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2024 Lobbyist Registration Form - Solid Waste, recycling and disposal activities - (Kurt Joseph Salac) ,s�ia �/wS}tJ �tC��:IV'J ana �ts�•Sa� ��tvti{�S MIAlv11 �EACI� � �� � ��`� OfficeoftheCiryClerk . . ..,...�; �,,.-��.H t700 Convenlion Cantar Drive , Miami Beach, FL 33139 � 305,673.7411 LOBBVIST REGISTRATION FORM Lobbylst means all persans employetl or reteined,whather paitl or not, by e ptlncipal who seeks to encourage Ihe passege, tlafea�or motlifcadon of eny ordinance, resoWtion, acllon or decision ol any commissloneq eny acllon, decisioq recommende0on of the City Manager or eny Qly board or commlltee;or eny acllon,tleclsion orrecommandation af any Clty personnel during Ihe tlme perlod of tha entlre tlecislon-meking pmcess on such action, tledslon or recommendalion that foreseeably wlll be heartl or reviewed by the Gily Commission,o�a Clty boartl o�comminee. The�e�m specl�cally Inclutlas the ptlnclpal as wall es any employee engaged In lobbying ac1lvlNes.The le�m"Lobbylsl"has speciflc excluslons. Plevse refar to Cily Cotle Chapter 2,Articla VII, �i�lslon 3,enOtled"Lobbylsts% for adtll�lonal Infarmatlon. Instmctions: Please complete all sectlons of Ihis(orm antl submit Ihe completetl form,wilh Ihe epplicable lee,to ihe OKce of Ihe Cily Clark. If you need mora spera m complete an answeq use a separate sheet(s)of papar. If you heve no�hing m report In a petlicular seclion, you must wnte "none" ot "n/a" in ihet sectlon. Any chenge to any informafon origlnelly filetl, of any additionel Cily Commissioner or personnel who are also sought to be lobbletl shall raqNra Ihet ihe lobbylst�le an amendmen�to IM1e reglslra�lon form. T�e lobbylst has a conllnuing duly to suppy Infmmatlan antl amentl ihe/orms flletl throughaut Ihe petlod that the lobbying occuro. Separele reglslratlon forins shall be required foreech ptlnclpal repraaen�ed on each specl0c Issue. I. LOBBYIST INFORMATION: '/ 5/=ri�C Kur. > TsePia NAMEOFLOB9YIST (Lest) (Fint) (MiddkName) �NNsir' C'uuNrrin,a oz `7.tl iirao y�°J1Sf /V C�rqRwfth�2 d'L 3�76Z LOBBVISTBUSMESSNAMEAN0A00RE55 (NumberantlSlreel) (CIM (Slete) (ZlpCotle) y)7�7Sy-D.�J7 is�r�. sn,n�n' vVAr/Z�u�r,vrcriaxC. eu4� LOBBYISTBlI51NES5TELEPHONENUMBER CELLULAATELEPHONENUMBER EMAILN�DRESS II. PRINCIPAL INFORMATION: SAtq( Kv�� ./olrP/� NNMEOFPRINCIPAi (Lest) (Flrst) (MitldlaName) WAr� �.,.��noa�c .,s Gt i�roo vJ�Ol./V. ieaawa`rr� G[ 3J76y PRINCIPAL60SINESSNAMEANOA�DRESS (Numba�entlSlraet) (Clty) (S�ate) (LpCotle) PftINCIPALBUSINE55TELEPHONENUMBER CELWIARTEIEPHONENIIMBER EMAILA�DftESS . . . . . . _. __. Puryuentio Ctlypode Secllon�2iB2(h)(if(e): A p�Inclpel of eny corporatlon,peHneshlp,or olher enllty who eppeers es e lobbylsl on behalt o�Ihet epllty wilhou�ap I IcoTpan¢etlon �elmbunemanlf lb ppee�enca.wirolhe�Elrecl.ItMRec1 o conlingenl �oexpreasaupPOM1olatoppoeWonla en,tlem shall reglslerwllM1iheGlelk as repulietl hy iMn suEsectlon bul sM1ell no�he reqNfetl lo pay enyrreplslmllnn lees. If the principal is a Corporation, Partnership or Trust, the foilowing information MUST be provided pursuant to City Code Section 2-482�c): . NAME OF CNIEF OFPICER,PARTNER,OR BENEFICIARY(it none,wrife N/A):� �/'rTFL STAEbT CEL� • NAME OF ALL PERSONS HOLDING,DIRECTLV OR INDIRECTLV,A 5%OR MORE OWNERSHIP INTEREST M SUCH CORPORATION,PARTNERSHIP OR TRUST(I/none,write N/A�, _FeaP/dn Wi�s;� /�utn�.