2024 Lobbyist Registration Form - photo enforced safety systems (Sue Vestri) , P�.� F��,«� s�k� Sys+�.�s
. � �.�;� :,,_ „
� MIAMI BEACH �"" ��`024
Offce of the City Clerk
1700ConventionCanterDrive " � '�.".ii �:�j�.��
Miami Beach, FL 33139 � . ,
305.673.7411
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or re�ained, whether paid or nol, by a principal who seeks�o encourage Ihe passage, deteat or
modification of any ortlinance, resoWtion, action or tlecision of any commissioner, any action, decision, recommendation of the City
Manager or any City board or committee;or any action, decision or recommendation of any Ciry personnel during ihe time period of ihe
en�ire decision-making pmcess on such aclion, decision or rewmmendation lhat toreseeably will be heard or reviewed by ihe City
Commission, or a Ciry board or commi��ee. The term specifically includes the principal as well as any employee engaged in lobbying
activities. The term "Lobbyisf' has specifc exclusions. Please refer to City Cotle Chap�er 2, Artide VII, Division 3, entitled "Lobbyisis,
for additional intormation.
Ins[mctions: Please complele all sections of this form antl submi�ihe completed form,with ihe applicable tee, to Ihe Office of ihe Ciry
Clerk. If you need more space to complete an answer, use a separale sheet(s)of paper. If you have nothing ro repoM1 in a particular
section, you musl write "none" or "nla" in that section. Any change ro any information originalty fled, or any additional City
Commissioner or personnel who are also sought to be lobbied shall require that ihe lobbyis�fle an amentlment to the regis�ra�ion form.
The lobbyist has a wntinuing tluTy �o suppty informa�ion and amentl ihe forms filetl throughout [he period that the lobbying occurs.
Separate registration forms shall be required for each pnncipal represen�ed on each specific issue.
1. LOBBYIST INFORMATION:
Llorente, Michael
NAME OF LOBBVIST (Last) (Firsp (Mitltlle Name)
LSN Partners 3800 NE 1 st Ave, Suite 200, Miami, FL 33137
L068YIST BUSW ESS NAME AN�A��RE55 (Number and Stree�) (City) (State) (Zi0 Cotle)
305-673-2585 michael.11orente@Isnpartners.com
LOBBVISTBUSINESSTELEPHONENUMBER CELLULARTELEPHONENUMBER EMAILA�DRESS
II. PRINCIPAL INFORMATION:
Vestri, Sue
NAMEOFPRINCIPAL (Last) (Firsl) (MitltlleName)
Altumint, Inc 4600 Forbes Blvd, Ste 203 Lanham, MD 20706
PRINCIPFL BUSMESS NAME AN�A�DRE55 (Number and Straet) (Ciry) (S�ele) (Zlp Cotle)
301-552-6422 Sue.Vesrti@altumint.com
PRINCIPALBUSMESSTELEPHONENUMBER CELWL4RTELEPHONENUMBER EMAILADDRESS
Pursuant�o Ctty Code Sedim 2>82(h)(1Ha)'. A pnnupal of any mrporation, patlnership, or other enCity who appears as a lobbyist on behalf of[ha�
en�ity,without special compensation or reimbursemen�for ihe aOPeaance,whe[her tlirect intlirect,or confingent,to express support of or opposi�ion to
an item sM1all register with Ma perk as requiratl by ihis suEsec[ion but shall no�be requiretl to pay any regis4afion(ees.
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2-482(c): 1
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARV(if none,write NIA): ��.\'L `���Y r I
. NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLV,A 5%OR MORE OWNERSHIP INTERryE��ST IN SUCH
CORPORATION, PARTNERSHIPORTRUST(ifnone,writeN/A�:1 "�4�-e-���fi�l(A,M. .VL�I.��Q�
Page 1 of 5
�� ��
III. ISSUE TO 8E 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.
Photo Enforced Safety Systems
IV. CITY AGENCIESIINDIVIDUALS 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 lo the present date, stating the generel nature of the subject contractual relationship.
Full Name of Individual and Contractual Relationship(If yes,explain) YES No
Title of Person to be Lobbied
Mayor R Staff N�A ✓
Commissioners 8 Staff N/A �/
Cily Offcials & Staff N/A �
Pursuant to City Code Section 2-482(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
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 riet 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):
NO p,�.��,1.�_��du M� �-
Page 2 of 5
The following si:(6)queslions MUST be answeretl:
i) Pursuant ro City Code Section 2d88,entitled"Prohibited Campaign Confribu�ions By Lobbyists On Pmcurement Issues"�.
Ves XNo: A I bb ' t d' b'd t d 'a t s or on a en[or
ce d d(or sa tl t or service7
2) Pursuant to City Code Section 2-490, entitled "Prohibited Campaign Contnbutions By Lobbyisfs On Real Estate Developmenl
Issues"
Vas XNo: A I bb ' p d" PI' C f D I t A t 'th lh C'N I' f
( h q f ' a d 'a t' h t th CN' Future Land Use Mao7
3) Pursuant ro City Code Section 2-482(h), any person (excepl lhose exempt from the definition of "IobbyisY as sel forth in
Section 2-481 j who onty appears as a representative of a nohfor-profil corporation or enliry withoul special wmpensa[ion or
reimbursement for the appeardnce,whether direct or indirec[to express support of or opposition to any item,shall register with
(he ciry derk as required by this section,but shall not be requiretl to pay any registration fees.
