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Carly S. Grimm - Freehand Indian Creek, LLC Gam, RECEIVED I/\t"/\I BE�\C � OFAPR MIA22MI 2022BEACH Office of the City Clerk OFFICE OF THE CITY CLERK 1700 Convention Center Drive 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"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 "We" 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: Grimm Carly S. NAME OF LOBBYIST (Last) (First) (Middle Name) Bilzin Sumberg 1450 Brickell Avenue,23rd Floor Miami FL 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-350-2352 cgrimm@bilzin.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS • II. PRINCIPAL INFORMATION: Turano Joseph NAME OF PRINCIPAL (Last) (First) (Middle Name) Freehand Indian Creek, LLC 3120 Collins Avenue Miami Beach FL 33140 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 332-255-5801 joseph.turano@thefreehand.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS o. .. (. '.i} 14a2(t>t(P_'O L3 jcJE mot-' I- 'r" ci t .',I ts'rr...t3E: cl ! � cz1 1."�`Ur `a' tw s Ql st+ ' . - EV.VM appear-ma .e. " .{A 7t1, I r 9 4aD C3cl3i fl r1t E Gni:O TT `'FL3�u7Cr•_ ,R IP7:i; 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 NIA): See Exhibit 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): See Exhibit A Page 1 of 5 • HI. 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. Land Use,zoning,design and development approvals from the Historic Preservation Board, and permitting issues for the Indian Creek Hotel property at 2727 Indian Creek Drive. IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-4B2(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 Planning Director Planning and Zoning Department staff X Historic Preservation Board members and staff X City Commission X tl 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): N/A 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): $650 Per Hour Page 2 of 5 tl ifs 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.eaulpment 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 lobbvina on a pending agglic tion for a Development Agreement with the City or application for chance of zoning man 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. a _ _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 c ° 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. _YesXNo: 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-grout based organization for the purpose of requesting a grant without m " Rectal 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. YesX 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 XNo: If tves'lhts itdt�airtltagtfi 1i21tnnihiTitn the liter Fdiof cfal(slTw'hom oat pro ill cam Duel onsulting aeryltta wale swat/fn? - ��' 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 lobbvina 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: Yes XNo:• f yes, warn you Promised or did you receive economic consideration in,el:change for cemoaiwr% gort ultina s"�T�itr rfere • — — — — TO BE COMPLETED BY CRY CLERK'S STAFF ONLY Annual Registration tee: ( ]Yes MI No Amount Paid S J�a•"J LC- Rot LI P I [ U Date Paid Otf Z Z-- Lobbyist Retention Form received and verified by: JS - ;'F:LGIM:SAl:t ki.0SS is FCrR34.5tLet, / Rerl s?r.i[iici Fotin ReYrcg, I 0 -.11•2a R4;: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 COMPENSATION DURING THE REPORTING PERIOD.' Signature of Lobbyist: Date 04/05/2022 I do solemnly swear or affirm that all of the foregoing facts, statements, and disclosure 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. 04/05/2022 Signature of Lobbyist: / Date Signature of Principal: T",'«"^Q Date 04/20/2022 VII. NOTARY SIGNATURE AND SEAL: • LOBBYIST: PRINCIPAL State of Texas State of Texas m County of: Harris County of: Deana Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed) nd subscribed before me, by means of 0 physical presence by means of 0 physical presence .l or ISfonlne notarization, or f�online notarization this 5th day of April ,2022 by this l day of April ,2022,by Carly S.Grimm Joseph Turano NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID DRIVER LICENSE Produced ID pRI�ERN ��Ehsl FORM OF IDENTIFICATION FOR OF 0E CA ON Perso ally Known _Personally Known p 9 Signature of Notary Public Signature of o ary Pub ic,State of Texas Monique R Major Luke Jones Common cxpires:1O/30/2021 Name of Notary,Typed,Printed or Stamped Name of Notary,Typed,Printed or Stamped J•N W9qurAMCsr (NOTARY SEAL) ti' . a. 9 (NOTARY SEAL) pi. ,- Lbbe,One! .IYiust I0 rM1e4R��iar O]eNO.vtt 113i58993Notarized online usingaudio-videocommunicationyrLL'�' COxxISS Nt�Aces October 30,NU 'The term"lobbyist"specifically excludes the following persons: Notarized online using audio-video communication Expert witnesses who provide only scientific,technical or other specialized information or testimonylin 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 dompensation or reimbursement for the appearance. Page 4 of 5 . 1 0 BEACH City of Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeochH.gov Office of the City Clerk Rafael E.Granada,'City Clerk CityClerk@miamibeachfl.gov Tel:305.673.7411,Fax:305.673.7254 NAME OF LOBBYIST: Carly Summer Grimm 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. 04/05/2022 Signature of Lobbyist Date F:\CLERSALLaFORMSILOBBYIST FORMS1Lobbyst Registration Form Revised 03.11.20 REG.doc Page5of5 . o . _ m w. s e - n A a Key FREEHAND STRUCTURE iti•ltraabut l Exhibit lll� Sai Hong Yeung:31.42% 4. Hui Wing Mau:7.35% 4. No other natural persons hold a 5%or more ownership interest in Queensgate Generator S.a.r.l. ,i n •goon.,e�n'et S 0 r • MA • A WI[AAA Perm igwo lintled 100%i.. ti fiivicewni 1'O ern UMW .— 100% mna lira o .O.,Tl Nn ltt 100% I,0e101'4.00.0 ll( 103%I CiAne 1.41.o la 100% . , Yf2` Miscellaneous-Cash.Receipt CITY OF1MIAM{ BEACH t • N0,429984 0 Cash; Q.Credit`Card , O Chec ## , 172- f 2 2O Miscellaneous Mt61 } ` a1 ' Fors „.+'' % .i v,r,k., C"+,A+, E. ''t 0 3 i 1 ..`31,�'�a^a _ r #. j r?E i r t t{" •r, Payment Amount ,- 1,550 00 (THIS BtRORMATION MUST,BE COMPLETED), Office of FiMutc.Director ,FA HY n; •fi .` .;.a t FfttIACcoutNurnbir j .l C w `, ",�+",s�, y" a '`•�aq - dk.E pJaS.� % (A A til e 5- 4,4 Avs, 5.w � .6 f (� ..Q �M n s ,� ;,r � 5 y 5 a r �s n