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2024 Lobbyist Registration Form - 1657 Michigan Ave (Brian Toll) I �s� r'1,��,�ar, ,��. ' DocuSiqn Envelopel�-.901]]B0�-F309�A3]A-803�-ESF4A282AJ30 :'��':t.:F i v:":i..". " . � BEACH ^°o� '-; '°'" Offce of the Cily Clerk 1700 Convention Center Drive � � Miami Beach, FL 33139 � 305.6737411 LOBBYIST REGISTRATION FORM Lobbyist means all persons employetl or retained, whether paitl or not, by a principal who seeks to encourage lhe passa9e, defeat or modifcation of any ortlinance, resoN�ion, action or decision of any commissianer; any ac�ion, decisioq recommendation of Ihe City Manager or any City board or committee;or any action,decision or recommendalion of any City personnel tlunng Ihe time periotl of�he entire decision-making pmcess on such action, decision or recommentlation ihat foreseeably will be heard or reviewetl by ihe City commission, or a City boartl or commiHee. The tertn specificalry inclutles ihe principal as well as any employee engagetl in lobbying ac�ivities. The term"Lobbyis�s"has specifc excWsions. Please refer�o City Code Chap�er 2,Article Vll, Division 3, entilled "Labbyis[s," for atltlitional information. Instmclions: Please comple�e all sec�ions af�his fortn antl submit the comple�ed form,wi�h the applicable fee,to�he�ce of lhe Ci�y Clerk. If you neetl more space to complele an answer, use a separate shee�(s)of paper. If you have nothing lo report in a particular section, you must wn�e "none" or "Na" in �hat section. Any change to any iniormatian onginalty filetl, or any adtlitional City Commissioner or personnel who are also sought to be lobbietl shall require Iha��he lobbyist fle an amentlmen�to the regis(ration form. The lobbyist has a continuing dury to supply information and amend ihe forms �letl throughout ihe period ihat ihe Io�Eying occurs. Separa�e regis�2tion forms shall be required far each pnnopal represenled on each specific issue. I. LOBBYIST INFORMATION: Toll Brian NAMEOFLOBBYIST (Las�) (Flrsp (MldEleName) The Hwood Group, LLC 9229 Sunset Blvd.,Suite 900 West Holtywood CA 90069 LOBBYISTBUSINESSNAMEANDADORE55 (NumberantlSVeep �Ciry) (S�ate) (ZipCotle) (310) 859-1011 brian@hwoodgro�p.com LOBBYISTBUSMESSTELEPHONENUMBER CELWLARTELEPHONENl1MBER EMAILAODRE55 II. PRINCIPAL INFORMATION: Toll Brian NAME OF PRINGIPAL (Lasl) (First) (Mltltlle Name) The Hwood GrouR LLC 9229 Sunset Blvd.,Suite 900 West Hollvwood CA 90069 PRINGIPALBUSMESSNAMEAN�AODRESS (Numbe�antlS�reel) (Qty) (Slate) (ZlpCotle) (310)859-1011 brian�hwooderoun.com PRINCIPALBUSMESSTELEPHONENUM6ER CELLULARTELEPHONENUMBER EMAILA�DRESS PuSuan�to Ci�y Code Sec�ion 2-082(h�(1�(a): A principal of any mrpore�ion, paMersM1ip, or o�M1er en0y who appears as a lobbyis�on �ehalf ot�hat en�iry,wi�hou�special compensa�ion or reimbursemen�for�be appearance,whether tlirec[,intlirect,a contingent,lo express suppotl of or oOPosition�o an i�em shall regis�er witM1�he QeA as reQuiretl by�his subsedion but shall ra��e requiretl ro pay any regisVation tees. � If the principal is a Corporalion, Partnership or Trust, the following information MUST be provided pursuant to City Code Section 2-462(c�: NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write NIA): Biian Toll ` NAME OF ALL PERSONS HOLDING, DIRECTLV OR INUIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(if none,wrife N/A): PledSe Sfe the attaChed. Page 1 af 5 �� o ,,,�o �o�:�E, _�s=�.,,o � � �9„0�= �iii��r��iiii I �seoerazmseo DocuSign Envelopel�:9D1]]80]-F309-03]A-803PE5F4A262A430 III. ISSUE TO BE LOBBIED: Describe with as much detail as is prectical, including but not limited to a specific description where applicable of a pending request for proposal, invitation to bid, or public hearing number. Development Approvals& Permitting Issues, including but not limited to the Historic Preservation Board, Design Review Board, Planning Boaid, Board of Adjustment, Land Use Development,City Commission, and any City Workshops or Committecs, if necessary, relaHng to the property located at 1657 Michigan Avenue in Miami Beach, Fbrida. IV. