Ian E. DeMello - 544 Lakeview Court Irrevocable Trust .
RECEIVED ..
Office of the City:Clerk
1700 Convention Center Drive: .
Miami:Beach, FL 331:39 :::. :. CITY:Q[.-:..M OM1 E-1E `.CH:: : :..
305.673.74.11 OF; ;CE O,=THE OT(, JLLn '
. •. • . LOBBYIST REGISTRATION FORM : '- .
Lobbyist means all persons,employed or retained, whether:peid 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 committees or any action,decision.or recommendation of any City personnel during the time period of the
entire decision making process on such actions;: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: '
. ... ...
(. :LOBBYIST INFORMATION:
e. e. o..'• an •
NAME OF LOBBYIST ::• • • • • •
(Last). (First) .::: (Middle Name).. .
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•
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'Shubin:& Bass, P:A.:•:: -: 46.8:W :1st.Street, Third'Floor,Miami; Florida 33130- •• _•
... :: LOBBYIST BUSINESS NAME AND ADDRESS ••- :•: (Number and Stteet) : . '
(City) : :; (State) : .•: :,(Zip Code)
:
(305).381-6060 m
ideello-@shubinbass,.corn:
.. ,,,LOBBYIST BUSINESS TELEPHONE NUMBER. .. ... . •' CELLULAR TELEPHONE NUMBER• ;••,• • • '' EMAIL ADDRESS • • '
IL.PRINCIPAL INFORMATION:
.. : : Whitman:Lazenby Matthew
,, NAME OF PRINCIPAL::' ' (Last) . . .. •
(First).. • ;. ... (Middle:Name). •
•
544 Lakeview Court,_Miam
• •
544 a eview Court Irrevocable"Trust i Beach, Florida, 33140
- :: PRINCIPAL BUSINESS NAME AND ADDRESS.__(Number and_Street)_:__ _,_ ___-- (City)_ .._ • —_(State)--,;—– (Zip.-Code)—
_.305-403-9200- . - : - . _. : -mwl@whitmanfd,com: :..
. ...PRINCIPAL BUSINESS TELEPHONE NUMBER ••_:••.- CELLULAR-TELEPHONE NUMBER'.:' . •EMAIL:ADDRESS •
-
Pursuent?to C Code Section 2 412(h)(1)(a).A pnnci et of any co oration
�y{ � x p ny rp partnership,or other entity who;appearsras a lobbyist on tiehaff,of that
entity,without special compensationor retmtiursement'for the appearance;whether direct indirect or.cent ingent;to'express suppoitoi Or opposition •
anatem shall egisterwithine Cleric as required!byythissubsection butshail 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):
Matthew Whitman Lazenby.
• • NAME OF ALL PERSONS HOLDING;-DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST:IN SUCH
• Robert:A;Lazenby and Gwen W;'Lazenby
':,•:CORPORATION,PARTNERSHIP OR TRUST(if.none,write N/A); :. .:.. ... ::: ..
Page 1 of 5 .
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III. ISSUE TO BE:LOBBIED: :: •
Describe with as much detail as is practical,:including but not litmited to a specific'description where'
applicable of a pending request for proposal,osal invitation to bid, or pUblic hearing number.
R7A:A resolution finding that the criteria set forth in:Section 82-94 of the city code has been satisfied,and.approving a revocable permit.request by ..
544 Lakeview Court Irrevocable Trust,'(the"Applicant")for:the property located at 544 Lakeview Court,Miami Beach(the:"Property")to allow for a seawall.
repair and reinforcement such seawall is approximately.three(3)feet wide and approximately 209 feet in length,currently encroaching five:(5)feet nine
• (9)inches at its maximum.dimension into city:submerged lands,the proposed repair•of which will further encroach to a maximum dimension of nine
(9).feet.two(2)inches for a total of 1,599 square feet and authorizing the mayor and the city Geek to execute the revocable:permit.
IV. CITY AGENCIES/INDIVIDUALS TO BE:LOBBIED
Pursuant to CityCode Section 2-482(a)(4), list the Ci,. Commissioner or City 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 tithe 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 .. None
--:',4-4.-,Pursuant-to:-City--,Code Section-2=482(g),=every-registrant=shall be-requitod-to-state the extent:of any ---
business,:financial, familial: or professional::relationship, or other relationship giving rise to
appearance of-an impropriety,with=any.currentCity Commissioner:orCity 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 o
P tY(if none,write N/A): .. . ..
...: None •
V. DISCLOSE:RATE AND AMOUNT OF LOBBYISTCOMPENSATION -Be Specific. (Note that a
contingency feeis prohibited pursuant to City Code Sec;_2.485.3): ::
$335 per hour. :
Pege 2 of 6
.. :::•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)41o:.:•• • 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 o:::: Are you lobbyingon 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 indirectto:express support of or opposition to any item,shall register with
the cityclerk'as required b .this section;but shall not be required topay. registration fees.
. ... q. Yq any 9 . .
::_Yesxi1o: 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 .s ecificall .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:withoutcomgensation 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.• -
•
_YesXNo: Are•'you providing only scientific, technical or'Other specialized :Information; appearing_ as:4-
. .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 :t
consultant shall lobbyhe City Commission fora period of 12 months
• following the.swearing in'of any elected•official(s)for whom the campaign consultant provided campaign.consulting:services
... ..
within the peat'election cycle.See Section 2-091 for more information.
_YesXNo: •Have you provided cainpaign•consulting services to an'incumbent member of the City Commission ': : ,
within the past election cycle?:If yes,please list the incumbent members)of the City Commission: -'
.
