Kelly Colleen Mallette - Monty's Sunset (M041'5 4.1 VtA5L1-�- Pa e•r elt.
RECEIVED
/\AI,41\AI E1CH Office of the City Clerk JUN 04 2020
1700 Convention Center Drive
Miami Beach, FL 33139 CITY OF MIAMI BEACH
305.673.7411 OFFICE OF THE CITY 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 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:
Mallette Kelly Colleen
NAME OF LOBBYIST (Last) (First) (Middle Name)
18851 NE 29TH Avenue,Suite 1010 Aventura FL 33180
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)935-1866 (786)295-1199 kelly@rlbookpa.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Johnson Tricia
NAME OF PRINCIPAL (Last) (First) (Middle Name)
Monty's Sunet 300 Alton Road Miami Beach FL 33139
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)672-1148 (917)696-2862 tarnyc@aol.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
PEIMIEMfpEly aft)Section 2-482(h)(1n Q principal deg,corporation,Oliagadillp,CP CIRO OM at)appears Ep p lobbyist,CR]L fPc2(1kEf
aiMatitall special compensation Cp reirnbursement ity(bu indirect,CH contingent,Q7GEBEE13(aMiadICIT o...sition ft,
MIf. it the @It;t Epre.uired[ 'j 3subsection( Q gi;CID re.wed Qj(: JETiir7re.istration
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): Tricia Johnson
• 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): Tricia and Matthew Johnson,Warren Gilder
Page 1 of 5 A
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.
Monty's Sunset lease and Marina Park proposed 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
Mayor Dan Gelber, Commissioner Mickey Steinberg X
Commissioner Mark Samuelian, Commissioner Michael X
Gongora X
Commisisoner Steven Meiner, Commissioner Ricky Arriola X
Commissioner David Richardson, City Manager Jimmy X
Morales, City Attorney Raul Aguila X
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):
$5,000.00
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 LNo: 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: f yes, has it been less than $2 months since the elected official(s) horn you provided campaign
onsultinq 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 campaig
consulting servicesr
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ].Yes[ ]No Amount Paid$5 MCR# �i� Date Paid OL" ZC)
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\aFORMS\LOl36YIST FORMS\Lobbyist Registration Form Revised 03-11-20 rEG.doc Revised 03/11/2020
Page 3 of 5
VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A
SIGNED STATEMENT UNDER OATH. USTJNG LOBBYING EXPENDITURES,.AS WELL AS COMPENSATION
RECEIVED,FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGA I 0 LOBBY.A STATEMENT SHALL BE EI ' EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPE • ••l:DURING THE REPORTING PERIOD.'
Signature of Lobbyist: Jf f .; f Date 6/3/04
I do solemnly swear or affirm that all of the foregoing facts,statements,and disclosures in this form are true and correct,
and that I have read or am famil- with the provisions contained in Chapter 2,Art.VII, Division 3, entitled`Lobbyists"of
the Miami Beach City Code a -- . ' g • rrements.
Signature of Lobbyist: ` a .L ;115 1j'! 69/3/, Y
Yi ., . Date
Signature of Principal: ;,• Y ��f � Date �(3//
VII. NOTARY SIGNATURE AND ,L:
LOBBYIST: PRINCIPAL
State of F.cie!04' State of fr/02r S
County of: &{1.1114•4 1---)L County of:470"0 a'Q
Sworn to(or atfi��ed)and subscribed before me, Sworn to(or affi ed)and subscribed before me,
by means of t9"physical presence by means of hysical presence
oro online notarization, or❑mil' e notarization: _-,4.-N.
this 321).day of; LL JE" ,2Oby this *fi'day of niOd.( ,2;10,by
`s
•• LET. ie a-_ o2A)$ ✓
NAME OF CO:: ' tv' E OF PRINCIPAL
_Produced ID Produced ID
FORM OF IDENTIFICATION FORM OF IDENTiFiCATIQN
Y
Personally Known ,Personalty Known
efp i
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Signyt�ure of Nola, blit Signeture of
(�,� rre �l L u ,cam Notary Public
Name of Notary,Typed,Printed or Stamped Name of Notary,Typed, rinted or Stamped
(N• _ 1 (N,
"? �' BONETTE MOSCIiEU,,, X07 Notary Public Stale of Ft,-r:a
- MY COMM•-•.,* i!G0084325 Ellie P Parker
'Tete to ':�-' 1'C spriallffifiIBlttlttl4.Mcti persons: My Commissar'GG?»252
'kgwd tomes e7ro5,.2o22
Expert witnesses who provide only scientific.technxal or other specialized in,ormaton or tins any n 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-fix-profit community based organon tot the purpose of requesting a grant without special compensation or reimbursement for
the appearance.
