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Sarah Filosa - Erin Lama RECEIVEDFlEcevED FEB loan CITYOffice of the City OEMCI BE�i,,, HE CITY - QF MIAMI B 1700 Convention Center Drive "''®��F1 gITy CL 1 we Miami Beach,FL 33139 Gt d L se- j S �� 305.673.7411 LOBBYIST REGISTRATION FORM j F �1 0 -_ ..5 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: Filosa, Sarah NAME OF LOBBYIST (Last) (First) (Middle Name) Pacaso Inc. do 28 Liberty Ship Way, Suite 2815, Sausalito,CA 94965 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (415) 903-2800 pacaso2@politicomlaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Lama, Erin NAME OF PRINCIPAL (Last) (First) (Middle Name) Pacaso Inc. 2021 Fillmore Street, Suite 183, San Francisco, CA 94115 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (415) 903-2800 Pacaso@politicomlaw.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS -Mt ertii9 ^b 4.-I82( xa)GAP racier C e-di9 co .n j ];r crig449ciao FL'ijCp-3r=�3r] oe.v e_ y p +ydc a-11�e e- „A• itl?TED WI .rrii i rrfrc #.f 'iti i,C^ conic C#JCS+ ��J�]s::�e#C fGreM• riirr - ' Hre.ce # eee"<.. re•si rssiesecti• " � s .. .#Po ,e' a ..is;W an ersration - . 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): Austin Allison • 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): Austin Allison &Spencer Rascoff Page 1 of 5 1 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. Land use development regulations for single family homes 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 N/A X Planning Board N/A X City Commission N/A X City Staff N/A 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): $1,000 per month 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 X_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 XNo: *es.f. a �11x s TFEcil 100. .in r13ra"xln11,41:f(-Sic ror<,i-win aria i . .aiIMEEMEMMSZEMEEMI 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 X_No: TO -i7ia-otill:T:41 are rail cigra-irr-cevn -. e�niftar iai-- i M EIMERIMEM TO BE COMPLETED BY CITY CLERK'S STAFF ONLY An i"uat Registration'fee 1[r;;I Yes'['r]1No.'Amount Pald r$ R#'MC DatelPaid � -5�1' -Kra? 3 r« ' L`� '� y � r 17), .. ,X$f.r.Y �y .�' Fc t Lobbyis11Registation Form Fec . ed^and yerifiedl .r �` ��,. i-.d 0 n _.. �Re�nsed 03L�1/20Z0 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 COMPE ATION DURING THE REPORTING PERIOD.1 Signature of Lobbyist: 01-1,7. - Date `;7/ </ 0a-3 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 an I reporting require nts. ` Signature of Lobbyist: Date c/ // .1°a-3 Signature of Principal: Date a/ 4-/ 2s VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of ti 7 State of CAL-!f Jik County of: 14 u.Is eirk County of: / ittrZ4 Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of E Kphysical presence by means of Xi physical presence or 0 online notarization, or 0 o Iirle notarization this 9 day of C e braa,ry ,201._ by this 17 day of I •20 by �ci rodn ;1v5� 6 ;d LC.vY1K-- NAME OF LOBBYIST NAME OF PRINCIPAL '✓Produced ID ti e LA/Ys r k Dr;v, L;GeA4 c _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION _Personally Known �r o , ly Kn Signs Ore of No ary Public Sig re of otary P lic K\i[e_ .RwA-OH — �c,*o4ry Re,.�1%t- Shei' a Sc /Iy Nam of Notary,T ' - g`^E1^D� - - Name of Notary,Typed,Printed or Stamped KYLE MUTCH _ (NOTARY SEAL) Commissbn#50170477 (NOTARY SEAL) i d;, - - SHEILA SCALLY Nota Pubilo,State of New Jersey �'" Commission Expires o :�,.f:::, comm. #2312043 a ember24.2028 Notary Public• California o ' z .P.4 Marin County 1 The term"lobbyist"speci icaily excludes lfie following persons: 1 Commn„r.,.� I .Expjres Nov.9,2023/ 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 BEACH City of Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov Office of the City Clerk Rafael E.Granada,City Clerk CityClerk@miamibeachfl.gov Tel: 305.673.7411, Fax:305.673.7254 NAME OF LOBBYIST: Sarah Filosa 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. a,/,ert,h tft A97/r,(-- 41 V/ 6."1".3 Si ature of Lobbyist Date F:\CLER\$ALL1aFORMSLLOBBYIST FORMS1Lobbyist Registration Form Revised 03-11-20 REG.doc Page 5 of 5 ,Miscellaneous Cash'Receip t • • CITY OF MIAMI BEACH No _431283 0 Cash " ❑Credit Card Check# 57 cam. t 8 $ 85b - i 0 r Z-3 • Received.of t '' I 0 ....5.;=4, • Addres 2 gL&e tie..; s* 1'C—' �. 1 ; CA I qr.) r ` MBFi v.• Miscellaneous-MCR 2023 •005850-0024 Ebani Th...02/10/2023 03:47PM ,MCR OPEN(MCR) • Payment Amount: 850.00, (THIS INFORMATION.MUST;BE COMPLETED) Office of Finance Director Account number. By., Prepares: • . . Dept• °•' tai& EXT: 7744I t, ' 1 ' • 14-p-ie.ie-ec7t3o7---3r3ci . 005950-0024 Ebani T. 02/10/2023 03:47PM MISCELLANEOUS Reference 1 : MCR_431283 MCR OPEN (MCR) 2023 Item: MCR 1 f 850.00 MCR OPEN (NCR) 850.00 850.00 Subtotal 850.00 Total 850.00 CHECK 500.00 Check Number000958 CHECK 350.00 Check Number000957 Change due 0.00 Paid by: POLITICON LAW LLP 11111IIIIIII IIIIIIIIIIIIII IIII11111IIIIIIIIIIIIIIUIIIIIIIIIII Politicom Law LLP - 958 28 Liberty Ship Way,Suite 2815 Sausalito,CA 94965 Date 2/7/2023 POhe rdera to tof City of Miami Beach $ 500.00 Dollars For 1128.01 ***VOID ***VOID ***VOID *** VOID *** City of Miami Beach Copy for record keeping purposes only Politicom Law LLP 957 28 Liberty Ship Way,Suite 2815 Sausalito,CA 94965 Date 2/7/2023 Pstothe Orderof City of Miami Beach $ 350.00 Dollars For 1128.01 ***VOID ***VOID *** VOID ***VOID *** City of Miami Beach Copy for record keeping purposes only 3 POLITICOM LAWLLP EMPOWERED COMPLIANCE February 9,2023 Office of the City Clerk 1700 Convention Center Drive Miami Beach, FL 33139 Dear Filing Official: . Enclosed please find the original of the following items for: Sarah Filosa Z Lobbyist Registration Form ® Other: Check for$500 for Sarah Filosa's Lobby Registration Fee (Check#957) and$350 for Issue Fee (Check#958) Please endorse this transmittal letter as an acknowledgment of receipt of the enclosed documents and return it in the enclosed envelope. Thank you. 1063.01- Miami • 28 Liberty Ship Way,,Sui�te 2815 Sausalito, California 94965 www.politicomlaw.com