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2024 Lobbyist Registration Form - 1535 and 1545 Collins Ave (Nancy Vu) �53s '� 1S�/S Go)l:ws I7re. �!i�U . . . � � Office ofthe City Clerk . ?Q�¢ 1700 Cornention Center Orive Miami Beach, FL 33139 305.6737411 LOBBYIST REGISTRATION FORM Lobbyist means all persons employetl or retainetl, whether paid or not, by a principal who seeks�o encouroge Ihe passage, de(eat or modificalion of any ordinance, resoWlion, action or tlecision of any commissioneq any action, tlecision, recommendation of ihe City Manager or any CiTy board or committee; or any action,decision or recommendation of any Ciry personnel tluring�he time period of the entire decision-making process on such action. tlecision or recommendation that foreseeably will be heard or reviewed by the City Commission, or a City board or committee. The term specifically inclutles Ihe principal as well as any employee engagetl in lobbying activities The tertn "LobbyisT has specific exclusions. Please refer to City Cotle Chap[er 2, Article VII, Division 3, entitletl "Lobbyists,' for additional informabon. Insimclions: Please complete all sections of this form antl submit the completed Form,with the applicable fee, to Ihe 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 "nla" in Ihat section. Any change to any information originalty filed. or any additional Ciry Commissioner or personnel who are also soughl to be lobbietl shall require that Ihe lobbyisl file an amentlment lo the registration form. The lobbyist has a continuing duly to supply information and amend the forms filed throughout �he periotl Ihat lhe lobbying occurs. Separale registration forms shall be requiretl for each pnncipal represenled on each specific issue. I. LOBBYIST INFORMATION: Noto Nicholas NAMEOFLOBBVIST (Lest) (Flrs�) (MltlalaName) Bilzin Sumberg 1450 Brickell Ave, 23rd Floor, Miami, FL 33131 LOBBVIST BUSMESS NAME AND ADDRESS (Number antl Streep (Clly) (Stale) (Llp Cotle) 305-350-2398 nnoto@bilzin.com L06BVISTBUSWESSTELEPHONENUMBER CELWWRTELEPHONENUMBER EMAILAODRESS II. PRINCIPAL INFORMATION: RP Hotel Holdings, LLC Vu, Nancy on behalf of RP Hotel Holdings, LLC NAMEOF PRINCIPAL (Lest) (First7 (Mitltlle Nama7 ftP Ho�el Holtlings LLC Go Park Hotels&Resorts Inc 1775 Tysons 81vd, 7th Roor, Tyson, VA 22102 PRINQPALBUSWESSNAMEAN�A��RESS (NumberandSVeet7 (Clly) (Slele) (➢pGotle) 571-302-5757 nvu@pkhotelsandresorts.com PRINCIPAL6USWESSTELEPHONENUMBER CELLUTARTELEPHONENUMBER EMAILA��RESS Pursuant to CAy Cotle Sedion 2-482(h)(1)(a): A principal of any w�pora�ion, OaMership, o�oNer en�i�y who appea�s as a lobbyis�on �ehalf of t�at en�i�y,wit�oW special compensa�ion or reimbursement for�he eppearance,whethe�tlirect,intlirecl,or con�ingent,lo express suppoh of or opposl�ion ro an ilem shall registe�with the Clerk as requiretl Oythis subsection but shall not be reQuired�o pay any regishation 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(it none,write NIA): ThOmas J. Baltimore, Jf., Presidenl . NAME OF ALL PERSONS HOLDING, DIRECTLV OR INDIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SUCM CORPORATION,PARTNERSHIP OR TRUST(if none,write NIA): Ultimate ownership entity is Park Hotels&Resorts, Inc., traded on NYSE as PK 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. Zoning and land use matters invovling property located at 1535 and 1545 Collins Ave, Miami Beach, FL 33139 IV. CITY AGENCIESIINDIVIDUALS 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 generel nature of the subject contrectual relationship. Full Name of Individual and Contrectual Relationship (If yes, explain) YES No Title of Person to be Lobbied X Members of the Ciry Adminstration City Attomey Office as Permitted X Members of the Planning Board x Members of the Design Review Board X The Mayor and City Commission X Pursuant to City Code Section 2-482(g�, every registrant shall be required to state the extent of any business, financial, tamilial 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 lo6bied as identified on the lobbyist registration form filed. Lis[ any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an a earence