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2024 Lobbyist Registration Form - VCA (Aleksandar Stojanovic) _.._ Vc_A RECEN�D ,�vil/�MI BEACH OKceaflheCiryClerk ��N 08 ��24 1700 Canven�ian Center Drive MIamI Beach, FL 33139 UI I Y OF MIAMI BEACH 305.6737411 � � �'��P i'-;.- CiT�Cl_ERK LOBBYIST REGISTRATION FORM Lobbyis� means all persons employed or re�aineq whether paid or no�, by a pnncipal who seeks to encouage the passage, de(eat or motlifra�ion ot any ordinance, resolution, action or tlecision o(any mmmissioner; any actian, tlecision, remmmentlation of the City Manager ar any Ciry board or commillee',or any aclion,decision or recommentlation of any City personnel tluring the time periotl of Ihe entire tlecisiao-making process on such ac(ion, decision or recommentla�ion �hat foreseeably will be heard or reviewed by lhe City Commission, ar a City boartl or commitlee. The lenn specifcally inGudes the pnncipal as weil as any employee engaged in lobbying aclivities. The�erm "LobbyisC' has specifc exclusions. Please refer to Ciry Cotle Chapter 2, Article VII, Division 3, enli�etl "�abbyists," for atltlitional infortnatian. Instructions: Please complete all sedions of this brtn anC submit ihe completed form, with ihe applicable fee, ro the�ce af t�e Ciry Clerk. If yau need more space to complete an answer, use a separate sheet(s) of paper. If you have nothing to report in a particular section, you must wnte "none" or "n/a" in that seIXion. Any change to any information originalty fled, or any additional Ci�y Commissioner or personnel who are also sought[o be lobbietl shall require ihat[he lobbyist fle an amentlmenl lo ihe regislretion form. The lobbyist has a cantinuing dury to supply inlormation and amentl the forms filed �hroughaut ihe period ihat Me lobbyin9 occurs. Separate registration fortns shall be requiretl for each principal representetl on each specifc issue. I. LOBBYIST INFORMATION: A ��'JANO V � �' T����-s('f1JQkR-- NAME OF LOBBNIST (Last) (Firsp 1 (Mltltlle Name) �VY`1�5�'1�ON \I��DJCh��S I(7 � �f/��DUG �IJ � I,f �°( �7tL LOBBVISTBUSINESSNAMEANDADORESS (NumbeiantlSVeet) (Clty) (Sta�e) (2ipCoEe) ����� 3�S `P`�� `�GI (d SK�,G��I�YK�S�1�•.'1.�• CrJM LOBBVISTBUSMESSTELEPHONENUMBER CELWIARTELEPHONENt1MBER EMAILA��RESS II. PRINCIPAL INFORMATION: S+c�L�% {K {�1"si�J e NAME OF PRINCIPAL (Lasl) (Firsp (Mltltlle Name) PRINCIPALBUSWESSNAMEAN�A�ORESS (Numbe�and5tree�) (Ciry) (State) (ZipCade) PRINCIPPLBUSMESSTELEPHONENUMBER CELWLARTELEPMONENUMBER EMAILADDRESS Pursuant to Cily Gotle Section 2-082(h�(1�(a�'. A pnncipal of any roryoration, partne�5hip, or o�her enliry who appears as a lobbyist on beM1alf o(Ihat en�iry,wi1FoW special compensation or reimbursemenl for t�e appearance,w�elber tlired, In�lred, or wntingenp�o express suppotl of or opposiUon to an item shall reqister with the CIeA as requireJ by ihis subsection pul shall not be reQuiretl�o pay any registretion fees. If the principal is a Corporetion, Partnership or Trust, the following information MUST be provided pursuant to City Code Section 2d82(c�: • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARV(if none,write N/A�: Rl.�.cqv�l`1� S i�+���C • NAME OF ALL PERSONS HOIDING, DIRECTLV OR IN�IRECTLV,A SY OR MORE OWNERSHIP IN7ERE5T IN SUCH CORPORATION, PARTNERSHIP OR TRUST(iT none,wnte NIA�: ���5'�C�'�"�l ��0(�"Il J 1 L Page 1 of 5 '�3 `�� III. ISSUE TO BE LOBBIED: Describe with as much detail as is prectical, including 6ut not limited to a specific description where applicable of a pending request for proposal, invitation to bid, or public hearing number. G �us -��- ���� s��� v��� 2� zy IV. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-082(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 ta the present date, stating the general nature of the subject contractual relationship. Full Name of Intlividual antl Contractual Relationship (If yes, ezplain) VES NO Title of Person to be Lobbied � - v � Pursuant to City Code Section 2-482(g), every registrant shall be required to state the e�Rent of any business, financial, familial or professional relationship, ar 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 registration form filed. List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an a earance of impropriety(if none write N/A): - 7 � .. ____ ..