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Rene Dennis Gueits - Rene Dennis Gueits RECEIVED Office of the City Clerk MAR 6 2023 ,-.i' 1700 Convention Center Drive Miami Beach, FL 33139 CITYOF MIAMI BEACH305.673.7411 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(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: Aue-i,(1-3 'lane '*"-- en,is NAME OF LOBBYIST ( ast) I (First) p' (Middle Name),,,AA4D4ftee_ __--Tiptitimie6 w iyas-isd R . 1/1".) 33ov LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305 ?d<r /IS 7 3 J/O3 ,Gs94►JDw®y�%co. oym LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMI�IIL ADDRESS II. PRINCIPAL INFORMATION:Gic_5_ 211E— olf1I NAME OF PRINCIPAL ( ast) (First) (Middle Name) SfriCe—bivarild /lc &4 /67i‘ AAA n 3317l PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 3os ? '/iS 76 F23 me egiScd iblfelat PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADy/06).Cril, S Pursuant to City.Code;Section 2-482(h)(1)(a) A pnncipal.of any corporation, partnership or other entity who appears as ellobtiyist on behalf;of that entity without special compensation or reimbursement for the:appearance,whether direct indirect orcontingent,.to*express'support:of.or opposition:to b en,item shellr-egister with that Clerk as,required• y this'subsection-but.shall.not be,required to�pay enyregistration 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): e G.J® • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5% 1 MORE OWNERSHI INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST(if none,write N/A): � 3Le Pagel of 5 f.. A 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. �� ►► cA4 neizts 9602 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 fluiin�• &ACA v- /(,)3n� 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): 41)/1 -- 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): PD 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 PNo: 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_4 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 ity clerk as required by this section,but shall not be required to pay any registration fees. _ es_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. VYes_No: 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 wearing in of any elected official(s)for whom the campaign consultant provided campaign consulting services within the st election cycle.See Section 2-491 for more information. —Yes_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 Imo: If•:yes; has it been:less,than 12 months.since,the`:elected5:official(s)•whom,you.'Provided-campaign consulting services-was•sworn: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 his/her lobbyist registration form and shall orally disclose such particular service bef obbvinq the City Commission at a public meeting. —Yes 4'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 o: If.yes,'were you'promised Aar-did.you.receive economic-consideration:in exchange for campaign consultingservices? 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: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc Revised 03/11/2020 Page 3 of 5 VI. SIGNATURES UNDER OATH:. ON FEBRUARY 28 OF EACH YEAR, EA OBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A SIGNED STATEMENT UNDE H, LISTING YING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, FOR THE PR DING CALENDAR YEAR H REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN EN GED TO LOBBY. A STATE ENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPEN ON DURING THE - - •RTING PERIOD.' Signature of Lobbyist: _ -�- Date , Z 273r7— — I do solemnly swear or affirm at all of the foregoing fac statements, and disclosures in this form are true and correct, and that I have read or am fa •'iar w' . •- . ovisions co ained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code a 5 _••rting require 1 s. Signature of Lobbyist: ��� Date 3 27 9-3 Signature of Principal: — --W Date A--rg- lb VII. NOTARY SIGNATURE A LOBBYIST: PRINCIPAL State of r/..„, State of Fl— County of: itte..`. -- rpgc - County of: Mitt";-0 otAc Sworn to (or affir and subscribed before me, Sworn to (or affir and subscribed before me, by means of physical presence by means of nhysical presence or❑ online notarization or❑ online notari tion, this day of f G'\.- .202E5 by this 6day of iM trc-I'‘• ,202a>by 9evie.. • (AefiA- erne D. G1 . ?rs NAME OF LOBBYIST NAME OF PRINCIPAL roduced ID -D(it( Lc_ Produced ID (I Qtec- Lie FORM OF IDENTIFICATION FORM OFNTIFICATION _Personally Kn., _Personally • % n Signature •, otary Public Signatu,`of Notary Public o sciL k.. - , gr.. 1/4, 0.. eac.4..--.i-- Name of - --- - , pn e K Stamped Name of Notary,Typed, Printed or Stamped * MY COMMISSION#HH 254869 (NOTARY �5: A,., 119,2026 (NOTARY SEA 1 �• ^�•Q ExPIRES:AP 0 1' ?'P�',••'', tSNj'r," ••, PATRICK D.CAMM €+: :*= MY COMMISSION#NH 254869 1 The term"lobbyist"specifically excludes the followingpersons: '.', ''''QP�' EXPIRES:Apol19,2026 Y P Y8 0 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 H /V\ , Af\/\ ', 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: 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 . • • - e•istration of all lobbyists shall be required for each 12-month period come - cing October 1 o :..ch year, and the fee for such annual registration shall be $5000.00 pursuant to Section 2- 82 of the Miami Beach City Code. 344 6 Signature Date F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc Page 5 of 5 From: RENE 3UEITS To: Camm.Patrick - Subject: Re:Amend Lobbyist Registration for Grant Application_Miami Beach Date: Monday,March 13,2023 3:33:55 PM [.THIS MESSAGE COMES FROM AN EXTERNAL EMAIL-USE CAUTION WHEN REPLYING AND OPENING LINKS OR ATTACHMENTS I Hi Patrick, I put the wrong name of the organization. It should read,Miami Salsa Scene, LLC. Can this be corrected or would I need to come to the office to make this change? Rene D. Gueits Salsa Lovers® Founder.&CEO T::305.220.7115 Salsa Lovers Miami Salsa Congress Bachateando Dance Festival - On Friday, March 10, 2023 at 03:23:37 PM EST,.Camm, Patrick<patrickcamm@miamibeachfl.gov> wrote: Good afternoon, To improve Lobbyists'procedures, our office will not require Grant Applicants to reapply every year for the same matter. If you,the lobbyist, plan to apply for a grant every year for the same principal/topic,then you only need to do one Lobbyist registration.Just make sure you do not withdraw from the issue when you complete the annual Expenditure Fee Statement. • Please reply to this email,stating that you agree for me to change your most recent application to state"annual grant application" for the grant topic you provided. The.Miami Beach VCA has been notified of this change. Regards, .