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Alexander Heckler - 93 Palm Residence, LLC 93 P w, / jejtv‘ed • RECEIVED l \ , � ./�►� _t�, . Office of the City Clerk MAR -3 2022 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: Heckler,Alexander NAME OF LOBBYIST (Last) r (First) (Middle Name) LSN Partners 801 Arthur Godfrey Road, Suite 401, Miami Beach, FL 33140 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-673-2585 Michael.Llorente@Isnpartners.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Alam Toni NAME OF PRINCIPAL (Last) (First) (Middle Name) • 93 Palm Residence, LLC 6915 SW 57th Ave,Suite 215A,Coral Gables,FL 33143 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-663-6200 PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant to Cry Code Secfion 2=°482 1 a s°A rRi aI of an r"co oration sifnersM ` other entity who ears a.lobb istyon°behalf• ttia, tY � �)( )( ) P P y rP _ P P� tY . pP ' ., y entity withou specialcompensation• reimbursement for;the appearance,whether direct,indirect,r'contingerit, of,- Cii1C17616ositionf n,item"shall re_ister with the Clerk as.re•uired b this subsection but shall •=required to • an re•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): Toni Alam • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRYST(if none,write N/A): Julian Claramonte Trust,Christian Claramonte Trust • Michael Claramonte Trust,Justin.ClaramohteTrusC'Albie Cl'aranlontejrus1 all dated January 1;2016 • 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 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)(No: 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 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: lrx„e`sv' -.x x > '""` ,'• ".c`l Asa. 4 . :" _Yes lido: f yes,:has it been less<than 12. months`since the elected official(s) whom you=provided campaign, consulting services was sworn 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)(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: zrnr .r ' as }g�z'�.."'rrF',,,, t:' :w,mow .; 95 ,3,. °, Yes XNo: If.yes. were you promised'or did you_receive economic consideration in exchange for campaign consulting services TO BE COMPLETED BY CITY CLERK'S STAFF ONLY �2 Annual Registration fee: [ ]Yes[fir[o Amount Paid$ 5-0�.�MCR# - Date Paid 0 Y-0 7 Lobbyist Registration Form received and verified by F;\CLER\$ALL\aFORMS\LOBBYIST 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, 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 ENGAG 2 TO LOBBY. A TATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENS' 0 N DURING TH REPORTING PERIOD.' Signature of Lobbyist: Date 3 . 3 2 �Z I do solemnly swear or affirm that all of the fore oing acts, statements, and disclosures in this form are true and correct, and that I have read or am familiar ith the pr isio contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and r p ing re ire ents. 3/ 3 f� i Signature of Lobbyist: Date / Z Signature of Principal: Date / 5 Z.o VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Florida State of r/OP',`da_ County of: Miami-Dade County of: i�m1_. 2 t Se_ Sworn to(or affi ed)and subscribed before me, Sworn to(or affirme )and subscribed before me, by means of physical presence by means of ysical presence or 0 online notarization, or 0 onli a notarization, this ?a day of VACKA , 20 27.by this S ay of / a.,-ah ,202?by ckO AGUit zlf'.eiat i _ 70AI/ r-/- A I-A-H NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID Produced ID FORM OF IDENTIFICATION T FORM OF IDENTIFICATION _PPersonally Kno ersonally Known r _A..✓ Signature of of Public Signature otary u is Name of Notary, Typed, Printed or Stamped Name of Notary,Type , Printed or Stamped -fi VIVIEM RIVEROv►G•. LER(NOTARY SEAL) (NOTARY S -��c•ry Public-State of Fonda ' Notary Pubes[ Statefloridammission 4 HH 230'93 Commission 4GG938297 mm.Expires Feb 17,2026 g oF$� My Comm.Expires Dec 14,2023ough National Notary Assn. ( Bonded through National Notary Assn, I s The term'lobbyist"specifi axcruaes n 1 mywirr9'persort . 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 MIAMI BE CH 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: MadMAW f ge/ 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 $500.0 ursuant Sec ' 2-482 of the Miami Beach City Code. 3i3/ z� Si ture of Lobbyist Date F:\CLER\$ALL1aFORMS\LOBBYIST FORMS1Lobbyist Registration Form Revised 03-11-20 REG.doc Page 5 of 5 • - ,., „ "„,',..3.:"3„.3.3.,-7-3.„.3-,,,3---3'-,-,:'3,..3:3•",,::.33.--''3.? 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