•
• • ..Yes_No: If yes,-has it:been-lest than.12 months since the elected officials)whom.you provided campaign, :
consultingtservices-wes.sworntin? - ••
.
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-- 6)--- - - -Pursuant-to-City Code Section2=482(5)(4)a.; a ebbyist wtio has.withithe-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______ .
---- --.72.4.9f)—shalldisclose such particular-seNte on-bos/her-lobbyist registrraion form and.shall:orally disciose such particular
• service before lobbying the City Commission at a public meeting,.. . • •
. _YesXNo; : ,..Have you provided campaign consulting services to an incumbent member of the CityCommission
• - •• within the past election cycle?if Yes,please list the incumbent member(s)of the.City Commission: •
.
Yes_No;. If ves.:werezyou promised.or did:.you receive economic consideration in-:exchange for'campaign:
• .. cons ultingseivices?
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TO BE COMPLETED BY CITY:CLERK'S STAFF ONLY ,'•
1 Annual Registration fee: [Mee[ )No Amount Paid$ MCR# t 1/b Date Paid ' .. `
• . . .. d_Lobbyist Registration Form received and verified,by: _ '
_ 1. fic?t_,.tu "t,*,„, g\L-.c_:.s.T6A .- syTwI f '<e.?z rtvgl agiol-.cba. t,i411 x72 w; H. is�. Revl d-03 11 2030
:;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 COMPENS N DURING 7HE:REPORTING'PERIOD:1 . ..
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.. . Signature of Lobbyist .
y Date 9/16/2020
•
I do solemnly swear or affirm that all of the foregoing facts, statements,.and disclosures in this form:are true and correct;.'
and.tat 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 - rting requirements:.
Signature of Lobbyist D •ate Z 20
. . .. ....Signature of Principal:.: • • Date :� ao as . . .
NOTARY SIGNATUREAND SEAL:.
.
. .LOBBYIST:. ..: :PRINCIPAL. ::....
• State of Florida of • U,/id ti
:'.. . Stat
e
Miami-DadeM ,
." '''• Count of:.. . ••i : . • 0 � in
.. ...
ounty o •
:Sworn:to(or-a irmed)and subscribed before:me;: _ Sworn to. or`a�irmed)and subscribed before me;
by means o hysical presence: : : • , , by'means ofphysical presence
• • •• or 0 o lyie notarization, : .• .•:Or DJp�yrtine notariza n, . ..
•
. .this .: . day of d' �'�•5v . 20 this da of :- : )by.
lan•DeMello .: ..
NAME OF LOBBYIST NAME OF PRINCIPAL
.
._Produced,ID •• ••'
Produced
FOR ! IDENTIFICATION , • • •• • •' •- • FORM • . P ENTIFICATION. - • .
_Personally K,own - - • •Personally Knnwn:
- — .: ---- . .:.- -•- ---.. .., _---`--__L:::•1- --------- - -
Signature of.Notary - .lc -• ... Signature of Nota `:ublic
Name of N• a., y•ed,'Printed or Stamped ••• Name of Notary,Typed, Printed,or Stamped
: : : :.. (NOTARY - -- :(NOTARY SEA4.
Le'''' 'ASON GRE GCRY:-i �G.c
•
•
!•',-.4.: o .N `'o` .. L.' ,9.60.1'''i GREGORY HEDGES
atary Put is •Stat: )lac '
r�
:'..'. '.71.. e;. =GO 250E14 _'•-0:•r NotaryPub:lic%State of Florica
Commissior
... •..OF Ft: ... ... •
. :. .. My Comm::En:it-es A;.g 2•?.2:1J '��'
a
Commission;GG 50E94 -- -
The term"lobbyi •° i •.r •• - c••• ROWing persons: •
r •• : My Comm.Expires Aug 20.2022
''•..OF FL�.•
Expertwitnesses•who provide only.scientific,.teChnicat 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 anyitem;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: . . .
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• • . MIAMI BEACH ' ' H!':: : - - . -:: --: . : - :- - : : - ":
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. • i.,of Miami Beach,1700 Convention Center Drive;Mioini Beach',Florido 33)39,www.miamibeochR.gov
Office of the:Ciy Clerk
Rafael E,Granado,City Clerk CilyClerk�miarnibeachfl.gov
•
Tel:305.673.7411,.Fair:305.673.7254 1
NAME OF LOBBYIST: Ian DeMello ::: :::,1
1) :LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
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•
Pursuant fo City Code Section 2-485(d), the City"Clerk.shall notify any. lobbyist (or
principal) who fails to fife: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:Corrimission 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 finesare 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 •:
.. een engaged to lobby. :::
2): LOBBYIST.WITHDRAWAL
Once an Issue_i_have eegisterr_ed to-lobby hasconcfuded or Lem_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 feefor such. annual registration shall•be
$500:00 pursuant to Section 2-482 of the Miami Beach City Code.
.' Septembee
r 16;•2020 -
Signatureof Lobbyist Date:
F•tCLERt3aLLtaFORMS1106BYIST FORMStLa
... ... _„ bbyist.Regietration Form Revised 03,1140.REG.doe ... ... :.: .. :.
Fage5of5
Miscellaneous Cash Receipt -
CITY OF MIAMI BEACH
• No. 426383. .
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THIS INFORMATION-MUST BE COMPLETED)
Office of Finance Director. ,
Account Number: f'J l�'. xti�a.. ;~ L11211-/ By :
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