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2024 Lobbyist Registration Form - 1535 and 1545 Collins Ave (Nancy Vu) l535 i i5ys l�ll;� Arr. � t;�IvED p � F�� �_� � � l2 2024 I? ora�e oi me cnv cie�a 1J00 ConvenAon Center Drive . �.".Pi Miami Beach Fl 33139 . . . 305fi73J41i LOBBYIST REGISTRATION FORM Lo�Oymt means all pe�sons employetl or retaineE, w�eNer paiG or nol. by a D�incpal w�o seeks lo encaurage t�e passage. tlefeal or maGiLcation o�any ortlinance, resolulion, acAon or�ension ol any commissioner any ac�ion, tlens�on, recommenda0on ot t�e Ciry Manager or any Clly Ooa�a or mmmdlee,or any a<lion,tlecison or remmmentlaLon ol any Ciry personnei during Me Lme penoC of��e entire OCcis�on-making process on sucn action, tledvon or remmmentlal�on Uialloreseea�ly wJl be M1earE or revieweC py Ne Ciry Commission.or a CiN ooarC or commiltee The lertn specifically mdutles Ine principal as well as any employee engaqeC In IobOying acUviLes. Tne lerm'Lo��yisl" �as speciLc extluvons Please refe�lo City Catle C�a0�er2, qNcle VII, Drvisian 3. enOtleO'Lo�Oyisls. foratl4iLonalinbrmalion Ins[ructions: Please com0lete all sections ol I�is b�m an�suDmR Ine completed form,wiin Ihe apDl¢aGle fee.to I�e OIM1ce of I�e Cily Oerk. It you need mare space b comple[e an answer. use a separa�e s0eet(s)of paper II you�ave nolhmg lo repotl in a patlicular sedion, you must wnle "none' or 'nla" in tnat sec0on. Any cM1ange to any mtortnalion originally M1IeQ or any aaCi4onal C�ry Commissioner or peRonnei wM10 are a'So soug�t lo Ee Iobbie0 s�all repmre IM1aI l�e Io�0yis1 file an amentlmenl to Ihe regisVation fortn The lo��y51 �as a mntimm�g tluty lo supply mfoimaLon antl amentl I�e forms tiletl I�roug0out t�e periO4 t�al [he IOE�ying oCGurs. Separale regishalion lorms s�all De requvetl breac�pnncipal RpresentM on eac�spECd¢issue. I. LOBBYIST INFORMATION: McDowell Carter NqMEOFLO�VIST ILasp (Flrsp �MiMleName� P�IzmSumberalbllPncLCIIA.:nuCSuoc]l00 Mipmi ��� ��'��'� LOBBVIST0lI51NES5NAMEANOF00RE55 �Num�erandSlreep IC�ry� �Slale� �ZIpCWeI PO51]i0.•]33 imnlii-�a LO�YISTBIISME55iELEPXONEN�MBER CELWLFRTELEPHONENl1MBER EMAILAO�RE55 II. PRINCIPAL INFORMATION: vu.Hancv NAMECfPRINCIGpL Ildsl� �fv5p (Mq4leName� RP Hoiel HOIJings.LLCcIo Pad Ho�els 8 Rea.u, Inc., I))i Tysonz�oulcvertl.)th Floar iyson Vveinie ?��(J� pRINCIPAL8U5MES5NAMENNONO0RE55 �NumO¢ran451rttp ICiry) IStalq QipCoae) �S�p 304-519 ru@okna�eisemresons<am PRINCIPALBUSMESSiELEPNONENOM9ER CELWLARTELEPMONENUMBER EMAIL/+ODRE55 PumuaM la Ory COle 5[GiOn 2�8t(L1011a) F pnntlpol ol dny Colp.'fallon.OdtlnerslliD�o!alllef enlity w110 apylMS d5 d IOWy151 pl OMdlf OI��d� enlily,v�R�wl spGcial cOmpensalwn a Mm�urs¢meM lar Ine app¢arence.xf21nN Ovect,indirttl.v wnlingMl.lo e�0��ss sup�on o�or oppos�4on b dn il¢m Yldll!lgisle!YI1i��¢CkIX as!¢aW!!0 Ey tlY5 SUEseCLon WI SM1all�pl0e!lpm2U 10 ydy dlry 29i51lalqn�MS I( the principal is a Corporation, Partnership or Trust, the following information MUST 6e provided pursuant to City Code Section 2-462�c�: . NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARV pf none,writa WA�: ThomusJ.Raliimoia.L:.Pmndem . NAME OF ALL PERSONS HOLOING,OIRECTIY OR INOIRECTLY,A 5•A OR MORE OWNERSMIP WTEREST IN SUCH CORPORATION, PARTNERSHIPOR TRUST(ilnone,wnte NIF�: Illunw�a onnenhip en!Ip 15 PorA HoteG ffi Nemr�s loc_Irode�nn NYS[a3 PI:. Page 7 at 5 �3 � III. ISSUE TO BE LOBBIED: DescAbe with as much detail as is practical, inclutling but not limited to a specific description where applicable oi a pending request for proposal, invitation to bitl, or public hearing number. Loning and Iand us'e ma[ters involving propert} lucated at Ii35 and U0� Collins 4venuc. Miami 6each, Plorida 33139 . IV. