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2024 Lobbyist Registration Form - Open House Miami Annual Grant Application (Diana Lynn Riser) ntCEiVED vN I S 2024 MIAMIBEACH �;�of,ha�;ry��� � ;, M,AM, BEA�H 1700ConvantlonCenterD�ive � � � " � Z!'IIYC� FRK Miemi Beach, FL 33139 305.6737411 L086V13T REGISTRATION FORM Lobbylst means all persons employeC or reteineq whetlier paltl w not,py a p�incipel who aeeks to encourege ihe pesgege, tle(eat p rtro0ificelion of any ortline�fca, readWion, ection or tledsion ot airy mmmisaiorrer, eny aclbn, decision, rermimenCatbn of the City Manege�or any Ciy boerA or mmmittee;or any ection,tledgwn o�ierommendatnn of any City personnal during[he tlme perbtl of Ma enlira Cecision-makiig process on such actqn, Aedsion or recommentlation ihat breseaably will pe heaN w raviewetl by Me Cily Commission, or a Cily boartl w commiltee.T�e tertn specficalty indutles t�e pnntlpal as well as any employee engepetl in lobbying activRiea.T�e�ertn"LoObyisP hav speafic ezGusions.Pleese refer to Cky Code Chep[er 2,Mide VII, Oivision 3,entllleC'Lobbylsls,' for atltliiionel iMormation. ImW etbna: Glease complete all sedions of tliis(artn end submit Me oomple[etl fortn,wiN the appliceble fee,to lhe Olfice M the CI1y Cleik. If you need more spe��o mmplete en answer, use a seperele sheet(s)of peper. If you heve nothing M repwt in a perticuler section, you must wn[e 'nona' ot "Na' in Ma� section. My chenga to any iMoimetion onginally fileq or eny aEtlitional Ciry Commissianer ot persannel who ere alm sougM lo be bbbiatl shaA�epulre tliffi iha bbbyist file en amenCment fo t�a regishstion brm. The bb�yist has a mrronuin8 duy M supply in(wmation arM ementl ihe forms filed Mmughout Me penotl Ihat Me bbbying accurs. SeOarate registratron fortns shaA be requiretl for each printlpel representetl an each apedfic'ssue. I. LOBBYIST INFORMATION: Augustin Irvans NAMEOFLOBBYIST (Leefj (Flot) (MIOMeNeme) Miami Center for Archi�ecture&Design 2800 Ponce tle Leon,#1300 Corel Gables, FL 33134 LOBBYISTBUSINESSNM.IEANOr1DORESS (NumbwaMSheep �Glty) �Stete) (ZipCotle7 (305)448-7488 LOBBVISTBUSINESSTELEPHONENUMBER CELLULARTELEPHONENUMBER EMAILAO�RESS II. PRINCIPAL INFORMATION: `,\ �� St'� I )i�Cl�CL LYE�� NAMEOFPRINCIPAL (I.anQ (Fmt) (Mitltll Neme) �llwmi �"�v- �,�l�,Yl�.� ���an a80o�bn Nc� �ean �I.vr �'I30o �o�rlC�es F( 33�3� PRINCIPAL BUSINESS NRME ANo FpORE6S umbcr e�q StreeQ (Ctty) (gp�) (Iip paye) 5�i -�s�-�sc;o 5lar- 7��—asoo d�, � ��� adV.coM PRINCIPALBUSINESSTELEVHONENUMBER CE11UlARlELEPMONENUMBER EMAILADDRESS PUSudn�W Ciy COJe Sectim 2-082(M1�(t)�aj: A prinuDal af any coryomtim,peMasl�i0,wWier antiy w�o appears ea a lobbyist on Oe�all oi iM1a[ eMM1y,wRFou[apeual comDensatlon or rampunemsil for tM eppea�snce,w1�Blllaf tlirect,inUirecl,d WnYngent,lo Bspre35 suppon o�or opposition to an ilem sFall regis�erw8�tha CIaM1 as repuiretl Ly I�is subseWlon WI Nall nW be requreC to pay eny regisiration leas. H the principal is a Corporatfon, PaRneiship or Trust, tha following infortnaflon MUST be providad pureuant to City Code Sectlon 2�462�c): I/ �( }-- • NAME OF CMIEi OFFICER,PARTNEN,OR BENEFICIqRY QI nme,wrke NIA�: J�Q Tr,`!IG 1 IA//S.