��s, �4'e Page 1 of 5 �� V III. ISSUE TO BE LOBBIED: Describe with as much detall as is practical, including but not Ilmited to a specific descdptlon where appllcable of a pending request for proposal, invitation to bid,or public hearing num6er. lUR6Y/,fiti ro ,4f C�.�n �leY� Fart /�FiNI /lezp reCJ r� _ focin wui�e'Y 9eryce./� dN/� O�JPd1A � A��/bir/t7 IV. CITY AGENCIESIINUIVIDUALS TO BE LOBBIED: Pursuant lo City Cotle Section 2�482(a�(4), Iist the City Commissioner or City personnal saught to be lobbled, and whether ihe lobbylst has entered Into any contractual relationship (pald or unpaid) with said City Commissioner or City personnel from 12 months preceding such commencement of service with the Cify to the presant date,stating the general nafure of the subJect contraclual ralatlonshlp. Full Name of Individual and Coniractual Relationship(It yes,ezplaln) YES No Tifle of Person to be LobEietl [ Pursuant lo City Code Section 2-482�g), every registrant shall be requlred to state the extent of any business, financlal, famllial or professianal relatlonship, or ofher relationship giving rise fo an appearance of an improprlety,with any current City Commissloner or Gity personnel who is sought to be lobbled as Identified on the Iob6yist registratlon form filed. llst any Buslnesa, Financlal, Famillal or Professlonal Relationship, or other relatlanship giving rlse to an appearence of imp�oprlely(if none wtlta WA); _ _ I N� V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATfON— Be Saecific. (Note that a contingency fee is prohibited pursuant to City Code Sec. 2-085.3): iVo l.' rNPr'uta r/oiV Pego 2 of 5 The fallewing six(fi)questions MIIST be answared: �) Pu�suanttoCltyCodeSecflon2�4BB,enlltled'PmhlbltetlCempalgnCoNdbutionseyLobbyistsOnProcurementlssues": _Yes�[(Jo: A I bb ' t d bldt d a ' t i rona t pmtlina awartl for oaatls.epuloment or servlce4 2) Pursuant b Cily Code Seclion P-690,en�illed"Prohlbl�etl Cempelqn Contribullons By Lobbyis�s On Real Eslate�evelopment Issues": _Yes.�[Fo: A I bb I tll II tl f � I tA 1 Ithih CIN 1i 11 f h f tl 11 h t th Cit ' F 1 L d U M 9 3) Pureuan� �o Cl�y Code Sectlon 2A82(h�, any person (excep[ Ihosa exampt from �he deflnllion of"lobbylsf' as set(otlh In Secllon 2-4Bt)who only appears as a reprasentativa of z no4forvproflt corporallon or enliry wlthoul spacisl compensallon or relmbarsamanf for�ha appearenca,whalher direct or Indlrect to express suppotl of or apposl�lon lo any Item,shall ragls�er wllh tha city clerk ae reqWretl by thls sacllon,but shall not be reqWred to pey eny reglslratlon leex. _YeB�(FJo: A �I If p Fl� p C tit Ifh 1 I I mp fi reimbursement? 