2024 Lobbyist Registration Form - 6650 Sheffield Lane (Joni Wilkins) 6(o5'd She�k�eld �o�ne,
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MIAMI BEACH o��eoF�ne��,y��e�k �� �� ���4
1700 Convention Center Drive
Miami Beach, FL 33139
305.6737411
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whe�her paid or not, by a principal who seeks to enwurage the passage, tlefeat or
motlification of any ordinance, resoWtion, aclion or decision of any commissioner, any action, tlecision, recommendation of �he City
Manager or any City board or committee�,or any aclion,decision or recommendation of any City personnel during ihe lime period of Ihe
entire decision-making pmcess on such action, tlecision or recommendation that foreseeably will be �eard or reviewed by the City
Commission, or a Ciry board or committee. The term specificalty includes Ihe principal as well as any employee engaged in lobbying
activities. The term "Lobbyisf' has specific exclusions. Please refer to Ciry Cotle Chapter 2, AM1icle VII, Division 3, entitled "Lobbyists,"
for atltlitional inkrmation.
Instructions: Please complete all sections of this fortn and suCmit ihe completetl form,wiM Ihe applicable fee, to ihe OHce of the City
CIeM. If you need more space ro complete an answer, use a separale sheet(s) of paper. If you have nothing to report in a particular
section, you must wnle "none" or "nla" in Ihat section. Any change to any information originalry filed, or any adtlitional Ciry
Commissioner or personnel who are also sought to be lobbied shall require that the lobbyisl file an amendment ro ihe registretion form.
The lobbyist has a mntinuing tlury lo supply information and amend the forms fileC throughout the period Ihat the lobbying occurs.
Sepaate registration forms shall be required for each pnncipal represented on each specific issue.
I. LOBBYIST INFORMATION:
Madrid Vanessa
NAME OF LOBBVIST (Lasp (First) (Mltltlle Name)
Holland and Knight LLP �oi e��ckeun�e, swceasoo Miami FL 33131
LOBBVISTBUSMESSNAMEANDADDRESS (NumberantlSireep (Ciry) (Slate) (ZipCotle)
305-789-7453 vanessa.madrid@hklaw.com
LOBBVISTBUSWESSTELEPHONENUMBER CELLUL4RTELEPHONENUMBER EMAILAODRESS
II. PRINCIPAL INFORMATION:
Wilkins Joni
NAME OF PRINCIPAL (LesQ (Flrst) (Mitltlle Name)
Pash Place One, LLC ssso Mystic Po�r,te or��e Aventura FL 33180
PRINCIPAL BUSMESS N.SME AN�ADDRESS (Num�er antl Siree�) (CAy) (S�dte) (Zp Goae)
212-433-0741 joni@pashindustries.com
PRINCIPALBUSMESSTELEPHONENUMBER CELLULARTELEPHONENUMBER EMAILAD�RESS
Pursuan�to Ciry CoOe Section 2<82(�)(i)(a): A prindpal of any corporetion, partners�ip, or other entiry who appears as a lobbyis�on behalf of ihat
eMiry,vnihoul special canpensa�ion or reimbursement(ortM1e appearance,wlie�her direcl, intlireci,or wntingen�,to express suppor�ol or opposdlon�o
an ilem shall regis�er wiM�he Cletic as requiretl by��is subsecllon bu�shall not be requVetl to pay any re9istration hes.
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2-082(c�: I \'1 '/
. NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(i(none,write N/A): ��1 0�� 1V I I G�nS
• NAME OF ALL PERSONS HOLDING,DIRECTLV OR INDIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): �Ofll WIIKIf1S SO% and
Jonathan Landow 50%
Page 1 of 5
2.� ��
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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 lo Members of Cily Administralion, Members
of City Staff and Members of HPB, PB, DRB, BOA, City Commission and Mayor, relating to the
property located at 6650 Sheffeld Lane, Miami Beach (Folio 02-3210-003-0270)
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 contractual 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 general nature of the subject contractual relationship.