['µI l� J • NAME OF ALL PERSONS NOLOING,DIRECRY OR INOIREGTLY,I15%f,OR MpORE ONMERSHIP INTERES(IN SIlCX CORPORATION,PARTNERSHW OR iRUST(H norw,wNOa N/A): ;`I IFT � Pege 1 of 5 � � i � ', � � { � � � ,� i � 1 III. ISSUE TO BE LOBBIED: DascAbe wkh as much detall as is prectical,Including b W not Ilmltetl to a specfflc descriptlon where applicable of a pendi�g request for proposal,Invitatbn to bld,or publle hearing numbar. Qp�a�t�u.s:�,bi��; Af:�,, �1 ��,.��nl;cG�iavr IV. CRY AGENCIESIINONIDUALS TO BE LOBBIED: Punuant to Ciry Cotle Section 2482(a)�4�, Ilat the City Commfuioner or Cky personnal sought to be lobbied, and whetherthe lobbyist has eMered IMo any contractualreladonahip (paitl or unpaftl) wiM said Clty Commisaioner or Clty personnel from 1Y montha precetling sueh commencement of service with the City to the presant date,stating tha general natun of the subject contractual relatlonship. Full Name o!Indlvltlusl antl ConOractual Relallonehip(Hy�s,explaln) VES NO TMeo/PeoontobeLobbktl Miemi Beech Visdor arid fqnyen(un AUNorNy(MBVCA)Boartl - . Punuent W Cfty Code Sectfon 2d82(g), every regisVant shall be requlretl to atate the e�Rant of any business, flnancial, familial or professional relationahlp, or Mher relationship glving rise to an appearance of an impropriaty, wlth any current Cky Commissioner or Cily personnal who is sought to be lobbied as ideMifled on the lobbyist regisVaHon form filed. Llat a�ry Buslnese, Finsnelal, Famllial w Profnsional Reletlonahlp, w othar nlsHonahlp pNing rlsa to an a aranca of Im ro rie it rwne write MIA : V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION—Be Soecific. (Nota that a continAency fee is prohibited pursuaM to City Co/de See.2-485.3): tif Q cjc�i�'J a hG I �O m��r7 SC�7"%ON� Pege 2 of 5 i � �, � ' � � � � � � � , ! �, � 1 Tlre bllowlnp ah(B)9usstlom MUST W amwantl: 1� PursuaH b City Cotle SecEon 2�88,eMitleC'Pmhibiled Cempaign ConMW6ons By Lobbyisro On Pmwrement lasues'' �'w_No: M mu bbbWna on a weaenl or oaMlm bid f eoE i M rvien t oendlnoawaNbrooada eaulwna�Horxrvke4 2) Pwsuarrt b Ciry Catle SecOon 24B0,e�tletl'Pivhibdetl Cempegn CoMnbutiore By Lobbyis�On Real Es�ate Devalopment Issues: _Yn✓No: A bbWl dl dlutlonb OevN (A M k Ih M 11 I br h m f 1 tls f atlo ha ro tM CiM F� � d LI M T 3) PureueM fn City Cotle Sectlon tdBR(h), eny person (ezcept ihose exempt from tlre Eafinition of'IODDyisC aa set (oeth in Saction 2<81)wha only eppeere as a representa�ive W a not-forpioft coiporaWn or entity xiNout speciel mmpenaatbn a reimbursement fo�iha appeerence,wheiher Direct or intlired M express auppoM ot a oppositbn to any ilem,shell repiBter wiM ihe dty derk as repuiretl by ihie seclion,but shall not ba required to pay any fegiaM1atlon taes. �'ss_No: � vou noreaenWa a nobfororoiH wroon0on n� enttN witlrout soacia 11 nimbunpnenli d) Pursuent to Ciy Code SeNon Id81,ihe tertn "lobby',sP apeclfiralty ezGutles the fdlowing parspns: E�pert wilnesses wha provi0e onN ecieirofiq technical or ofher sDecialaetl infortnetion or festimony in puWic rtreetiigs;any person who onty appears as e repraeentstive af a nelg�borlwod essoclMion withou�mmpensatlan or reimbutaement Por ihe appearence,whalhBr tliiect, intlirect or mntiigent,to axpress support of w opposNon to any ilem;and airy person wlio onty eppears as a representetiva ot nob(oryrMh community basetl orgenva4on for Ihe WPose ol iaquesting a grant wBhout speciel compengetion or reimWrsement for the apPeaance, _Yn�No: M vitll ry cl Mifl I�eh ' 1 otMr ' ItW i ro �c raonaenlatHe of a �niahboMootl aseoeialion wilhoul soaelal epnoa �on or relmb�rarnenl or ra MI �atJw flt baseE tratla b Ma of I rit IIh iR sueelel canoensalbn or relmbumemeM? 5) Pmsuant b City Cotle Sectlon]d91(t), no campeigm m�wltent shall lobby ihe City Commission Por e penotl of 12 monMs folbvnnp tlre eweanng in of any alectetl�c�l�s)(or whom Ne cempaigm m�suttant piovitletl qmpaign oonauMng servi�s within Ne pest electpn cyde.See Section 2J91 fo�more inbmiation. _Yac✓No: H HNtl lo MI lu to I baM ba f 1 I wilh' th t 1 et' k?M lu IiatM I berrt baA 1 f `�Yas_No: H ves hss R been lasa than 12 month M lact tl fll ' II 1 h Wtl d la consukino seMcec was swom'nT 6) Pursuent M Ciry CoOe Sec(ion 2i82�a�(6)a., a bODyist who has within Ma pas[electlon cytle providetl rampagm m�sultiig sarvices to an incumbent member of ihe Ciry CommiSsbn(whlch b�byirg activM k��emisa pmhibiletl by Cotle section 2-481) shall Gisdosa such partialar service on hivhar bbbyisl iegistretlon krm aiW shall orallv diadosa suc� oaR'cular � W118� �I _Y�aJNo: yAye vou orovMatl eemwlnn eomuMm asrvk�s b an InumMnl M of M Ckv C i I wiMin tM1a oa�t alMbn cvcle?Mvas dea II t Na I Ea t bart 1 oT � ilv I � _Ysa✓No: If vea. were vou oromieed or tl"tl vou rxelve eeonan'c consitle tl ch a f �naunina wrviws4 TO BE CpAVLETED BY CT'GlERMB SfAFf ONLY Rnnual qeplttratlm M: I 1 Yr�Ho Mau�rt P�Itl S N F P MCR R Dala Paitl / � �fr� 2�/ iennvi.�neai.o-.um Fan,,.urv,n.�n,»Nnea m,:DM f:\CLF0.\6A��\aFORMS�LpeBY15TFORMS\Labbyis[0.¢gishationFo�mRevisef 03-11-30REG.0ac plYW403/11/2010 Page 3 of 5 � i i � i l � i � i 1 � � I I ; 1 VI. SIGNATURES UNDER OATH: QN FEBRUARY 28 OF EACH Y eCH LOBBVI T Slie 7 70 7H OFFI 7HE ITV CL RK A 516NED STATEMENT LINDER OATH LISTMC OBBYIN IP F f BECEIVEU FOR THE PRECEUING CA.ENDAR VEAR WITH REGARD TO TN IPI WIiICN TH BB T A N TO L . A STAT N FI F T HA O PENDIT R R NS DU O T EPORTIN PE 1 ' SignaWreofLobbyist: a� 01/1 22 0 24 I do wlemnly swear or a�firm Mat all ot tha foregoing facts,statemanls, and AisUosures in this Porm are We antl correc[, and that I have rea0 or am famJJJ'ier with ihe mvisians contained in Chapler 2, Art.V�I, DiWsion 3, entttletl'Lobbyls�s" of tlie Miaml Beach City Cotle anQ II reportirt re uiremeMs. �1� Signature of Lobbyist: l/"�- u Q�� u[I/1.Date 01H2/2024 Signalure of Prindpal: ' pa� �IT(.( as VP Diana Lynn Rise�as VP Vil. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL Stata of Texas Sqte of C ( Countyof: Bexar Cuuntyof. Swom W(or a�rtne0)and subacribed before me, Swum lo(or eilimied)and wbscri6etl Defore me, by means of O physkal presance by m�ns of O physical presence or 6d'online nofanrstion, or R'online no[anzation, this �6th dayo/ �anuary pOz�by tltis 'Ldayof . p� /� Y IrvansAugustin _ �,"nU �iVnh ��S�li� 1 X/ NFME,OFLOBBVISi N4ME FPPoNCIPAL� No[anzetl online using audio-vitleo communication / �/P��Ced�p DRIVER LICENSE ���S L(`CPnS( . Produced ID FORM OF IOEN�IFICATION FORM OF IOEN�IFIG4TION _Personally Known _Parsonelly Known �W.,,,?