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Steven G. Avdakov - Troy 333 LLC et, ;1, 0q90 RECEIVED AI Anil I BEACH Office of the City Clerk MAR -4 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: Avdakov Steven Gregory NAME OF LOBBYIST (Last) (First) (Middle Name) Heritage Architectural Associates 4300 Biscayne Blvd, Suite 203 Miami FL 33137 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-761-3642 305-761-3642 savda kov@heritag ea rch itectu ral.corn LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Puig Louis NAME OF PRINCIPAL (Last) (First) (Middle Name) Troy 333 LLC 1251 Bella Vista Avenue Coral Gables, FL 33156 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-951-2839 305-951-2839 luislpuig@gmail.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS r EV t gay c at E u 2- 82'.; "'u g a carami Cry Flab cope at ell,[min,,, nf;p Cfr C xa-'r t=oz.rr-1it Etat ebb st Can]i -` dl trty�trii' ti Wig n age sa €teCYi'6C' o r e (ra appeaanc?,utiMitard",ea ythree C+or3 re ,tkoJex0ress eggEGR du noo*sit a tt as ite eha I re.ister ,':b tip. req ireei 9 v thi su smile t shall not 9e re.uired s o pa any r,-n istrat on fens 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): Louis Puig • 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): Louis Puig 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. HPB21-0490 333, 337, 343 and 345 Jefferson Avenue 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 Historic Preservation Board 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): 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): $295/hour 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": _YesXNo: 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. XYes No: 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. YesXNo: 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_No: If yes. has it been less than 12 month since the elected officiat(s) whom 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 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 .No: If yes, were you promised or did you receive econo is consideration in exchange for eampai k n — consulting services? TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ No Amount Paid$ 3 ��' MCR# 4 ", �q Date Paid O3'o`t '� Lobbyist Registration Form received andiverified by; CLER\ Cat.LjaPoRA9fa tt.oCgy3 'FORMS\Letbytst Remisf:ratinn form Rcvis 03-11-20 t5G4o4 Revised'03%11/2020 Page 3 of 5 !/I. 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 YEAWITH 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 COMPENS TION DURING THE R PORTING PERIOD? Lobbyist: S ge 03/04/2022 Signature of Lobby st. _ AV'41VO 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 Cote all reporting re uirem ts. Signature of Lobbyist: � �0 9 Y Date 03/04/2022 Signature of Principal: ,f17 " - '��5 Date 03/04/2022 Iv VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of t=lnricia State of 1.ovti cto County of: . volusia County of: c 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 flonline notarization, or 0 online notarization, this 4th day of March .2022,by this day of lvl4fc to ,20Z ,by Steven Avdakov NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID Driver's Licence Produced ID L, b t.,,. Gx..00 10 (I F12-02 FORM OF IDENTIFICATION FORM OF IDENTIFICATION Personally Known _Personally `own �r fe� s 1444 4,�`:11 rii Signature of Notary Public Signature of< - Public Robin Rene'Fulghum t,C, T `lC:IA[1 J'— SrrIC(n,Q- Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped ncex_eec*sc+nnr (NOTARY SEAL) �°.::`1�i Na v E,teaE (NOTARY SEAL) ,: 1Riii 'R ca,�,�wsumil ;r. Notary Public State of Florida ` E."°SOn 20 { ��wr Estela E.Marcos Sanchez Notarized online using audio-video communications ,. ' My Commission HH 084193 " 4 , Expires 0112412025 '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. Page 4 of 5 MIAMI City.of Miami`Beach,1'700.Convention.Center.Drive,-Miami Beach;Florida 331.39,;www.miamibeachfl.gov Office-of#hey City'Clek Rafael E.Granada,City"Clerk, CityClerk@miamibeachfl.gov Tel: 305.673,741'1', Fax:3Q5 6717254 NAME OF LOBBYIST: Steven Gregory Avdakov 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. 33/ /2022 Signature of Lobbyist Date F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.dac Page 5 of 5 �.. $ c^^^c^ a*E�^^x w � s v: 2"'""` x G «,5!3` n s S "'°^e ft 4 sv"'", °tt- " 7 , -, VMisc$Ia_ nexus Gash Receipt , x CITY 4FAIAMI BEACH fi No 4297.69 s°�- ss s ,. - dw i�° a, t x<. .€ �, wR t : sCard � � S f t_ 2 t C s 1l j R t - c Pl r I Miscelianeous ;MU 202 -F { ,. p � r y u ':a Y x�'4,6 °;� . . !' i�r e # .Cx ,, frµ1 �)',e j}p,I,." .t :,=# ,�.''*',: ¢( +. 1.F`sl.. Mr: Payment Amount 'f'200 0(} F° a -u w,i ° , .,," Y n v 1 - ,' �� t w+ '°! .7 sxY \ s y , °A� ss° -a'v' ten, �f �MsT 8E COMPLE 1 ED, rh V, V1�► ;.f,. m ue F� = 7 .7. ,, 5 a"h 4 A ;: y a .l 7Cz a .: _. ., ° c < � - ,, F Account Na bsrz 1 Q 'r ./t ,1 4 . 4 ' °, e r. % >` - =` 1 Dim ____r__.. a • • "h