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(a)(4), list the City Commissioner or City persannel 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 72 months preceding such commencement af service with the City to the present date, stating the general nature of the subject contractual relationship. Full Name of Individual and Contraaual Relationship(If yes, explain) YES No 7itle of Person to be Lobbied Staff for the Planning & Building Department None X Public Works &City AdministraHon,PB, HP$BO None X DRB,City Commissiory and Mayor as necessary None X Land Use&SustainabiG Committee None X Pursuant to City Code Section 2-462(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 Commissianer or City personnel who is sought to be lobbied as identiFed on the lobbyist registration form filed. � List any Business, Financial, Familial or Pmfessional Relationship, or other relationship giving rise to an - a earance of im ro rie if none,writa N/A : None 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�: , $ 0 .00 per hour Page 2 of 5 .— » .--- --.. , .--.. �o � ,y c ery-csao-�de a czcsao vaae�o�a ueoecazcneo ,III��'llll Docu5lgn EnvelopelD'.9�1]l80]-F309J3]A-8031-ESF6A2B2H430 The tollowing six(6)questions MUST be answeretl: i) Pursuant lo City Code Section]d88,entitletl'Pmhibited Campaign Coniributions By Lobbyisis On Procurement Issues": Ves x No: A I bb ' t d' b'd f d 'o t 'ces or on a sent or p d tl f n tl 'o t rv'ce7 2) Pursuant ta City Cotle Section 2-490, entitled "Prohibited Campaign Coniributions By Lobbyisis On Real Estate Development Issues": Yes x No: A v I bb ' ce tl' I' f f D I o t A t "th th C'N ool' f n f h q ( d F n r chanae to ihe C'N§Future Lantl Use Mao7 3) Pursuant to City Code Sec�ion 2d8P�h�, any person (except those exempt from Ihe tlefinition o( "IoDbyisY' as set fotlh in Section 2-681)who only appears as a representa�ive of a noFfor-profit corporation or entiry withaut s0ecial compensation or reimbursemen�for the appearance,whether direct or intlirect to express support of or opposition to any item,shall registerwi[h the city clerk as required by ihis section,bW shall not be required to pay any registralion fees. VesXNo: A o t' li p ft oo Y t'N �th t p ' I ce ti reimbursement? 4) Pursuanl lo City Code Seclion P�481. ihe tertn "IobbyisP' specifcally exclutles Ihe following persons�. ExOert wilnesses who provitle anly scientific,�echnical or other specialized information or testimony in public meetings�, any person who only appears as a representative o(a neighborhood association without compensa�ion or reimbursement for the appearance,whether direct, indirect or contingent,to express support of or opposition to any item', antl any person w�o only appears as a representetive o( no4for-profit communiry based organization (or the purpose of requesting a gant without special compensation or reimbursement for ihe appearance. VesxNo: A 'd' o I ' nt'fc techn'cal or other soec'al'zetl infomiation: aooearino as a p t ti ! 'nhb a d c' t 'lh t 'al como ti n or reimbursement or p [' q tf ft b tl ' C f ih of reo C rant withoul soec'al comcensation or reimbursemen[7 5) Pursuant to City Code Section 2-491�1�, no campaign consultant shall lobby Ihe Ciry Commission for a penod of 12 months following the sweanng in of any elected oHcial(s)for whom the campaign consWtant pmvided campaign consulting services within the past election cycle. See Section 2-491 for more infortnalion. Yes xNa: H v �d d o � � nsult nn serv'ces to an 'ncumbent member o(ihe CiN Commission "[h' th p t I f I 7 H V 1 f t ih ' b nt member(sl of the C'N Comm'ss'on: Ves x No: F�a= h It b I than 72 months s'nce the electetl officiallsl whom vou orovided campaian consultino serviees was sworn in7 6) Pursuant ro City Cotle Sec[ion 2<82�a�(4�a., a lobbyist who has within ihe pasl election cycle provitletl campaign consulting services to an incumbent member of the Ciry Commission(which lobbying activity is no�otherwise prohibitetl by Cotle section 2-491) shall tlisclose such particular service on hisl�er lobbyist registrelion form and shall orallv disclose such oarticular b f I bb ' th CN Co al bl f Ves x No: H 'd tl IC rv'ces to an 'ncumbent member of the CiN Commission lh' th t I ti v I �Ii I f t th 'n mbent membeNsl of the C'N Commission: VesxNo: If ' d d'tl rece've econom'c cons'dereton in eachanne for camoaian consultina services? TO BE COMPLETED BY QTY CLERK'S ST.AFIF ONLY AnnualReglstrationfee: [ ]YesWNo AmounlPaltlf_�_MCRM N�� a[ePaitl 7� �'1 . � c--�� ;� L � � Lobbyist Registratlon Form receivetl anE veri(etl by 1 � . � �L1 f cJd b. � �ea� A�crrourv+s' oeerc5rroamSLLabn �s�a. isime�onvormaev��eeo 05-xa-ieaec.aac FevlseA09/20/2018 .. Page 3 of 5 ro�.r — pp��pp{�� 0 V fi1y10 d66F9-GSBO�OE 9Y6P-StlOBGntGi98� pege]o(5 35BOBCP2C]9N0 ��g{�pQ�� DocuSign EnvelopelD:9�1]]90]-F309-<3)A-8031-ESF4A2B2A430 VI. SIGNATURES UNDER OATH: ON FEBRUARV 28 OF EACH VEAR EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A SIGNED STATEMENT UNDER OATH LISTING LOBBVING EXPENDITURES. AS WELL AS COMPENSATION RECEIVED FOR THE PftECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICM TME LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.' 