Stuart Marshall Debowsky - Keith Desousa p cL LAA
RECEIVED
MIAMIBEACH JUN 302022
Office of the City Clerk
1700 Convention Center Drive CITY OF MIAMI BEACH
305.673.7411
Miami Beach, 33139 OFFICE_OFTHECITY 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:
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NAME OF LOBBYIST (Last) (First) (Middle Name)
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
au —`Ic15-2T 5\ `41z:'(S-27s 1 S-NoN(--k-C debc s ,
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
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NAME OF PRINCIPAL (Last) (First) (Middle Name)
\ AJ 16coryi U•e_ NAicmnk sect 6kt _ 3313 al
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
AgEtiafi(t) Er2tig EARN 2-482(h)(M G,l principal Cif 519 corporation, partnership CrclaG'trogifl/(an. ...-. m a lobbyist Corn]behalf c2 ntt`YT-�
Ea•aka special compensation Cr reimb rsement for tln�'rl.-„�r„flkher,o,=ROMA indirect,a?contingent t0•( ... CfiCT o..osition tt
DM-Ala&liacianreaRl ate C eR required Dragb o o CI!I n Il- GLQL7D -e ®tt0f P7ELM ZMIEntlE1 ftGa
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): I 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): I l P
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.
ESo Q5 Pt ?gOPEIZTY 1 248 I Fb 44 kleA,Lie M I A4VI ( &eECA4 Cet.
'V, (U) - c), 17 331361
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 o be.Lobbied
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):
11.1IIN
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):
NI 1\6 — a N LLt FEES Pc2E MIFECCNA.
Pc12.44IT C-RJeK
Page 2 of 5 SebV 1c ES .
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'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 v o: 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 cl rk as required by this section,but shall not be required to pay any registration fees.
_Yes 1o: 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
reimburs ent for the appearance.
_Yes 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
sptecial 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_Ao: 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, -as it Winless than 2 months since these ectedtfficial(s)1hom you-provided campaign
con ultiv' services was sworn iris.
6) Pursuant to City Code Section 2-182(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 No.•
f yes, were you 1Oromisadilo did tro ceive e"onomieTcansiclei�atia in excha qe for ign
c f sultingrsesvic s i
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Regsstration fee [NYes( ]No Amount Paid$ MCR# � Date Paid f
Lobbyist Registratron�Form received_and verified by - 3 i
it .cu.: c .1iFil ft 7r FCC a 1.41-4aW4 S i a at E-oiili t e i 77..ty'13. :it at st:crssc ; ; �.-- Revised03/ii/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 COMP SA ION DURI G T E REPORTING PERIOD.1
Signature of Lobbyist: Date ( I'2Z
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 a d all reporting requirements.
Signature of Lobbyist: /S�11�.� Date Zc ZZ.
Signature of Principal: Date `6+1 '�.Z�_
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: 'RINCIPAL
State of 7470 a-hder State of P4 rid •
4'
County of: /1//9m I Coun N of: /1611-47/ ' Qd'e--"
Sworn to (or affirmed)and subscribed before me, Sworn to (or affirmed)and subscribed before me,
by means ofIETIShysical presence by means of alfiysical presence
or 0 online notarization, or 0 online •tarization,
this of 9 day of c-.J ',-e— , 2(b't by this ./fday •. -Jon 2042.1 by
51'u4fr G&5'4y 5-71A2,r i - op) sk.
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID _Produced ID
FORM OF IDENTIFICATION FORM IDENTIFICATION
/Personally Known ✓Personally Known
Signat a of Not Public Signat e of Not! Public
, Y:4& Evelyn Langlieb Greer
Name of NotaiT 31_r05 tw, 273049 Name of Notary,Typed, Printed or Stamped
WIRES: 26 2023 `19'!/ Eve Lingle" Greer
(NOTARY SE���gF���� y�.i
(NOTARY SEAL) ;
Bonded Wu Aaron Notary * ;s 11 COMMISSION t GG273049
li87.6• = EXPIRES:February 26,2023
'The term"lobbyist"specifically excludes the following persons: "inin; 1•1. Bonded'Oyu Aaron Notary
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
VL 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,Art. VII, Division 3, entitled °Lobbyists" of
the Miami Beach City Code and all reporting requirements.
Signature of Lobbyist: Date
Signature of Principal: 4/i._• Date Col 3 0/ P
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
•
State of State of ciuA ciG
County of: County of: C A Xn i i Q
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 Iiphysical presence
or❑online notarization, or El online notarization,
this day of •20 ,by this)day of dUYIQ. .202,g,by
NAME OF LOBBYIST NAME OF PRINCIPAL( 1
Produced ID Produced ID' I v 14/15 Uacrs€ Da c- - -ritt
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
_Personally Known Personally Known
t Public Signature of'Votary ublic
Signature of Notary
WiCIA
Name of Notary,Typed,Printed or Stamped Name of Notary,TyOed,Printed or Stamped
(NOTARY SEAL) (NOTARY SEAL) --— -
Notery Public State of Florida
Nicole M Judy
M Commlaalon
nn .
1 The term"lobbyist'specifically excludes the follow Exp
following persons: •aiiiso2e
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 itern;and any person who only appears as a representative of
notfor-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for
the appearance.
Page4of5
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:305.673.7411,Fax:305.673.7254
•
NAME OF LOBBYIST: S p\-ra-c De-g s Y
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
$50 0 ursuant to Section 2-482 of the Miami Beach City Code.
/bz2.
Signature of Lobbyist Date
F:\CLER1$ALL1aFORMSILOBBYIST FORMS1Lobbyist Registration Form Revised 03-11-20 REG.doc
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