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-462(a�(4�, list [he City Commissioner or City personnel sought to be lobbied, antl whether the lobbyist has enteretl in[o any contractual relationship (paid or unpaid) with said City Commissioner or City personnel from 12 months precetling such commencement of service with the City to the presen[tlate,stating the general nature of the su6ject contrec[ual relationship. Full Name of Intlivitlual antl Contractual Relationship (If yes,explain) YE5 NO Title oF Person to be Lobbietl Members of thz City Adminislration � Cily AttomeY O(flce as Permitted X Mcmbers of the Planning Board X Mcmbers of Ihc Design Review Board X The Mayor and Cin' Commission X Pursuant to CiTy Code Section 2382(g), every registrent shall be required to state the extent of any business, financlal, 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 sought to be lobbied as identified on the lobbyist registretion form filed. List any Business. Financial, Familial or Professional Reiatlons�ip, or other relationship giving rise [o an I a earance ot im ro riet i/none,write NlA : Nanc — V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Soecific. (Note that a contingency fee is prohibited pureuant to City Code Sec. 2�485.3): 41(li0.00pee hour Page 2 ot 5 The followinB six�6)puentiona MUST Ee answeretl: 1) Pursuen[[oCiryCo0e5ectlon2J88,en�itletl'PmnibiledGarnpaignGannoi.inonsBYLoboyis[sOnProcurementivues Yes %No: Are ou lobbv no on a oresent or oentl'no b'tl ior 000Ea eouiomen[or servicea. or on a oresent or �nd'no awaM for g op�y�loment or eervice? 2) Pursuant to City Cotle Sec�on 2d90, entitletl 'Pmhibitetl Campaign ConVibutions By Lo00yisis On fteal Estata Development issues". XYes No: A 1 b�v' E' f U 1 D I t A t 'lh N CN f t' for chanae oi zon'na mm Eas'omlion orohanoe to the GiNa FUWre UnE Uce Mao? 3) Pursuan� �o Clty Code Sepion 3-0B1�h), any person (except ��ose exemp[ (rom Ihe tlefinition ol"lobbyis�" as se� fotl� In Sec�ion 2-081)w�o only appea�s as a representalive o/a noFPoo-Omfil corporation or entiry withoW s0eciat com0ensation or reimbursement for Me appearanre,w�e��er tlirect or Intlirect to express suppoR ol or opposition�o any Item, shall register wit� Ihe city cleA as requiretl by�his section.�ut shall nol be requiretl ta pay any regis[ratian(ees. Ves �lo: A C FI ilt f CN 'N t ' 1 tl relmbunemenl4 4) Pursuan[to Ciry Cotle Sec�ion 3481, Ihe teim "Io00yis1" speciM1cally exclutles Ne following persons Expetl witnesses who provide only scientlfi0.teMnical or ot�er specializetl Informatian or[eslimony In Oublic meetings;any person who only appears as a representa[ive o!a neighborhooE association wifhout compensation or reimbursement ior tne appearance,w�ether tlirect, Intlirect orcontingent,ro express su0�ort of oro00osition to any item�,antl any person w�o only appears as a representative of no4b�-profil communi�y basetl