4) Purauantlo City Code Section R-481, ihe lerm "lobbyisC'specifically exdutles Ihe following persons'. Experlwitnesses who provlde only sclen�l�iq technlcal or othar speclell¢ad Informelbn ortes�lmony In publlc meelinga;eny parson who only appears es a represenlallve of a neighborhood assoclallan wlthou�compansallon or relmborsemenl for�he appearanca,whelher dlrec�, Indirect or conlingen6 to express support of or opposlllon fo any Item;antl any person who onry appears as a representellve of not-for-pro0� mmmunity basetl arganlzaHon (or �he purpose oi requastlng a grent wl(hout speGel compansellon or reimbureementfor�he appearence. Yes .�Jo: Are vou orovltlina onlv sclen�lflc technical or other soeclallzed In(ormation: anbeatlna as a re resen v n Ihaut s eclal com e sation or �eimbureemen[o� YBDfB8811ffl10 d 1101-fOPO�OfI based O�QdO12d1100 fOf 1�18 OOY0068 Of lBOY¢91100 8 GfB�ll WIlhOOI epecial comoensetion or raimbunementP 5) Pursuant to City Cotle 3ectlon 2-091(1), na campalgn consullant shall lobby the Ciry Commieslon �or a penod of 12 moNhs (ollowing the swearing In of any elecled oXlclal(s)fw whom the campalgn consWtanl provldetl campelgn consulling sarvlces wllhln�ha past elecllon cycle.See SecHon 2-091 for more Informallon. _Ves�[(Jo; H Id d I Itl p I t I b f h f th Cllv C I I Ithi Ih t I ti I 11( I 11 Hh t b t mbadslaflhsCltvCommiss'on' Yas No: IRJea has It been less Ihen�12 ��onlh slnce ihe alectetl oHiclalfsl whom vou orovitlatl camoalan ��. consultino aervicea wen awom InT �'. b) Pu�suant to City Catle Section 2-082(aJ�4)e., a lobbyist who has wllhin�ha past electlon cycle pmvltletl campalgn consulling �I services to an Incumbanf inember of Ihe Ciry Commission(which lobbying acHviry is nol olherrvisa prohiblted by Code seclion I 2A97) shall tlisclosa such patlicular service on hislher lo�bylst registretlon (orm and shall orallv disclose such oarticular '�, s ice be(ore I ommission a blic elin . I _Ves�fJo: HaY4 V Itl tl I I�I I t I b t h !th qlV C m I I ' Ithi h I tl I 91i I II t h I b t 6 I 1 ith CNC 'i Yes No: If ves were vou aromisetl or tlld vou recalve eronomlc consltlarallort In exchanae Ym�camoalan I� consulHna services'! �i �Y:T ' -J�I� R¢ TpBECOMPLEiEDO CITVLLERK'SSTAFFONLY AnnualReglslratlonlea�� [ �Yea[�No AmountPaidE`� MCR# DatePal ��� Lob�ylsl RaB�sVation Form receivetl antl w�ifletl by:�J" F:\QER\�iLL\eNflMS\L09BYISTfORMS\LabbybtReplatre�lonFa�mRavl�el0]dldppEp,doc Revise003(11lZ�ZO Pege 3 of 5 VI. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YEAR EACH LOBBYIST 3HALL SUBMIT TO THE OFFICE OF THE CITY CLERK A SIGNEO STATEMENT UNDER OATH LISTING LOBBYING EXPENUITURES AS WELL AS COMPENSATION RECEIVEO FOR THE PRECEOING CALENDAR YEAR WITH REGARO TO THE SPECIFIC ISSUE ON WHICH THE �OBBYIST HAS BEEN ENGAGEO TO LOBBV A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENS ON DURING THE REPORTIN PERIODJ SlgnaNre of Lob6ylst: Date /-7;7 y I tlo solemnly swear or aKrm thal all of the foregoing Fac�s, sWtemen�s, and disclosures In Ihis (orm are true and correcl, antl that I have reatl or am famlllar wRh ihe provlsions contalned In Chaptar 2,ArL VII, �Ivlslon 3, enUUed"Lobbylsts"of �he Miaml Beach Ciry Cotle a � all eporting requirements. SignaWre of LoDbylsC ���� pate /-J JY Signature of Principal: Oafe /-7-�� VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL 1 Stateof F�oR�q� Steteof Y��RW� Counryof: ���UaS CountyoE ����-s Swom to(or et�rmea)end subscribed before me, sworn to(or aPormed)and subsctlbed before me, by meens of Eri physical prasence by means of CN'physicel presence or�onlina nofatlza�ion, or O online w[arization, ihis a tlay of�ay.u��„ �2��,by this�tlay oF-��.