~i V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Sqecific. (Note that a contingency Tee is prohibited pursuant to City Code Sec. 2�85.3): NJ � Page 2 of 5 ' The following six(6)questions MUST be answered: 1) Pursuant lo Cily Code Section 2�88,en�i�letl"Pmhibited Campaign Contnbutions By Lobbyists On Procuremen�Issues": _Yes�No: Are vou lobbv'n n t d' b'd! tl t � plllAl�o dwdlA}O�a00tl5 ecu'oment or serv' 7 2) Pursuan�to City Code Sec6on 2-090, enti0etl 'Pmhibited Campaign ConMbutions By Lobbyists On Real Es�ate Oevelopmen[ Issues'. _Ves�410: Are vou I bb ' d' f f f D I t A t 'th[h CN I' i for chanae o!zonina mao des"onat on or ch a t th C'h' F t L d U M � 3) Pursuan� to City Code Section 2�482(h), any persan (except Ihose ezempt from Ihe definilion of "lobbyisf as se� forlh in Section 2<Bt)wha only appears as a represenGtive of a no4forvprofd caryoralion or en�iry without special wmpensation or reimbursemeM for the appearance,whe�her tlirecl or intlirect�o ezpress support a(or opposi�ian�a any i�em,shall regis�er with �he city clerk as required by this section,but shall no�be requiretl to pay any regist2fion Fees. _Ves�fJo: Are va � [' t-f - ft C EN 'th t ' I C reimbursement? 4) Pursuant to Ciry Cotle Section 2�87, the term "IobbyisC' specificalry exclutles the following persons Expert witnesses who pmvide only scien�ifc,�echnical or other specialized information or�estimony in public meetings;any person who only appears as a represen�ative o(a neighborhood associa�ion withoul compensalion or reimbursement for Ihe appearance,whether direct, inCirect or contingenl,to express suppaM1 o(or opposition ta any i�em; antl any person who only appears as a represenlative of noFtor-proFl� communiry basetl organiialion for �he purpose o( reques�ing a granl wi�hout special compensa�ion or reimbursemen�for the appearence. _Ves�No: Are vou orovidina onlv sc'ent'Tc techn'c I lh ' I' d ' f t reDresentative of a ne'ahborhood as ' C '[h t ' I C ' b t �resenfna a no4(or- �oft b d ' G ( th ! f t 'th t acecial comcensation ar re'mbursement9 5) Pursuant to Ciry Code Section 2<97(7), na campaign consulcant shall lobby�he City Commission for a penod of 12 months following the sweanng in of any elected oNcial�s)for whom the campaign cansulWnt provided campaign consulting services within the pas�election rycle.See Sedion 2-091 (or more informa�ion. _Ves`�la: Have vau r v'd d IC � b¢ p b f�h Ct C withmthe t I t' I '+I/ pl f lth ' b t bel 1 fth C'rvC _Yes�No: If yes, has i� been less than 12 months since th I c[ d R ' II 1 h 'd tl consulhna services was sworn'n� 6) Pursuant�a City Code Section T<82(a)(A�a., a lobbyis[who has within the past elec�ion cycle provided campaign consulting services lo an incumbenl member of�he City Commission (which lobbying acfiviry is not a�herwise pmhibi�etl by Cade seclion 2-491) shall tlisclose such particular service on his/her lobbyisl regis�2tion fortn antl shall orallv d'stlose such rt I servi b t i bb - th CN C t bf f _Yes�lo: Nave o o �d d if t b t b T th C'N C within the oast elecfan cv I �It v pl I' t th ' b t b 1 1 f th C'h C _Ves�No: If yes. were vou orom'sed or dd vou r 'd t h f consultinn services� _ TO BE GOMPLETED BYCITY CLERK'S STAFF ONLY An ualftegis[rationtee [ JVea�No Am untPaidS��jMGRA` ��/v DaleValtl t/8/�L`7 I Fobby [RegistatlanFarmreceivetl tl mfieEby: R l�GlfbO✓1 QEF,SAL�eFORM.�1089VISTFJRM I I � -(RegC[ G Fom�0.evlsxtl �3-t1-20REG.tluc RBVISld03/11/2020 Page 7 of 5 VI. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YEAR EACH L088YI5T SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A SIGNED STATEMENT UNDER OATH LISTING LOBBVING E%PENDITURES AS WELL AS COMPENSATION RECEIVED. FOR THE PRECEDING CALENDAR VEAR WITH REGARO TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGE� TO LOBBY. A STATEMENT SHALL BE FILE� EVEN IF THERE HAS 6EEN NO EXPENDITURE OR COMPENSATION DU NG TH REPORTING PERIOD.' ` SignaWre of Lobbyist _ Date ) I� I Z_I I do solemnly swear or affirm that all of Ihe foregoing fac(s, sla[ements, and disclosures in lhis form are lme and correcl, and that I have read or am familiar with the pr isions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of Ihe Miami Beach City Code and eporting re ir ent Signature of Lobhyist /-� � Oate I I � I z y Signature of Principal: ( � _ Dale ,�� � ZT� VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL Stateof �(;YIf�Cy StateoT �(l(\ (�Cl cou�iyar: �,ic�vrl�-Ona�.i co��ryor: �IAY�'h-l�—�� Swom to(or aRirmed)and subscrihed before me, Swom to(or affrmed)and subscribed before me, by means of�physical presence by means of�physical presence or O online notariza�ion, or O online notarizalian, Ihis� dayof �(�yW�_2��4by this B dayof �Y��1f1YU 20�}�hy T— , 1� I e�<�iv�rh� "�io�n.hov,c �}�� I(Sanr.