Mickey Dean Markoff - Mickey Dean Markoff RECEIVED
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NOV 2 20.22
MIAMI BEACH ftittiCe-tithe:64,Clerk
1700 Convention Center Priiie CITY OF MIAMI BEACH
Miami J3eaoh, FL 33139; (OFFICE OF THE CITY CLERK
3.05.6737411;
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, debision, recommendation of the City:
Manager or any City board or committee:or any action,decision or recommendation of any City personnel during the lime period of the.
entire decision-making process on such action,'decision or recommendation.that foreseeably will be heard or,reviewed by the City
CdrnMission 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,7Lobbyists,7
_for:erlditiOnal information. . . _ .
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- Instructions:'Please complete all,seclions,Of this fOrM and subrit the completed form,with the applicable fee,"te.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 7 or "rva" 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•pccurs.
Separate registration forms shall be required for each principal represented On'each specific issue.
L LOBBYIST INFORMATION:: - , —
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Koff- NA 1-60q:
'1)
NAME OF LDEpyIST (Last) '' - -"- (Firsty - I '-—, (Middle Name), —
AM.4 .,,, / I, • .
t'.41(or. (0.0 - .i\t' W. - RI; teitie-tice iPme-teokat; VL: 3 '30(407-=
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LOBBYIST BUSINESS NAME AND ADDRESS (Number,arxt'Stieet) - - .(CAY) '(State): (Zip code)
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Aiele`r 454 ' U zt-:01 -A I i I 'Pi.C-4.-V17.11. z+-4.0
. . LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER '61t‘t.EGMLe.ADIR;eESSV'S 61-:CLO4 1r4Q .
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IL PRINCIPAL INFORMATION:
44AiVa/ja/1- A• A viia
tv‘ar.103+k-, „
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I (
.NAME OF PRINCIPAL (Last)' ' " - (First) • " - (Middle Name)
Ce 6(PO 'K)W X i Tel irate. ) ext(K4GtAok, a 33c6"7-.
?RINCIPAL BUSINESS NAME AND ADDRESS :(Number and Stfeet) (City) .-. , (State) (Zip Code) .
!I 1
1461-'
PRINCIPAL pysiptEsp T HONE NUMBER - - -- - CELLULAR TELEPHONE NUMBER :EMAIL ADDRESS
Pui•auant to City Code Section 2-482(h)(1)(a) A principai'of any corporation.partnership.or other entity who appears as a lobbyist on behalf of that'
entity,without special compensation or reimbursement for the appearance,whether direct indirect,or contingent,to express support of or opposition to ,
an item shall register with the Clerk 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 provided .
pursuant to City Code Section 2•482(c):
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• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(If none, i+IIN._ . 1 C_ .e,
. Lk V- vi 1\Aairico.F..
,.: NAME OF ALL PERSONS HOLDING,,DIRECTLY OR INDIRECTLY,A.5%OR MORE OWNERSHIP INTEREST IN,SUCH
- - '• kil i L ‘ , a r 0 i+
CORpORATION,PARTNERSHIP OR TRUST(if none,_write Puio. 17 ,, , 7 lfri9
Page 1 0,5
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LIIL ISSUE TO,BE LOBBIED;:
Describe with as much,detail ails-practical,including biit•not limited to a specific description where,
applicable of a pending request for proposal,;invitation to,bid,;or public"hearing number. --
Sc 1-0► Vevtt ova :f l tt'1r1or 1 2D-23
Ong es
IV.'CITY AGENCIESIINDIVIDUALS 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 monthe 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. NQ
- -• Title of Person to be Lobbied _
kev' CAe,lG•'GAeS— -SselV.ol',
Ascjai Pir�#vr_ Mps
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- 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):
N1 ►�}.
DISCLOSE,RATE AND AMOUNT OF LOBBYIST COMPENSATION.—'Be Specific. (Note that a
contingency fee is prohibited pursuant_to City.Code.Sec.2-485.3). -
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The following six.(6)questions MUST be answered:;
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1)' Pursuant taCity_Code Section 2-488:entitled"POhibited'Campaign ContribUtionsay-Lobbyists On Procurement istues :
... ... . .
_.,..yetiNO: 'Are ylobbyingou' on a eresëñt'órëndlng bid for ods.enuinmént or se- ic s v.' " a es- or.
