2024 Lobbyist Registration Form - 1901 Alton Road (Marisa Galbut) 19�� ��w� v.�.a.
JocuSlgn Emelope Ip'DJ]3C00&F353-d6CEAPoF-312C189516F0
. ����f�.t�'.�:_li
" ���� �—� ,'�AR 2b2024
Office afthe City Clerk
1700 Convention Cenler Drive . . . .
Miami Beach, FL 33139 '' :I ` � ' ��
305.673.7411 'Jf-F'GL:i" _ -
L08BYI5T REGISTRATION FORM
Lobbyist means all persons employetl or retaineQ whe�her paid or not, by a principal w�o seeks ro encourage�he passage, tlefeat or
modificacion o! any ordinance, resoWlion, action or tlecision of any commissianeq any action, tlecisioq recommentlation of the Ciry
Manager or any City boartl or committee;or any action, tlecision or rewmmentlation of any City personnel tluring the time period of Ihe
entire decision-making pmcess on such action, tlecision or recommentlation �hat foreseeabry will be heartl or reviewed by lhe City
commission, or a City boartl or commiltee. The term specifically includes the principal as well as any employee engagetl in lobbying
activities. The term "Lobbyisis" has specific exclusions. Please re(er lo City Code Chapter 2, Article VII, Division 3, entitletl "Lobbyists,
for additional informalian.
Instmctions: Please complete all sections of this fortn antl submit[he comple�ed form,with the applicable(ee, to Ihe Office of the City
Clerk. If you need more space�o complete an answer, use a separate sheet(s)of paper. If you have nothing ro repoh in a particular
sectioq you must write "none" or "n/a" in ihat section. Any change �o any information onginalty fileQ or any atlditional Ciry
Commissioner or personnel who are also sought[o be lobbietl shall require ihat the lobbyist file an amendment ro Ihe regisiration form.
The lobbyist has a wntinuing tlury to supply informalion and amentl the forms filedlhroughoul the periotl tha� lhe lobbying occurs.
Separate registration forms shall be required for each pnncipal representetl on each specific issue.
I. LOBBYIST INFORMATION:
McConney-Gayoso Jennifer
NAME OF LOBBVIST (Las�) (Flrsl) (Miadle Name)
Studio Mc+G Architccture 7500 NE 4th Coort,Studio t02 Miami, Fbcida 33t38
LOBBVIST BUSINESS NAME AN�A�ORESS (Number antl SVeep (Gity) (State) (Zip Cotle)
(305)573-2728 jenniferC�3studio-mcg.com
LOBBVISTBUSWESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILAD�RESS
II. PRINCIPAL INFORMATION:
Galbut Marisa
NAME OF PRINCIPAL (Las�) (Flrsl) (MiCdle Neme)
1901 Alton Proocrty LLC 2200 6iscavne Blvd., Miami Florida 33137
PRINCIPALBUSINESSNAMEAN�A�DRE55 (Num�erantlS�reet) (Clty) (Stata) (LOCoEe)
(305)374-5700 mgalbut@cresceniheights.com
�� PRINCIPALBUSINESSTELEPHONENUMBER CELWLPRTELEPHONENUMBER EMAILA�DRESS
Pursuant�o City Code Sec[ion 2-082�h)�1)�a�'. A pnncipal of any mrporetlon, patlnersM1ip, or o�0er entity who appears as a lobbyls�on pehalf of chat
enlity,wi�M1out speclal compensa�ion or reim�ursemenl�or�M1e appea2nce,w�elher�Irect intlirtt�,or con�ingenl,lo express sup0otl of or opposition to
an ilem sM1all regisle�wit��he Qe@ as repuiretl by�his subuction bul shall not be requiretl lo pay any re9isUa�ion fees.
If the principal is a Corporetion, Partnership or Trust, the following information MUST be provided
- pursuant to City Code Section 2-482�c):
NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARV(if none,write NIA): Marisa Galbut
NAME OF ALL PERSONS HOLDING, DIRECTLV OR INDIRECTLV,A 5%OR MORE OWNEftSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST(i(none,wrile N/A): Please see atlached.
._ Page 1 of 5
� -�� ����rrry�yp��
� po . Jaca=x - _ oF01tl5u �0l6 1RCC6FORBfiJ6/ �����S34iTc����� �
ry t�4
OocuSign Envelape 10�.DE]3C�0&F353-46CEAF4F-312C18951JF0
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.
Develupment Approvals & Planning Issues, including but not limited to the Historic Preservarion Soard,
Design Review Board, Planning Board, Board of Adjustment, Land Use Development,City Commission,
and any City W orkshops or Committccs, if necessary, relating to the property located at 1901 Alton Rd
in Miami Beach, Florida.
IV. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-462�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 Ciry to the present date,stating the general nature of the subject contractual relationship.
Full Name of Individual and Contractual Relationship (If yes, explain) VES NO
Title of Person to be Lobbietl
Staff for the Planning & Building Deparhnent None X
Public Works & City Administrafion, PB, HPB, BO None 7�
DRB,City Commission, and Mayor as necessary 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
appearence of an impropriety, with any current City Commissioner or City personnel who is sought to
be lobbied as identified on the lobbyist registretion fortn filed.
� List any Business, Financial, Familial or Professional Relationship, or other relatianship giving rise lo an
a earance of im ro riet i/none,write N/A :
� Nonc
I � V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specifia (Note that a
contingency fee is prohibited pursuant to City Code Sec. 2-485.3):
5300/hr
Page 2 of 5
.- —, .._—. ... _ ... . .,--- . .. __ py�yy
�denty0�.08]SEOFFF<EdFBP3EEBA65F0Y95J9 Page0ol6 3CG 3tlaU� ,Ill�g�}�,III�
m�.ortv�om rcxGwY
OocuSign Emelope ID�.D4]3CD09-F353-46CEAF6F312C189514F0
The following six(6)ques[ions MUST be answeretl:
1) Pursuanl lo City CoOe Section 2-488,en�itled'Prohibitetl Campai9n ConUibWions By Lobbyists On Pmcurement Issues":
Ves x No: A I bb ' u t d" b'tl ! d t services or on a resen[or
p d' U tl( d3 ¢U �p l 4¢rvIC¢7
2) Pursuant to Ciry Code Section 2-490, entitled `Prohibitetl Campaign ConVibutions By Lobbyists On Real Estate Development
Issues":
Yes X No: A I bbV' a d" q ppf f t D I t A9 t 'th th C"N f C
t h f o d f n or chanae to the Ctv's Future Land Use Mao?
3) Pursuant ta Ciry Code Sedion 2dffi(h), any person (except those exempt Bom lhe tlefinition of "IobbyisT' as set forih in
Section &481)who onty appears as a representative of a nohfor-profit corporation or entity wi[haut special compensation or
reimbursement for the appearance,whelher tlirec�or intlirecl to eapress support of or opposilion ta any item, shall regisler wilh
the city clerk as required by ihis section,but shall not be required to pay any registration fees.
Yes XNo: A Y D f t t o of�t [' FN 'ih t p ' I ce ti
reimbursemenl?
4) Pursuanl to City Cotle Section 2d87, the term "lobbyisf' specificalry exGudes t�e following persons: Expert witnesses who
pmvide only scientific,technical or other specializetl informalion or testimony in public meetings;any person who onty appears
as a representative of a neighborhood association without compensa�ion or reimbursement for the appearance,whether tlirect,
indirect or contingent,to express support of or opposition�o any item',antl any person who onry appears as a representative of
not-for-pmtit community based organiza�ion for ihe purpose af requesting a grant wilhout special compensation or
reimbursement for Ihe appearance.
VesxNo: A 'd' Iv t'f techn'cal or olher soec'alized intormalion: aocearinu as a
p tati f ' hb h tl c'aCon without scec'al comoensa[ion or reimbursement or
o f tf ft b d ' ti t th f F A u t w''lhout
soec'al comcensation or reimbursemenl?
5) Pursuant to Ciry Cotle Section 2-497�'I), no rampaign consWtant shall lobby Ihe City Commission for a penotl of 12 months
following Ihe sweanng in of any eledetl oKcial(s)for whom the campaign consWtant proviCetl campaign consulting services
within the past election cycle. See Section 2-491 for more information.
