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Timothy Riera-Gomez - Joseph Lahound • RECEIVED • I A 1 • AA A I B,EAC.H MAR 2 2023 Office of the City Clerk 1700 Convention Center Drive CITY OF MIAMI BEACH Miami'Beach,'FL 33139 305.673,7411 OFFICE OF THE CITY 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(a) 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:_ ' • ' Riera-Gomez ;Timothy . • ' NAME OF LOBBYIST '(Last) . • . . . ' (First) (Middle Name) • . •' '•Capital City Consulting - Miami,.LLC., 235 Catalonia Avenue Coal Gables FL : 33134 • LOBBYIST BUSINESS NAME AND ADDRESS ' (Number and Street) (City) (State) • (Zip Code) ' • 305-461-4260. : 305-7.90-3998. . . : timgomez3.@gmail:coni LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR:TELEPHONE NUMBER EMAIL ADDRESS • • I•I. PRINCIPAL INFORMATION: L'ahoud • Joseph • NAME OF PRINCIPAL • • '(Last) . (First)• - '(Middle Name). MIAMI LOUD HOLDINGS;LLC; 13587 Barcelona-Lake Circle Delray Beach FL .. :334.46 PRINCIPAL BUSINESS NAME.AND ADDRESS (Number and Street) : (City) ' . (State) (Zip Code) • • 305-310-5505 • jojo@plusplusgroup:com PRINCIPAL BUSINESS TELEPHONE NUMBER. : CELLULAR TELEPHONE NUMBER- ' ' EMAIL ADDRESS Romig in sgtily ax321Pziltim 2-482(h)(1)(a): GQ principal t:QEM corporation, partnership,CP(]'t'ciiffiV dlintt,c-t&adE•,a lobbyist az.utidri co tael -2106esmale special compensation cy for(ab appearance f indirect,ai contingent,Qj(. {„AM ipliEV,Cgai o a position a. . 'mizarliagarannam the igliaaai re.uired ClyelbiattaVaLigIagnilaLp re o aired loriz9e 'j re.istra ion¢i,'.• • ' . • If the principal is a Corporation, Partnership or Trust, the:following information MUST be provided pursuant to City Code Section 2-482(c): ' Sean Wertheim and • • • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A): Joseph.La• houd • - 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): Sean Wertheim and • Joseph.Lahuud • . Page 1 of 5 • • T. z, 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: . Ordinance: Alcoholic Beverages - Modifications and Exceptions'to.Hours of Sale for On.Premise.Consumption 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 City.of Miami Beach • : :None 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 NIA): 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): $50,000 flat fee : . Page 2of5 • 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 X 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,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. YesX No: 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 X o N : : If yes, has it been less than 12 months since the elected official(s) whom you provided campaign consulting services was sworn i'nr?i 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 No: If yes, were you promised or did you receive economic consideration in exchange for campaign[ consulting servicesr : ' " ' ' . ' : -. ' TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee:. [ ]Yes[' ]No Amount Paid$ MCR# Date Paid Lobbyist Registration Form received and verified by: E_\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-2Q REG.doc' Revised 03/13./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 COMPENS ION DURING T�: 'EPORTING PERIOD.' Signature of Lobbyist: I `'/,,1 .� Date <1--/ Imo nyr- \ - I do solemnly swear or affirm that all of the foregoing fact , tements, 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 II reporting requ' ents. Signature of Lobbyist: `' Date Y RIE Signature of Principal: � `� Date ata-3 JOSEP' HOUD VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Florida State of Florida County of: Miami-Dade County of: Miami-Dade Sworn to(or affif ed)and subscribed before me, Sworn to(or affi ed)and subscribed before me, by means of fD'physical presence by means of m'physical presence or 0 onFne notarization, or 0 online n zation, this day of . February , 2023, by this f.t I February ,•2023, by z71()SePh /61)0 NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID Produced ID fr,✓ (4 L[/4: /11SP, FORM OF IDENTIFICATION FORM OF IDENTIFICATION Personally Know Personally Known Sig ature o otary Tublic • Signa re of N ary Pu lic 12 1cE0 1o3 m I( a, Name of Na ry, T •e. P _. Name of Notart,Typed P ' - •_---- ... MIREYACARBALLOSA MIACp,RgpLL03A ,. ,;�� :•: MY COMMISSION#NH 3g88�1 my MMISSION#Nn 2w ` ��`-`°` EXPIRES:F 22 027 ' ' '�= Febn►a►Y ' Ito ea; EXP ebN�_ i, •say �i wei�Q°: EXPIRES' 1 The term `�•'�'. sped ically 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. Page 4 of 5 MIAMIBEACH - City of Miami Beach,1700Convention Center Drive,Miami Beach,Florida 33139;www;miamibeachfl:goJ Office of the City Clerk ' Rafael E.Granado,Ciy Clerk CityClerk@miamibeachfl gov Tel: 305:673.74.11,Fax:305,673.7254 NAME OF LOBBYIST: TIMOTHY RIERA=GOMEZ 1) LOBBYIST FEE EXPENDITURE AND:COMPENSATIONSTATEMENT 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 herebyacknowledge 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 $5 0.00_pursuant to Section 2-482 of the Miami Beach.City Code. February 2+, 2023. nature o obbyist 40 Date • F.:\CLER1$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc ' Page 5 of 5 I ,�• '' ,. " `Miscellaneous Cash Receipt x CITY OF MIAMI BEACH t E No 431406 0 Cash ❑Creii Card ,oCheck# Received of 7�2-`�` :�K'r'. tt k, Z r� ° f i' ''• ,fi Y t.•f . y r Atldress Fo - Miscellaneous MCR' 2023 005993=0010 Carmen V 03109/2023 01:11 PM r', 1 t MCR OPEN(MCR) paymant�Amaunr , 7nn nn ,? r '(THIS.INFORMATION MUST BE COMPLETED) ' .` Office of Finance Director Account nu �tier��� '� '� ��� B/yam `�/` � �'` t Preparer( T 4 �, ( ". , 7'.€.t✓r Dept.€ 1t~'= t EXT. ! 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