...pending'aimed for goods.equipment or service?,
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.2) Pursuant'to City,-CCOOISP.Ptian 249.0.entitied'Prohibited Campaign Contributions By Lobbyists On-•Real,Estate Development
itaties".;.1.1' _. . _ - - - •
...,Yes No AlLetszikAkyi -iiirsuLuitgadbminarair..liLagirgnithiblithltsikaresgiimtl —.— ca
fkslianguagen rhglmoggefikagkanisshandusabgratialsozgiondikemag.
_ . . . ...
3) Pursuant.... _ .„. _ .. ...•:
.to City Code Section'2482(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 teeny item,thall register.with
the cityperk as required by this section,but shall not bereguired to pay any registration feet.-
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_Yes No :A e you 'representing ' • 'o- 'r . • .L.... anThuerALAkoketclaLcstE.:—
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reimbursement?
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.4): ,Pursuant to-City"Code Section 2-481, the term"lObbyitia;speclificaliy_rexcliudes the following persons:'ExpertWitnessas 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•conwensation or
...
,reimbursernentforthe.appearance. -
Yet iii 'Are You Peavidinct2Oriti•scientific.. technical-.or other tpecialized InferrnatiOn: 'appearing asp
,..... ..- .
'representative at a neighborhood aisciciationWithotit'special'compensation or reimbursement or
representing,a not-foe-06M bated organization for the purpose of requesting a grant without
special compensation or reimbursement?
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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 th 'past-eledtion,cycle;See Section 2-491.for more information:
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_,Yes' 0:, Have you provided Can:Malan 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:;
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. . . _ .• _ .. . - . _ _. . .._ . - .
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Yet NO:, ifveS:lias it been less than months since the elected affiolalfsi Whona You Provided camPaign
—
consulting services was swonnin?
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•5) •Pursuant to City Code Section 2-482(a)(4)a:,a lobbyist who has within the past election cycle-provided.campaign.dontulting
services to an incumbent member of the City Commission(which lobbying activity is not otherwise prohibited by Code section
2491):shall disclose such particular service on his/her lobbyist registration form and shall orally disclose such particular
•service bfOre lobbving the City Commission at a public meeting::
... .
Haie*Yeti provided Canmaknieenitiltinn services to an Incumbent member of the dibiCarnrnIssion'
— . .
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'within the past election cycle?if ves-Olease_list-the incumbent member(s)of the City Commission:
... .. . . .. . . ..
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`ices• :—NO: if yes. were you_promised'or.did'you receive etonemic COnsideration In exchange for Cathrialan
, ... . . .._ .
consulting services? ' -
TO BE COMOLETEDef.CITV CLERK S STAFF ONLY • - . .._ . .
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11...... t C„tr.
Annual Registration fee: ( I Yes No 'Anxkrt Paid$ - -•- - • MCR# PN Jk•ir kr Date Paid
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1 -Lobbyist Registration Form received andyerified'bi: .- . ‹.. S ... _ _ . ..
i F:\CLER\$ALL1aFORMS1LOBBYIST FORMS\LobbVidt Registration Form Revised,03-11-20'REG.doc. - - _ Revised 03/11.12020' : '
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1/1„ SIGNATURES UNDER
;ON FEBRUARYI28'.OF EACH YEAR. EACH LOBBYIST tHALL,SUBMIT TO THE OFFICE'.0F.THE CITY CLERK A
'SIGNED STATEMENT UNDER OATH. LISTING LOBBYING"EXPENDITURES. AS WELL AS COMPENSATIONt
,RECEIVED, FOR THE PRECEDING CALENDAR YEARVITH 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 ON'D G THE REPORTING PERIOD.' - .
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Signature of Lobby*: // Date ./0 ki//.2 2, . •
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. .. _I do solemnly'swear or affirm'that all of the foregOing'faCtS-,t taterriehtS, -and disclosures iri 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 reporting requirements.,
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-Signature of Lobbyiit. : • bate /6 k3/ /./z . •
Sighature-of,Prin-Cipal: r2...,
• — „_ • .- . Date /0/.//2 Z
'VII.; NOTARY SIGNATURE AND SEAL:
:LOBBYIST:. ' PRINCIPAL
State of /Lack. . _ ' State of f7'thi n/a, .
dounty of:: rn4s-i-li -zio,4 •
. . County of ifi/a/ri./. - Aale.
