2024 Lobbyist Registration Form - 6701 Collins Ave (David Martin) - - .
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RECEIVED
MIAMI BEAC�—� off��eof�he ��,Y ��e�k sFP 27zoz4
1700 Conven[ion Center Drive
Miami Beach, FL 33139 GTY OF f�41AM1 BEACH
305.8737411 r7FFiG20P?HEGTYCLERk
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employetl or reiainetl, whether paitl or not, by a principal who seeks to encourage ihe passage, defeat or
modification of any ordinance, resolution, action or Oecision of any commissioner; any ac�ion, decisioq recommendation of the City
Manager or any Ciry board or committee; or any action, tlecision or recommendation of any City personnel during the time period of the
entire tlecision-making process on such actioq tlecision or recommendation that foreseeably will be heard or reviewed by the City
commission, or a City board or committee. The lertn specifically includes the principal as well as any employee engaged in lobbying
ac�ivities. The tertn "Lobbyists" has specific exclusions. Please refer to Ciry Cotle Chapter 2, Anicle VII, Division 3, entitled"Lobbyists,"
for atltlitional information.
Instmctions: Please complete all sections of this fortn and submit�he completetl fortn, wilh the applicable fee, 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 to report in a particular
saction, you must write "nona" or "nla" in that section. Any change to any information origlnally fileQ or any atltlltional City
Commissioner or personnel who are also sought lo be lobbietl shall require that the lobbyist file an amentlment to the regisiration form.
The lobbyist has a conlinuing duty to supply information and amentl the forms filed thmughout ihe periotl ihat the lobbying occurs.
Separete registration forms shall be requiretl for each pnncipal representetl on each specifc issue.
I. LOBBYIST INFORMATION:
Choy Bcandon
NAMEOFLOBBVIST (Lasl) (Flrsp (MltltlleName)
Terra Acquisitions Florida DB LLC 3109 Grattd Avenue #349 Coconut Grove Florida 43133
LOBBYISTBUSWESSNAMEANDAODRESS MumOerentlSVeet) (CIty) (State) �pCotle)
305-416-4556 bchoy@terragroup.com
LOBBVISTBUSMESSTELEPHONENUMBER CELLULARTELEPHONENUMBER EMAILADDRESS
II. PRINCIPAL INFORMATION:
Martin David
NAMEOFPRINQPAL (Lasp (Flrsp (MitltllaNema)
TMG 67 Communifies LLC 3109 Gxazid Avenue, #349 Coconut Grovc Plorida 33133
PRINGIPALBUSMESSNAMEANOA�DRESS (NumberentlS�reet) (Clty) (S�a�e) 2�pCode)
305-416-4556 dmartinQtercagroup wm
PRINCIPALBUSWESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILApDRESS
Pu�suant�o Clty Cotle Secllon 2482(M1)(i)(a): A p�incipal ot any mryo�atiory patlnership, or o�he�enli�y who appears as a lobbyist on be�alf of�M1at
en�iry,without special compensation or reimbursement for�he apPearance,whelher tllrect,intllrect,or contingent,ro express sopport of or opposition to
an item shall registerwiN ihe CIeM1 as required by this subsection bN shall nal be required�o pay any registralion fees.
If the principai 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 BENEFICIARY(if non¢,write N/A): D. Maxhn
• NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): DdVlc�Marhri 100°/o
Page 1 of 5 �
III. ISSUE TO BE LOBBIED:
Describe with as much detail as is practical, including 6ut not limited to a specific description where
applicable of a pending request for proposal, invitation to bid, or public hearing number.
LegislaHon and Development Approvals &PcrmitHng Issues, including but not limited to the HPB,
Design Review Board, Plamting Board, Board of Adjustment, Land Use Development City
Commission, and any City Workshops ox Committees, if necessary, relafing to the pxoperty located
at 6701 Collins Avetme in Miami Bcach, Florida.
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 contractual relationship.
Full Name of Individual antl Contractual Relationship (It yes, explain) �ES NO
Title of Person[o be Lobbied
Staff for the Plaiuiing & Building Department None X
Public Works &City Administration, PB, HPB, BO None y�
DRB,City Commission,and Mayor as necessary None X
Land Use &Sustainabili Committee IVone 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 sough[to
be lobbied 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 :
None
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Sqecific. (Note that a
contingency fee is prohibited pursuant to City Code Sec. 2-485.3):
$0.00 per hour
Page 2 of 5
The/ollowing six(6)queslions MUST be answeretl:
i) Pursuant to City Code Section 2-088, entitled'Prohibited Campaign Contributions By Lobbyists On Pmcurement Issues"�.
_Ves xNo: Are vo I bb ' q o t d' o b'd f od 'o t t r
p d tl f tl u ' t e ' ?
2) Pursuant ro City Cotle Section 2-090, entitled'Pmhibited Campaign Contributions By Lobbyists On Real Estate Development
Issues":
_Ves x No: Are vou lobbv'nq on d' pf [' ! D I t A t 'th[h C'N I' f
torchan ( tl 'q at' h t th C'N' F t L dU M 7
3) Pursuant to City Code Section 2d82�h), any person (except lhose exempt from the defnition of "IobbyisP' as set forth in
Section 2-081) who only appears as a represeniative of a noFfoo-pm(it corpora�ion or entity without special compensation or
reimbursement for Ihe appearance,whether tlirect or indirect to express support of or opposition ro any item, shall register with
the city clerk as required by ihis section, but shall not be requiretl lo pay any registration fees.
