2024 Lobbyist Registration Form - 350 Lincoln RD (Nicole Thompson-Floyd) � 3� L, r,cdl�, ,C�. �
, ,,: C� ivt-«
MIAMI BEACH off;�eo„he��,y�,e�k �B 122oZ4
1700 Convention Center Drive
Miami Beach, FL 33139 ' � � � -�� � �
305.6737411 � � ��
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employetl or retaineQ whether paitl or not, by a principal who seeks to encourage Ihe passage, tlefea�or
modification of any ordinance, resoWtian, action or decision of any commissioner, any action, decision, recommendation of the City
Manager or any City boartl or committee:or any action,decision or recommentlation of any City personnel tluring Ihe time periotl of Ihe
entire decision-making process on such action, decision or recommendation ihat foreseeably will be heard or reviewed by the City
Commission, or a Ciry boartl or commitlee. The term specificalty includes the principal as well as any employee engagetl in lobbying
ac�ivilies. The term "LobbyisP'has specifc enclusions. Please reter to City Code Chap�er 2, Artide VII, Division 3, en�i�led "Lobbyis�s,"
(or atltlitional informa�ion.
Instmctions: Please complete all sections of ihis form and submit the completed form,with ihe applicable fee, to the Office of ihe Ciry
Clerk. If you need more space to complele an answer, use a separate shee[(s)of paper. If you have nolhing to report in a particular
section, you must write "none" or "nla" in ihat seclioa Any change to any in(ormation originalty fletl, or any atltli�ional Ciry
Commissioner or personnel who are also sought to be lobbietl shall require ihat ihe lobbyist file an amentlment to�he registration form.
The lobbyist has a continuing tluty to suppry information antl amentl the forms filetl throughwt Ihe penod Ihat the lobbying occurs.
Separate regisiration forms shall be required for each principal represented on each specifc issue.
I. LOBBYIST INFORMATION:
Thomas Chris
NAMEOFLOBBVIST (Lasl) (Frsl) (MlddleName)
Atlas Sign Industries, LLC 1077 Wes� Blue Heron Blvd wes� Paim eea�n FL 33404
LOBBVIST BUSMESS NAME AND AODRE55 (Number entl Sheet) (Giry) (Sta[e) (Zip Catle)
561 863 6659 x1505 � chris.t@atlasbtw.com
LOBBVISTBUSWESSTELEPHONENUMBER GELLULARTELEPHONENUMBER EMAILADDRE55
II. PRINCIPAL INFORMATION:
Thompson-Floyd Nicole
NAMEOFPRWCIPAL (Last) (Flrst) (MitltlleName)
TD Bank Two Portland Square Portland ME 04112
PRINCIPALBUSMESSNAMEANOA�DRESS (Num�eran�SUee�) (Ci�y) (Slele) (ZlpCode)
813-335-5043 Nicoie.rnompsoo-F�oyd@td.com
PRINGIPALBUSWESSTELEPHONENIIMBER CELWLARTELEPHONENUMBER EMAILADDRE55
Pursuant[o City Cotle Section 2482(h)(1)(a): A pnncipal of any mrporation, patlners�ip,ar olher entiry who appears as a lobbyist on behal(of�ha�
entiry,witFout spacial wmpensaTion or raimbursement for iha appearance,whetM1er tlirect, Intlirect,or contingenp to express support ot or opposition to
an i[em shall register wAh Ihe CIeM as requiretl by ihis suCsection bu�shall not be requiretl to pay any regisUation fees.
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2-482(c):
. NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARV(if none,wril¢NIA�: N�A
. NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLV,A Sh OR MORE OWNERSHIP INTEREST IN SUCM
CORPORATION, PARTNERSHIP OR TRUST(ii none,write N/A�: P�b�IC�Y tfBdBd CORIP3flY NYSE:T�
Page 1 of 5
�J ✓
III. ISSUE TO BE LOBBIED:
Describe with as much detail as is practical, 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 Members of City Adminisiration, Members
of Ciry Staff and Members of HPB, PB, DRB, BOA, City Commission and Mayor, relating to the
property located at 350 Lincoln Road, Miami Beach (Folio 02-3234-019-0820)
IV. CITY AGENCIES/INDIVIDUALS 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 conlractual relalionship (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 general nature of the subject contractual relationship.
