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Rane Smith - Ferrado Lido, LLC L(O CSI DocuSign Envelope ID:D266DDFF-FB8C-4A5D-BBA4-54A70F47F8B4 RECEIVED J3 0 2021 /V\IA/V\I B EACH CITY OFUN MIAP✓il BEACH Office of the City Clerk 1700 Convention Center Drive OFFICE Or �F CITY CLERK Miami Beach, FL 33139 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 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: Smith Rane NAME OF LOBBYIST (Last) (First) (Middle Name) Ferrado 20411 SW Birch St.#360 Newport Beach FL 92660 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (920)574-4413 ranesmith@ferrado-us.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Barnett Andrea NAME OF PRINCIPAL (Last) (First) (Middle Name) Ferrado Lido, LLC. 20411 SE Birch Street Newport Beach CA 92660 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (949)474-9884 PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS (b (gat @gam 2-482(h(1K Q . I..I da corporation partnership cp+ t' C c(nDel;palie tfe,p lobbyist GUS +1 i C2tin5 Riftli&EOM special compensation CFlittiipERMig fora@ appearance whether CM,indirect,@ contingent,in(am@@@,@man dal o.sos tfan ''.Tall l t u lQt i3im 5 •tbvag . . • 11 I ietlI 1Lb '+ I11)Iex-YIFW'7IMMEEttlil 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): • NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH U m CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): Please see the attached. "PriPage 1 of 5 CrfonaRtunos �AE-5C97AE2A87D5 Page 1 of 5 15C97AE2A87D5 1111 MIMI'111 DocuSign Envelope ID:D266DDFF-FB8C-4A5D-BBA4-54A70F47F8B4 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 40 Island Avenue in 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 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 N W r m 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): 0 $ per hour ro Page 2 of 5 DocVerify ID:B965D7BA-3295dBC7-8DAE•5C97AE2A87D5 Page 2 of 5 25C97AE2A87D5 111111081%11111 k www.docvenfy.com DocuSign Envelope ID:D266DDFF-FB8C-4A5D-BBA4-54A70F47F8B4 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 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 x_No. If yes, has it been less than 12 months since the elected officials) whom you provided campaign consultingservices 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 o 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: N N N 0 N Yes XNo: If yes, were you promised or did you receive economic consideration in exchange fo campaiq W — — consulting services( 0 U w a TO BE COMPLETED BY CITY CLERK'S STAFF ONLY co qU Annual Re istration fee: Yes C� r 0 • °. g' [`� [ ]No Amount Paid$ MCR# VI 7 U�S t7 Date Paid 2 aLobbyist Registration Form received and verified by: AS o F:\CLER\$ALL\aEORMS\LOBBYIST FORMS\Lobbyiist Reg:atration Form Revised 09-20-18 REG.doc Revised 09/20/2018 m Page 3 of 5 LDocVerify ID: www doc erg cp ( Page 3 of 5I 35C97AE2A8705 'III r4� �'I III a DocuSign Envelope ID:D266DDFF-FB8C-4A5D-BBA4-54A70F47F8B4 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 ragaillARING THE REPORTING PERIOD.1 Signature of Lobbyist: 4IAA., � Date 06/28/2021 51304D8C48AA47C... 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 ard-arlorerattillig requirements. 06/28/2021 Signature of Lobbyist: Date g y •-51304D8C48AA47C... Signature of Principal: Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Florida State of Florida County of: Miami-Dade County of: Miami-Dade Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of❑ physical presence by means of 0 physical presence or 0 online notarization, or 0 online notarization, this-28th day of June,2021 — by this_day of ,20_, by Rane Smith Andrea Barnett NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID —Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION x Personally Kno —Personally Known co n.m Signature of Notary Public Signature of Notary Public Diana Ramos N Nameof Notary,Typed_Printed or Stamped Name of Notary,Typed, Printed or Stamped Diana Ramos ( dommission#GG 308355 D (NOTARY SEAL) Notary Public-State of Florida 19y Commission Expires Apr 10,2023 1zrr., ,,�,,.��,,v,,,.,,,a.� persons: o The t �o m 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 ?:• DocVerify ID:B9B6D7BA-3295-4BC7-8DAE-5C97AE2A87D5 Page 4 of 5 45C97AE2A87D5 'III W'I III www.docverify.com • 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; Arta VII, Division 3, entitled "Lobbyists of the Miami Beach City Code and all reporting requirements. .' Signature of Lobbyist i Date -41 Signature of Principal: \ Xi Date dLFla3l: VII'. NOTARY SIGNATURE AND SEAL:. ' LOBBYIST: PRINCIPAL State.of Florida. . State of Florida County.of: Miami-Dade .' County of; '.Miami-Dade 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 physical presence or 0 online notarization, or 0 onli9e•notarization; this .. _ day of ,20_; by this Z3iday.of . ) L 20'21,by. Rane Smith Andrea Barnett NAME OF LOBBYIST. NAME OF PRINCIPAL _Produced ID. .Produced.ID C4-: t . t ' c -q-4�-jo FORM OF IDENTIFICATION FORM OF IDENTIFICATION x .Personally Known _Per /op :Know Signature of Notary Public Signa, re of Notary Public Name of Notary,Typed,.Printed or Stamped Name of Notary,Typed, Printed or Stamped. (NOTARY SEAL) (NOTARY SEAL) .,,,,0301...„0"",.., BENJAMIN DAVID'JIMENEZ .7.41015*" Notary Public-California = Orange County ,Tgjl' Commission;2306499 • •""' My Comm:Expires Sep 23;2023 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 asa 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 organizationfor the purpose of requesting a grant without specialcompensation or reimbursement for the appearance.' Page 4 of 5 DocuSign Envelope ID:D266DDFF-FB8C-4A5D-BBA4-54A70F47F8B4 MIAMIBEACH 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: Rane Smith 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. r m DoeuSigned by: f`aiw Juw 06/28/2021 6130108C18AA17C... Signature of Lobbyist Date r U rn F:\CLER\SALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc Page 5 of 5 1 DocVerify ID:B9B6D7BA-3295-4BC7-8DAE-5C97AE2A87D5 Page 5 of 5 55C97AE2A87D5 ,IIIE�'I II I www.docverify.com xdr ®®® Sandra Ortega Mera Marcos Ortega Mera Plaza Maria Pita 17 Plaza Maria Pita 17 La Coruna 15001 SpainLa Coruna 15001 Spain 89.24% 1036% Rospa.Coruna SL • (Span ish=Co-rporatio.n) Plaza-Maria Pita 17 La. Coruna 15001 Spain 100% Ferrado Inrnuebles SL (Spanish Corporation) Plaza Maria Pita 17 La Coruna 15001 Spain 100% 6Ferrado Properties, Inc. c411 SW Birch Street, Suite 360 ewport Beach, CA 92660 100% Ferrado Lido, LLC 20411,SW"B:irch Street, Suite 360 Newport Beach, CA 92660 • - 'Misceftaneous Cash Receipt C1TY OFµtAM18EACH '' 428256 . 0 Credit Card CashS • 1 . . - ,_ .. Miscellaneous=, - . `� + ,� -�'. ' v�1"v a. - 3. Payment Amount: °'- . 850.00 ., °fir"of faaanct'Dincta' (TNts P FORMATION MUST BE COMPLETED) . f'0 � .�� i�(„). a � 3 �.��l�l� 'C_. L�� ' � gar# ± rc Account'Nwablr r