Carlos Gimenez - Qualtek Recovery Logistics LLC •
' \ eotIs e
c 614-(ei h gf .
RECEIVED )1/4`GWAv
DEC 0 7 2022
CITY OF MIAMi BEACH
LM l EAC u OFFICE OF THE CITY CLERK
/
•
• Office of 1h0 City Clerk
1700 Convention Center Drive
Miami Beach,FL 33139
306.673.7411
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained,whether paid or not,by a principal who seeks to encourage the
modification of any ordinance,resolution,action er decision of any commissioner;any action,decision,recommendahbnBof thdefeat
Gty
Manager or any City board or committee;or any action,decision or recommendation of
entire deciaioremaking process on arch aetion,decision or reeemmendedan'that for any
wey here heard during the timePeriod of they
Commission,or a City board or committee.The term specifically includes the principal as well as any employee reviewed by the 9
adtfiti ivitie al Informr m Go'Lobbyist'
has spedfla exclusions.Please refer to Code Chapter 2,Article VII,Division 3,willed'Lobbyists,'for
Inslo+ o •Please complete all sections of this farm and submit the completed form.with the a
Clerk:if you need more space to complete an answer.Ilse a separate sheets)of paper if you havenothingbto reple ort ri a p to the articular of the City
you must trite'none or n'ee in that section.Any change to any information originally filed,or any additional Commissioner
one section. .
personnel who are aiso sought to be lobbied shall require that the lobbyist file an amendment to the registration fom.Thellobbyist has oshall be
r duty to supply information and amend the forms tiled throughout the period that the lobbying occurs.Separate registration forms
I. L�YIST INFORMATION: on each specific issue.
La iS� -—Ghnan=
(Law (First) Julio
(Frrat) (middle Name)
MCCaIr ar&English LLP 2828 Pence _ _Leen Blvd.Suite 300 Coral'Gables Florida 38134
wave T EILMINES HAMEAND 10 um Oran (
PHI 8784078 f786)305-7812 egimene meearter eom,
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER
EMAIL ADDRESS
iI. . PRINCIPAL INFORMATION:
Qusltek Recovery Logistics LLC
NA 1 Op PAericee ILA Lase (tier ( ame
traits Recove tett LLG 4 5 Par kwaitSect Suite 20D flue Be - PA 19422
PRINCIPAL BUSINESS NAea AND ADDRESS (NembaraadStreetj ( state) pp code)
4844044800 Businessdevelopmentapualtefcsenrkes.cam PRINCIPAL BUSINESS TELEPHONE NUMBER CELLUL.ARWELEPHONE NUMBER EMAILADDRESS
•
tired 2a ode 2L4 rim i i t•:A p� y� a¢,�p�tacte
t' ___ sationserecob rtfo+•the AN Mhoaeesearsagn abbe 'd•o er�h
�...._ rr iri r, a qI toespresss�prsbrto ar iiiars
• i �Ck�A91�4�iitodiL+YaUILs O r --��E�M1 t_ re._ �A Yred egg__Ikea
If the principal is a Corporation, Partnership or Trust,the following information MUST be provided
pursuant to City Code Section 2-482(e):
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(d none,write WA):ChristopherS.Hisev
• NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A S!,4 OR MORE OWNERSHIP INTEREST IN SUCH
• CORPORATION,PARTNERSHIP OR TRUST(If none,write N/A):,-See attached
No individual owns more than a 6%beneficial interest in the principal
Page 1 of 5
i`. •
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. ,
/2 i't'f�} riUahi4 treppovda_ e`^.� „. '�yte iLmoojGYN mp �'vlttil;lio5
Ishite Pinn pt 1 l ca pe Sqvjortb
IV.CI`tY AGENCIESliNDNIDUALS TO BE LOBBIED:
Pulsuunt to City Code Section 2.482(04), list the City Commissioner or City personnel sought to be
lobbied,end 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
4/N)t i. +kdekith
t +o9r ,><;
t far kro4rsetreA )07
Pursuant to.City Cade 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 Riving rise to an Appearance of imnroprietY (if none, write NIA):
Av/it
V.DISCLOSE RATE AND AMOUNT OP LOBBYIST COMPENSATION—Be Specific.(Note that a
contingency fee is prohibited pursuant to to City Code Sec.2-485.3):
7, 5°6- ra»�
par , 4/1, tiet4e,
Page 2 of 5
The following six(6)questions iiUSY be answered:
1) Pursuant to City Code Section 2-488,entitled'Prohibited Campaign Contributions By Lobbyists On Procurement Issues':
Yeepia: Are vau lobbvinnona_present or riendinabid for goods.equipment or services.or on a present or
pending award for 000de.cameo ant urea/TWIT
2) Pursuant to City Code Section 2.490,entitled.'Prohibited Campaign Contrbutions By Lobbyists On Real Estate Development
ISSUES':
Yesiio: Are You!oblivion on a_pendinn application for g Development Annulment with the City Or ennifeallon
for chance of zoning map designation or ehsrmge to the city%Future land U150 Map?
