Michael Llorente - Anthony Frasco puAcure- c-4'2•6(TIS
RECEIVED
NOV 18 2022
AAI AIV\I BEACH, Office of the City Clerk UN.or MIAMI BEACH
1700 Convention Center Drive r,p:i`t-1E CITY CLERK
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 "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:
Llorente, Michael
NAME OF LOBBYIST (Last) (First) (Middle Name)
LSN Partners 3800 NE 1st Ave, Suite 200, Miami, FL 33137
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-673-2585 "miyAud-.11trriAle.0 1,- LAW.am_
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Frasco Anthony
NAME OF PRINCIPAL (Last) (First) (Middle Name) •{,Lu l 1-44Shie
Labor First, LLC, dba, Retiree First, 1000 Midlantic Drive, Suite 100, NJ, 08054
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
856-437-4565 afrasco@Iaborfirst.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
Pursuant ittEly @tirb&lira 2-482(h(1)a): deg,corporation, partnership,IT Ciifil2ti.GM Z213-op Epp lobbyist @a ) i. dilI
entity,dintER special compensation cif"ortjappearance ullEMIN direct indirect IiI?contingent,Opel/L o.® day oo position a
an item shall register with the Slerk 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):
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A): John Dulczak, CEO
• 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): John Dulczak, 15%, CEO
Anthony Frasco, CFO, 12%
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.
Group retiree healthcare benefits for the City of Miami Beach.
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
(prv�yy►�s5�wwrs .f si N [ A ✓
Awls i staff' N (A
1-1
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): .
Nth
•
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):
1\lo aldrk►onaI -Fee lea( t—Vavn1 '2 aco
J
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":
_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,equipment 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 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.
_Yes XNo: 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.
_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 XNo: If yes, has it been less than 12 months since the elected official(s) whom you provided campaign
consulting senriaes was sworn inr
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 XNo: If yes, were you promised or did you receive economic consideration in exchange for campaig
sonsultirtq seruiees�. '
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ l Yes'[ ]No Amount.Paid$ ) '• MCR# t.J 0 `(.j Date Paid 1 1-` i%'. 2.
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\aF RMS\LO B Lobbyist FORMS\Lobb stRegistration Form Revised -11-20 REG.doc Revised 03/11/2020
Page3of5 '
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 STATEME T SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENSATIO%bURI G TH EPOR NG PERIOD.'
Signature of Lobbyist: 2 Date tO( 21 ( 2
I do solemnly swear or affirm t a 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 porti teq *re ts.
Signature of Lobbyist: ,A Date (p(Z?( Z.7�
Signature of Principal: Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of f1 Od1 . State of
County of: tk1UW11 puck. County of:
Sworn to (or affir ed) and subscribed before me, Sworn to(or affirmed) and subscribed before me,
by means of physical presence by means of 0 physical presence
or 0 online notarization, or 0 online notarization,
this 21 day of OC,- r .0 , 2074 by this_day of ,20_, by
Mtchue( L04/A
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
Zonally Known _Personally Known
Signature of Nota Public Signature of Notary Public
VwteNA fA
Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped
Lea
(NOTARY t, VIVIEM RIVERO I (NOTARY SEAL)
r Notary Public.State of Florida
`•.: j Commission#HH 230193
••••..,ovA. My Comm.Expires Feb 17,2026 I
3onceo through National Notary b,ssn.
1 The term"lobbyi rsons:
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. .
Page4of5
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.1
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: I Date 11« �`-'=-'� 2-2
VII.VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of ' ' State of IJQ.) e
County of: County of:
Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and su cribed before me,
by means of D.physical presence by means of 4 sical'presence
or 0 online notarization, or 0 online notarizati n, r 1.,
this ' day of 20_, by ' this. 1 day of /(.- .-QJr 20C4ioy
Airt,4,0r1 Frag LCD
NAME OF LOBBYIST NAME OF PRINCIPAL
Produced ID _Produced ID '
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
_Personally Known . Personally own
Signature of Notary Public. Signature of ary Public
Name.of Notary, Typed, Printed or Stamped Name NOTMy ." atflp0
Commission,/ liana
(NOTARY SEAL) (NOTA : E $
f,( h
1 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'persomwho
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 4of5' '
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: M1cV at I LttretAIC
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.
Si•nat e o ob•yi • Date
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