Full Name of Individual and Contradual Relatlonship (If yes,explain) YES NO
Title of Person to be Lobbied
Members of Ciry Administration and Members of City Staff X
Members of Historic Preservation Board (HP8) X
Planning Board (PB), Design Review Board (DRB) X
Board of Adjustment(BOA) City Commission and Mayor X
Pursuant to City Code Section 2-082(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
appearence 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 Relatlonship, or other relationship glving 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):
$750 per hour
Page 2 of 5
The following six(6)queslions MUST be answered:
1) Pursuan�to Ciry Code Seclion Yd88,entilled"Pmhibiled Campaign Contribulions By Lobbyists On Procurement Issues":
Yas xNo: �o I bb ' on o t or o d' b'tl T a d eauio t servi a oresent or
oendina d for aood "oment arvice4
2) Pursuant to City Code Sedion 2d90, entitled "Prohibitad Campaign ConMbutions By Lobbyists On Real Estate Devalopment
Issuas":
Yes XNo: A o I bbv' a oe d n I'cati f De eloo t A reement w'th Ihe CiN or aool'cat'on
! h f ' o d s'a f ha a t th C'N's FUWre Land Use Mao?
3) Pursuant to City Code Section 2-0ffi�h), any person (except those exempt from the definition of "IobbyisP as sal forth in
Seclion 2-481)who only appears as a represeNative of a no4forvprofl carporation or entity wiNout special compensation or
reimbursement for the appearance,whether tlirecl or indirect to express support of or opposition to any item,shall register with
lhe ciry clerk as required by�his section,bu�shall nat 6e requirea to pay any re9istrotion fees.
Yes xNo: A v ores f o ot f o f't oor 1' entitv 'lh t soeci I o nsalion or
reimbursement?
4) Pursuant to City Code Seclion 2d81, lhe tertn "IobbyisP' specifically ezcludes ihe follavring persons: Expert witnesses who
provide only scientiUq technical or other specialized information or testimony in public meetings;any person who only appears
as a representative of a neighborhootl association wilhout compensation or reimbursemenl for Iha appearance,whether direct,
indirecl or contingent,to express support of or opposition�o any ilem;and any person wM10 only appears as a represenW�ive of
not-for-proft communiry based organiza�ion for the purpose of reques�ing a grent withoul special compensation or
reimbursement for lha appearance.
Yes xNo: A ou o 'd' n onlv ' t'f techn'cal or other soec'al'zetl infarmalion: aooearina as a
rep t t' of 'ahb rhootl ' t'on with t oac'al cam t'on or reimbursement or
oresenf n ot for o ft b d ora t' for th o o se of a fna a a 1 lho t
spec'al comoensatian or relmbursementT
5) Pureuant to City Code Section 2d91(1�, no campaign consultant shall lobby the City Commissian for a penod of 12 monihs
following the swearing in of any elected offcial(s)for whom Ne campaign wnsullant provided campaign consulting services
within the past electian cycle. See Section 2-491 for more infortna6on.
Yes XNo: H vou or 'd d amoaian It'na serv'ces to an incumbenl member of the CiN Commission
lh'n th o t IecCon v I ?If ves ole I' t the ineumbenl memberlsl of tha Citv Commission:
Yes XNo: •�•^^ h 't b le th 72 month fhe elected offcial(s) whom vou orovidad camoaion
eonsult'nA serviees was sworn in9
6) Pursuant to City Code Saction 2-082(a��4�a., a lobbyist who has within the past alection cycle provided campaign consulting
servicas to an incumbent member of ihe City Commission (which lobbying activity is no�olhervvise prohibiled by Code seclion
2-491) shall discbse such patlicular service on his/her lobbyis� regishation foim and shall orelN d'sclose such oaAicular
s before I bbY' a the CN C ' s t o bl meefnq.
