Antwoine Jermaine McCoy - Antwoine Jermaine McCoy 11 CA Gc " '' M;u,r:fiaUcoJc
RECEIVED
MAR 92023
RECEIVED
BEACH MIAIV\t �• _ �F FEB 29 2023
Office of the �r,,. NAM'
BE H
rpmConventionCen HECITYC UITCY 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,whetherpaid 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
period oftl y
;Sanger or any City board or committee;or any action,decision or recommendation of any City personnelng:
theentire 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 lobbying
activities.The term`Lobbyist'has specific exclusion.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 stieet(s).of paper. If you have nothing to report in a particular
section, you must write''none or 'We* 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 tile 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 fomts.shafi be required for each principal represented on each specific issue.
I. LOBBYIST INFORMATION:
McCoy Antwoine Jarmaine
NAMEOF LOBBYIST (Last) (First) (Middle Name)
Miami Takeover LLC 900 Brentwood Road#92578 Washington DC 20090
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (IIP
Code):
•
202 350 1270 202-437-2901 antwoine@themiamitakeover.Com
LOBBYIST BUSINESS TELEPHONE NUMBER
CELLULAR TELEPHONE EMAIL ADDRESS
II.PRINCIPAL INFORMATION:
McCoy Anttivoine Jarmaine
NAME OF PRINCIPAL (Last) (fist). (Middle Name)
Miami Takeover LLC 900 Brentwood Road#92578 Washington DC 20090
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
202-350-1270 202.437 2901 antwoine@themiamitakeover.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
-- -5� - -w aiti Fin— -_ ofTiF ourporation,paitneiship. oilmen entity who appOis as a latthY on behalf of that
Pursuant to City Code Section 2 0r%or r imb) l nt f ,_ .
errttly,wdhaut!speaai,coinpeiiseticn or_ieimbursemeritfcr the•appearance,whattrer lUed,°.indireci or cordingent,to expresss_uppOrt'of or�oppostdoll to
anyitem''thj l re9tster•wra►t*CIe tt aas requited ti tiLS abbe c iri but ialii0-6.1 00:0 to pay any!re9L !itO reesS
if the principal is a Corporation, Partnership or Trust, the following information MUST be provided
pursuanttO City Code-Section 2-482(c):
Antwolne McCoy,Vincent Peden,Wylie Kynard
• NAME OF CHIEF OFFICER,PARTNER,-OR BENEFICIARY(if none,write NIA):
• NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%.OR MORE OWNERSHIP INTEREST IN SUCH
Antirroine McCoy.Vincent Peden,Wylie Kynard
CORPORATION,PARTNERSHIP OR TRUST(if none,write WA):
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.
Set oc kel. eve: l
—*5th Annual Miami Takeover Weekend Grant Application with the Miami Beach Visitors&Convention Authority(MBVCA)
IV. CITY AGENCIESIINDMDUALS 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
Nam!Beach Visitors Convention Authority 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 WA):
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):
N/A
Paget of5
The_fotlowing six(6)questions MUST be°answered:
1) Pursuant to City Code Section 2 488..entdled"Prohibited Campaign Contributions By Lobtiyiats On-Procutentent Issues':
Yes)No: Are non 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 crane of zoning map designation or change to the Citv'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 of indirect to express support of or opposition to any item,shall register with
the city clerk as required by this section,butshall not be required to pay any registration fees.
Yes XNo: Are you tenresentinc .a not-fomutifit corporation or entity without special compensation or
-r+eimbursement?
4) Pursuant tots City Code.Section 2-481,the term'lobbyist'specifically excludes the-following poisons: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 Rem;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 onto scientific. technical or other specialized information: appearing as a
representative of a neighborhood association without soeciat compensation or reimbursement or
• representing a not-for-profit based osianization 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 officials)for whom the:campaign consultant-provided campaign consulting services
within the past election cycle.See Section 2-491 for more Information.
Yes XNo: pave 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: i Ares,has it•been less thao=12 nib'rithssince-the,elected-'officlat(s)'whoin whore': rovided'.caeipatign
coiisuit7na seri+=ices:Wes swain in?
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 hislher 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 pvde?If yes,please list the incumbent member(sl of the City Commission:
—Yes No: if'Yes,Wein.you-promised':or didsvou receive economic eonsideiation In®xdiange-forfcatimaign
consultin4 services?
TO BE COMPLETED BY CRY CLERK'S STAFF ONLY
Annual.f cglstnaticn fee: I )Yes[ 'No Amount Paid$ MCRB Date Paid
Lobbyist RegistratlonForm received and venfied by: ItevFsed03jsi/2u
\t.1.EiniAl L1aFoxN.SiLo8sYFSi wRMs\icbbiilt Registrattpnre Rate f evrs°d o3-11-20 REc doc
Page 3 of 5
VI. SIGNATURES UNDER OATH:
CLERK A
FED STATEMENT
EACH YEAR. . LLISTINGBYIST SHALL SUBMIT TO THE OFFICE LO LOBBYING EXPENDITURES. AS WELL AS COMPF THE ENSATION
SIGNED .STATEMENT UNDER OATH.