VesXNo: A f tf p ft C ft 'th t ' I a C r
reimbursement?
4) Pursuant to Ciry Cotle Sec�ion 2d87, the term "lobbyisC' speci(ically excludes ihe tollowing persons'. Expert witnesses who
provide only scientifq technical or ather specialized information or testimany in public meetings;any person who only appears
as a representative of a neighborhootl associatian without compensation or reimbursement for the appearance,whether direct,
indirect or contin9ent,to express support of or opposition to any item;and any person who only appears as a representative of
no4for-pmfit communiry based organization for the purpose of requesting a grant without special compensation or
reimbursement(or the appearance.
YesXNo: A v 'd' a Iv t'f techn'cal or olher speial'zed information: aooearino as a
p t f ot 'nhb a d assoc'afon w'thout soec'al comoensatlon or reimbursement or
p f t f p ft b tl q ' f f lh p f q f a t 'th t
soec'al comoensation or reimbursement?
5) Pursuant to Ciry Code Sec[ion 2-491(7�, no campaign consul�ant shall lobby Ihe City Commission tor a period of �2 months
following the sweanng in of any elected oHicial(s)for whom ihe campaign consWtant provitled campaign consNting services
within the past election cyde.See Section 2-491 tor more information.
Yes XNo: H 'd d p ' If q t bent member ot the Citv Commission
'[h' lh t I C I 4 If I I' t th ' bant member(s1 of the C'ri Comm'ssion:
Y¢s X No: � ••^^ h 't b I th 12 nth s'nce lhe el¢cted off'c al(sl whom vou orovided camoaian
consultino services was sworn in4
6) Pursuant to City Code Section 2-482�a)�4)a., a lobbyist who has within the past election cycle providetl campaign consulting
services to an incumbent member o(the Ciry Commission(which lobbying aclivity is not otherwise prohibited by Code section
2-491) shall tliscbse such particular service on his/her lobbyisl registralion form and shall orallv dscbse such oartiwlar
b f I bb ' th Ct C t bf eefn .
Ves XNo: H 'tl d if rv'c¢s m an 'ncumbent member ot lhe Citv Commission
'th' th t I f I 7 If v I I' t th ' mbent membeNsl of the G'tv Lommission:
Yes XNo: If tl d'd onom c cons'derat'on 'n exchanue for camoaicn
consultina sarvices7
TO BE GOMPLETEO BV CITY CLERK�'S/S-�TAFF ONLY
Annual Reg sMati�f�ee �[�]Yas[ ]No Amount Payi�tl$1.S1Jr`J ' MCR p`�/�.SV�� �ale Paitl � �- -t
Lobbyist RegisVation Form receiveA antl verifietl Ey: 1 �MI
F.�c�ev�snu�.�wems�aeorisiFoaus��,��.bi��.eaeo'=<r=oo�Fonnaeviseaa3-lbioaes.mc Revised03/11/3020
Page 3 oi 5
VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO 7HE OFFICE OF THE CIN CLERK A
SIGNED STA7EMENT UNDER OATH LISTING LOBBYING EXPENDITURES AS WELL AS COMPENSATION
RECEIVED FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAGED TO L068Y. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.'
Signature of LobbyisC Dale
I do solemnly swear or affrm that all of the foregoing facts, statements, and disclosures in this form are tme and correct,
and that I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Code and all reporting requirements.
SignaWre of Lobbyist: Dale
SignaNre of Principal: � A �( \ ���l.ti �- Date I � �'ll � 2N
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of State of lzN.�G�
Counryof: Countyaf: J-l1UVn1 �Oc+�aL
Swom to(or aKrmed)and subscribed before me, Swom to (or aff�r ed)and subscribed before me,
by means of� physical presence by means of$physical presence
or a online notarization, or O online notanzation,
this_day of 20_, by this ��day of Jlanirw�201+f by
�\`E�' ��e�T1
NAME OF LOBBVIST NAME OF PRINCIPAL
ProducedlD ProducedlD
FORM OF IDENTIFICATION / FORM OF IDENTIFICATION
/
_Personally Known ✓Personally Known �
Signature of Notary Public SignaNre of otary Public
\���IGW1 �-1 ,n7
Name of Notary, Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped
(NOTARY SEAL) (NOTARY S
�rt�'� ViVIEMPIVERO
... � � rvo or�-s�nm��rmne�
• " can I::IonxHNi)o+al
' Theterm"lobb isf's ecifcall excludesthefollowin ersons: 3an!�� M�comm.=xpires:e; �.�.tom
Y P Y 9 P � dondea mrougn dationei�cm:�rssn.
