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Michael W. Larkin - Koda Miami DocuSign Envelope ID:7952A970-3AED-4852-A94E-A868EG1330F8 RECEIVED pr- ri, f' 1 i;.n\ 1. /1 AUG 13 2020 Office of the City Clerk 1700 Convention Center Drive CITY OF MIAMI BEACH Miami Beach, FL 33139 305.673.7411 OFFICE.OF THE CTY 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 aCity 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 registrationforms shall be required for each principal represented on each specific issue. I. LOBBYIST INFORMATION: Larkin Michael W. NAME OF LOBBYIST (Last) (First) (Middle Name) Bercow Radell Fernandez Larkin&Tapanes,PLLC 200 South Biscayne Blvd.,Ste. 850 Miami,Florida 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)374-5300 mlarkin@brzoninglaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II._PRINCIPAL INFORMATION: Kean Wesley NAME OF PRINCIPAL (Last) (First) (Middle Name) Koda Miami 350 Lincoln Road Miami Beach Florida 33139 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305).359-3669 weslev@kodamiami.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS 0 Pursuant to City Code Section 2-482(h)(1)(a):A principal any corporation, par'inership,,or other entity who appeals as a lobbyist on behalf of that P entity,without special compensation or reimbursement for the:appearance,whether direct,indirect,or contingent,to express support of or opposition to en item shall register with the.Clerk as required by_this subsection but shall not required to pay any-registration fees 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 NTA): Wesley Kean ti 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): LL Wesley Kean-100% . Page 1 of 5 -)78-475EA8CD7F77 I Page 1 d 6 I 1475EABCD7F77 I 11111%14-'..1S•J III f DocuSign Envelope ID:7962A970-3AED-4852-A94E-A868EC1330F8 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. Tight Urbanism- "The Space Between" adaption of the alley ways in Miami Beach. A proposal to investigate the idea of transforming the alley network in Miami Beach from one of service only to a new urban asset which also supplements the cities storm water management system through the use of low impact development. 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 Staff for the Planning.&Building Department None X Public Works&City Administration,PB,HPB, BOA None X DRB,City Commission,and Mayor as necessary NOne X Land Use &Sustainability Committee None X Pursuant to City Code Section 2.482(9), 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 NIA None uQl . 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): LL $0 per hour Page 2 of 5 DoeVerify EF-B 9694657-A578-475EA8CD7F77 www.docverify.com Page d6 2475EABCD7F77 ,III 'I I DocuSign Envelope ID:7962A970-3AED-4852-A94E-A868EC1330F8 The following six(6)questions MUST be answered: 1) Pursuantto 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 lobbilne on a pending application for a Development Agreement with the City or gpplication 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 director 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 inpublicmeetings;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.pleaselist the incumbent member(s)of the City Commission: • _Yes X No: if yes, has it been less than 12 months since the elected official(s).whom y_ou'provided campaign consulting services was sworn'int 4 6) Pursuant to City Code Section 2.482(a)(4)a.,.a lobbyist who has within thepast 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 lobbvina the City Commission at a public meeting. �. Yes xNo: Have you prcrd_ed campaign consulting services to an incumbent member of the City Commission a within the past election cycle?If yes,please list the incumbent member(s)of the City Commission: •U Yes XNo: If yes, were you promisedor did you receive economic consideration in exchange for campaign consulting services? ti TO BE COMPLETED BY CITY CLERK'S STAFF ONLY m Annual Registration fee:' [ ,1 Yes[ j No--Amount Paid$ 3 0"' MDR MCR# (416 3 ... Data Paid ' i LC, Lobbyist Registration Form received and verified by: - -)P6•9 )i -1;cn.