Joseph R. Salzverg - Noresco, LLC `G2&? A-NS Ogee. fl or/A.-V Com
• RECEIVED
1\/\I Am
Office of the City Clerk NOV 2 4 2020
1700 Convention Center Drive CITY OF MIAMI BEACH
Miami Beach, FL 33139 OFFICE C- 07Th'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;for 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:
SALZVERG JOSEPH R.
NAME OF LOBBYIST (Last) (First) (Middle Name)
GrayRobinson, P.A. 333 S.E. 2nd Avenue, Ste 3200, Miami, FL 33131
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-416-6880 joseph.salzverg@gray-robinson.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Nee Adam M.
NAME OF PRINCIPAL (Last) (First) (Middle Name)
•
NORESCO,LLC 1 Research Drive,Suite 400C,Westborough,MA 01581
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(508)614-1015 anee@noresco.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
I?ur�s a t tity . - Section.2.482(h)(i1)(a) LS. ci.:l atcorporation partnership (. .6 her who appears as a lo'bbyist;C,4)behalf of.tha
�
ntity,•without4•i compensation t:pic ctfjij1 for.Sp t" indirect t 'p 'express supportL1?ci o ..sition t.
n Rag shall register with the L 'e3 re.uireii mitt'subsection but ttE13 not be're.uired{t)pa an 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): Neil Fetchers, CEO
• 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): N/A
Page 1 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 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 for 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 I a not-for-profit based organization for the purpose of requesting a grant without
special compensation or reimbursement?
5) Pursuant to City Code Section 2-091(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:
NYes No: Ifi es" has�tit been less th X9.2 mo the sii ceded 1 ailed ffic al()fwhom`+Yolifprov ded ampaigrrl.
eonsulting services wassworn 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 X—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:
NiA <"S .Ij.�"#dE._4 k;cw d•.a°Pr¢a ...
Yes_No: ifryes, wereryou�ipromrseddor�did-,you:freceiue,geconomte�tconsideratronAinkexchange for_..r campaign
consulting services
TO BE COMPLETED BY.CITY CLERK'S STAFFIONLY
=Annual Registration fee: ky)Yes[ )No Amount Paid$ MCR# 1 v% \ Date Paid IT (
Lobbyist Registration Form received and verified by: '3tvc A Atr\--7 fk.,Q
.\CL@R\$ALL\eFORM \LOBBYIST FORMS_\Lobbyist Registration Form,Revised'03-11-20-REG.dec Revised_03/11/2020.
Page 3 of 5
VI. SIGNATURES UNDER O TH:
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: Date 1///074-0
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPALS ,{ �n p-fes
State of State of N(�l/�(cOL1 1 v:- ; 1 1
County of: County of: \)0rift Al U'
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 X physical presence
or 0 online notarization, or 0 (Mine notarization, �n
this day of 20_, by this �iay of \Ill; �('et/V *( ,20Q by
A-6 A. wu -1 e t
NAME OF LOBBYIST NAME O-PRINCIPAL
_Produced ID _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
Personally Known X Personally Known
rk
Signature of Notary Public Signature o Notary Public
S01 .1 . 19e llt+i-e r
Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped
(NOTARY SEAL) (NOT •
SARA J. PELLETIER
Notary Public
�• COMMONWEALTH OF MASSACHUSETTS
The term"lobbyist"specifically excludes the following persons: ��'' My Commission Expires On
March 28,2025
Expert witnesses who provide only scientific,technical or other specialized information or testimony in pub is 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
•
•
VI. SIGNATURES UNDER OrekTH:
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.1
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 famili.r with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach city Code a I reportin. requ'
Signature of Lobbyist: � %G/ , . Date
AlOW
Signature of Principal., Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of FCa,zi d A State of
County of:N9/Ar4l-iSA116 County of:
Sworn to (or affirmed)and subscribed before me, Sworn to (or affirmed)and subscribed before me,
by means of Vphysical presence by means of 0 physical presence
or 0 online notarization, or 0 online notarization,
this /' .. day of 4-,l t/6r.13 , 20 by this day of , 20_, by
SvsePN SACZ.,V Gj
NAME OF LOBBYIST NAME OF PRINCIPAL
Produced ID _ _Produced ID
FORM OF ir
NTI ICATI• FORM OF IDENTIFICATION
Pers.i ly Kn.+ _Personally Known
Si..:flRr.�i'T Public Signature of Notary Public
i `ot►RY P''%, - ""'E D I -,:Si14�si1,
o/.
�����4Name of Notary,Typed, Printed or Stamped
'%/�0 FL�y My Commission Epi
'�+�l" November 05, 2021
(N ___;_November (NOTARY SEAL)
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
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?
11-19-2020
Signature of Lobbyist: j�;_,,i, ,e,,, .,:,„, Date
I do solemnly swear or affirm that all o the foregoing facts, statements, and disclosures in this form are true and correct,
and that I have read or am familia'with the provisions contained in Chapter 2, Art.VII, Division 3, entitled"Lobbyists" of
the Miami Beach Eity Code a I reporting requ' - •
• 11-19-2020
Signature of Lobbyist: � � /G% `,(„,ffir_ Date
4111,Signature of Principal" Date
Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of fCD, ./d A State of
County of:✓i9/Arel.l-t�A.Ac. County of:
Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me,
by means of Ca"physical presence by means of❑physical presence
or D online notarization, or 0 online notarization,
this /cj day of xw ver,v36--k ,20 Eby this day of ,20 ,by
SV S EPR SA Lz.1 22.7
NAME OF LOBBYIST NAME OF PRINCIPAL
- _Produced ID _Produced ID
FORM�OF I NTIFICATI FORM OF IDENTIFICATION
Pers. oily Knw4 _Personally Known 1
...., 1
_,..........
Si• .faI'!. :L • ar Public 1. Signature of Notary Public
N•.� �` o;''t911,0eslARNit ol1Q?,a 'es Name of Notary,Typed, Printed or Stamped
al7,,a,,�a;�+ My Commission Expi.,
""_�In November 06,2021 �'
(N,`""=- -:-- -- ..---.._ (NOTARY SEAL)
I 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
! AIMAI B --A H---H
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miomibeachfi.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: JOSEPH R. SALZVERG
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 annual registration shall be
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
54-709,1 11-19-2020 •
Signature of Lobbyist Date
F:ICLERISALLIaFORMSILOBBYIST FORAMS\Lobbyisl Registration Form Revised 03-11-20 REG.doo
Page 5 of 5
.. Miscellaneous
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