_n1.ByJw�-fNotary Publiq State of Teaa SigneN of Notary Public SigneNre M Notery Public Ashley N 6ywa[er Name of Nofary,Typed, Printetl or Stam ed Name of Notary,Typed,Printed or StampeU (NOTARVSEAL) r " (NO7ARYSEAL) i�> 'T�e term"bbOyisN Specifiraty exclutlas Cre fdbwmp peisons: Expert witneases who pmvitla only ecientific,�edinical or other epecial¢atl inbtmation w testimoiry in public meetings;any parean wM onfy apPears as a iep�eseMaHva ot a neighporhooE associetion wRhoN mmpensaEon or reimburserrent for Ihe appaerence,whether direcl,intlirect o�coMingenq to ezpress support o�or opposNon to any ilem;antl any pason wM ony appaars aa a repreeenfetiva of �ot-(oryioftt cammuniry basetl organ'vation for the puryose M requesting a g2nt witMul speciel compansation or reimbursement for iheappaarene. Page 4 of 5 i , � I ; i ; � MIAMIBEACH Ciry ef Miaml Mxh,l]00 Convennon Cenmr Orive,hUoml Bwch,Flonda 33139,www.mlamibeochA.gw Office of the Ciy Clerk Rafoel E.Gmnado,Giry Clerk CiyClerk@miomibeachfl.gw Td:305.6737411,Fm�305.673J254 NAME OF LOBBYIST: �rvans nugustin 7) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT Pursuant to City Code Section 2-085(d), the City Clerk shall notify any lobbyist (or pnncipal)who fails to file timely a Lobbyist Fee Expenditure and Compensation Statement (Sfalement). In adtlition lo any other penalties that may be imposed as provided in Section 2�+385.1, a fine of$50.00 a day shall be assessed for Statements filetl aker Me 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 hails to file the required Statement by Apnl 30�' of each year, shall be automatically suspentled from lobbying �ntll all fines are paid, unless the fine has been appealed to ihe 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 compensatlon received, for the preceding ralendar year with regard to the specific issue on which I have been engaged to bbby. 2) LOBBYIST WITHDRAWAL Once an issue I have registered to lobby has conGuded or I am no longer lobbying on that issue, I shall immetliately file a Notice of Withdrawal with the Oftice of the City Clerk. 3) ANNUAL LOBBYIST REGISTRATION PEE I unders[and annual regislration of all lobbyists shall be required tor each 12-monih period commencing October 1 of each year, and ihe fee tor such annual registration shall be $500.00 pursuant to Section 2482 oTfhe Miami Beach City Code. � �%�, o,ne/zoza Signature of Lobbyist Date r�:�c�xwu�owauaearis.vaw�xmrrrxw.e.a�ro�w.�.a rc„arv�cea Pege 5 of 5 I I � 1 1 i � 1 i 1 I III i �} I : i f i i JURAT State/Commonwealthof TEXAS ) �ity OCounty of Bell � pn ��/»/Z024 , before me, RASHID RAUF Dafe NofaryName the foregoing instrument was subscribed and sworn (or affrmed) before me by: Diana Lynn Rlser Name o(Afllanf(s) ❑ Personally known to me —OR— ❑ Proved to me on[he basis o(the oa[h of —OR— Name o!C�etlibk Witness � Provedtomeonthebasisofsatisfactoryevidence: FLdriver license Type o/ID Presenfetl WITNESS my hand and offcial seal. �41�\d�+�'�/�90••• r+nseiorsaav ��o t . Notary Public Signature: � �5;,1 k �� Nota Name: RASHID RAUF %"`,Pmnif��o�: �:.P�ome�a,„mx:s ry 133354378 Notary Commission Number: Notary Commission Expires: 09/27/2025 Natanzetl online using audio-vitleo rommunication DESCRIPTION OF ATTACHED DOCUMENT TitIB Of Typ¢ Of DOcum¢pC Miamibeach Lobbiyist Registration Form Document Date: oi/v/zoza Number o(Pages (including notarial certi(cate): 6 6 I I I I � I � i 1 I � I I