of im ro rie if none,write N/A : N/A V. DISCLOSE RATE AND AMOUNT OF L0B8YIST COMPENSATION — Be Specific. (Note that a contingency fee is prohibited pursuant to City Code Sec. 2-485.3�: 37a5/Hour Page 2 of 5 III. ISSUE TO BE LOBBIED: Describe with as much detail as is practical, including but not limited to a specific description where applicahle of a pending request for proposal, invitation to bid, or public hearing number. Zoning and land use malters invovling property located at 1535 and 1545 Collins Ave, Miami Beach, FL 33139 IV. CITY AGENCIES/INDIVIDUAL5 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 generel nature of the subject contractual relationship. Full Name of Intlividual and Contractual Relationship (If yes, explain) vE5 NO 71t1e of Person to be Lobbied Members of the City Adminstration X City Attorney Office as Permitted X Members of the Planning Board X Members of the Design Review Board X The Mayor and City Commission x Pursuant to City Code Section 2-462�g), every registrent 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 a earance of im ro riet 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�: $745/Hour Page 2 of 5 The following sia(6)questions MUST be answered: 1) Pursuan(b Cily Code Section Y-488,enlitled'Pmhibited Campaign Contributions By Lobbyists On Pmcurement Issues"'. yeg XNo: Are vou lobbv nu on a oresent or oendna b'tl for aoods eauioment or services. or on a oresenl or oentlina awartl tor 000ds.eauioment or service7 2) Pursuanl to City Cotle Sec[ion 2-490, entitled"Pmhibited Campaign Contributions By Lobbyists On Real Estate Development Issues": X Ves No: Are vou lobbv'nq on a o¢ndna aool'ca['on for a Develooment Aqre¢m¢nt wi[h the CiN or aoolication for chanue ot zon'na mao tles'analion or chanqe to th¢CI[v's Future Lantl Usa Mao7 3) Pursuant to City Cotle Seclion 2�82�h�, any person (except ihose exempt from �he definition of "IobbyisP' as set forih in Section 2-481) who only appears as a representative of a not-for-pmfit corporation o�entity withoW special compensation or reimbursement(or the appearance, whether direc�or indirect lo express support of or opposition ro any item, shall register with lhe city clerk as required by�his section, but shall not be requiretl to pay any registretion(ees. Yes XNo: A V C a obf -o ('t o f £t 'thoul so ' I F o reimbureement7 4) Pursuant to City Cotle Section 2d81, the term "lobbyisf' specifically excludes lhe following persons Expert witnesses who provide only scientific,technical or olher specializetl information or testimony in public meetings', any person who only appears as a representative of a neighborhood association without compensation or reimbursement for ihe appearance.whether dired, intlirect or contingent,to express support of or opposition to any ilem; antl any person who only appears as a rep2sen�alive of noFfor-profit community based organization for Ihe purpose of requesting a 9rent without special compensation or reimbursement for the appearance. Ves xNo: A o o 'd� n iv t'f' t h 'cal th ' I' d 'nformation� ap p e WY e f 'nhb a d Sotlafo Yh t ' I Omoe f ' b Bement or ep f n t-f -o oft based m ti f r the o o f fna a a t 'th t soecial comoansation or reimbureement? 5) Pureuanl to City Code Section 2d9'1�1), no campaign consWtant shall lobby the City Commission for a period of 12 months following Ihe swearing in ot any elected offcial(s) for whom the campaign consWlant provided campaign consWting services within ihe past election cycle. See Section 2-491 for more information. V¢s XNo: H o �tl tl It' a t n 'nc mbent membar of the C'tv Comm'ss'an "[h' th p t lecf' v 1 71fv I sef tth ' b t b ( 1 fth C'NC mm'ss'on� Ves x No: If v h It been lesa than 72 months slnce the elected oH'cial(a) whom vou orovided camoaiqn consultlna servltes was sworn In7 6) Pursuant to Ciry Code Section 2382(a��4�a., a lobbyist who has within �he past election cycle provided campaign consulting services to an incumbent member of the City Commission (which lobbying activiry is not otheiwise prohibitetl by Code section 2-491) shall disclose such particular service on his/her lobbyist registration form and