-`z f `L,!t, "4 2.?,.:V'u .!'1Si:c)FSG 3;r E'15W�<�'ra;:l,c. :a.:._:,;;. :,e;:; •;i.i:; i:: _. Revised 09/20/2018. Page 3 of 5 w_� DocVerify ID:ABFDAIEF-6969-4657-A57B•475EA6CD7F77 ,III FJg 'I www.docverify.com Page 3 d 6 3476EABCD7F77 DocuSign Envelope ID:7962A970-3AED-4852-A94E-A868EC1330F8 • 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.' ,—DocuSipned by: Signature of Lobbyist: , /\ Date 8/3/2020 v�v `-37R2R355n9F6410 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 reporting requirements. "—DocuSigned by: Signature of Lobbyist: / � Date 8/3/2020 —37R2R355DAF6410 Signature of Principal: Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Florida State of County of: Miami-Dade County of: Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of 0 physical presence by means of 0 physical presence or Lit online notarization, or 0 online notarization, this 3 day of August ,2020,by this day of ,20_, by Michael W. Larkin Wesley Kean NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION X Personally Known _Personally Known • Signature of. Signature of Notary Public Diana Ramos P Name of Notary,Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped Diana commission #GG 308355 a • 1 Notary Public-State of Florida / My Commission Expires Apr 10,2023 I The t persons: 1641,a.r.,0,0=0.17«.il 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 0 the appearance. Page 4 of 5 DocVeriy ID:ABFDAIEF-6969.4657-A578-475EA8CD7F77 Page 6 of 6 I S475EA6CD7F77p�'1�f www.docverly.ccm ,III ��"� �IIII 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 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 reporting requirements. Signature of Lobbyist: Date Signature of Principal: 11/M107A Date t72 V VII. NOTARY SIGNA' UR- AN I SEAL: LOBBYIST: PRINCIPAL State of State of 1')2 t County of: County of: !'l k ` - a� Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of 0 physical presence by means of 0 physical presence or 0 online notarization, or 0 online notarization, this day of 20_, by this 311 day of -Z--)\I 20'?Qby Michael W. Larkin Wesley Kean NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID 1--\ n FORM OF IDENTIFICATION FORM OF IDENTIFICATION _Personally Known - • 1 Signature of Notary Public Signature of Notary Public `� V1'`G�1\G Ac_ ����A Name of Notary, Typed, Printed or Stamped Name of No ary,Typed, Printed or Stamped (NOTARY SEAL) (NOTARY SEAL) �A. M� *` "`` * Commission#GG 323112 j Expires April 14,2023 The term"lobbyist"specifically excludes the following persons: N•Fr► n"'eig "d"r$"�e" 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 DocuSign Envelope ID:7962A970-3AED-852-A94E-A868EC1330F8 City of Miami®each, 1700 Convention Center Drive,Miami Beach, Fiorida 33139,wvhv.miomibecchfl.gov Office of the City Clerk Rafael E. Granada,City Clerk CityClerk@miamibeachfl,gov Tel: 305.673.741 1, Fax: 305.673.7254 NAME OF LOBBYIST: Michael W. Larkin 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. 8 3) ANNUAL LOBBYIST REGISTRATION FEE a a 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. w Docusigned by: (./ - 8/3/2020 37R R755119E ifl Signature of Lobbyist Date m w F:\CLERIALLIEFORMSV.088YIST FORMS\Lobbyist Reglstratian Form R9vised 03-11-23 REQ.dae Page 5 of 5 imy ID:ABFDAIEF-13969.4657-A578-A578 www.d I 1111151 ,1S11111`, www.docve*.com Page 6 d 6 6475EABCD7F77 . 0%. docv'erify Lobbyist Registration Form - MWL - fully executed.pdf DocVerify ID: ABFDA1 EF-B969-4657-A578-475EA8CD7F77 Created: August 03, 2020 07:10:15 -8:00 Pages: 6 Electronic Notary: Yes 1 State: FL This document is a DocVerify VeriVaulted protected version of the document named above.It was created by a notary or on the behalf of a notary,and it is also a DocVerify E-Sign document,which means This document was created for the purposes of Electronic Signatures andIo Electronic Notary. Tampered or altered documents can be easily verified and validated with the DocVerify veriCheck system. Go to www.docverify.com at any time to verify or validate the authenticity and integrity of this or any other DocVerify VeriVaulted document. I E-Signature Summary E-Signature 1:Michael Wayne Larkin(MWL) August 03,2020 07:12:44-8:00[D4F97662D815][38.86.132.251] mlarkin@brzoninglaw.corn(Principal) L { r E-Signature Notary:Diana Ramos(dra) '� , August 03,2020 07:12:44-8:00[8DA4551C7E21][38.86.132.251] ;,;• dramas©brzoninglaw.corn r ti } • I,Diana Ramcs,did witness the participants named above electronically t :71111'.'' sign this document >{ • 1 • 11111 'III 111111 1111 Mil 1111111 111IIIIII113101 101 101111 Ill i • 1 101111111111 1011'III 1 101 1111111111 11011 1111 101111 lilt 11111 llll 101 DocVerity documents cannot be altered or tampered with in any way once they are protected by the DocVerify VeriVault System.Best viewed with Adobe Reader or Adobe Acrobat. All visible electronic signatures contained in•this document are symbolic representations of the persons signature,and not intended to be an accurate depiction of the persons actual signature as defined by various Acts and/or Laws. • DocVerIty ID:ww✓v.docver FDAIEF•6969-0657-A578-475EA8CD7FT/ 'Generated Cover Pagel 475EABCD7F77 I ,III 01 11111 Miscellaneous.Cash Receipt CITY,OF MIAMI BEACH. 426324 :' P Cash D CreditCard; Check# $ 20 cu �, r , aluo.CTived`of a i( > .::• F r° � Miscellaneous .fv((.K LULU _ i ,s 1 0 •t1 a.. tt„t t FiliIFR OPEN(MCt.) t ,t Payment Amount: 350.OU a 426324 THIS INFORMATION MUST BE COMPLETED Office of Finance Director t . . By 'Account Number: