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Timothy Riera-Gomez - Miami Loud Holdings, LLC �:SEACFi . .• Office of the City Clerk MAR 3 20 1700 Convention Center Drive • Miami Beach, FL 33139. ITY OF A I Gokz ECEIV 305.673:7411. IVIAJi/jC( BEACH OFFCICE OF THEI ITY 22 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 daringthe 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•Cify 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 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: Riera=G:omez. . : Timothy NAME OF LOBBYIST • ••(Last) " ' • (First) • •(Middle'Name) PRODIGI PUBLIC AFFAIRS,. 235 Catalonia Avenue. • •Loral Gables •;.. FL.. 33134 • LOBBYIST BUSINESS NAME AND ADDRESS •(Number end Street) ' (City) (State) (Zip Code) (3.05).461=4260 (305)790-3998 tiriigomez3@gmail.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS . II. PRINCIPAL INFORMATION: • • • • Lahoud •Joseph NAME OF PRINCIPAL • • • • (Last) (First)• (Middle Name) • MIAMI LOUD.HOLDINGS,LLC, 13587.Barcelona.Lake Circle Delray Beach . FL . :33446 PRINCIPAL BUSINESS NAME AND ADDRESS .. (Number and Street): • (City) . : .(State) • . (Zip Code) (305)310-5505 . • . jojo@plusplusgroup.corn . PRINCIPAL BUSINESS TELEPHONE NUMBER : ••' • CELLULAR TELEPHONE NUMBER • • EMAILADDRESS • • Pursuant lb .. 2-482(h)(1)a): Q principal OM tM corporation, partnership,€i GeV din 4.4 Epp lobbyist au cxag dad entity,ague specie compensation ay rei . rsement for flb-••-. . - 1 indirect,(.ptnu(4na{ S10-r • ••• �Ep o..osition f ' an item shall register with the Glerk as required by this subsection but shall not be required to pay any registration fees.'. • • • If the principal is a Corporation,.Partnership or Trust, the following information MUST be provide& pursuant to City Code Section 2-482(c): . . Sean Wertheim and • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A):.Joseph Lahoutl • 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): Sean.Wertheim and Joseph Lahoud Page 1 of 5 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. Ordinance: Alcoholic Beverages - Modifications and.Exceptions to.Hours of Sale for •On Premise.Consumption . IV. CITY AGENCIES%INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section2-482(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 City of Miami.Beach 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 NIA): I . 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) $50,000 flat fee 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 pendingbid for goods, equipment or services, or on a present or pending award forgoods;equipment or service? 2) Pursuant to City Code:Section 2.490, entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development. Issues": YesX 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. YesX 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 officials)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):ofthe City Commission• _Yes XNo: `f vL'eS. halitibesnliessfthanZt2 ths'TsincTthTlectedCofEic'ial(s)Twhom you provided campaign consulting 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_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: Yes X No: 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- - Annual Registration fee: [ .],Yes'[1Q,No Amount.Paid$350,m MCR# l 1 l /L(y 1 - - Date Paid E93." 0 4 ' 7Z Lobbyist Registration Form received and verified by: _, 7 Fa\CUR\$,LL\aFQ;RMSMLoBaYIST FORMS,\Lebbyist Registration form Revised 03-11-2O)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 ENGAGED TO LOBBY.A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPS ATION DURING THE EPORTING PERIOD.1 Signature of Lobbyist: Date 3 J.2/ . I do solemnly swear or affirm that all of the foregoing facts,sta ements,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 d all repo ing re item Signature of Lobbyist: Date 3)2-/c9. .A othy Riera- 1 7%� Signature of Principal: Date �•� 6 Josep oud 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®'physical presence or 0 onl�ipe notariza' , or 0 online notarization, this AG/ day of r ,202g by this j__day of P4 A 1'?1. ,2022,by Timothy Riera-Gomez Joseph Lahoud NAME OF LOBBYIST NAME OF PRINCIPAL s� _Produced ID oduced ID L,,aOO—LW—O z"3 7s'10 FORM OF IDENTIFICATION FORM OF IDENTIFICATION Personally Know Personally Known II,A.: 4I /./ i../.4-11 Si.n:ture o otary'.lic ignature of Notary Public ii `. . il. 1 i0 t,.., , Cu-f l 05 --d i W 00 ame of No :ry,Typed, Printed or Stamped . -_ _ .-.�i -- ,.: • .,,,=ed �' _ EC) "•I1i CARLO "� ' MIREYACARBALLOSA �:;iiU6 Public State of Florida (N01'Afra"' ) �,�, Amission # HH 43627 4. ;?e MY EXPIRES: SION#GG283847 3"9� 1a s`c My Commission Expires >:Po; EXPIRES:FebNary22,2023 % ° January 09, 2025 . ' .K •�' BbndeaThruNo Public d rwriters 1 The term"I rsons: v 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 BEACH City of Miami Beath,1700.Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachtl.gov Office of the City Clerk Rafael E.Granado,City Clerk .. CityClerk©miamibeachfl,gov Tel: 305;673.7411,Fax: 305,673.7254 NAME OF LOBBYIST: Timothy Riera-Gomez 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 tofile.therequired 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 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 $500.00 pursuant to Section 2-482 of the Miami Beach City Code. 3da S ature of4bbyist Date F:\CLER1$ALLtaFORMS\LOBBYISTFORMS\Lobbyist Registration Form Revised 03-11-20 REG.doa Page 5 of 5 • scelluneau`spQCas��hj` Receipt x'� 7HI { \,£O � 1,REA�i�7, No.4297,61 I h Crodrt Curd ! # Y x .aiid ot..F ``� Th l � � l � cefianeous N(CR 2022 r ; t , , ,..,`":, (� 7� � j_ ' ;ter . f"`> l t ): .� t1 zip 1£s anent Amount._ !°•- 1 060,00 ' . - : Yam• ^ 1 e #LUST BE SIFORMA•170N . �Otn B t ,y.. r { r,+