3) 2�81 who Pursuant City Code Section 2482(h),any parson(except those exempt f om the definition of'lobbyist as set fath in Section
only appeals as a representative of a not-for-profit corporation'or entity without special compensation or
the reimbursementfor the appearance,whether direct or indirect to express support of or opposition to any item,shall register with
city required by this section,but shell not be required to payeny registraton fees.
Yea 4,10: Are yafirepreserrtint a rat for oft corporation orontity Wiithoutseeoiatcompartsabion or
reunbureement?
4) Pursuant to City Code Section 2.481,the term'lobbyist'specifically excludes the following parsons:Expert v6inesses
who provide only scientific,technical or other specialized information or testimony in public meetings;any person who only
appears as a representative ofaneighborhood association whlnoutcompensation or reimbursement for tho appearance,whether
direct Indirect or contingent,to express'support of or opposition to any hem:end any person who only appears as a
representative rand-for/Ira community based organization for the purpose of requesting agrantwithoutspecial compensation
or reimbursement for the appearance.
Yes pot Are you providing only scicntifre teohnir.at or other apooialized Information; appearing -s
fe nesenn *fir nolobborhgod_ansoolition wahout opmmial compensatto_n or reimbursement of
representing a not-for-Profit based organization for the purpose of reaves6ng a arantyvlthoutspecial
C onus nation er reimtn,raement?
6) Pursuant to City Code Section 2491(1),no campaign consultant shall lobby the City Commission for a period of 12 months
following the swearing in of any elected ofticial(s)for whom the campaign consultant provided campaign consulting services
within the past election cycle.See Section 2.491 for more Information.
Yes2EJio: Have you provided camnatan consultor'services to an incumberrt_rrember of the City Commission
within Om past election evcle?tf vas,olease that the incumbent memberfsl of the Cliv Commissiont
Yes No jlf ship-iGrsr eiilr s than,�z mpnttisatnoe lha'aibct�ral fIctalt" ult$atn wsu t�oi6de"tl canrinafan j
r'.dinsWirTa rvicee vo'iftn
•
69 Pursuant to City Code Section 2482(a)(4 a.,a lobbyist who has within the past erection 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 hislher lobbyist registration lam and shall orelhr disdose_such Particular ery
ce
beolobbvingthe City Commisstmn_at a noble meeting.
_YessNo: Have you provided cameetgrt ennnuldna cervices faun incumbent member of the City_commission
within the eastelection cycle?fives.Please list-the incumbent members)of the City Commission:
Yes _No: Ir.VE.iiiiiidrB Veetereieteeii`ar'',d.ilouiwtnivw.� eenetomlr:`catetifbration.ineselul+ae:i'ai�aamouton.
•
)ahem hnri' ai ac1
TO DC C0MMPLETED BY CITY CLEWWK'S STAFF ONLY
Annual RpLstratlonfemI]Yes ItHo Amount Paid S -- •MCRS nate Pail
•
L'obbyJetRogisiratton Form resolved end yertlkdby:
e.r mito,r,'-'-'-1�enitsAte4NTssTfee eSebbitstetehiretlonlior0 tdyiccd.os112e Revised03/11/2a20
- Page S of 6
qt.
