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Wesley Kean - 2581 Lake Avenue ' DocuSign Envelope ID:5DCE9A8D-40A0-429D-A876-2D85487AB7E8 aS -( r.z.. 1'\A I/ A` V 1 I B EJ C H Office of the City Clerk MAY 1 1700 Convention Center Drive • 2021 Miami Beach, FL 33139 CITY 305.673.7411 FFE OF (I,�lfat LOBBYIST REGISTRATION FORM r, '_.�:; 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"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 registration forms shall be required for each principal represented on each specific issue. I. LOBBYIST INFORMATION: Wesley Kean NAME OF LOBBYIST (Last) (First) (Middle Name) 7500 NE 4 Ct. Suite 100,Miami,Florida 33138 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 0;(q;,,) wesley@kodamiami.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Levine Jay NAME OF PRINCIPAL (Last) (First) (Middle Name) 2581 Lake Avenue Miami Beach Florida 33140 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) Jay.levine@redtopinvestors.com c9 • PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant tt]@tiv o e 2482(11X1Kne a principal EQUM corporation partner hip,Cl' Cfnf t ailD appears aB a!ebb is GW behalf CQ SEIO entity, compensation CP rembursement or SD appearance CQateginuaA[ GIUM 12118KIE@Q G4 o'a Dos+kion to o an item shall register with the C►lerk as required by this s bsection but shall not be required to pay any registration fees. N 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): N/A • 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 a a O w Page 1 of 5 / ![-.ate D,a„q,'Ijp„�ps rB7-22246237EFSF Page 1 of5 122246237EF5F ,III re„-'�s ,l III DocuSign Envelope ID:5DCE9A8D-40A0-429D-A876-2D85487AB7E8 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. Development Approvals &Planning Issues,including but not limited to the Historic Preservation Board, Design Review Board,Planning Board,Board of Adjustment,Land Use Development,City Commission, and any City Workshops or Committees,if necessary,relating to the property located at 2581 Lake Ave,Miami Beach,Florida. 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 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 st 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): None U- LU W N N N V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a g contingency fee is prohibited pursuant to City Code Sec. 2-485.3): 515 lft Page 2 of 5 DocVerify eID:IABAED4D-094E-4AAO-8FB7-22246237EF5F Page 2 of 5 222246237EF5F 1111 'I III DocuSign Envelope ID:5DCE9A8D-40A0-429D-A876-2D85487AB7E8 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 X No: 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 x No: 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 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 XNo: If yes, has it been less than 12 months since the elected official(s) whom you provided campaign 'consulting sery 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 N 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: W _Yes X No: If yes, were you romised or did you receive economic consideration in exchange for campaiq consulting services'? N TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ry�],No Amount Paid$ 'c MCR# 47 ���'6 Date Paid 6 .� 26 oLobbyist Registration Form received and verified by: J5 F\CLER,\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc Revised 09/20/2018 Page 3 of 5 wwDocVerify ID:ww. BAED4D-094E-4AA0-BFB7-22246237EF5F docverfy.co Page 3 of 5 1 322246237EF5F • DocuSign Envelope ID:5DCE9A8D-40A0-429D-A876-2D85487AB7E8 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 COMPEN SMION DURING THE REPORTING PERIOD.' (Na' 5/13/2021 Signature of Lobbyist: Date 3oEBrf19c632w9n... 