shall orallv disclose such oarticular servi ce before lobbv na lhe CN Comm-ssion at a oublic meetina. Ves x No: H v 'ded c o 'a It' a serv'ces to an 'ncumbent member o(the C'N Commission 'th' [h o t I f v 1e71f ol f lth 'ne mbentmemberlslottheC'NComm'ss'on' Ves XNo: If v ere vou oromiaed or d'd vou receive acanom'c consideration in exchanae for camoaian conaultina services? TO BE COMPLETED BV CITY CLERK'S STAFF ONLY 7 d �^J �/ Annual RegisVation fee: [ �Ves[ �No Amoun�Paltl yt-�, SO•� MCRM �S-7 O Date Pal �0 �L Lobbyla[Registre�ion Form receivetl antl verlfletl by:�f 1 F:\CLER\SA«�aFORMS\LOBBttSTFONMS\LobbyiRRegirta[IonFa�mRevisetl0]-11-30NEG.tlac Revisetl03/11/3020 Page 7 of 5 VI. SIGNATURES UNDER OATH: ON FEBRUARV 28 OF EACH VEAR EACN LOBBYIST SHALL Sl1BM1T TO THE OFFICE OF THE CITV CLERK A SIGNED STATEMENT UNDER OATFI LISTING LOBBVING EXPENDITURES AS WELL AS COMPENSATION RECEIYED FOR THE PRECEDING CALENDAR YEAR WITX REGARD 70 THE SPECIFIG ISSUE ON WHICH THE LOBBVIS7 H 8 E A6 . A TATEMENT SHALL BE FILED EV IP THERE HAS B N N E%PENDITURE OR COMP NSAD0N9BRI ORTING PERIOD.' '� i ��, l � i .. Sionature ol LobbyisF Cl- � Date `71 L-' 1 ✓'7 _ � I tlo solemnly swear or affirm that all of the fomgoing facts, sWlements, antl tlisclosures in Ihis form are We end correct, antl that I have read or am familiar with the pmwsian ined in Chapter 2, Art. VII, Division 3, entitletl'Lobbyisis' of Ihe Miami Beach Ciry CoOe antl r eq eme I Signature of LobDyiffi: ��,,11 — Date ^% � �� I �� Signature of Princi0al: ��l Date � /� I aC��'1 VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Floritla State of Y ��l 1 n� L� County oC Miami-Dade Counry oC � u� ��X Swom to(or aKrmetl)antl subscribetl before me, Swom ro(or elfirmed) antl subscribed Eefora me, by means o�hysical presence by means of�physical presence or O anline notanzalion, or�online notanzat n, ihis�dayol (`�lbl(v�" � 20=yby this .�`tlayof���Z�`1�bY (JiU� �UtI�J P�✓i77 �0.A('v �i NAME OF I.OB9VIST NAME OF PRI IPAL ProducetllD _ProduceClD FORM OF IDENi1FICAT10N FORM OF IDENTIFICATION er n�. c �Persona�ll/y Known 7 ` /�////7. S/ i oa�lyj•0��. Signal ary ublic Sig re o N Public �+ ..•�••••••.., �� l'111�✓I/����G�L�_(._ Cbifi�tinc� 5. Kp/Y� zs^ : .e i°ue"�'' : 4,' Name of Nola` ry,Typed. P�r etl or Stampetl Name of Notary.Typed, Print orS10r0 o;y,y'�ss��aH P c= � C;i` FNPIpES (NOTARV SEALj ��`�,,, C�n�N.�� (NOTARV SEAL) ':;p �., � :' _� �+p� CanNobl/NX�IITB e 9'(y"•............�,a�.: aA/ �p�wAup�0.2W6 '*•oFAIiH OF w• 'The lartn"lobbyieP'specifcalty exUutles the fallowing penons' Ezpert witnesBBs w�o proviEe anly uientific,lachnitel or other spenalrzetl inlormation or te9Lmony in puElic maetin89�,any penon who only eppears as a re0���etive of a neighDorhooA associalion without compenea0on or reimbursemenl tor��e aOGaarance,w�eltier tlirecl. in0irect or canlingent la ezpress supPort of or oppasilion to any item; antl any Derson wno only appeaB as a represenGlive of no4brprofit communiry bacetl organizalion br f�e purpose o(requesting a granl wit�oN speual compansatian or reimEursemeM kr ma appearance. Page 4 of 5 Ciry of Miami Beach, V00 Convenfian Cemer Driva, Mlaml Beach,Floada 33139,www.mlamrbeachH.ga. Office of rhe Ciry Clerk Rafoel E. Gronodo, City Clerk CilyClerkQmiamibeachfl.gov Tel: 305.6737411, Fax�. 305.6737254 NAME OF LOBBYIST: Nicholas Nolo 1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT Pursuant to City Code Section 2-485(d), the Ciry Clerk shall notiTy 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 fne of $50.00 a day shall be assessed for Statements filed after the due date. The Cily 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 30'" of each year, shall be automatically suspended from lobbying until all fines are paid, unless the fine has been appealed to lhe 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 fle a Notice of Withdrawal with the Offce 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 $500.00 pursuant to Section 2-482 of the Miami Beach City Code. 3 ��S Iv-i SignaWre of Lobbyist Date F:\GLEF�EPLUeFpiM9\LOBBYISi FORM$LLOC�yisl Regls�rz�lon Form Pensetl 03�11-RO PEG Ooc Page 5 of 5