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::SWOrii to(or affirmed)6nd'subicrilied before Mei • SI,Vorrilci(cir4ffiffired)arid,sUbscribed before rhe';•
by means of 126hysicel presence ; by means of laphysical presence
'Or 0 online nOtarization,, or laonlino notarizationy y
:thiS 3 / -day of 6 etelp,.. •-• •.?pU tiy this di_day ot D c2.)Arfr- _ . -.29.a,by
:'.Mir)/ ./Yia•—/n ./-1/) - - .
'NAME OF LORDYPT - - - NAME OF PRINCIPAL -
. _ .
. Produced.1D - -. . - .... • '. - Produced ID. . . .
FO- •F IDENTIFICATION - - — . _ ._.
FORM OF IDENTIFICATION --
14ers'onally . , ' - Oersonaity Known
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- ' /// Ljlit^ .I111 I 1 1 '
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Sign-at.reof No ; •ub 7- rerjr— - ' ' §gnatu - of Nota, -Pub'c'
VIP ' ' At ' iigi q 1 f ' I
Narn: ,,f Notary,Typed, Printed or Stamped '' -'' - :.'Na -e ,' Notary,Typed;Printed'or Stamped
iii•— 11P• • • — ••--`-— ,
;(NOTARY SEAL) I .4iii.;•'' — MIGUEL A.LUNAR OPTARY SEAL) ,,,,,,,,,,..„.
It.---vg<;:',.
Notary Public-State of Florida . se Poo‹:•;... MIGUEL A.LUNA JR
f?itik,. rn Nota•y Public-State of Florida
a it E. gj Commission#GO 925302 l'A T.7.-71
-J.:•:. PA y Comm.Exoiires Oct 23,2023 ,:fse-=1.-oss•.,, , '1:1s1" 1'3(3 925302
'The terin-lobbyist-'specificilLeklikilgetatitlii*IEMWtssn• ,. . •••••914'./ •'. " .' •::23,2023
• Bo ': -.J.Notary Assn.' Expert witnesses vihosprOVide only Scientific,technical oi Other-specialized infoirriatien or testimony in public ineetings;"any•Person who
only appears as a representative of a neighborhood-association wiltiout 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,
ncitlfor-p_rofit community based organization for the purpose of requesting a grant without special compensation or reimbursement for
the appearance'., . . •
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MIAM I B EACH-
oy 40000 O!qc11;i:700 t.orlyenkanteriterf:oe,ri*Inilieoch,Fàr1a 0139,veny.rniorilii?epcVI.gov
/Pfikeof the City Clerk
Rafael E orancdij,!Ci.St::clerk. ncilyclerkOpfixntheacl11),gov
'Tel:305:673.7411;1 Fax:30.5.61.7254
• ; - a - - A
NAME OF LOBBYIST: - g
Loppyist FEE EXPENDITURE AND-COMPENSATION STATEMENT
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Pursuant Ig City Code .Sectiori;;2=.485(0); the:•City Clerk' shall notify any lobbyist i
principal)who fails to file timely ail,.Obbyipt Fee Expenditure and Compensation Statement
,(Statement) In addition to any other penalties that may be imposed as.;provided' in
Section 2-488:1, a fine of$80:00 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
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assessed:finee.after notification;
Any lobbyist,iWhOfailS:tO -required Statement by AP011gth of each Year; shall be
automatically suspended from lobbying',until all lines are paid; unless the fine has been
appealed to theMiami-DadeCouritYCbmmission on Ethics and public Trust,
I hereby acknoWledge:that.on February 28 of each,year; I.shall submit to the.City Clerk a:
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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 have
been engaged tOslobby.
21 OBOIST WITHDRAWAL,
Once an issue I have registered to lobby has concluded or I am no longer lobbying pn
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that issUe, iMmediately filea NOtice of withdrawal with the Office of the City Clerk:-
,
-.13y ANNUALLOBEMST1REGISTRATION.F.E0
I Understand annual registration of all lobbyists shall bre-requiteti for eath 12=mOnth period
commencing October 1 'of each year,.and the fee for such-annual Jegisjration..phall be
;$800.:0CiD(00 tto Seclion 2482 of the Miami Beach City code.
:a! at. re of iob yiat' Date
‘CLIEF6S0.,44%oroftr,Asu.081;IYIST FO WU.obbyist Rwisoution Form liovisod 03-I 120 REG cioo
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