Ves xNo: H �d tl Il' t n 'ncumbent member ot Me C'IV Commission
'th' [h o t I [' I 7 If v I I' t lh 'neumbent member(sl of the C'N Commission:
Ves x No: rc�as h 't be I lh 12 th s'nce [he elected oH'c'allsl whom vou provitlatl camoainn
consultina services was sworn in?
6) Pursuant to Ciry Cotle Section P-0ffi(a��4�a., a lobbyist who has within the past election cycle pmvidetl wmpaign consulting
services to an incum0ent member of Ihe City Commission(which lobbying activity is not otherv+ise prohibitetl Dy Code section
2-491) shall disclose such particular service on his/her lobbyist regisUation torm and shall orallv d'sclose such oarticular
b fo I bb ' a lh CN C 'S ' t P bf f a.
V¢5 X No: H ¢ 0 �tl tl d 0 �n If 0 f Oent member of the CN Gomm'ssion
't�' th [ I C I 91f ve pl f [th "n mbenl membe�lsl of the C'N Commission:
- y¢g x N¢ � ^^� v a o ' tl d'd o onom'c cons'derat on 'n ezchanae for campaian
consultina services?
TO BE COMPLETrE�BY CITY CLERK'S 5TAFF ONLY ^
Annual Registration fee: [ ]Yes[ �No Amoun[Paitlw/5�Y 1J v MCR# � � S Dah Pai� 15 �L
Lobbyist Regis[ration Form receivetl anE e f etl by: / INI
- - =ny q,y � � ae;r.: NaviseE 09/20/2018
,. Page 3 af 5
� e PaEar9 - F03da}5. � pege3o16 � C . Y2tlSb/ �����p�py,y������ H
A[4f2S $
OowSign Envelape ID'.DA]3G�09-F353-46CEAPoF-312C189514F0
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 E%PENDITURES 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
E%PENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.'
Signature of Lobbyist � y-�� Date 3-22-2024
c>>�zeesc�
I do solemnly swear or aKrm Ihat all of the foregoing facts, stalements, and disclosures in this form are true and correct,
and that I have read or am familiar with lhe provisions conlained in Chapter 2, Art. VII, Division 3, entitled "Lobbyisls" of
the Miami Beach City Code and all reporting requirements.
�,/s�w�.—aer
SignaNre of Lobbyist �Yy 1 s ae .. Date 3-22-2024
oa�<ovauaew3i 3-23-2024
Signature of Princlpal: I�AF vicn ('� Dale
raresascm=zn
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of Plorida State of Florida
County oi: Miami-Dade County oi: Miami-Dade
Swom to(or affrmed)and subscribed before me, Swom to (or affirmed)and subscribed before me,
by means of 0 physical presence by means of� physical presence
or� online notarization, or�online notarization,
this z2 dayof March 2024, by lhis?2 dayof March 20Z4, by
Jennifer McConneV-Gavoso Marisa Galbut
NAME OF LOBBVIST NAME OF PRINCIPAL
Produced ID _Pmduced ID
— �.� �n�
x Personal � � x Personally /�1 YX �
uwa
- Signature of Tery ruUnc Si9nature ot No � ���ua��' �
VeiGy Momesino Perez �eitly Montesino Perez
, Name of Notary,T ped, Printed or Stamped Name of Notary, Typetl, Printed or StamOetl
Yeidy MonMsino Perez Yeltly Montesino Perez
' Commission#HH084YI3 �mmission#HH0842]3
Nolary Public-S�ate of Florida No�ary Public-S�ale o�Floritla
My Commission Expires Jan 24,2025 My Commission Expires Jan 24,2025
� �The .,,_., . ,..�,. versons-
Expetl wilnesses who pmvide only scien�i(F lechnical o�other specialized 'mforma�ion or les�imony in public mee�inqs;any person who
onty appears as a represenlative of a neighborhootl associalion wi�houl compensation or reimbursement for lhe appeatance,whelher
tlirect, indirect or contingent, ro express support of or opposition to any item; antl any person who only appears as a represenlalive of
no4for-pmfl community basetl organizalion (or��e purpose ot reques�ing a gront withoul special compensalion or reimbursemen�for
the appearance.