4/30/2024 SignaWreafLobbyisC __��os _ _ ._ Date __ I do solemnly swear or affrm that all of lhe(oregoing fac�s, stalemenls, and disclosures in this form are true and correct, and thal I have read or am familiar with the provisions contained in Chapler 2, Art. VII, Divisian 3, entitled "Lobbyists" of the Miami Beach City Code and all reporlin ��Q�i��yr,�ents. 4�30�ZoZ4 Signature of Lobbyist . YIpL�, u. _ Oate __ . __ ecesceaeeam.os q�gp�Zpzq Signature of Principal: �'1aLi. �((. . ___ . Date ._ . eca,oeeee.macs VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Plorida State of Floxida Counry of: Miami-Dade County of: Miami-Dade Swom to(or affrmed)and subscribed before me, Swom to(or affrmed)and subscribed before me, by means of� physical presence by means of 0 physical presence or� online notarization, or�online notarization, this Z day of May 20z4, by this Z day of MaY 2024, by Brian Toll Brian Toll NAME OF LOBBYIST NAME OF PRINCIPAL Praduced ID ._. _Produced ID � FORM FORM x Personally Known /l.4]A... _ i� X Personally Known A.!']A... _ � — N.�....,..� N�o�.��...�. `._...,...._.:.. �...:............. Signature of Nolary Public Signature of Nolary Public - Betty Llerena Betry Llerena - Name o(Natary,T e , r n o t � e Name of Notary, T ed Printed or Stamped BeHy Llerena Betty Llerena (NOTARV SEAy Commisslon p HM Y21018 OTARV SEAL Commission#HH 2Y1018 Notary Public-S�ale of Floriea Notary Public-State ot Flontla My Commission Expires Mar O5,2026 My Commission Expires Mar05,2026 ;, ' iheterm..labbYisC'sPe .. . . . ..,.�_ __ ..,.........:.. ,w...._ Expert witnesses who provide only scientific,�echnical or other specializetl information or testimony in public meetings; any person who only appears as a representa�ive of a neighborhootl association without compensation or reimbursemen�for ihe appearance, whelher tlirect, indirec�or contingent, to express support of or opposition to any item', antl any person who only appears as a represen�ative of nobfor-pmft community basetl organization for the purpose of reques�ing a grant without speaal compensation or reimbursement for ihe appearance. Page 4 of 5 � ve � c ,z. , e.:.r:�, .. .. . . . . .._ .. . . .. . �[y�t�ppp�� iL�3'0 Pege<NS 0.500BfJQQ98D ��gy,�`{�� ocuSign Envelapel0'.9�1'l1801-F309-03�A-803]-ESP4A2B2A430 Ciry of Miami Beaah, 1100 Camemion Cemer Drive,Mlami Beoch, Fbrida 33139,www.miamibeachFl.go. Ol{9ce of the Ciy Clerk Ra(ael E. Gronado, Cly Clerk CiyClark@miomibea<hfLgov Tel�. 305.6737411, Fax: 305.6737254 NAME OF LOBBYIST: Brian Toll 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 Sec[ion 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 fle lhe 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 [he City Clerk a signed Statement under oath listing all lobbyist expenditures, as well as compensation received, for the preceding calendar year with regard to ihe 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 undersland 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. o sy aey. 4/30/2024 _ ��^� - Signature of Lobbyist Date F\0.ER�5ALUeGORMS\LOBBVISi FOFMSLLoO�yls1 RegI54a4on Foim RevlseJ 031I¢0 REG aoc Page 5 oi 5 �,�v�o �.ao�oE c4�� . . va9esms sseoeu�cvsao ��6:2�E`-c�� pocu5ign Emelope I��.3408BA05-1DCSABF4-866109C064AFS8P8 EXXI8IT C Disclosure of Interest "The HWood Group LLC" he HWood Group, LLC ddress: 'Marenwood Business Trust 3.60% ohn Terzian 14.97% 229 Sunset Blvd., Suite 900, West Holl ood, CA 90069 Brian Toll 14.97% 229 Sunset Blvd., Sui[e 900, West Hollywood, CA 90069 MffC Hospitality, LLC .67% 2406 W 9 Street, Austin,TX 78703 Remainder under 5% interes[s Marenwood Business Trust ddress: 6008 Mountainclimb Drive, Austin Texas, 78371 rust Beneficiary: Paul Godinez 100% 6008 Mountaindimb Drive, Austin Texas, 78371 MIFC Hospitality, lLC ddress: 2406 W 9 Street Austin, TX 78703 Donald Park 100% 2406 W 9 StreeL Aus[iq TX 78703 � ..,,iNfo , -z=es�_a a �<-.a ..,. . _ Paseiamia iaxamewFau ,III��F.S'L+1IIII ■