Norman Blandon - Cheryl J. Kaufman •
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RECEIVED
ISEP � � 2020 Office of the.City Clerk
1700 Convention Center Drive CITY OF MIAMI BEACH
Miami Beach, FL 33139 OFFICE(. 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 any City board or committee;or any action, decision or recommendation of any City personnel during the lime 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"Lobbyist"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:
Norman Blandon Blandon Norman
NAME OF LOBBYIST (Last) (First) (Middle Name)
N25 Architecture Co. 6262 Bird Road Suite 2A Miami, Florida 33155
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305 666 5151 305 297 2812 n@n25.cc
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
IL PRINCIPAL INFORMATION:
U&1L(1- . 11- .U7FM1,•.t•1-- alt,THIks0 t✓0 G9-Lil.. ,Gt
NAME OF PRINCIPAL (Last) (First) (Middle Name)
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
'3pas`i • O D° VIC7s OLt ?—
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
i bMQ 2-482(h)(11)(a): G.1 principal Cl/Eqyr!,94zinfatut,partnership,C•I? GDR/C tElpaid en D lobbyist CU)l iclli�C4{
Aira dataa special •1n ,91,_: r3C1?j' 'EtFfM F-1Ho le_le[wA '- . ,-". indirect,CI?contingent,m(;boli--iy i+3+ Ii2C'0. osition
-n item shall register with the Glerk as required by this subsection but shall not be 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 N/A): P1
• NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MO OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A):
Page 1 of 5
4k14414(etdfiri 1261 24), 12 /2'
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.
3 Variances for Single Family Residence Driveway Renovation located at 2301 Sunset.
1. Side yard setback-Driveways shall have a minimum setback of four feet from each sideproperty line.
2. Side, facing a street previous area-At least 50 percent of the required side yard area facing a street
shall be sodded or landscaped pervious open space.
3. Proximity to building-With the exception of driveways and paths leading to the building. paving may
not extend any closer than five feet to the front of the building.
IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-482(aX4), 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.
F 11 Name of Individual and Contractual Relationship(If yes,explain) YES NO
Tij of Person to be Lobbied _
POA/2.17 AAf tt5T-PITvT3 Nnw0"
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 i ropriety(if none,write N/A):
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION —Be Specific. (Note that a
contingency fee is p hlbited pursuant to City Code Sec. 2-485.3):
'75
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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_x11o: 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.
_YesX_No: 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.
_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:
Yes No:• If yes, has it been less than 12 months since the elected official(s)whom you provided campaign
consuting services was sworn inf.
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 No: If yes, were you promised or did you receive economic consideration in exchange for campaign
consulting servicesr.
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY g�
Annual Registration fee: [�}]Yes
�jam`]No }r Amoun
t Paid qR#.�}}t 1.t, C Date Paid �I '2
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Lobbyist Registration Form received and verified by:
rX0-,1;nIt} ,75124. ••3�. .�'a+ v't.. 3. Revised 03/11/2020
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VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR, EACH •BBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A
SIGNED STATEMENT UNDER O H, LIS r NG (HAWING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, FOR THE PRECEQIN CALEN '1 EA- WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN EN�� ' TO Le =,kA ST' EMENT SHALL BE FILED EN IF THERE HAS BEEN NO
EXPENDITURE OR COMP= ON •U. EPORTING PERIOD.' 41/
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Signature of Lobbyist: 4 f1.1 /L i _ Date
// r
I do solemnly swear or affirm that -II of th- for-goin• -cts statements, and disclosures i this form are true and correct,
and that I have read or am f-mi -r with t,e . ions c,, tamed in Chapter 2,Art.VII, riivision 3,entitled"Lobbyists"of
the Miami Beach City Code a • all rep.- ,.r . 'rem; ts.
Signature of Lobbyist: A / Date
Z2 2e.
asor
/iii )?Signature of Principal: � Date kJ r
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPALL /�Q�
State of d State of - - " "`--"
n
County of: )` A-t 'e County of: tanAlti — G9`e
Sworn to(or affir ed)and subscribed before me, Sworn to(or affirrped)and subscribed before me,
by means ofphysical presence by means of Vphysical presence
or 0 onfne notarizatio .or 0 online notarization r
this day of �� �
"'� ,24 by this �day of , ( .GZZ I`t(/r 202Z?by
oU o I2-&L l-0 rU(b-0 43 efri 66 ) (A 5i't -v1
NAME OF LOBBYIST NAME OF PRI IPAL
_Produced ID _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
Personally �_
ersonally Known ersonally Known
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66,
Signature of Notary Public S- nature of Notary Public
Veit ce ,v 0 J 'kdk 4t110
Name of Notary,Typed,Printed or Stamped .. Name of Notary,Typed,Printed or Stamped
Q��rej Ivett Garofalo (NOTARYSEAL) -—
NOTARY SEAL) ,j.v°:��,
( :r. I ;uv q,•., MICHELLE KAHN
,- „_COMMISSIONdGG2611851:0,4;;;;;;;:,;\
.+' y,': rrolaryPublc-SlaleolFlorida f
;;?. iv EXPIRES:Nov.2,2022 t �' ,�i Commission#GG 177491
Bonded Thru Aaron Notary ',',� ry1,.My Comm.Expires Apr 30,2022 I
The term"lobbyist"specifically excludes the following persons: �'rl"I; Bonded through NaSonaINoliryAssn
.
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
An ! Aiv\iB E Aci
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: Norman Blandon
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 a '{al regist ation of all lobbyists shall be required for each 12-month period
comme/ding October 1 •f each year, and the fee for such annual registration shall be
$5 X10. " pur j:.eo o Se'tion 2-482 of the Miami Beach City Co.e.
Sign.; re of . st D- e
F:\CLERI$ALL\aFORMSILOBBYIST FORMS1Lobbyist Registration Form Revised 03-11-20 REG.doc
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N25 Architecture Co. AA 0003242
6262 Bird Road,Suite 2A Miami, FL.33155 Phone 305 666-5151
September 24, 2020
Jason Salvatore-Office Associate 111
Office of the City Clerk
1700 Convention Center Drive
Miami Beach, FL 33139
RE: Lobbyist Registration
2301 Sunset Drive BOA Hearing
Jason:
Attached please find Lobbyist Registration for BOA hearing scheduled for October 2, 2020.
Please apply this resist ..'on for Fiscal Year 2020/2021.
Sier, y,
an :la 0L •.
President
N25 Architecture Co.
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH .
' No.426394
C7 ash CD Credit Card 'Check# . . . ..
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',,payment Amount_ t_ 450,00 _•� ;. / T • • ..
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(THIS INFORMATION MUST BE COMPLETED) ..Office of Finance Director;
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Account Number: ! "' -> t `I
.„I� . - .A'•t=,1°` Dept .,C,1„. '� ' .
Preparer.. .
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