2024 Lobbyist Registration Form - Capital Improvements, Entertainment, Business Improvement (Andrew Resnick) - Ga? ;ao.l Sm�'�d�emenWs
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MIAMI BEACH o,��o„„e�;,y�,efk � ��� � 3 ��z4
1700 Comention Center Drive
Miami Beach, FL 33139 '�.AP,iI RFACH
305.673]411 '�' � .
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employetl or retaineq whether paid or not, by a pnncipal who seeks ro encaurage ihe passage, tlefeat or
modifcation of any oMinance, resoWtion, action or tlecision of any commissioner; any actian, Oecision, recommen0ation oi the Ciry
Manager or any Ciry boartl or committee�,ar any actioq tlecision or recommendation of any Ciry personnel tluring the time periatl of the
entire tlecision-making process on such action, tlecision or recommentlalion �hat foreseeably will be heartl or reviewed by lhe City
Commissian, ar a Ci(y boartl or cammiVee. The�ertn specifcally inclutles Ihe pnncipal as well as any employee engagetl in lobbying
ac�ivities. The�erm "LobbyisP has specifc excWsians. Please refer to City Cotle Chapter 2, ANcle VII, Oivision 3, entitletl "Labbyis(s,"
for additianal in(ortnation.
Insiructions; Please complete all sections o(this form and submit the completed form,with the applicable iee, to the�ce of ihe City
Clerk. If you neetl mare space to complete an answer, use a separate sheet(s) of paper. If you have nothing ro report in a particular
section, you must wnte "none" or "n/a" in ihat sedion. Any change to any information onginalty fled, or any atlditional Ciry
Commissioner or personnel who are also sough�to be lobbied shall require iha[the lobbyist(le an amendment to the regisiration(orm.
The lobbyist has a continuing duty to supply informa[ion antl amend the torms filetl thmughout ihe period that ihe lobbying occurs.
Separete registration forms shall be required tor each pnncipal represented an each specific issue.
I. LOBBYIST INFORMATION: `-
0
l.�e�U►rT �y L`-�5euc
NAME OF LOBBVIST (Las�J (Frsry+ (Mitltlle Name)
�21fl W R51it�Jtt7JNN t�Jc'_ �2w Y��kwt �rrtih I�L. 3313�
IOBBVIST BUSINESS NAME AN�ADORE55 (Number and Svre1) �CiryJ (State) (Zip Ccde)
�3os- �tlb — a�-� 2ofo34�38386 ji.vrr�h+�c,+W,��,Rvem&co�+.
LOBBVISTBl1SINESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILADDRE55
II. PRINCIPAL INFORMATION: (� `
QF':inlPck- 1-1v�tJ�te�J
NAME OF PRINCIPAL (Lasf) (Firs[) (Mitltlle Name)
I Z�o W �s�ot�a �'}�/e � 2,zo 1M �ws �3ei� � F=[� 3 ���j
PRINCIPAL BUSMESS NAME AN�AODRESS �Number antl Street) (City) (S[ate) (Zip Gcde)
3 oS - 9 Zb .-�48 4-
PRINCIPALBUSWESSTELEPHONENUMBEft CELWLARTELEPHONENUMBER EMAILAO�RESS
Pursuent to Gly Cotle Sadlon 2-482(h)(i)(a��. A pnnoipel o(any cnrporation, parinership, or other antiry who appears as a lobbyist on�ehelt ot thet
en�ity,wilhout special compensatlon or reimLuSemer�l for[M1e appearance,wM1elM1er tlirecl, InJirecl, or con�ingen�,lo express support M or opposition lo
an i�em sM1all register with Ihe CIeM as required by�M1is subsec[ion bW shall not be requiretl lo pay any repisValion tees.
If the principal is a Corporation, Partnership or Trust, the following information MUST 6e provided
pursuant to City Cade Section 2d82(c�:
• NAME OF CMIEF OFFICER,PARTNER,OR BENEFICIARY(If none,write N/A�: \'��'fY� �P$�J�L�
• NAME OF ALL PERSONS NOL�ING, DIRECTLV OR INDIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SULH
CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A�: N � A
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�� �
III. ISSUE TO BE LOBBIED:
Descri6e with as much detail as is practical, including but not limited to a specific description where
applica6le of a pending request for proposal, invitation to bid, or public hearing number.