organiia�ion br IM1e purpose ol requesting a grant wii�oul special compensation or reimbursement for t�e appearanre YeexNo: Are vau orov'tl'na onlv acientl/lc tec�nical or other coeclalixetl InformaHon: aooearina as a nt tiv o( a ne'ohborhootl aesociaCon w'thout scec'al comoensa[ion or reimburaement or tl tf ft b tl I f f th / C t '[h t eoec'al comoenaalion or wimbunemenli 5) Pursuanl to City CoOe Section 3i91�1�, no campaign consullant snall lo��y�ne Ciry Commission lor a OerioO of 12 months following��e swearing in o(any elec�ed o((cial(s) for w�om�he campaign consW[anl pmvitletl <ampaign consuPong services wit�in Ihe pasi election cycle. See Seclion 2-491 br more infarmation. _Yea allo: Ha IU E I If I t b 1 D f tlie CIN C ' i w'th'n the oaalelec['on wcle9lf ves olease list the incumbent membadsl ol the CiN Cammiaalon: Yes\No: H � 't ba I N 1] th 1 lh I taE o/fi alfsl w�om vou orov'GeE camoalan coneuttino sarvicee wae ewom in4 6) Pursuanllo Ciry Cotle Seclion 2d82�a��<�a.. a lo�byist wl�a �as wi�hin Ihe paslelxlian cycle providetl cam0aign consWting serviws N an incumben[mem0er of Ihe City Commission (which lobbying adrvity is not oUierwise pm�i0itetl Oy CoOe section 2A91) shall disGose such particular service on hislbe� IODbyist regis[ra[ion form and shall oralN disclose such oatlicular b 1 r lobbv na the C N Comm ssion at a oublic meelina. YasX No: Have vou orovideE camoaian conaWtina servicas b an incumbenl member of tha CiN Commuaion 'N' t� � 1 [ I ilf I asel'sithelnwmOentmamberlslo/tM1eCINLommlaslon: _YesXNo: H E dtl E t' h f canaultina �rvicea7 ��fGvDy_ �o-CD �TV 4,TO BE COMPLETEO BV LITT LLERK S STAFF OHLY Rnnual Nplelnllon lae' I I Ya��Xo Amount Pa10 S���MCN tl 303 p Oela PiiE''J�� 3� I Lobbyl�t Rpltlntlon Fami rocalveE a 0 venfiaE Oy:�� _ RavisM 03�11/2020 Page 3 af 5 VI. SIGNATURES UNDER OATH: ON FEBRUARV 28 OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A SIGNE� STATEMENT UNDER OATH. LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED FOR THE PRECEDING CALENDAft VEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED T LOBBY A'STATEMENT SHALL BE FILED EVEN IF TMERE HAS BEEN NO EXPENDITURE OR COMPENSAT � HE REPORTING PERIOD.' �, SignaWreotLobbyisP. �'� � '� Date U��,U II?�� I tlo solemnly swear or aRirm that all of ihe foregoing fatts. statements, and disclosures in ihis form are tme antl correct antl that I have reatl or am tamiliar wi(h the pmvi5ions containetl in Chapler 2, Art. VII, Oivision 3, entitletl"Lobbyists" of �he Miami Beach Ciry COEe antl all reporting requiremen(5. SignaWre ot Lobbyise. �� `y'��� ' ' Da�e � ' Signature of Principal�. �� Date a �� /, 1 VII. NOTARY SIGNATURE AND SEAL: LOBBVIST: PRINCIPAL S�ateot Flb�c� q Stateof U�-^�f���l�A countyot ��IQm� DGc> C, countyoP. Y0.�rk9�X Swam to(or aKrmed)and subscribetl before me. Swom m(or aKrmed)antl subscribeG before me. by means of O physical presence by means of�Q physical presence or O online notarization, or�on�pe no�arization m�s�_aay or�� zo�, cy m�s?\ day or�e ,a��2od4 oy C'r;,,.+cr M� I7owP, i l N Vu � NAMEOFL089YIST NAMEOFP INCIPNL Producetl ID ProGucetl ID � FORM OF IDENTIFICATION FORM OF I�ENTIFlCATION ✓ Personally Kno �yPersonally Known ���J�,9 ,.,�,,,,,,, Signature of ary Public Signa ur ry Public „aGh(�s���aJ�jf'�'�•„ o •„ �fiYlCvinl ��c.l�-P z ChnsNna 7 Ka�^�.