Full Name of Individual and Contractual Relationship(If yes,explain) vES NO
7itle of Person to be Lobbied
Members of City Adminis[ration and Members of Ciry S[a�f X
Members of Historic Preservation Board (HPB) X
Planning Board (PB), Design Review Board (DRB) X
Board of Adjusiment (BOA) City Commission and Mayor X
Pursuant to City Code Section 2-482(g), every registrent shall be required to state the extent of any
business, financial, familial or professional relationship, or other relationship giving �ise 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 im ro rie if none,write N/A :
N/A
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):
Salaried Employee
Page 2 of 5
The following sia(6)questions MUST be answeretl:
i) Pursuant to City Code Section 2d88,entitled 'Prohibiletl Gampaign Conhibutions By Lobbyists On ProwremenUssues":
Ves XNo: Are vou lobbv nq on a oresent or oentlino bid for noods enuioment or services. or on a oresent or
oentlinq award for aootls.eauioment or service7
2) Pursuant to City Code Section 2�90, entitled"Pmhibitetl Campaign Coninbutions By Lobbyisis On Real Estate Development
Issues":
Yes XNo: A V I bbV a d' DI' C ( D I p t A [ 'lh th C'N p I' f
for chanqe of zon'na mao desiona[ion or ehanqe to the CiN's Future Land Us¢Mao7
3) Pursuant [o City Code Section 2-082�h), any person (except those exempt from !he defni[ion of "IobbyisP as set forlh in
Section &481)who only appears as a representative of a not-for-proft coryoration or entiry wilhout special compensation or
reimbursement for the appearance,whether direct or indirect to express support of or oOPosition to any i�em,shall register with
ihe city clerk as required by ihis section, but shall not be required to pay any registra�ion fees.
V88 XNo: A p f b( - ft D f C� 'th [ 5 ¢t al COm f
reimbursement?
4) Pursuant to City Code Sec�ion 2-481, the tertn "IobbyisP' specifcally excludes ihe following persons: Experl witnesses who
provide only scientifq technical or other s0ecializetl in(ortnation or teslimony in public meetings; any person who only appears
as a representa�ive of a neighborhood association wi�hout campensation or reimbursemen�for the appearance,whether tlirect,
intlirec�or wntingent, to express suppotl of or opposition to any item;antl any pereon who only appears as a representative of
no4for-profit communiry basea organization for the purpose of requesting a grant without special compensation or
reimbursement for the appearance.
Ves xNo: A 'd q Iv ff t h ' I lh o ' I' d ' f r aCon� aoo � a
p t C f ' hb a d soe'aCon without s ' I saCon or reimbursement or
p f n bf - ft b d u ' f t lh ose ot req f t '[ho t
soecial comoensation or reimbursementT
5) Pursuant to City Code Section 2-097(7�, no campaign consultan� shall lobby (he Ciry Commission �or a penod of 12 monihs
following �he swearing in of any elected offcial(s)for whom the campaign consultant provided campaign consulting services
within the past election cycle. See Section 2-491 Por more information.
Ves XNo: H P �tl d It' t b t b f th C'h C mm' 'on
'th" th p t I t' I 7 If pl I' t ih ' b t b 1 1 f th C'N C mm' 'on'
Yes XNo: If yes has 't been less than 72 months s'nce ihe elacted oificlal(s) wham vou orovided camoaiqn
consultinq services was sworn in7
6) Pursuant to Gity Code Section 2382(a�(4)a., a lobbyisl who has within ihe past election cycle pmvided campaign consulting
services to an incumben[member o(ihe City Commission (which IoDbying ac�ivity is not o[heiwise prohibitetl by Code section
2-491) shall disclose such particular service on his/her lobbyist registralion form antl shall orallv d'sclose such oarticular
servi ce before lobbv na�he CN Comm ss on at a oublic meetinq.
