using a jurat stamp '�_ fVia{ ii irli containing the correct wording or attaching a separate jurat form such as this one with 10 ,o, does contain the proper wording. In addition, the notary must require an oath or j `y DESCRI'TION OF THE ATTACHED DOCUMENT `' ,k affirmation from the document signer regarding the truthfulness of the contents of the lh i 9i / i . document.The document must be signed AFTER the oath or affirmation.If the document ri iji ` I • (� la % • 0 was previously signed,it must be re-signed in front of the notary public during the jurat 3 ,=i 44 ;i; (Title or d 'ptio• . :ttached document) process. i'" •• State and countyinformation must be the state and countywhere the r iii �; i! ill document signer(s)personally appeared before the notary public. { (Title or description of attached document continued) • Date of notarization must be the date the signer(s) personally ' t44 appeared which must also be the same date the jurat process is $)t I jj completed. �! }Ij Number of Pages 5 Document Date • Print the name(s)of the document signer(s)who personally appear at 11 II the time of notarization. iii ll:; 11; • Signature of the notary public must match the signature on file with the f ,111U Additional information office of the county clerk. f • • The notary seal impression must be clear and photographically illi (3,i reproducible.Impression must not cover text or lines.If seal impressionINS c•�1 i PI smudges, re-seal if a sufficient area permits, otherwise complete a «t.i different jurat form. ; ,:y: • Additional information Is not required but could help til 'gi to ensure this jurat is not misused or attached to aif Ili different document. ri I it • Indicate title or type of attached document,number of tl; y i,.; pages and date. F iii • Securely attach this document to the signed document with a staple. l' A7-. .. ..:z ,.:,src�.-�•.�.�- .:,.�,,-.v:...L .y;.w_�.�:..•-.,-_,=c:=sa± .^.�^r.^.,..�.�:��r,,===----rW ..r.�..m�.....•.,-m.,..=.,: :..agr._� :.-:,__ �,�.., - ^..,y MIAM BE.,ACH 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: YVETTE N. HARRIS 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 an ual registration shall be iyJ4 , $500.00 pursuant to S •tion 2-482 of the Miami Beach Ci , Code cma 6 Signature of Lobbyist bate F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 01-01-18 REG.doc Page 5 of 5 . »S F t' Y v'9x j { "{,^.F"?'"T R ,''''''''''''., ,i'; S ':.;i- ,2',.'I R.. s '! wr. .- J$s. s , Miscellaneous Cash Receipt '.. . CITY OF'MIAMI BEACH No,425753 Cash• Q Credit Gard C1•Check# 'f ;3 A � . � (-„,,-.3,7-:,.,),.:1",,'7,:, � 20 1.-�.) 4 ReceiVed of ( � .. . - . Miscellaneous 1�C F. L�cQ ,,,-;,s;,-;;;, ,y 03't tutarsa O'311(1l202 (1 A•M - 3 '°•; 4• ,d .� O'"� •tt, ' =1 r.r:-,,,,-.:_-,,-;..,,,,,,'''',/'?''''. r ,, „�, R OFEN'(MC'Rltz II.' 6 .r � :� • g Favment�amcunt. d25753 (THIS INFORMATION'MUST„BE COMPLETED) Office o f Finance Director , Account Number. 1 i 1-_ t . - L1 ' - ).. � `� � Preparer - V #�r Dept. "f EXT • • Miscellaneou,"s Cash Receipt u • • CITY OF.MIAMI,BEACH . 425754 No .:Cash 0Credit Card `', Cf eckf#' :�. Rived of-, . t fd; � ` , , Misc'eliai eons MCR-2U20 �i� t� - ; I gik i4"�.to .�..: Q?/10!'?C1?b 11.Q4i1A4 (. a l.j, {t t tti t ...t. ] 51'` 9 • Payment Amount 500•00 _! 425754 (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director a Account Number: ' �' '` ) C t-#.t , .� Preparer., . k . Dept. °< ,. EXT. . .