IR. SIGNATURES UNDER OATH:
ON S r AT3 U MC
LOSS �' L
OA r,
Fong . :i; 't1 m Lt, OB=�4. a t-a , Y� O IE
_ � x AS C
3 P 3 1 I. .W• T� l'•A)DiI• •sBp _ - 8., ! B TFIE 'PISMO . ;:LL 0• 9A .
� atuneofLobhy'. /� GT , •D .d _ ,o � ,• i 7il� ,3B
EN NO
`� Date aths/ aa
Ida fhata�Of the f
thatrhaveread a am rofamiliarfth with the oegohtg'f ,�tements,anddisci
osures In Beach have
ily Code and all I visiona contained in Chap�z Art VII,wean 3 this form am bft
bya and correct,and
Sign of Lobbyist ��� Lobbyists°of the Miami
6I° i VOW La I roc_ Lt. Date IF f�S/off
,
Signature of Principal: X.
Y.-- 15.1 r fitr . Iley Date
VII. NOTARY SIGNATRE AN 41! : .
LOBBYIST:
PRINCIPAL
State°F Fl— �
State of t kri
Counfyef Atm Dade
Sblrram to(or affirmed)andCounty of d 4..
Y micas of a0 rmed)PhYsic Its bed before me. avers m.(or .. u
or r0 ne n � by means of and subscribed before me.
physical
Carless!.Sim eurrvrtfo L z 't�.try this 1,. cror 0 onlinenotarization,
�° ° oe
IVOlavrOetf .��by
1,4A6fE0FLOBgytgr NA611EOF Nf31PAL` � r' s2ptref
�.PmduredID
. Minn OF IaEMITFICOION
p 1amu� Mar OF IDENrIFICAVON
_p y Knovet
S of Pf---Pnhlic
i 1�---5 �� gnatur88FNotarPublic
Name Mary,Typed,Prin
� aped Name of Stamp !'m;. (�q �
Typed,Printed or(NOTARY 8-- '� nuimsmmornate • Stamped
• _ aG (NOTARY s S.
e ry queue 6tate of Frelraa
tThe 9obbyraY.:._�it ),T�tm ; : .t. C3 347084
y espixes
E ssesWho provide only scier technical or pedaF¢sdinfommiionorgs IN
i
vaofa.
er
di .any ap pears es� sea nergbecrhood nucleon wiuwrd camp en or r In public o the a 9a ra person u o
ploS rhea Or a beam portoforapace/Ionto any Nee:and cement for Ore appearance.e ofnot-
t-
foiseppea:ance: msan�a6an for the impose or requesting a grant Whole spade! po only�sabon ora reimbursement for the
Page4411
` BEACH
*vs,Mond Reach,1700 Converson Ceear drive,Ward Bench,(bride 33139,vmw wPmellooeh9.eor
Mao of the Ciy.Clerk
Rafael E.Granada,My Cleric
Tel:305.673.7411,Fee 305.673.72U CilyClerkOmiamibexh8 gov
NAME OF LOBBYIST: Carlos J.Glmenez
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 fairs 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 Commission on Ethics and Public Trust
of the failure of shall Clerk lobbyist(Cr p the rincipal)to file the Statemen or pay the assessed fines after
notification.
Any lobbyist, who fails to file the required Statement by April 309,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.
�
Signature of Loeb st t 56 Z�,
Da
Eieseviuercermouengrpnrmsv nReo,.se„remrta,;xmos-1t-aeeaoaos
Pages of
•
Camm, Patrick
From: Ramos,Jean <jramos@mccarter.com>
Sent: Wednesday, December 7, 2022 4:02 PM
To: Camm, Patrick; Satchell, Isabel
Cc: Gimenez, Carlos
Subject: RE: Lobbyist Form For Miami Beach
[THIS MESSAGE COMES FROM AN EXTERNAL EMAIL-USE CAUTION WHEN REPLYING AND OPENING LINKS OR
ATTACHMENTS]
Good afternoon Mr. Camm:
The name of the principal is Christopher Scott Hisey(CEO of Qualtek).
Let us know if anything else is needed.