VeSXNo: H V p 'tl tl D ia lC t b t b !th CNC ' n
't�' th t 1 C I ?If I f t th ' b t b 1 7 f ih C'tv C mm' 'om
Ves No: If ou o ' d d'd o re<e've eeonom'c cons'derat'on 'n exehanoe for camoa'an
consultina services7
TO BE COMPLETED BY QTY GLERK'S STAFF ONLY
AnnualRegis[retionfee: �f]Yes[ �No Amoun[Paitlf�. 1MCRpy�3��-3 DatePaitl ��y
Lobbylst Re9isiration Form recaived antl verifietl by: �M
F:\QEft\$ALL\aFONMS\108BYISiFORMS\Lobbyls�Regis[ra[imForm0.evis¢tl03d430ftEG,0oc Revised03/11/3020
Page 3 of 5
VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH VEAR EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A
SIGNED STATEMENT UNDER OATH LISTING LOBBYING EXPENDITURES. AS WELL AS COMPENSATION
RECEIVED FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAG LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPE 10 URING THE REPORTING PERIOD.'
SignaNre of Lobbyisr. Date 2'9'24
I do solemnly swear or affirm that all o the foregoing facts, statements, and disclosures in Ihis form are true and correct,
and that I have read or am fam�i ith he provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
Ihe Miami eeach City Code a '�I re ing requirements.
Signawreot�obbyist � �ate2.9.24
SignaNre of Principal: Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of FIOfIClB State ot
Countyof: 'C�llPl � )CClC1l . CountyoC
Sworn to(or affi�r ed)and subscribed betore me, Swom lo(or affrmed)and subscribed before me,
by means of Q'physical presence by means of 0 physical presence
or 0 online notarizati n, or 0 online notarization,
this � day of Ck)C 1 20,�by this_day of 20_, by
Chris Thomas Nicole Thompson-Floyd
NAME OF LOBBVIST NAME OF PRINCIPAL
_ProducedlD ProducedlD
FORM OF IDENTIFICATION FORM OF IDENTIFlGATION
�Personally Known _Personally Known
�-1.�������- -
Signat o(Notary �blic Signature of Notary Public
� �I 1 �
Name of N ta{y,�Typed, Prird� p��amped Name of Notary, Typed, Printed or Stamped
No�.a,.;a�mec-siaie�rrio.�aa
(NOTARY EALJ ' �""' � ����cvw (NOTARY SEAL)
,a,y co�n e i e :w m, IDu
� dctlthmughNallonnlNo�aryAnn.
' The term"IobbyisP'specifically excludes the following persons:
Expert witnesses who provide only scienti(c,technical or other specialized infoimation or testimony in public meetings:any person who
onty appears as a representative of a neighborhood association without compensa�ion or reimbursement(or the appearance, whethar
Oirect, indirect ar contingent, to express support of or opposition to any item; antl any person who only appears as a representative o/
nobfor-proft community basetl organization for ihe purpose of requesting a grant without special compensation or reimbursement for
ihe appearance.
Page 4 ot 5
VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH VEAR EACH LOBBYIST SHALL SUBMIT TO THE OFFICE Of THE CITY CLERK A
SIGNED STATEMENT UNDER OATH LISTING LOBBYING EXPENDIiURES AS WELL AS COMPENSATION
RECEIVED FOR THE PRECEDING CALEN�AR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAG LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPE I URING THE REPORTING PERIOD.'
SignaNre of Lobbyist:
oate 2.9.24
I do solemnly swear or affirm that all o the toregoing facls, statemenis, and disclosures in this form are tme and correct,
and that I have reatl or am fam" ith he provisions contained in Chapter 2, Art. VII, Division 3, entilled "Lobbyists" of
the Miami Beach Ciry Cotle a � I re ing requirements.
SignaNre of LobbyisC
oate 2•9'24
SignaWreofPrincipal: Dale � ��
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of FlOfldd State ot r� _
Counryof: �i��111 ��� �� ' c1� Countyof 1 `� I�� b��'7h
Swom to(or affqned)and subscribed before me, Swom to(or affrmed)and subscribed before me,
by means of CV�physical presence by means of(�physical presence
or O online nolarizat�n, or O online notarization,
this�_day of �'c'r a U u �'' �z0,�by this C��day o(��z�7�,{bY
Chris Thomas Nicole Thompson-Floy
NAME OF 109BYIST NAME OF PRINGPAL
Praduced ID _Produced ID ���
FORM OF IDENTIFICNTION FORM OF IDENTIFICATION
�Personally Known _Personally Known
��I�����_ P(w� � �:-f'Q�
Signat of Nolary ��blic � Sig aNre o o a ('� �,�/�!