_Yes x No: Are vou r t bfo - ft o t' e t'N 'th t ' I t r
reimbursement9
G) Pursuanl to Ciry Code Section 2-087, the �erm "IobbyisP'specifirally exclutles the following persons Expert wi�nesses who
pmvitle only scientific,technical or olher 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 appearence,whelher direc�,
indirect or contingent, to express support of or opposition to any item;and any person who onry appears as a representative of
nobfor-profit community basetl organization for ihe purpose of requesting a grant withoul special compensa�ion or
reimbureemen�for ihe appearance.
_Ves X No: Are vou orov'dna onlv sc'en['f' t h ' I th ' I' tl ' f t'
representative of a ne'ahborhood as ' t 'th t ' I t' ' b [ r
representina a nobtor-orof't basetl oraan'z t' ( th of t q t 'th t
special comoensation or re'mbursement?
5) Pursuant lo Ciry Code Section 2�97�'p, no campaign consultanl shall lobby lhe Ciry Commission for a period of 12 months
following lhe swearing in of any electetl offcial(s) (or whom (he campaign consultant provitletl campaign consul�ing services
within ihe past elec�ion cycle. See Section 2-491 for more informalion.
_Ves xNo: Have vou orovitled camoa'an consult na serv' t b [ b f th C'N C
wrthintheoastelecConwcle7lf I I'stth ' be t b 11 tth CYVCo
_Yes x No: If yes. has it be¢n less than 12 months s'n th I t d ff' ' II 1 h 'd tl
consultino services was sworn 'n�
6) Pursuant to Ciry Code Section 2-0ffi�a)�4�a., a lobbyisl who has within the past election cycle pmvitletl campaign consulting
services to an incumbent member of the City Commission (which lobbying activity is not otherv✓ise prohibited by Code section
2-091) shall disclose such particular service on his/her lobbyist regis�ration form antl shall orellv d' I se 5 ch rt ular
service before lobb � th Ct C t bl f
_Ves x No: Have vou rov'tl tl If t b t b t th C'ri C
wrthm th¢oast elecYon v I ?If I I' t th ' b t b f 1 f th Ct C
_Ves x No: I( yes, were vou orom'setl or d'd vou rece've e o 'd t' h fo 'q
consulhna services7
TO BE COMPLETED BY QTY CLERK'S STAFF oONLY
Annual Registretian tee: [�Yes[ ]No qmoun[Paitl f�MCR# �/�3 /(c � Da[e Paitl ��� -ay
Lobbyist ReBistra[lon Form receivetl antl verifietl by:�'
F:\CLER\EA«\aFORMS\LOBBttSTFORMS\Lobbyls[Regirtrz[ianFormRevisetl 09-30-18REG.tlac Revis¢009J20/3018
Page 3 of 5
VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH VEAR EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A
SIGNED STA7EMEN7 UNDER OATH LISTING LOBBYING EXPENDITURES 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 S7ATEMENT SHALL eE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENSATION DURING 7HE REPORTING PERIOD.'
Slgnawre of Lobbylst Date �`'�`�2-1 2�
I do solemnty swear or affirm ihat all of the foregoing fac[s, statements, and disclosures in this form are true and correc[,
and that I have read or am familiar with the provisions contained in Chapter 2, Ad. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Code and all reporting requirements. I
SignatureafLobbyisf Date ��1��'IZ�
Signature of Principal: Date �—l� �� 12-1
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of Florida State of Plotida
County oE Miami-0ade County of: Miami-Dade
Swom [o(or aff ed) and subscribed before me, Swom to(or affrmed) and subscribed before me,
by means of physical presence by means of 0 physical presence
or� onfjne notarization, or� online notarizat
[his �L dayor �-�'h�l zo�by thisC.�dayof�M�� zo��y
Brandon Chov David MarHn
NAME OF LOBBVIST NAME OF PRINCIPAL
Produced ID Produced ID
FORM OF IDENTIFlCATION FORM OF IOENTIFlCATION
✓Personally Known + Personally Known
Sig ture of Notary Public Sig re of Notary Public
�a . .�,�c-r� a. �w�-�
Name of Notar��Typsq7rtr�t��r�,S�m���lE ��—� Name of Notary Typed Pnnted or Stam e _,
� Id�.i yPbcs�e� ofH Ina ( 4hLAD 4RRIF�iA �
(NOTARY SE�) � � ��7 � x H� �Bqer>a� � (NOTARY SEAL) y�'��� r�mi i na
o -sio� E o es o M r .e ._
1 b.r1J 2014 1 ��
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'The term"IobbyisN specifcally excludes the following persons�. "^"" '"""""""
Expert witnesses who provide onty scientifc, technical or other specialized information or testimony in public meetings', any person who
only appears as a representalive of a neighborhood association without compensation or reimbursement for ihe appearance, whether
direct, indirecl or contingent to express support of or opposition to any item; antl any person who onty appears as a representative of
no4for-proft community basetl organization for Ihe purpose of requesting a grant without special compensation or reimbursement for
ihe appearance.
Page 4 of 5
"�^, I !` ^,.�, I B EAC H
Ciry of Miomi Beaah, 1�00 Comen�lon Cemer Dme,Miami eeach,Florida 33739,vrvrv..mlomibeachll.go�
Office of Ihe Ciy Clerk
Rafoel E. Granado, Cily Clerk CilyClerk@miamibeachfl.gov
Tel: 305.6737411, Fox: 305.6737254
NAME OF LOBBYIST: Brandon Chop
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 30�" 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 fle 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.
��--�'� �'l�Zll I
Signature of Lobbyist Date
F�c�eaunuawar�.saoeens.wems��oeM�s�aaai:vanon eo�eev�sca oii i.m Rea eoo
Page 5 of 5
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