Ian Bacheikov - Todd Hargreaves ( HPT IHG-2 Properties Trust) f5CEIVED
•
AA An APR 112023
i V I�I v ,I ��' Office of the City Clerk .
1700 Convention Center Drive . CITY OF MIAMI BEACH
Miami Beach,FL 33139. OFFICE OF THE CITY CLERK
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. LOBBYISTINFORMATION: . •
Bacheikov Ian '
NAME OF LOBBYIST (Last) (First) (Middle Name)
Akerman LLP 98 SE 7 St., Suite 1100 Miami Florida 33131
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) . (State) (Zip Code)
305-374-5600 ian.bacheikov@akerman:com
LOBBYIST BUSINESS TELEPHONE NUMBER'- CELLULAR TELEPHONE'NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION: '
Hargreaves Todd W.
NAME OF PRINCIPAL , . (Last) (First) (Middle Name)
HPT IHG-2 Properties Trust 255 Washington Street,Suite 300 Newton MA 02458
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
617-964-8389 - .. - thergreaves@rmrgroup.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
PEELogigkijaly(g= p2 82 h)(1)(a): Qprinciaal dam corporation partnership,U?CQ GAVt ll•r•L ls•mia3OlabbyistCr)a behal C?Q
4 NEM3,alma special compensation orEEiaappearance,- indirectCp contingent,EtJ J LL* CEa?o".ositionEE
y n i em shall reqiste with the Clerk as req fired b 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): Todd W.Hargreaves.President and Cider Investment Officer
• 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):
ultimately owned by Service Properties Trust(SVC), publicly traded(Nasdaq:SVC),no individuals over 5%
.Page 1.of 5
ij
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.
Change of owner and operator associated with Conditional Use Permit.
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):
$670.00
Page 2 of 5
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The following six'(6)questions MUST be answered:
1) Pursuant to City.Code Section 2-488,entitled"Prohibited Campaign Contributions By Lobbyists On:Procurementlssues":
_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 X_No: 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'reimburseinent 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 a'icial(s)whom you provided campaign
nsult nq services was s,orn inf.
•
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 ar1 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:
•
r -
_Yes XNo: if yes were you •romised or did you receive economic coital a erotic) in exchange for campaig
co iMIthu—WE—nricERIA
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Regiistration fee 9,,ye CA;! o.,'Ani un aid+Fs -3v*2tVriic,Atti:'iqq. t �
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Page 3 of 5
ai
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?
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 yam 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: , ( -. Date 41 1D 1'4ti3 •
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of State of MaSSODAWCAI3
County of: County of: IAVICtICiSCY
Sworn to(or affirmed)and subscribed before me, Sworn to(or irmed)and subscribed before me,
by means of 0 physical presence by means of physical presence
or 0 online notarization, or 0 online notarization
this day of ,20_,by this.to of Ptp1l11 _ ,201a by
Ian Bacheikov Miq rr-CA S
NAME.OF LOBBYIST NAME OF PRINCIPAL
Produced.ID Produced ID
FORM OFIDENTIFICATION FORM OF IDENTIFICATION
_Personally Known _\1,13 rson' Ily n
Signature of Notary Public Sig ature of�No Public
1
Name of Notary,Typed', Printed or Stamped ' Name of Notary,Typed, Printed or Stamped
(NOTARY SEAL) V (NO
i Stephanie Rufo (.
Notary Public
I COMMONWEALTH OF MASSACHUSETTS I
' My Commission, Expires
The term"lobbyist'specifically excludes the following persons: V ) February 7,2025 ' .
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. V
Page 4 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 COMPEN ION DURI G THE REPORTING PERIOD.1 /
Signature of Lobbyist: Date /!D Za Z 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 II repot • r quirements.
Signature of Lobbyist: I Date y /O ZO Z?
9 Y —c Q /
Signature of Principal: Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of State of
County of: I Divl/i County of:
Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me,
by means ofphysical presence by means of❑ physical presence
or❑ online notarization or❑online notarization,
this !(l day of Glen I . ,20 , by this—day of ,20_, by
Ian Bacheikov
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
cZkPersonally Known _Personally Known
.... ;: ..51._
igna ure o gary Public Signature of.Notary Public
Name o•n -... ; rp-•" ..ii. .y�•T 1, i. Name of Notary,Typed, Printed or Stamped
% °
• �• p�REB:Folmer/23,2027
(NOTAR of%"'t ' .(NOTARY.SEAL)
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 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.Granado, City Clerk CityClerk@miamibeachfl.gov
Tel: 305.673.741 1, Fax: 305.673.7254
NAME OF LOBBYIST: Ian Bacheikov
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
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
LI 110 IZb2
Signature of Lo byist Date
F:ICLERI$ALL1aFORMSILOBBYIST FORMS1Lobbyist Registration Form Revised 03-11-20 REG.doc
Page 5 of 5
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CUSTOMER COPY
Marquez, David
From: marissa.amuial@akerman.com
Sent: Tuesday,April 11, 2023 4:24 PM
To: Camm, Patrick; ian.bacheikov@akerman.com
Cc: Marquez, David
Subject: RE: Lobbyist Miami Beach
[THIS MESSAGE COMES FROM AN EXTERNAL EMAIL- USE CAUTION WHEN REPLYING AND OPENING LINKS OR
ATTACHMENTS ]
Hi Patrick,
Hope you are doing well.The relevant address is 1825 Collins Avenue. Let us know if you need anything further.
Thank you,
Marissa Amuial
Partner
Akerman LLP 198 Southeast Seventh Street,Suite 1100 I Miami, FL 33131
D:305 982 5614 I T: 305 374 5600 I C:305 772 1027
marissa.amuial@akerman.com
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CONFIDENTIALITY NOTE:The information contained in this transmission may be privileged and confidential,and is intended only for the use of the individual or
entity named above.If the reader of this message is not the intended recipient,you are hereby notified that any dissemination,distribution or copying of this
communication is strictly prohibited.If you have received this transmission in error,please immediately reply to the sender that you have received this
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From:Camm, Patrick<PatrickCamm@miamibeachfl.gov>
Sent:Tuesday,April 11, 2023 3:40 PM
To: Bacheikov, Ian (Ptnr-Mia)<ian.bacheikov@akerman.com>;Amuial, Marissa (Ptnr-Mia)
<marissa.amuial@akerman.com>
Cc: Marquez, David<DavidMarquez@miamibeachfl.gov>
Subject: Lobbyist Miami Beach
[External`to Akerman]
Good afternoon,
I just received lobbyist registrations for both of you, on behalf of Cambridge TRS, Inc. and HPT IHG-2
Properties Trust. The issue listed is for the Change of owner and operator associated with the Conditional Use
Permit.
Please provide more details for the issue to be lobbied, such as an address.
Regards,
1