David Marc Buckner - Alexander Byrd Punger RECEIVE
APR 2 5.2023
CITY OF MIAMI BEACH
tV\I AMI B EAC H Office of the City Clerk OFFIC
E OF THE CITY CLERK
• 1700 Convention Center Drive
Miami Beach,FL 33139
305.673.7411 •
LOBBYIST REGISTRATION FORM
Lobbyist means all persona 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.excluslons.Please refer to City Code Chapter 2,Article VII, Division 3,entitled'Lobbyists,'
for additional information.
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Jnstructtone; 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 apace 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 "Ws" in that section. Any change to any. information originally fled, 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 forma 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:
BUCKNER DAVID MARC
NAME OF LOBBYIST (Last) (First) (Middle Name)
BUCKNER AND MILES, PA 2020 SALZEDO ST.SUITE 302, CORAL GABLES, FL 33134
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-964-8003 786-303-3447 david@bucknermlies.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II.PRINCIPAL INFORMATION: I/ Iyed
.. :.. .:..::gip ��r ..., Qn
10 OF PRINCIPAL .J1 (Last) (First) (Middle Name)
AIRBNB,INC. 888 BRANNAN STREET SAN FRANCISCO,CA 94103
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
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PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
Pertuant triCity Cod6SebUon 2-482(h)(1)(a):`'Aprkrdpet of any corporation,PPartriership,'or other entity.wfio appears as a lobbyist on behalf'of that
bitty,:v tuiout'spectal i cnrpeeeatiori orrelmbursement for the appearance,whether direct Indirect or contingent.to express support of or opposition to
an Item`thall Wiglater.wl h the Clerk'as required by this subsection bill shell not be ieq fired to-pay any regt,tranori 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 NIA): BRIAN CHESKY,CEO
• NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 6%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST(IF none,write NIA): Unknown
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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.
Notices of violation related to short term rentals,and other issues related to short term rentals.
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.
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Full Name of Individual and Contractual Relationship(If yes,explain) YES NO
Title of Person to be Lobbied
Mark Fishman,First Assistant City Attorney 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):
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):
$950/hour
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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 Procurement issues':
Yes X No: Are you lobbvina on a present or Pending bid for goods.eaulomont or services.or on a Present or
pendlnn award for goods,eauinment 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 lobbvina on a pending application for a Development Agreement with the City or application
for change of zoning man deslanatlon or chants°to the Citv's Future Land Use Map?
3) Pursuant to City Code Section 2-492(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&No: Are you reoreeentina a not-for-Profit corporation or entity without special compensation or
reimbursement?
4) Pursuant to City Code Section 2-481, the term lobbyist specifically exdudes 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 Z(No: Are von Providing only scientific. technical or other specialized Information: apaearina as q
representative of a neighborhood association without special compensation or relmbureentent or
jeore5 compensationfor roflt based organization
rrtg mimosa anization for the of reauestlna a awl without
spe
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 officiat(s)for whom the campaign consultant provided campaign consulting services
within the past election cyde.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 yea.Pease(Jet the incumbent memberfel of the City Commission;
Yes No: jf-yes ha$it been:lie*.than 12 monthireIncethe elected Acialle'whom you aiavlded cernBsti n
consultlno services inns int/OM:10
8) Pursuant to City Code Section 2"482(a)(4)a.,a lobbyist who has within the past election cycle provided campaign consulting
services to en 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 lobbvina the City Commission at a Public!meeting.
_Yes X No: Have vop provided campaign consuitina services to an incumbent member of the City Commission
within the Past election cycle?If yes.please list the incumbent memberfel of the City Commission:
Yes_No: K-yes.Were Yeti nircmieed On did.vain receive econorsric consideration in exchenae for camnelgn
poneutttna services?
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
be: Paid Date
.-Annual Ragistretton, [ ]Yea[ •']No--•Amotiitt Peld i � ,�• MCtt t _ .
•
Labbylst ReplstratIon Foim received end'vartfied by: -
•FACIER\OLL‘eFORMS\IOBBVIST FORMS\r obbilst Registration Form Revised 03.11-20 REG.doe Revised 03/11/2020
Page 3 of 5 •
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VI. SIGNATURES UNDER OATH:
ON FEBI UARY 28 OF EACH YEAR. EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A
SIGN D STATEMENT UNDER OATH. LISTING LOBBYNG 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 TIO ING THE REPORTING PERIOD.*
Signature of Lobbyist: Date Alta
r 18t goal
a 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 all re requirements. A _ n
Signature of Lobbyist: --- Date t AP
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Signature of Principal: - pki; Date YYYY 05/.03/20 3-
VII. NOTARY SIGNATURE AND SEAL: see notarial certificate attached
LOBBYIST: :PRINCIPAL'
rr
State of -� State of CA-Iii:c.i ck.
County of: rili aryit County of: Can ra fA crh •
C'O
Sworn to(or affirm )and subscribed before me, Sworn to(or affirmed)and subscribed before me,
by means of PAysical presence by means of 0 physical presence
or 0 online notarlzationyi or 0 online notarization,
is f$ day of + F'il .20aby this_day of •20_,by
t111t� . re. &Ark K
NAME OF LOBBYIS NAME OF PRINCIPAL
Produced ID Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
v Pe Hairy nown Personally Known
Signature of Notary is Signature of Notary Public
-rn,t1i.c- . ob)ca
Name of Notary,Typed,Printed or Stamped Name of Notary,Typed,Printed or Stamped
(NOTARY SEAL) " ti, maw mow 'NOTARY SEAL)
r' MYIAMM8810N11FiNt46I162
- 7. t7PIRE&J*2.202
,LiThe term"iobbyisY s.: ... !� �" J_
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.
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FLORIDA JURAT
Stateof Florida )
County of Pinellas
On 05/03/2023 , before me, Greg Lirette
Date Notary Name
the foregoing instrument was subscribed and sworn before me by means of
❑ Physical Presence—OR—
6d Online Notarization,
Alexander Byrd Punger
by
Name of Affiant(s)
❑ Personally known to me --OR—
❑ Proved to me on the basis of the oath of --OR—
Name of Credible Witness
Proved to me on the basis of satisfactory evidence: CA state driver license
Type of ID Presented
Wayltoori GREG LIRETTE WITNESS my hand and official seal. `I
Notary Public-State of Florida
N;• 'It'll a= Commission#HH302876 Notary Public Signature: 0#1"
Expires on August 21,2020
%:IIIIj \ Greg Lirette
Notary Name:
DESCRIPTION OF ATTACHED DOCUMENT
Lobbyist registration form
Title or Type of Document:
05/03/2023
Document Date:
Number of Pages (including notarial certificate): 5
5
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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 CiyClerk@miamibeachfl.gov
Tel: 305.673.7411, Fax: 305.673.7254
NAME OF LOBBYIST: David Marc Buckner
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.
Pita181ava3
Signatur of Lobbyist Date
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc
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City Hall •
1700 Convention Center Or.
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