�ctr S�n�n r,vt� AAME OF LOBBVIST qME OF PRINCIPAL —� �Produced ID � }���JQ,�' �1� P 11�e. K Produced ID ,1J��VLr LI �QV�SQ FORM OP I�ENTIFICATION FORM OF IOENTIFICATION _Perso�D _Personally Known SignaWYe of N/o�tary P blic Si na[ure of Not ry Public � u�� l'lv��l�2� L��1 v'�-�- Name of otary, Typed, Printed or Stamped Name of tary, Typed, Printed ar Stamped (NOTARV SEAL) (NOTARY SEAL) '+ 54Y11G1111ERRF1 f• ��E �,ry�pyy�$$IpNNHx16W8 ' The term "lob i`���� �� .� al IGUTIERRFZ � p�g;ppoCYrtl.30Yi ��I�IY�PXPI� ons�. �p¢� 10Y7 Expert witnesse ' ��itle o���cEe n ifc. tech � her specialized infarmation or tes�imony in public meetings�.. any person who only appears as �' oo associa�ion wi�hoN compensation or reimbursemen�far the appearance, whether tlirect. intlirect or cantingen[, to express support o(or opposition to any item; and any person wha only appears as a represen�abve of noF(ar-pmft communiry based organization for [he purpose of requesling a grant wilhout special compensalion ar reimbursement for the appearance. Page 4 of 5 ,`, �; � /�, ,,-. i� d d., l Ci�y oF Miomi Beoch, 1]00 Co�.emian Cemer Dri�e,Mlaml Beoch, Fbrido 33139,www.mlamlbeachH.go� Offlce of rhe Oy Clerk Rafael E Gmnado, Ciy Clerk CiyClerk@miamibeachfl.gov Tel: 305.6737411, Fox�. 305.6737254 NAME OF LOBBYIST. ���SR N D{�ll, �� �pCf`�a �f C 1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT Pursuant to City Code Section 2-485(d), the City Clerk shall notify any lobhyist (or principal)who fails to fle 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 faiWre of a lobbyist (or principal) to file the Statement or pay the assessed fines after notifiration. 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 LOBBVIST REGISTRATION FEE I understand annual registration of all lobbyists shall be required for each 12-month period commencing Octob 1 of ea h year, and the fee for such annual registration shall be $50 00 pursuant tc S c 'on 2 82 of the Miami Beach City Code. Signature of Lobbyist Date � �� � Z / r��aeminumeoRmsnaea.rsrwrems�aeer�na�g�,wn�ro,mAe.� m_nscaeaaa� Page 5 ot 5 ucy ot miami ueacn Lobbyist Fee Expenditure and Compensation Statement City Code Section 2-485 k�itGEfVtD iAN 082024 Expenditure report forthe period of: � � �2.3 through ,Z 3I Z� l:F�iY UF A41AMI BEACH A statement shall 6e filed even if there have been no expenditures ar compensation during the rcp��nPperibd:���� '���� ��� This statement is[o be signed, notarized and returned to the City of Miami Beach,City Clerk's Office, 1700 Convention Center Drive, Miami Beach, FL 33139 by February 28th.A fine of$50.00 per day, per issue,shall be assessed for statements filed after the due date. If you require any assistance,please contact this office at 305.673.7411 or at citvclerk(dmiamibeachfl.zov. Lobbyist �t�l�S{tNg{��2 S�'� JA�o �J � G .- Principa) ��N��-S�1�aN '�'20�PJC�`� S �R14�-SflW �rM SI�J���`G) I Issue PLEASE COMPLETE THE SERION BELOW Detail Campensation Received: � ��( [ATEGORIES OF EXPENDITURES Food and Beverage: 4' Entertainment: � Research: (p 7 Communication:� Media Advertising: _ Puhlications: Travel: Lodging SpecialEvents: � CHECK BOX IF VOU NO LONGER REPRESENTTHE PRINCIPAL FORTHE ABOVE ISSUE DATE REPRESEN7ATION ENDED: I�.1�� � 7 Z ��� OATH State of Florida, County of Miami-Dade I,the undersigned lobbyist do here6y depose under oath and affirm that the information di losed herei n any ttachment hereto are true and correct. Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: /� �ProducedlD�\V2Y LICP�IS� ��fb} ��� � ���`-� MY fAAtltl8610N t MH 15Ata Fo.m onde�er��ae�o� �atiy�� � Signa[ure of Public Notary-State of Florida Personally known Sworn[o and subscribed before me This�day of�QY1 .203�F