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 Cda—D"u f Tdrdporting requirements. Date 5/13/2021 Signature of Lobbyist: s_ g 3RF6R,RR45249A 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 Dionline notarization, or 0 online notarization, this_13th day of May,2021 _, by this_day of ,20_, by Wesley Kean Jay Levine NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION _Personally Know Personally Known N 4Mmwaurr.rsn i/.ew 11 N Signature of Notary Public Signature of Notary Public Name of Nota ,Ty•ed, Printed or Stamped Name of Notary,Typed, Printed or Stamped Diana Ramos ( Commission#GG 308355 (NOTARY SEAL) Notary Public-State of Florida I My Commission Expires Apr 10,2023 N m 1 The term wouysi specrm.:my exeiuues me iouowiny'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 o 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 DocVerify ID:7ABAED4D-094E-4AA0-8FB7-22246237EF5F Page 4 of 5 422246237EF5F ,IIIN ,I III [. j www.docverify.com flee 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: Date 5 VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Florida State of e0 nil e c-/ C v 4- County of: Miami Dade County of: P 4.i�✓'fie 1 J Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of 0 physical presence by m9ns of 0 physical presence or 0 online notarization, or*Nine notariza,U;Qn, this day of ,20_,by this - day of JV( 41 ,2021, by Wesley Kean Jay Levine NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID Produced ID FORM OF IDENTIFICATION / FORM OF IDENTIFICATION _Personalty Known P nally Known URA( • NELSY E. URBAN Signature of Notary Public Sign t of ;4 .ry Public NOTARY PUBLIC Name of Notary,Typed,Printed or Stamped sfl I s U an . MY COMMISSION EXPIRES JULY 31,2022 Name of Noiery,Typed,Printed or Stamped (NOTARY SEAL) (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;anyperson 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:5DCE9A8D-40A0-429D-A876-2D85487AB7E8 MIA/V\ IBEACH 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: Wesley Kean 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. LL DocuSigned by: 5/13/2021 m36ECB20Bea6210A... Signature of Lobbyist Date w K m F:\CLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc Page 5 of 5 DocVerify ID:1ABAED4D-094E-4AA0-8F137.22246237EF5F Page 5 of 5 522246237EF5F ,III li'�.�+ ,I III ` www.docverify.com rd r A docv'erify \uvea`/ Lobbyist Registration - Wesley Kean - signed.pdf DocVerify ID: IABAED4D-094E-4AA0-8FB7-22246237EF5F Created: May 13, 2021 12:28:24 -8:00 Pages: 5 Electronic Notary: Yes / 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 and/or 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. E-Signature Summary E-Signature Notary:Diana Ramos(dra) May 13,2021 12:30:17-8:00[4038E9BCB615][162.244.152.118] dramos@brzoninglaw.com • r � 1 ti a 111111111111111111111111111111111111111111111111111111111111111111 III I • DocVerify 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. DocVerify ID:1ABAED4D-094E-4AA0-8FB7.22246237EF5F Generated-- ------_----------------------— ,III � 'I II I Cover Page 22246237EF5F www.docverify.com MBF City Hall 1700 Convention Center Or. Miami Beach , FL 33139 305-673-7420 Welcome 004779-0018 Maria A. 05/14/2021 11 :25AM • MISCELLANEOUS Reference 1: 427926 • 2021 Item: MCR MCR OPEN (MCR) 1,050.00 1,050.011 - -7,'1 Subtotal 1.050.00 ' . Total 1,050.00 ` . CHECK 35x0.00 1 _ s g Check Nuurlber7150 � .:. ; CHECK 350.00 r, ` . . 0 - • = . _ . • Check Number7152 � , , ' , CHECK 350.00 ? • l7 Check Number7151 Change due _ 0.00 ~r . - , Paid by: levine xe. (a A . o f Ti 1., '-. . .0. i s �.s u w- m.YAuvaa Crib r. 2Evintlrt Avawvto 7150 S •"'cs ,V - .la . 1 T.u[LYtw,Ne �yNL tt �� .crud !!TT 1 ,WPfiiETiLVfLI"147i1 .4.1\=-.-- A iv' _ MUt 17 • MU twa.nwwctvt `tiiG t- '<:.:; .r f".Cjk -11-f_ ,L3ln►_AV:1.- -._r$35'0•40 t. .. ;„. I � P,1 RRILLIqq " z1/441i917t� A,,,i-ze, — ___-.. , .� 1=21 ': 1.l'i Eat�"a.-'a - m.WMCVNM oral Math ms111 A/AoV+ 71d"L TAMn,<nnw yt 110H4N tTIWitanus ["1J R�� ,_ 7+1 u 1. ,t M6t,V4 113- V { aYaK.o.aNNw.GtKIN. r.--- �Q ,cl --,........11111. Z . YNf. TIUMIY Ca1mo.trout AanuIla 71K1 • tuWellinNUqu.W, IWI • 1i '2^ l -5-111.1a1- "^1a 1 - •um� •IM-4.1..f.' fits. iiia - ^} e PAY 6.134 uF "ilit1e 4, aoU 14 1c • !hlR4t6wY . I'_7r .� i v 1 4 .. ,F- ✓ (( � ��, .. 111krl t r • ' ; . . , , ' '''': , .. .: ''• ..Y Thank you for your payment ;t , { 1 CUSTOMER COPY E_.._.