,.. Page 4 of 5
� ma,.evm:oeaseorr.��+e-aran-n�Eo-nccsFrvees» aaeeame anca,wees�n ������I������ ',
DwuSign Envelope ID'�413CD0&F353-06CFAF4F312C189514F0
Giry of Miami Beaah, 1]00 Convanrio�Ce�rer Drl.e,Mmmi Beach,Floada 33139,ww.._mlamlbeachfLgw
Offire of rhe Cly Clerk
Rafael E Gmnodo,Gy Clark CiryClerk@miamibeachFl.gov
Te1: 305.6737411, Fax�. 305.6737254
NAME OF LOBBYIST: Jennifer McConney-Gayoso
1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
Pursuant to City Code Section 2-485(d), the City 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 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 fle the Statemen[ 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 fne 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 immedia[ely 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.
.a e,
- ���� 3-2&2024
��€1f'Lobbyist Date
F w�Emsnawvoamsaoeens roeMsuoeewin eaaui�r�o�Form ee.��aa m-i�-zo aeo.eo�
-. Page 5 of 5
� �o�Porly�� �635EOiEE]eEYFBn-iEEBdC6i0209n Peee5a16 SACLSF02055A ����py@�������
U �
J E � �!
� o o p�
ro
`o = r
¢ a E _
N � � a �
¢
N � E �
- � m ¢
¢ Q p �
a LL N
N J � � �
R' � � � J d > _ �
m a U Oi E o' 1 [/) � �
E
E E o �N D �' O � � a �
� - O 3 U Q] V
S - Q � � o
o � � �
�y w Q J r
J D 9 � � m M
- o � > W �
_ !_ S Z
f� E '� 1O W O } LL I
a � F W Q
� � �' a I- Q �
� f6 c ¢ = a Z U ¢1
Q � � _ ¢ 9 a w O o
O ` � $ a o °' � t/7N
� O ,, �o " " Qary
d � - � " q
_ �
— o - -
� d �
N V E E d
� N a m o 0
� m � ; � � - i � � E
O E - ' a � � a n � � `
� ro �
� co � � - � =_ � ;� � Eo
� Q �, o � E _ oa
0 ? a D � � � � `wa
m` o � � a
E �
LLQ n f _ � �
c m ¢
`oo, vmz' v
U J D a a �
J � � m � u � m
N m d ) ] VIF
V � � �1 m T
Q f � E ¢
W � T � d O
a m N d w � U �
�
� H � O U o J T
ii � ry y � ' '�O �
c� X � ED J �J
>. A
W I ='x - _
m - - a �
� , W �� 10 E = K
p I � o � � � �
P: a .
m a -= a
o � 2 � E � � �E :.
m t � I a � ¢ a _
Y �• Q
W � Oq O �
C j -
N (/J C � � � _
N
� la
. . .. . � . . , . , . li�
City of Miani Beach
City �11
1700 Canvention C�r^.tgr Dr. �
Niami 0each , FL 33139 v
305-613-7420 `
Welcome �
W X
p V W
N �
03/25/2024 11 :22AM Carmen V. N
c
006850-0005 � LL
M �
V
MISCELLANE[Il1S v
Reference 1 : MCR433225 z ,� �
MCR OPEN (MCR) �
2024 Iteoi: MCR
1 � $2,400.0000 T
MCR OPEN (MCR) $2,400.u0 .._ 00
a
0
f2,400.00
Subtotal i2�40�.��� o
Total {2,400.00 �
W
J
CHECK $2,400.09 �
Check Number000112 � � o
____________ .. Y Q V
ChanBe due 50.00 v m
d t F
.a � � H
Paid by: 19G1 ALTON PROPERTY LLC . - ��
w = � ag
K V v rry Z
'I��III��I���!�������I�U�h����V�dIII�����I���V��V����V�lll��l � � � _ � ' � '
�V _ . � Q G ; � � � � - � �
c � m u F � O c
�,� y W 1�] 10 LL "� d � E a Z �Z C �
Yll. u.�.+w�e..�w+.00.m... �6q � III � O N •W . � U N O � O 6
F ry V V
' � V u C � LL � m u i.YS- V v
� ❑ � � � c. S 4 Q 6
Thank You for yaur peyment
CUSTOMER COP4