�f y_,202�6y � � KM�� �?x\fwG �kf� S�0.L. NAME OF LOBBYIST NAME OF PRINCIPAL _Protluced ID Protluced I� � FORM Of IDENTIFlCATION fORM Of I�ENTIFlCATION /�Personally Known �Personally Known ��r-- �- `�.:-�-- �-�.-�_ � �--�- Signeture of No�ary Publlc T 1 SlgnaWre of Notery Public \ ��'�-�L�c-�. Ar�••� TOR�T �\C�c.� I�N t-oZT Name of Notary,T ped P�Intetl or S �d Name of Noiary,Typed, Printetl or Stampetl NOTARYSEA � ' r ainrwmn�NaumN�ixxarvo�+�n. ( ) �� v�iAK1A�NNiORf ( � NwnryYutUc�smmo�nMde NOTARYSEAL y' ��� M Comm.fM01res0[t1,3036 .i �°�1'�blk-splao�ilplde .n . / CamnbdmYNXil1991 ' ry,.1 MY[pnm.FvplrnhY1,1016 'Theterm"IobbyisY'sp y x u es he olowingpe�sons: � Eu+dMlMaqhNetlmtlNderyAun. Erpart wlinesses who provltle only sclentlilq technlcal or other spedallzed Informatlon or testlmony In public meetings;any pa�son who only eppears es a Yepresenletive of a nelghbnrhootl assocla�lon wlthoW compensa�lon or relmbursamen�for�he appeeranr.x,whethar Direcl,mdlract or conlingent, lo express suppori of or oppasl�ion to any item',antl any parson who only appears as a represen�alive of noblor-pmfl�community besetl orgenlzation for�he purpose of requesUng a gan�wl�hout spaclal compensatbn or relm�ursamenl for �he appeaance. Pege 4 of 5 � MI,�MI ����;� Cky of Miami Beach,V00 ConvenHon Cemer Drive,Mlaml Beoch,Florida 33199,vMw,miami6m<hll.gov OHice of Ihe Ciy Cbrk Ra(aei E.Gmnado,Ciy Clerk CiryClerk�mlami6eachfl.gov Tel:305.6737411,Fox: 305,6737254 NAME OF LOBBYIST: �utc/ J/ )q�i�� 1) LOBBYIST FEE EXPENOITURE 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 ExpendlNre and Compensetlon Statement (Statement). In addition to any other penalfies that may be imposed as provided in Section 2-485.1, a flne of $50.OD a day shall be assessed for Statements filed after lhe 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 Statemenf 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 Ihe fine has been appealed to the Miami-Dade Counly Commission on Ethics and Public Trust. I herepy acknowledge that on February 28 oi each year, I shall submit to the City Clerk a signed Statement under oath listing all Iobbyist expenditures, as well as compensation received, for the preceding calendar year wlth 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 conduded or I am no longer lobbying on that issue, I shall immediately file a Notice of Withdrawal with lhe Office of ihe City Clerk. 3) ANNUAL LOBBYI3T REGI5TRATION FEE i understantl annual registration of all lobbylsls shall be requlred for each 12-month period commendng October 1 of each year, and the fee for such annual registration shall be $500.00 pursuant to Seclion 2-482 of ihe Miami Beach City Code. �� i�-�r Sig re of Lobbyist Date FSCLEqypLLY�pqM9LLOBBVI6ifORM6LLo0bNAPepI¢4a0onPo�mPevlfotl N�ILROPE�,dae Page 5 of 5