�p,e��rl IvhPr�dew�e�ES
Lu'�er40iu n�w�"
f�...��uc�S �i.+Pco�nwinn,+
IV. CITY AGENCIES/INDIVIDUALS 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 contrectual 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 ContraMual Relationship(If yes, e:plain) VES NO
(�� Ti`tle`o�fI Per�sAon to 6e Lob6ied '
�n� {�L- �nVIU 1"/2�1�UL� �
IYl�pv�� 1�EW(��. I..CNYa4�ILA:ePS RL{. .. . .
... .. _ ._ . . . . _ .. . I
Pursuant to City Code Section 2-082�g�, every registrant shall be required to state the e#ent of any
business, fnancial, famiiial 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 registration form filed.
List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an
appearance of impropriety(i(none write N/A):
� � _ - _ . . . .. _.
_ . �
_ _ _ . _ .. _ _ . . _ �
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Soecific. (Note that a
contingency fee is prohibited pursuant to City Code Sec. 2�85.3):
No rdd��,rnal C�w�r��sat��aiJ
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The following six(6�questions MUST be answered:
1) Pursuant/to City Cotle Section PdBB,en�itletl'Pmhibited Campaign Contnbutions By Lobbyists On Procuremen�Issues":
_Yes "No: Are vou labbv'n t tli b'tl/ d I t �
p d tlf tl t 9
2) Pursuant to Ciry Code Section I-090, en�itletl'Prohibited Campaign Contnbmions By Lobbyis�s On Real Esta[e �evelopment
Issues"'�
_VesV No: Are vou lobbv'na on d' I' t' i D I t A t 'th�h L'N I' T
for chanae of zon na mao des anat' h t th G'N' F t L d U M 7
3) Pursuant �o City Cotle Sec�ian 2dB3�h�, any person (except �hose exempt Bom the tlafnition of "lobbyisC' as set forth in
Section 2-481j who only appears as a represen�a�ive of a no4for�mtit corporation or entity without special compensafion or
reimbursement for�he appearance,whelher tlirec�or indirect to express support of or opposition to any item,shall registerwith
lh�eyiry clefrc as required�y�his sec�ion, bW shall nol be�equired to pay any registra�ion fees.
VYes_No: Are vou reoresenfnu a na4T - ft E CN 'th t " I C
reimbunement'+
4) Pursuant to City Cotle Sec�ian 2�87, the tertn "labbyisf' specifically exclutles the fallowing persons. Expert witnesses who
pmvide only scientiTc,lechnica�or ot�er specialized infarmalion or les�imony in public meetings', any person who only appears
as a represen�a�ive of a neighborhood associa�ion withoul mmpensa[ion or reimbursement for Ihe appearance,whelher direct,
indirect or mnlingenl,to express suppart of or opposition�a any i�em;antl any person who anly appears as a representa�ive of
noFforvprof� community based organizalion !or �he purpose of requesling a granl without special compensa�ion or
reimburse ntfortheappeaance.
_Ves� Are vou orovidino onlv sc'entfc t h ' I lh ' I' d ' f f
reDresentabve of a ne ahborh tl ' C '[h 1 ' I [' ' b t
rePresenfna a n A( - !t b d ' tl f th f f t 'lh t
soenal comoensaCon or re'mburs m iT
5) Pursuant to City Cotle Sectian Y-091(7), no campaign consWlanl shall lobby the City Commission for a penod of 12 mon�hs
following the swearing in of any elected official(s)for whom [he wmpaign consultant providetl campaign consulting services
within the st eleclion cycle.See Sec�ion 2-491 (ar more infarmation.
_Ves No: Have vou orov tled c m I� t b t be i th C'ri C
within�he oast elact on cv I '+Ii I I' t th ' b t b 1 10(th C'N C
_Yes_No: tl yes. has it been less than 72 m nth th I ct d ff ' If 1 h 'tl d
consulOna services was sworn'n7
6) Pursuanl to Ciry Code Section 2d82�a)�4)a., a lobbyisl who has within�he pasl election cycle provided campaign consulting
services to an incumbent member o(the Gity Cammission (which lobbying acYvity is no�othecvise pmhibited by Code sec�ion
2-091) shal` tlisdose such parlicular service on his/her lobbyist registration iorm antl shall orallv 0'sclose s h rl I r
servi ce bef� I bb ' th CN C 1 bf C
_Ve _No: Have vou r "d d It t be [ b f M C"t C
wi�hin the oast elecFon wcle9 H I f t th ' b t b H 1 f th C't G
_Vea_No: I( yes. were vou orom'sed or d'0 v "d � h f
consulhna sery ces�
,`�I. _ . TO BE COMPlETEO B LITY CLEHK'S 5 AFF ONLY 1'�
A ua g tration fe : [ J Ves�N Amount Pa tl 5 MGR N Oate Pai�� /����
LobEyi t R g tratl Farm rewlwd E eMfl tl by�
F FF q +L�RM'"1p80YI>TFOPM �Ibys[R^�' L: mRevzc[I �3-11-EORFiAoc Revi5eE03/il/3030
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VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH VEAR EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CIN CLERK A
SIGNED STATEMENT UNOER OATH LISTING IOBBYING EXPENOITURES AS WELL AS COMPENSATION
RECEIVED. FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBVIST HAS 6EEN ENGAGED TO LOBBV. A TATEMENT SHALL BE FILE� EVEN IF THERE HAS 6EEN NO
EXPENDITURE OR COMPENSA�c_ G T EPORTING PERI00.'
