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Ian Bacheikov - Todd Hargreaves ( Cambridge TRS, INC) a RECEIVEn A .A EACH m A iv . . Office of the City Clerk APR 1 2023 1700 Convention Center Drive. Miami Beach, FL 33139 7Y OF miA 305.673.7411 OFFICE op THEMci EAct, LOBBYIST REGISTRATION FORM ITY CLEThe 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 spebific issue. LOBBYIST INFORMATION: . 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@akerrnan.com LOBBYIST BUSINESS TELEPHONE NUMBER' CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Hargreaves Todd - W. NAME OF PRINCIPAL (Last) (First) (Middle Name) Cambridge TRS, Inc. 255 Washington Street,Suite 300 Newton MA 02458 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) - (City) '(State) (Zip Code) 617.-964-8389 thargreaves@mgroup com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE'NUMBER EMAIL ADDRESS • • • Pursu-nt ir)(§reart@@gam 2-482(h (a: a principal Cilegy corporation,okluladifilb malloGaMzi'M obbyist Mil behalf CHM entit ,al0103g3 ,61,1.5..4.L0 compensation iiori,rviiiAiiipir dire t,OtilEgo ce contingent,(IDGMEM ana;a1C:110 o.•o Won% iten)shall register with the Clerk as required by this su'sec in but shall at 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 Chef 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 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 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 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 faith 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 requited to pay any registration fees. Yes X 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 X-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 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 X-No: f yes, has it been less than 12 months since the elected official s)whom you provided campaign • onsulting services s swa 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.before Iobbyinl the.City Commission at a public meeting. _Yes•XNo: Have you provided campaign,consulting services to an incumbent.niember 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, were you promised or did you receiv- economic consideratio in exchange for ca pain co'�n ultinq"rservice'si TO BE COMPLETED BY CITY CLERK'S STAFF ONLY y .+-, Annual�Registration fee"[*]Yes[r i]iNo Amount Pald$ `' r MCR#tom `r 5 a � �Date�'aid r '=r t ks = 2:11n. frAiM$+'ry "r-u w,4-0 tl+?Txa:H't t - ,- i � �y.? �. � f A,..r�S�r ''� � .�. � �- Lobbyist ReglstrationlForrnzrecel ®d and verifiedaby. ' f rt;ram ;' g,g,, CF,d. t - FAVOR &u ;ik'g0MI s$r,S5F-NV iggiyidi t__"XI 1 irin Oze n��e�x 03,L .I GrOV.v . `" .a-: P Revised 03[ r/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 COMPENSATION DURING THE REPORTING PERIOD.1 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 am 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 41101'2O23 VII. NOTARY.SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of State of IA OticgQ0A UtiSntS ' County of County of M161CXtCS.J)G Sworn to(or affirmed)and subscribed before me, Sworn to(or arced)and subscribed before me, by means of 0.physical presence by rrieans'oft7 physical:presence or online.notarization, or online notarization, this day of 20_, by this latillay of ,ikpvt k ,203by Ian Bacheikov Td c circa OF LOBBYIST NAME OF PRINCIPAL Produced ID _ _Produced ID FORM OF IDENTIFICATION ' FORM OF IDENTIFICATION _Personally Known P= son_ , •no •n _. Signature of Notary Public Signature • •••tary ' etrpootc pir Name of Notary,Typed,Printed or Stamped Name of Notary,Typed, Printed or Stamped (NOTARY SEAL) =`.TARP gLIhpnie'Rufo I I Notary Public }n )COMMONWEALTH'OF MASSACHUSETTS My Commission 'Expires The term"lobbyist"specifically excludes the following persons: - - 'February7,2025, 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. Page 4of5 • 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;1 r, Signature of Lobbyist: Date y/d ZQ2.3 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 a II reportin r quirements. Signature of'Lobbyist: Date q//D 20Z3 Signature of Principal: Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of 1(4/)dam. State of • County of: i'1 ) --)#mil County of: Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means owl physical presence by means of 0 physical presence or 0 online notarizati n, or❑ online notarization, .this /U day of 4.n � ,2013, by this_day of ,20_, by - Ian Bacheikov NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION Personally Known _Personally Known gna urn otary Puff", Signature of.Notary Public 'fit;••. CECILIAToRRE3-TOLED0 -sue ' qMi ='` • I.tamped Name of Notary,Typed, Printed or Stamped• • :t.t• za7 (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 • MIAMIBEACH 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: 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 $5000 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 purs ant to Section 2-482 of the Miami Beach City Code. y to ?�23 Signature o byist Date F:\CLER\$ALL\aFORMS\LOBBYIST FORMSLobbyist Registration Form Revised 03-11-20 REG.doc Page 5 of 5 i :, ,. MBF • �° City Hall s d `" s 1 60 Convention Center Dr. � Miami Beach , FL 33139 F-o n s X • ! 305-673-7420 Ln ;N y W 'et o s { Welcome �r �+- 04/11/2023 03:U1PM Carmen V. ° ' ; 006045-0013 z i/� :{ o a '` u ' MISCELLANEOUS Reference 1: MCR431445 ,' NCR OPEN (NCR) � w 2023 Item: NCR � ' `i 1 @ $1,400.0000 eq>ry so <, NCR OPEN (MCR) $1,400,00 ,3r 1 feral Tf. fi+4 ,•! • f. �, $1,400.00 r f a �- �` • W 2_ Subtotal $1,400.00 . ,', " s�' ' Total $1,400.00 , j Y ,.. a `•r a CHECK $1,050.00 • ' Check Number20000002 ` a U, r • t— CHECK $350,00 "°' , N • o - Check Number20000003 ` ,z 4 Change due . $0.00 TA W V s co o Q ,� m .,K '� N p N �, -77 N >: q a,'; .Paid by: AKERMAN LLP `� �- � I III I IIII IIIIIII 01 III III IIIIIIINIIIIIIII 1011111 `E t (,_ LJ C`tea 'b3 . ' a 1 N � z � _ L ; `- • :! IIII IIII e '+a '�' O s r o IL U O't Q.' �., �,L ° Ak'ffAtW UA 20000002 • Q LJ. m N oo' U ...' ' 0. �'-' • 3 t++nulsapt'�anpap 1!°`R atravaer. r u s . s ` HgHll?p!!.'ii'rt F Mi '� ~ UHA7�{�'.aanen Y,INT'fp7lfA0.1PL, NIa ulj:�pp 3 t . _ � Kl]Amgw.n +� '� � ., �aVp :- � ._..�.-«-- CA1COi1nAtltL:.CEC9 nW flUlN U P 2Lb00003 NCI iWAG"DlL\T II... . fM'/It:LP to N/SI.00It01 Fisg!9is {.....�0 y{K717#ifif7 • "_ lli4%• ' i1:3)tivi.•.:lfoRYtop o:iun 4!!!t! il9JD F. MY�3t1WMA!>AC.! — Thank you for your payment 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 vCard I Profile 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 communication in error and then delete it.Thank you. 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 toaAkerman]€ 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, i