Thank you,
McCarter P
English
Jean Ramos I Legal Assistant/Paralegal
McCarter&English, LLP
2525 Ponce de Leon Boulevard, Suite 300 I Coral Gables, FL 33134
jramos(c�mccarter.com I www.mccarter.com
T M 786.469.1871
Boston I East Brunswick I Hartford I Indianapolis I Miami I Newark I New York I Philadelphia I Stamford I Washington,DC I Wilmington
From:Gimenez, Carlos<cgimenez@mccarter.com>
Sent:Wednesday, December 7,2022 12:52 PM
To: Ramos,Jean<jramos@mccarter.com>
Subject: Fwd: Lobbyist Form For Miami Beach
Who signed it? Mike or Scott?
•
Sent from my iPhone
Begin forwarded message:
From: "Camm, Patrick"<PatrickCamm@miamibeachfl.gov>
Date: December 7, 2022 at 12:24:52 PM EST
To: "Gimenez, Carlos" <cgimenez@mccarter.com>
Cc: "Satchell, Isabel"<IsabelSatchell@miamibeachfl.gov>
Subject: Lobbyist Form For Miami Beach
1
**External Message**
Good afternoon,
Please confirm the name of the principal that hired you to lobby regarding debris removal and
emergency management opportunities.
I spoke with your assistant on the phone and told him that I need the name of the principal on the
form, not the company, and he still wrote the name of the company.
• I will print your email response and attach it to the form.
Regards,
MIAMIBEACH
Patrick Camm, USMC Veteran
Executive Office Associate II
OFFICE OF THE CITY CLERK
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-673-7411
This email message from the law firm of McCarter& English, LLP is for the sole use of the intended recipient(s)and may
contain confidential and privileged information.Any unauthorized review, use, disclosure or distribution is prohibited. If
you are not the intended recipient, please contact the sender by reply email and destroy all copies of the original
message.
2
- . • ‘`,..-~"."="---777,-."---7----,' - ! " -.7- (•-'-' ' :-:-"---,-; '
--"-:1 !_: ‘,, .,"7-77:"' --.,'..,':,•', , '- •,-:„-,2,', ,--, ', :' ' `,-'-,--- ' '' : : ' . ' '
•
.--MBP,
(..-ity Hall- ,
1700 Convention Center Dr.
',:..',..`,''':A ',..?,: f` '',', 'N ' ' -"' " ' '
Miami Beach 9 FL 33139 i'
..',, _, : ' : ',.., {N . , ,---. .. • ' - ' - , , ,..z..,, i - . ,
305-673-7420 : '-', ' -0 I::
Wel come
.. ' in N . (.1, . . . .. , - . c . -
305835-0051 Carmen V. 12/07/2022 04:41PM
en ( iN' 6, ''..,.. - • ' ' ' , -- -'4- '' ' , '
MISCELLANEOUS
Reference 1 MCR430925
NCR OPEN (MCR)
- _
2023 Item: MCR
135000 , --_, - • ',, .....
@ . •'!.. ', -
MCR OPEN (MCR) 350.00
350.00
Subtotal
350.00 """ , *_,,,,' , 0( ' Z " --• -
Total 350.00 iu" I ., ' -. • ,
• „"-N, ,,- ,..., , -
CHECK 350.00
Check Number 530874
Change due
0.00
Paid by: MCCARTER & ENGLISH lip
, e, , . )'•- LA
1111111111111111111111111111111M11111111111111 . Lt -, ,. ±1 cs....3 `,:::. ' .,". ''>',,
„ Cr-•-N., .- 0 g 2.., ir 0 , .
, auu .
mitip4 :,, (j E -13 ....0°. , "c.:, ' 8 0-E 0 c.)2 .. - • ' , - '-'
.4 .0 -. fa.. LA. '
wei T '
aa.valV
mmxy.,.....a. "'" W ,---}.
'
, ,' , a . 2 "6- t - ..,.—=8' , ex , ,,., . .
.0....................,
. WIWCOM NM I ''' .i .
Lk,•p;:-.7*::.;,.... . .0•.2±..8,-1-.4444—..,..-- Li.. c..,, co ir . ,— cr. ta. .
. . . , ., .... . -
Thank you for your payment / ,...___.
./
/
CUSTOMER COPY /
/
,./.
•