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Miguel De Grandy - James Boucher RECEIVED MAY 1 2'2023 Iv\I/ i 1 BEACH Office of the City Cleric 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 'nib" 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. Separateregistration forms shall be required for each principal represented on each specific issue. I. LOBBYIST INFORMATION: De Grandy Miguel NAME OF LOBBYIST (Last) (First) Kiddie Name) Holland & Knight, LLP 701 Brickell Avenue, Suite 3300 -Miami Florida 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 789-7535 305-562-4439 Miguel.DeGrandy@hklaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Boucher Brothers Miami Beach, LLC ( &tau, l'Aues e. NAME OF PRINCIPAL (Last) (First) (Middle Name) 1451 Ocean Drive, Suite 205 Miami Beach Florida 33139 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) _- oS= 3s - 0 ii1 3os-21w. bn( 110,64�tr6,,�,. PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER J IL ADDRESS LA/,7 Pursuant Cb -i 2-482(h)(1)(a):a principal o tv corporation,tratleir�ifj ,Q7CIIIINGairly tap t} Ell)O lobbyist cU)141r111C11 tha entity,vIllIcuals.g.all compensation cr reimbursement for the appearance, indirect,CP contingent,in express support of(g?op osition to a~Memshall registerrwith the Clerka)required by this subsection but shall) be requiredibpay a 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): QQ�� • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(If none,write NIA): J�E s >o0wh . • NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(i none,write NIA): Mi d lA L l eyouclize . 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. Operation of City facility know as Nikki Beach 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 Mayor X Board of County Commission X Staff X Pursuant to City Code Section 24182(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): 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): $875 per hour Page 2 of 5 The following sic(6)questions MUST be answered: 1) Pursuant to City Code Section 2-488,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues': _Yes to: 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 XNo: 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 notfor-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 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 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(11 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?lives,please list the incumbent members)of the City Commission: Yes XNo: f es, has it been less than 12 months since the elected officlai(s)whom you provided campaign consulting servic .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 ti sisiher lobbyist registration form and shall orally disclose such particular service before lobbying the City Commission at a public meeting. YesX_No: Have you provided campaign consulting services to an incumbent member of the City Commission within the past election cycle?If ves,please list the incumbent members)of the City Commission: YesX No-• fiyes.were you promised:or4.did You receive economic consideration In exchange'for campaign Consulting.servicps? TO BE COMPLETED BY CITY CLERK'S STAFF ONLY - Annual Registration fee: [ l Yes[ -]No Amount Paid S V MCR# - Date Paid - - - Lobbyist Registration Form received and verified by: V - F;\CLs R'\SALL\.a!"ORr1S\LOBBYIST FORMS\Lobbyist Re:gists atiori form Revised O3-I1-20 R4=G.doc - -- - _ Revised 03/11/2020 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 0 TH, LISTING LOBBYING EXPENDITURES. AS WELL AS COMPENSATION RECEIVED, FOR THE PRECEDIN ALEN R R WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAG T LO Y. TEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENS DU I EPORTING PERIOD.1 Signature of Lobbyist Date //-202:::) I do solemnly swear or affirm that all if - foregoi g fact,::.,.. atements, and disclosures in this form are true and correct, and that I have read or am familiar w ii e p ' on 'tined in Chapter 2,Art.VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and all re+u h• •. • .+ c- ,, , Signature of Lobbyist .; Date �/ ?f� Signature of Principal: �Tt i'` k- Date S. % Zv23 / ' VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of /4-1-d le/ sri State of 116A a 4 County of: �1''"�/— A' � County of: M 18iMI P6 P. Sworn to(or affi and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of Riihysical presence ' by means of hysical presence or 0 online notarization, or 0 online otarization, M this //T"�day of ti!7 ,202by this II day of 69y ,2011 by f/6 v&t �re. 1>�/ J AKEs g- e& NA E OF LOBBYIST NAME OF PRINCIPAL Produced ID _Produced ID a FORM OF ID FICATION FORM OF IDENTIFICATION Personals _ • ; LPersonalIY Known Signature of Notary Pu,' is Signature of Notary Public (Clyt1h1/+t, IM11D Name of Notary,T G or GRANDY Name of Notary,Typed,Printed or Stamped YDu, :o`er �:: ?•• MY COMMISSION#HH 088591 (NOTARY SEAL) -* o�• :*_ (NOTARY SEAL) Y`` CARDUNa ILro =�•.��. o;= EXPIRES:April26,2025 _4p-3 h'ti tlatary Public-State or Florida '''lFok:f0' Bonded Thru Notary Public Undenvrilers Commission Al HH 243193 ..,-4, ,go"" M Comm, �..�.. Y Expires Mar 22.2025 1 The term"lobbyist"specifically excludes the following persons: 8°nded through National Notary assn. 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 M!AMIMIAMIBEACH 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: y Gv -2- 2E �K2,., t 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 commenci October 1 of each year, and the fee for such annual registration shall be $500.00 1 ua r=4tion 2-482 of the Miami Beach City Code. /I ‘ i ‘7 Aithii..ii, L.,/74 3 Signature of Lo 4;4_ Date F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc Page 5 of 5 Y n MIAMI t:EAC RECEIVED lZ City of Miami Beach MAY a 2023 1700 Convention Center Drive Miami Beach, Florida 33139 CITY OF MIAMI BEACH www.miamibeachfl.gov OFFICE OF THE CITY CLERK City Clerk's Office Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: Miguel De Grandy Business Name: Holland & Knight, LLP Address: 701 Brickell Avenue, Suite 3300 - Miami Florida 33131 Office Telephone Number: (305) 789-7535 Cellular Telephone Number: 305-562-4439 Email Address: Miguel.DeGrandy@hklaw.com If more than one lobbyist,please list: 1) 2) 3) 4) 5) 6) 7) Submit this form to the Office of the City Clerk, along with a check for $500 for each lobbyist. Please make the check(s) payable to the City of Miami Beach. For City Clerk's Office Use Only MCR#:f?JS9* Amount paid:- ' Date paid: Processed by: b• )70►c'9 vez, Date:s- J. ..23 F,\CLER\$ALL'aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx f, �. I. MBF City Hall 1700 Convention Center Dr. o , Miami Beach , FL 33139 3742- - 0 Q5 Fi73 vt m N r c Welcome LO ' - F 05/12/2023 08;38AM Ebani T. p MISCELLANEOUS - �.' ` Reference 1 : MCR_431594 J NCR OPEN (NCR) :i 2023 Item; NCR " m a 1 1 @ $1,700.0000 o i NCR OPEN (NCR) $1,700.00 ! .a 1 1 ' ` 5 $1,700.00 "'' I, 7 J , Subtotal $1,700.00 r �. °- Total $1,700.00 .. CHECK $1,700.00 ' ° ' Check Number003005052 o I $0.00�„ ` o v1 j ChanOe tie p :N 3 °C'"V i ," `„ M z ., Paid by: HOLLANO & KNIGHT LLP { w � ` 2 „ . 2 :: 1 111011111111111111111111111111111111111111111111111111111111 dl V O — r `y'6 .-1 _S c E . i U C " i c'0 2 Q N 7 c wm°a pt Leo eanr ..w } H G7 tc,.gyp c O uwmau. ' mum () ai O f2 E V c. $ a.nw.um..wnw:uuc nwo aem ��_� 4 RrM1IL RMNIauwercgnw • Thank you for your payment CUSTOMER COPY