Signature of LobbyisC. l� ` • Date �/ /,j �l.Q-
I do solemnly swear or aHirm [hat�a e or 9 'ng facls, statements, and disclosures in lhis form are true and correc�,
and lhat I have read or am fami i r wit4 h the prpvisi s ntained in Chapter 2. Art. VII, Division 3, entitled "Lobbyists" of
�he Miami Beach City Code and all reporti r uirem t . /
SignaWreofLobbyisC Date ! ( �3 /Z'�-
SignaNre of Principal'. Date � �3 2 �
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: / PRINCIPAL
State oi �C. State of �C..
Counry of:,M; qm i � a�C'. Counry of: �b.3.�� - �JO�Lf,
Swom to(or aKrmed)and subscribed before me, Swom to(oi aKirmed)and subscribed betore me,
by means of� physical presence by means of� physical presence
or� online notariza�ion or O online notar,iz�tipn,
this�dayof �i,�61io-n� ?pZ�by th-is�l3 tlayof Nh/� N'a4 ?pZ�py
-y� —.��� - _��
/ SO �A Ci�� l�'e �
NAMEOFL BYIST� �� N/9ME � IN�AL C ��
JProduced ID�`�v�S � iCRn Q, V Produced IDJ��i�f��s r;(�,(.�.Q,
FORM OF IDENTIRCATION FORM OF I�ENTIRCATION
_Perso�own _Pyyers��onally Known
SigriaTure of f�o(ary Public Signat�ary Public
�v�� �crc4ve2� ,�v :� ��VP�2-.
Name of Notary, Typed, Printed ar Stamped Name of Notary, Typed, Printed or��$famp�y
(NOTARY SEAL) ",�"„DAVID`"�•.. , ,r'��pMARO(%�'ww,�"+�,
� , MqR�.,, (NOTARY SEAL) ,. O:�rpY PUB(/p�.. *s
�•`��,.:'� NOL/�/MY,p:OG;� ..20 .
G _,'�,` , '
' The term "IabbyisP'specitically INd�Q�ving p�T�on� _ � �`�'Y IR�S 4�i 2o'n fi
• S S : ' � `�. EYP e 1..
Expert witnesses who provitle o � hfic tecl�� r othe specialized information or testimony in �F�lio,rpj♦¢lings an��µ���g ho
•� .w.w+��
only appeare as a representative � hborhood socia n without mmpensalion ar reimbursemerft (hq.�gQ#�T iher
direct, intlirect or contingent, ro ex er cmpo ion lo any ilem; antl any person who only ap'�"' ' � live of
noPfor-pmfit communi[y based orga � �` e of requesling a granl without special compensatiTln semenl tor
[he appearanw. 'wy.� HH
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�`'.�� ���°.' � �
Cih of Miami eeoah, 1]00 Come��ion Cenrer Dri�e,Mlomi Bea<h, Fbrido 33139,www.miam�beochfl.gov
OHice ofihe Ciy Clerk
Rafael E Granodo, Ciy Clerk CityClerk@miomibeachfl gov
Teb. 305.673741I, Fox: 305.6737254
NAME OF LOBBYIST: ” � C. �� ��,5��}
1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
Pursuant to City Code Sec[ion 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 fled 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 notifcation.
Any lobbyist, who fails to fle the required Statement by April 30'h of each year, shall be
au[omatically 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 specifc 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 file a Notice of Withdrawal with the Offce of the City Clerk.
3) ANNUAL LOBBYIST REGISTRATION FEE
I understand annual registration of all lobbyists shall be required tor each 12-month period
commencing October 1 o c ear, and the fee for such annual registration shall be
$500.00 pursuant to e ion -482 of the Miami Beach City Code.
< I /�3 ' Z4-
Signature Lobbyist Date
r�c�erasa��aroame��oeensr Foamsaoeern�e�•�,a�io�Fa,m rum:m w-i i-rzo aEo ea�
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