RECENED. 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 COMPENSATI DURING THE REPORTING PERIOD' !�/6//�Signature of Lobbyist: r he Date {� (43
I do solemnly swear or affirm'that all of the foregoing facts;statements,and disclosures in this form are true and correect.
-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 y orting requirements.
411 ila 2/ /c0OX
Signature of Lobbyist ,�j(/ Date /n IO/
410�4 Date 2/ /)0o3
Signature of Principal: t♦
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: c I PRINCIPAL
State of 1"11''~C.. -b State of .115-1. A
County of: Q9-1 0C1 q- ii.S County of: (kJ OM-- G5_6 Cis J
Sworn to(oraffumed)andsabsaibed before me,
Sworn to(or affirmed)and subscribed before me,
by means of Zl physical presence by means of iv physical presence
or O online notarization 2 or 0 online notarization .2� by
this day of MTV
CO ,2(1 ,by this bffday of Yvl
.'} T6 O/A1cZ rIRfu*tnli ILMCcO`l Th o tPRINo�+. ��.�1'u A-„ `l 4� Ittcct
NAME OF LOBBYIST NAME
Produced D MU bit_wf..03 Ltagse_ )CProduced.ID FOt,kk bRM ieigt I It121-5 ATIN kra
FORM OF IDENTIFICATION
Personally Known Personally Known
AtiACl/A1
CAK_ILMAY
Signature of Notary Public Signature of Notary Public
(Istfu NI 14. a`I�SoLA -- Lufi kg 0`f�Soc
Name of Notary.TypertintatLII'BT.l i 'I• M Name of Notary,Typed,Printed or Stem•ed
OLUFUNKE OYESOLA OL� NKE OYESOLA
Notary Public-State of Maryland I (NOTARY SEAL.)
(NOTARY SEAL) ' Prince Georges'County Notary Public-State e oounty land
t My Commission Expires Nov'1,2025 ( Prince Georg
My Commission Expires Nov 1,2025
aemennoPtiiisourweeP
'The term'lobbyist°specifically excludes the following persons
Expertwitnesses 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,
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
i
f\AIAMI EACH
City of Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,vrww miamibegchfl.gov
Office of the City Clerk
Rafael E.Granada,City Clerk CityClerk@miamibeachfl.gov
Tel:305.673.7411,Fax:305.673.72.54
NAME OF LOBBYIST: Antwoine McCoy
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 s
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 2482 of the Miami Beach City Code.
.cQr c44.7 3/3/2023
Signature of Lobbyist Date
FACIERUnsFORAMOBEIYISTFORAMSILabbpsi Re9stration Form Revised 0311-20 REG.doc
Page 5 of 5
From: Camm.Patrick
To: Antwoine McCoy
Cc: Vincent Peden II;Wylie Kynard
Subject: RE:CY2023 Miami Beach Lobbyist Forms Submission
Date: Friday,March 10,2023 1:23:00 PM
Confirming receipt. I will send you scanned copies shortly.
Regards,
MIAMIBEACH
Patrick Camm, USMC Veteran
Assistant City Clerk
OFFICE OF THE CITY CLERK
1700 Convention Center Drive,Miami Beach, FL 33139
Tel: 305-673-7411
From:Antwoine McCoy<antwoine@themiamitakeover.com>
Sent: Friday, March 10, 2023 1:23 PM
To:Camm, Patrick<PatrickCamm@miamibeachfl.gov>
Cc:Vincent Peden II<vp@themiamitakeover.com>;Wylie Kynard<wyliek@themiamitakeover.com>
Subject: Re: CY2023 Miami Beach Lobbyist Forms Submission
[THIS MESSAGE COMES FROM AN EXTERNAL EMAIL-USE CAUTION WHEN.REPLYING AND
OPENING LINKS OR ATTACHMENTS]
Good afternoon Mr. Camm
Please amend the Lobbyist form registrations submitted by Antwoine McCoy,Vincent Peden and
Wylie Kynard for the 15th Annual Miami Takeover event to identify the event name as the Miami
Takeover, an event which will take place annually in Miami Beach.
On Thu, Mar 9, 2023 at 3:47 PM Camm, Patrick<PatrickCammPmiamibeachfl.gov>wrote:
Sorry, I have not been able to call. I will provide stamped copies and call once IT is done working
on my computer.
Get Outlook for iOS
From:Antwoine McCoy<antwoine@themiamitakeover.com>
Sent:Thursday, March 9, 2023 3:45:01 PM
To: D'Agostin, Charles<CharlesDAgostinPmiamibeachfl.gov>
Cc: Lobbyists<LobbyistsPmiamibeachfl.gov>;VP Miami Takeover<vpPthemiamitakeover.com>;
Wylie(MTO) Kynard<wyliekPthemiamitakeover.com>; de la Cuesta, Eileen
<edelacuestaPmiamibeachvca.com>
Subject: Re: CY2023 Miami Beach Lobbyist Forms Submission