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Anthony Leon - Hajeer Sabet RECEIVED MAY 05 2023 CITY OF MIAMI BEACH j AA ' i T `1 r ) BEACH E "H Office of the City Clerk OFFICE OF THE CiTY CLERK ! 1 1700 Convention Center Drive Miami Beach,FL 33139 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. Instructtonsi 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: Leon Anthony NAME OF LOBBYIST (Last) (First) (Middle Name) 3Design Inc. 3260 N.W. 7 St. Miami FL 33125 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State). (Zip Code) • • 305 438 9377 305 582 1026 3dtony@3designonline.com LOBBYIST BUSINESS TELEPHONE NUMBER .' CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Sabet Hajeer NAME OF PRINCIPAL (Last) (First) (Middle Name) 1529 Jefferson Ave. Miami Beach FL 33139 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 301 461 9541 hsabet@gmail.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS POstaig rfi3`icu ttgOWS�erts9-48 OiKi)(4 t t ' ers �Ir a1 r wit"40**44`i Q rOf ttit eCt, C�l Ilon to sR it§el stk'1hJ (e t re Cltititat tiAt'b�fetW,Wa aitl'A t ss 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): N/A • NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH • CORPORATION,PARTNERSHIP OR TRUST(if none,write NIA): N/A 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. Development Approvals&Planning Issues including but not limited to the Historic Preservation Board and any City Workshops or Committees if necessary,relating to the property located at 1529 Jefferson Ave. in Miami Beach,Florida. 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 Staff for the Planning&Building Department • None • X Historic Preservation Board None • • 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): 1�0 C o iITeirksa.i O H 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 forsioods,equipment or service? 2) Pursuant to City Code Section 2-490,entitled'Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": Yes 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 Citk'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 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(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 members)of the City Commission: Alvah" t d�dfifttecYes No: f b) be c` pleb 1 }inc�th), ci �lavhorfi - ampbigff _ n f t4i s s(iro n-fit 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 lobbvino the City Commission at a Public meeting, Yes ZNo: 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 members)of the City Commission: 7` .. "r Yes No: OVOS Were" '6ptYimisr�ed"of chid yob' re t dcondmibr;'ponsic eraticiir itc ilikchaocie'for vattfriatan c f,sultina eeryiiest/ TO BE COMPLETED BY CiTY CLERK'S STAFF ONLY Annual Registration fee: [ J Yea i J No Amount Paid$ MCIYO rt Oda fsaict Lobbyist Reis gon Foreri}calved aiiddvet)lted b'y: , FAct.EMS.04taVORKtILORVItfEbikti5V.ObbylseRtbistedtion Faun Revised 03'11-20 REG.doc z _Reykted 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 OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED. FOR THE PRECEDING LENDAR YEAR 1 REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED LOBBY.A ST. ENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENSA DU G THE • •TING PERIOD.' Signature of Lobbyist: Date 5-4-2023 I do solemnly swear or affirm that all of t e foregoing facts,statements,and disclosures in this form are true and correct, and that I have read or am familiar wit e provisions ned In Chapter 2,Art.VII, Division 3, entitled'Lobbyists'of the Miami Beach City Code and all re 'ng re ireme • Signature of Lobbyist: Date 5-4-2023 Signature of Principal: Date 5-4-2023 VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Florida State of' Florida County of: Miami Dade County of: Miami Dade Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of 0 physical presence by means of 0 physical presence or❑ line notarizatiQry or❑ nline notarization, this 4tti day of May ,2023 by this4day of May ,20.23by Anthony Leon Hajeer Sabet NAME OF LOBBYIST NAME OF PRINCIPAL t �Q Produced ID •Produced IDDjr Li CTp U v FORM OF IDENTIFICATION FORM OF IDENTIFICATION 'Personally Known __•Personally Known Sign re otary F=ublic *igna • e of Notary Public a.-"artlnc Cafe ercd ,r MI OM FDA buol b Name of Notary,Typed,Printed or Stamped Name of Notary,Typed tintrStrped (NOTARY SEAL) ���? •••......... i0 �AMlseRta lwlda =U NOTARY O ' MYmr• Coiwlon NH 04M70 E REG S 7637 103 ? nl = cOW'1ION z . y -,• •, .• i - c the following persons: s 0 •MY EXPIRES 3 ¶ . 09/30/2023 Expert witnesses who provide only scientific,technical or other specialized information or test)f irr pkf?jiq.mAelir `:any person who only appears as a representative of a neighborhood association without compensation or reimflaisYlpiftiHileappearance,whether direct,indirect or contingent,to express support of or opposition to any item;and any person who 8frly rappeafg 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.Granada,City Clerk CityClerk@miamibeachfl.gov Tel:305.673.7411,Fax:305.673.7254 NAME OF LOBBYIST: Anthony Leon 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 ursuant to Section 2-482 of the Miami Beach City Code. 5-4-2023 Sig'nat a of Lobbyist Date F:tCLER1SALLSaFORM5LL.OBBYfST FORMSLL.obbylst Reglstratlon Form Raised 03.11.20 REG400 Page 5 of 5 MIAMI BEACH RECEIVED MAY 0'5 2023 City of Miami Beach 1700 Convention Center Drive CITY OF MIAMI BEACH Miami Beach, Florida 33139 OFFICE OF THE CITY CLERK www.miamibeachfl.gov City Clerk's Office Tel: 305-.673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: AtAA-In © lit L1°o(i Business Name: 3 be �'' cnlnC , -- Address: 3Z W 2 h . ckkoLA.J. Office Telephone Number: 3aS- -g-19Cellular Telephone Number: 'O5 S 0 Z�o Email Address: -5c=k +cm d Qs�e(1: vLC lk Vl e? - Cow\ 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 $500 for each lobbyist. Please make the check(s) payable to the City of Miami Beach. ��►►yy For City Clerk's Office Use Only MCR#: �15IS Amount paid'- ' v Date paid: S 3 Processed by a)' 1.109 Ue;2 Date:ter" 2 3 F:ICLERI$ALLIaFORMSILOBBYIST FORMSIANNUAL LOBBYIST REGISTRATION FORM reg.docx MBF City Hall 171,010. Convention Center pr. ami Reach , FL 33139 305-b73-7420 Co. N 'tu Welcome 4 1-' `� �__`t 05/05/2023 12;10PM Adrian V. ,` f ( 006086-0018 Cc V , z �� � � MISCELLANEOUS. �, Reference 1; MCR431588 , NCR OPEN (MCR) 2023 Item; MCR � 1 8 $850.0000 MCR OPEN (NCR) $050,00 W Subtotal � $050.00 6� Total $050.00 CHECK $500.00 *' r c.� = � Check Number00015342g t $ m :ll MASTERCARD $350.00 a - o ,N 7 Ref Number9794 / 3451OP " x Chance due $0.00 t W z d ' !; ° : 4 x Paid by; MULTIPLE 11 111..1 _11. tCitillg an 'a d a�1, aa: 1 _��_,_. __ia gao.m t -t 6ya ,�„•dra a.tA, Asa_ _ __w All fir. .. ____., _w. _ .ww _ _ ._ ___ 4 Thank you for your payment • • CUSTOMER COPY