YesXNo: H e vou o 'd tl camo 'a nsultino 'ces to an 'ncumbent member of the Citv Commiasion
'th'n ih oa t lectio v I 91f ol e I' t lh ' mbent membertsl of tha CiN Gommission:
Ves No: If ves vo or m' d or did v receiv conomic cons'tlerotion 'n exchanae for camoaian
consWtinc services9
TO BE COMPLETEO BY CRY CLERK'S STAFF ONLY
Annual Ragistratlon fee: [�Yes[ ]No Amount Paid S�MCR k�330/'7 Date Paid �'��
Lobbyist Registration Form raceivetl and veriBed Dy: �
f:\CI.ER\;ALt�aFOAMS\LOBBYISTGORMS\lobbyistRegistraH�FoemRwisetl033Y-20RE6.do< RBvislA03/11/3030
Page 3 of 5
VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A
SIGNED STATEMENT UNDER OATH LISTING LOBBYING EXPENDITURES AS WELL AS COMPENSATION
RECEIVEU FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENSATI N DURING THE PORTING PERIOD.� /
Signature of Lobbyist ' � C -' 'L � Date � I � Z Z 4
I do solemnly swear or affrm that all of the foregoing facts, statements, and disdosures in this form are true and correc[,
and thal I have read or am familiar wilh the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyis4s" of
the Miami Beach City Code d repoAin requir en[s. /
Signalure of Lobbyist: Date � I !Z ` �9�
Signature of Principal: Date ���, �1
T-
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
s�ceorFlorida Stateof F�o�� clu
co��nror: Miami-Dade co��ryor: ,�nica�ni - 0n�t�
Sworn to (or affrmed)and subscribed before me, Sworn to(or aKrmed)and subscribed before me,
by means of 9 physical presence by means of LYphysical presence
or 0 online notarization, or O online notarization,
this 1�day of i A µ . 20�, by this i�day of S�+✓�"c�� , 20.�by
Vanessa Madrid Joni Wilkins
NAME OF LOBBVIST NAME OF PRINCIPAL
ProducedlD �ProducedlD ���vic1� ��L
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
� Personally Known _Personally Known
�
�C Y+'�.J-t�,C I�..I�-crn r�.
Signa ure of No[ary ublic Signatu e of otary P I'
�hw�Eln -i AoMAS Wl'� (.�'NetVlclC�
Name of Notary,Typed, Prinled or Stamped Name of Nola ,Typed, Prinled or Stamped
ppn��n�niorn�s NOTARYSEAL
(NOTARY EXt��-_ ( )
'� MYCOh1M1$SICY HH19d105 a EMILVFEAVAN0E1 ENS
n . EXVIRFS:Decmberii,205 �•�'�¢`.�: poiaryPti� llt tF.onEa
` I�o-e`• Cortm o HN OP+49
'_QcnCetlTY NI IPSIicUnEe Iv.:� ��' µ�CoRirt MJ SA�9 d.2035
'The term"lo6byist"specifcally exclutles lha following persons:
Expert wilnesses who provide only scientifc,technical or o�her specialized infortnation or testimony in public meetings;any person who
only appears as a representative of a nei9hborhood association without compensation or reimbursement for the appearance, whether
direcl, indirect or wntin9ent,to express support of or opposition lo any item; and any person who only appears as a represenlative of
not-for-proft community based organizalion for the purpose of requesling a grant wilhout special compensa�ion or reimbursement for
the appearance.
Page 4 0(5
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Ciy of Miami Bea<h, V00 Conven6on Cemer Orive,Miomi Beach, Flonda 33739,www.mloml6eachlLgo�
Office of the Qy Clerk
Rafael E. Granado, Cily Clerk CityClerk@miamibeachfLgov
Tel: 305.673 7411, Fax: 305.6737254
Nanne oF �oesvisr: Vanessa Madrid
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
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 fle the Statement or pay the
assessed fines after notification.
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 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 LOBBYIST REGISTRATION FEE
I understand 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
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
=���'��' � � �z �z �
Signature of L yist Date
F.1QER1$ALL�eFORM51L06BYI5T FORMSLLaEEylel Replqn�ian Form RwIxE 03-11 30 REG.Mc
Page 5 of 5
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH ryo, 433017
❑Cash ❑CreditCard 'OCheck# � � $ -'- ��-��
20
Received of �
Address
For
M8F
fdiscellaneous- MCR-2024
006710.0078 Adnan V...02f01/2024 09.i tAM
race oaeN�Mcai , Office of Finance Director
PaymemAmount 350.00
� (THIS INFORMATION MUST BE COMPLETED) By
' Acwunt number.
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