- ' ��' , Name of Nolary,Typed, Printed or Sta� Name of Notary,Typed Pnnle �Ia�fip2„oueii� : ��: ST't : FEG,k ry8135) ': INOTARVSEAL) :i`.M�[aoiaEsz�o,v:2? (NOTARV SEAL) y`M:•� KI�TNEPMES'JPAFS ovz&aoze �pq���j CcmmlwbnAHHt]tiiY %30'�.,. :' V; �af'+�.e` E*GlraWn�6.tOtfi s��'Yy'F...........��,`T.••� 'The term"IobbyisY'specificalty e�cludes the following persons. � �11�C��� � Expefl witnesses who pmvitle only scien[if4 technical or ol�er specialized in(orma�ion or lesllmony m poolic meetingsl any person wllo only appears as a represenWtive of a neighborhooC associatian wnhout compensa�ion or reimbursement for the appearance.whether tlirect. intlirect or contingenG ro express support of or opposition to any item�, antl any person wno only appears as a represernanve ot noblo�-profll community basatl oyanizalian for[he purpose ol reques[ing a grant wi�hout special compensa0on o�reimbu�semenl !or Itle appearance. Pa9e 4 of 5 Ciry of Miami Bea<h, I i00 Camen6on Cenie�Dm.c,M�am�6each. Fb�da 33 q9 www.m�am�beachN.gw Office of�he Ciry Clark Rolad E. Granodo. CIN Clerk ClryClerk3mlamlbeachll.go� Teh 305.673.7a1 I, Fax.305.67372i4 NAME OF LOBBYIST: Caner N. McUowcll 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 io any other penalties lhat may be imposed as provided in Section 2-485.1, a fne of $50.00 a day shall be assessed for Statements filed afler the due date. The City Clerk shall nofi(y ihe Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist (or principal) to file ihe Statement or pay the assessed fines after notification. Any lobbyist, who fails to file the required Slatement by April 30'" of each year, shall be automatically suspended from lobbying until all fnes are paid, unless ihe fine has been appealed to the Miami-Dade County Commission on Ethics and Puhlic 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 specifc issue on which I have been engaged to lobby. 2) LOBBYIST WITHDRAWAL Once an issue 1 have registeretl to lobby has concluded or I am no longer lobbying on that issue, I shall immediately file a Notice of Withdrawal with the Offce of the City Clerk. 3) ANNUAL LOBBYIST REGISTRATION FEE I understand annual registretion o(all lobbyists shall be required for each 12-month period commencing October 1 oN ach year, and the fee for such annual registration shall be $500,00 pur�yant to S,��ki�2-482 of the Miami Beach City Code. j /�� -�'� ��l ' � �� CY� �» �24 S�ynatur o Lobbyist Date �— r¢�ea�snua�oAu.suoas.u.:oeus¢oeewn v.so„ai�o,:a„�ao.�..a m.n zo aec m� Page 5 of 6 HBF City Nall 1700 Canvention Center Dr. o � � ❑ Niami Beach , FL 33139 � ; � ° a � ,�, 305-673-7420 "' °' °' '" '" b � ,� T Welcome ' � � � m i � " °- ❑ 02/22/2024 04:57PM Carmen V. i � � ° � 006762-0037 "= A a � N K MISCELLANEOUS N P � Reference 1 : MCR433038 N ' a MCR OPEN (MCR) o ,� 2024 Item: MCR < 's 1 � $350.0000 � m MCR OPEN (MCR) $350.00 D � � x -------5350.00 � Su6total i350.00 I Total i350.00 CHECK $350.00 Check Numher025688 Chan� due -------- t0.00 Paid by: BILZON SUMBERG BAENA PRICE & � AXELRDD LLP 5 '�' � � � � IINIIIIIIIIIIIIIIII�IIIIIIUIIIIMIIIIIIIVIIIIiiIIIlMlllinlllllll ' — � o ..�..,�,,,_.«.o.�y �- � I �d�:...._ �ewwm .. .�„� 'll 7 i .,�._.�.._,�.,.,.... ,�,,,, ,�. ...,,.. � � �s�� ; � Thank You tor your pavment - CUSTOMER COPY �