Page 4of5
MIAMI BEACH
City of Miami Booth,1700 Come^Am Catler Drive.Muxru Beach,Florida 33139.www.miatnibecchfi.g:v
Office of the City Clerk
Rofcal E.Granrda,City Clerk CryClerkkmiomibecchU.gov
Tel:305.6732411,Fax:305.673.7254
NAME OF LOBBYIST: Kelly C. Mallette
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 30t' 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 an 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.
ith
...,
-I1� (p .3
Sign. ure •f •b*yist Date
FiCia 1S4itaTORIAS.093YIS7FaRmS..tbox4r44. 01FVmRrrkfai111-1t.2 REG ecc
Paoe 5 of 6
Salvatore, Jason
From: Ron Book <Ron@rlbookpa.com>
Sent: Friday,June 5, 2020 6:35 PM
To: Salvatore,Jason
Cc: Kelly Mallette
Subject: RE: Miami Beach Lobbyist Registration - Monty's Sunset
[THIS MESSAGE COMES FROM AN EXTERNAL EMAIL-USE CAUTION WHEN REPLYING AND OPENING LINKS OR
ATTACHMENTS ]
THANK YOU
From:Salvatore,Jason<JasonSalvatore@miamibeachfl.gov>
Sent:.Friday,June 5, 2020 5:00 PM
To: Ron Book<Ron@rlbookpa.com>
Subject: RE: Miami Beach Lobbyist Registration- Monty's Sunset
Thank you. We'll list it as a flat fee at this time. If the figures change in the future, please notify us so we can amend the
registration.
Have a great weekend,
MI AM BEACH
Jason Salvatore - Office Associate Ill
Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-673-7411 www.miamibeachfl.gov
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical,
historic community.
Shope g uniiedStates*°
our`futur ;east
START HERE> LULU
Complete the Census today! Click Here
From: Ron Book<Ron@rlbookpa.com>
Sent: Friday,June 5, 2020 4:55 PM
To:Salvatore,Jason<JasonSalvatore@miamibeachfl.gov>
Subject: RE: Miami Beach Lobbyist Registration- Monty's Sunset
[THIS MESSAGE COMES FROM AN EXTERNAL EMAIL-USE CAUTION WHEN REPLYING AND OPENING LINKS OR
ATTACHMENTS ]
That is the only agreement at this point.There may be a later additional agreement but that will not be determined if at
all for a,number of months.
1
From:Salvatore,Jason <JasonSalvatore@miamibeachfl.gov>
Sent: Friday,June 5, 2020 4:47 PM
To: Ron Book<Ron@rlbookpa.com>
Cc: Kelly Mallette<Kelly@rlbookpa.com>
Subject: RE: Miami Beach Lobbyist Registration- Monty's Sunset
Good afternoon Mr. Book,
Does that mean this is a flat one-time fee? Please confirm.
Thank you,
A'AM BEACH
Jason Salvatore - Office Associate 111
Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-673-7411 www.miamibeachfl.gov
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical,
historic community.
Shape.
Cnitect atesm
your future ts
STAR'HERE> I' LULU
Complete the Census today! Click Here
From: Ron Book<Ron@rlbookpa.com>
Sent: Friday,June 5, 2020 4:05 PM
To:Salvatore,Jason<JasonSalvatore@miamibeachfl.gov>
Cc: Kelly Mallette<Kelly@rlbookpa.com>
Subject: RE: Miami Beach Lobbyist Registration- Monty's Sunset
[THIS MESSAGE COMES FROM AN EXTERNAL EMAIL-USE CAUTION WHEN REPLYING AND OPENING LINKS OR
ATTACHMENTS I
It is the only compensation at this point agreed upon.
From:Salvatore,Jason<JasonSalvatore@miamibeachfl.gov>
Sent: Friday,June 5, 2020 9:17 AM
To: Ron Book<Ron@rlbookpa.com>; Kelly Mallette<Kelly@rlbookpa.com>
Cc: Camm, Patrick<PatrickCamm@miamibeachfl.gov>
Subject: Miami Beach Lobbyist Registration- Monty's Sunset
Importance: High
Good morning,
We have received your lobbyist registrations for Monty's Sunset/Marina Park, however the rate of compensation was
not included. This is a required disclosure.
2
Please provide the rate of the$5,000.00 compensation. Is this a monthly rate,yearly rate, etc.? The registrations
cannot be accepted until the information is provided. We will need an email back from both in order update the
separate registrations.
Thank MIAMIBEACH
Jason Salvatore - Office Associate 111
Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-673-7411 www.miamibeachfl.gov
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical,
historic community.
ShopeUnx *
your'fut re enSU
STAR "HE FtE> 2020
Complete the Census today! Click Here
3
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MCR OPEN -
(MCR)
Reference 1: 426631
MCR OPEN (MCR) `,o ``-, • "` 0 ".ti.°
2020 Item: MCR � , _ a
1 @ 1,700.00
MCR OPEN (MCR) 1,700.00
1,700.004; +, :.. I
Subtotal 1,700.00t
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Total 1,700.00 � €
AMERICAN EXPRESS 1,700.00 cd
Ref Number40f17/869632.
Change due 0.00 r ('""
Paid by: RANA BROWN
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