' ll 1 ( 1 I!".._ l1 � �� �Q��� 'F'Ci—�+�-C
Name of N tafy,Typed, Priq{q� N�6temped Name of Notary, Typetl, Prinled or Stamped
xmm�c,min-sm�e d nonea
(NOTAFY `b}L.� � �°" � � �n�az�ea (NOTARV SEAL)
my cai .e �� s�d �q m2s �olrnv r�NAK�N pqrpl
�. '. 1LImYh� t� aluataryAssn. � �l � V�,.iN
I]t -
' The term"lobbyis� speafically ezcludes ihe following persons-, � � . ,.
���'CC19� Fmxr.
Expart witnesses who proviEe only scientifc,lechnical or other speclalizetl information or testimony in public mae[ings;any person who
only appears as a reD�esentalive of a neighborhooG association wi[hoW compensation or reimbursemen�for the appeaance, whether
direct, indirect or contingent, la express support of or opposition to any item�,and any person who ony appears as a reprasentative of
no4forproft community based organization for ihe purpose of requesting a grant without special compensation or reimbursement for
the appearance.
Page 4 of 5
MIAMIBEACH
Ciy of Miumi Beaah, V00 Comentian Cemer Drive,Mlomi Beoch, Florido 33139,www.mlomibeochfl.gov
Office o(ihe Ciy Qerk
Rafael E.Granado,City Clerk CityClerk@miamibeachfl.gov
Tel�. 305.673 7411, Fan: 305.673 7254
NAME OF LOBBYIST: C'hrl$ Th�ma$
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
(Stalement). 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 failure of a lobbyist (or principal) to file lhe Statement or pay the
assessed fines aker notificalion.
Any lobbyist, who fails to file the required Statement by April 30'" of each year, shall be
automatically suspended from lobbying until all fnes are paid, unless the fne 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 file a Notice of Withdrawal with the Office of the City Clerk.
3) ANNUAL LOBBYIST REGISTRATION FEE
I understand annual regislration 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
$500.0 suant to Section 2-482 of the Miami Beach Ciry Code.
�ry, 2.9.24
Signat re f Lobbyist Date
rec�auuuaroausuoaansr wemsmenrsia=e�=u=����Form a�uae oa-i i-zo secnoo
Page 5 of 5
� MIA,�.�11 BEACH
City of Miami Beach I-tli i `�2024
1700 Convention Center Drive
Miami 8each, Florida 33139 . . . . ,,.,�,,� n�1�^bj
www.miamibeachfl.gov . � � ' � ,
City Clerk's Office
Tel: 305-673-7411
Fax: 305-673-7254 Offiee Usa Only
ANNUAL LOBBYIST REGISTRATION FORM
Name: Chris Thomas
Business Name: AYIBS S19f1 II1dUSYfI@S, LLC
nad�egg: 1077 West Blue Heron Blvd, West Palm Beach, FL 33404
office Te�ephone Number: 561-863-6659 X 1505
Cellular Telephone Number:
ema�i aad�e55: chris.t@atlasbtw.com
I/more than one lobbyist, please list:
1)
2)
3)
4)
5)
6)
7)
Submit this form to the Office of the City Clerk, along with a check for E500 for each
lobbyist. Please make the cheek(s) payable to the City of Miami Beach.
Far City Clerk's Office Use Only
MCRu:��3 0�.3
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Amount paid:y"��' Date --'d:� — �a ' ��
Processed by: �M ��� — —
FpQETSRLL\aPoRMSLOBBVI4 FORMS4NNURL LOBBVIST REGISTRATION FOFM reg Oon
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Miscellaneous Cash Receipt
CITY OF MIAMI BEACH No. 433023
❑Cash�'pCreditCard OCheckN $
' 20
Received of
Address
For
MBF
Miscellaneous-MCR-2026
0�6735-OoOE Carmen V._ 02l12/2024 OB'S7AM
mcR oPeN�MCR� � Office of Finance Director
Payment Amount 850.00
(THIS INFORMATION MUST BE COMPLETED) By
�� Amount number:
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