Expert witnesses who provitle only scien�ific,technical or o�her specialized information or testimony in public meetings', any person who
only appears as a representative of a neighborhood association wi�hou�compensation or reimbursemen�for the appearance, whether
tlirecl, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative o(
noFfor-profit community based organization for[he purpose of requesting a grant withou� special compensation or reimbursement for
the appearance.
Page 4 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 ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EJ(PENDITURE OR COMPENSATIO DURING THE EPO TING PERIOD.'
Signature of Lobbyist ' �— Date l � l� � L�
I do solemnty swear or affirm tha all of e foregoing facts. statements, and disclosures in this form are Irue and correct,
and that I have read or am familiar with the provisions contained in Chapter 2, Ad. VII, Division 3, entitled "Lobbyists" of
Ihe Miami eeach City Code and all r ortin req �re ents
SignatureofLobbyisC , / Date l � (� � �i
SignaWre of Principal: Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of FIoVv1.(A State of
County of. M\nvYU —Otxr�t County of:
Swom to(or affiJr�ed) and su6scribed before me, Swom to (or affirmed)and subscribed before me,
by means of C�Yphysical presence by means of O physical presence
or� online notarization, or�online notarization,
this 1� day of ,yM1111�20� by this_day of 20_, by
1-'��C�Adf� ��fwe�iC�
NAME OF LOBBVIST NAME OF PRINCIPAL
Praduced ID Produced ID
FORM OF IOENTIFlGATION FORM OF I�ENTIRGATION
"Personaly Known Personally Known
SignaWre of Notary Public SignaWre of Notary Public
U\1l�tenA 'QW(„-7
Name of Notary, Typed, Printed or Stam e Name of Notary, Typed, Printed or Slamped
Jvi'.n
VIVIEM RI�EPO
(NOTARYSEAL) '���,�1 uouryvueAc�zm�eo/Fmdea (NOTARYSEAL)
. ',?3�"��'„ Commission f HH 110'�53
My Comm.Eapires Fe:',1.2C35
� �30�E¢Ef�I0U911NdbWLINpt3rya35E.
' The lerm"IobbyisT'specifically s o mg persons:
Espert witnesses who provide only scientifq �echnical or ot�er specialized information or testimony in public meetings�, any person who
only appeare as a representative of a neighborhootl association without compensation or reimbursement for the appearance, whether
direct, indirect or conlingent, to express support of or opposition ro any ilem; and any person who onry appears as a representatrve of
nobfor-profit communiry basetl organization for ihe purpase of requesting a grant withoul special compensation or reimbursement for
ihe appearance.
Page 4 of 5
MIAMI BEACH
Ciy of Miami Baach, V00 Co�re�fio�Cenrer D�i.e,Mlomi Beoch, Flonda 33139,ww.v.mlomibeachA.go�
Office of rha Ciy Clerk
Rafoel E Gmnado, City Clerk CltyGlerk@miamibeachfl.gov
Tel: 305.6737411, Fox� 305.6737254
NAME OF LOBBYIST: Mv�nC6�\ Lllucn�
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 limely 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 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 lobbyisf 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 registration of all lobbyists shall be required for each 12-month period
commencing October 1 of each year, and the fee for such annual registretion shall be
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
� i -3� -ay
SignaY �e o b sl Date 5�, ����� �M� I
V
. \GLERpALL�eFOPM9LLOBBViSi�ORMSLoo�yls�RegislrelmrvrnFevlsea03- 30REG�ac
Page 5 of 5
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH ryo. 433010
❑Cash ❑Credit Card �Check# �'� $
20
Received of '
Address
For
M6F
Miscellaneaus- MCR-202h
006704-0007 Moises C_. Gi/30/2024�52SAN7
MCR OPEN @.ACR) Office of Finance Director
Payrc�en[Amount 350.00
(THIS INFORMATION MUST BE COMPLETED) By
Account number:
Preparer: Dept: EXT:_
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Marquez, David
From: Viviem Rivero <vrivero@Isnpartners.com>
Sent: Tuesday, January 30, 202412:02 PM
To: Marquez, David
Subject: Re: Heckler registration
Hi David,
Per our conversation, please add the date for Mike's page 5 for his lobbyist registretion form that you have
received today. Thank you!
Sincerel
—.. _ .__._. . Viviem Rivero
❑O Pro�ec[ Manager/Sr. Adminlstra0ve Speclalls[
LSN Partners
3N00 NE lst Nve,Sulte 200
Miami , Fbrida 3313J
� - -- ��--- (305)6�3-2585 Ezt 328 - Off�ice
(305) 6J3-2588 -Fax
wJsnoartners.mm
��
'^RrqNi � �z InlormaClon In Gnis e-mal is mrfiaential and may be.egally privileged. I[is mfcndetl solcly for[he
aoamssec �¢ess tc lhis e-mall by anyone else Is unau[horized. If you arc not[he 'mtended reclpien[, you are nobFletl
[hac any 3�sCas�g, _opying,distributing ortaking any action �m rellance on[he mntents of this Information �is sVictly
y L t�d Jnv c . oolnlons or adv-ce mnlalned In Lhls e-mail are those of the s M� � n;lm�dual a�A �ct,�emssa�ily
�
�Y �. � � =a'[ � ll`r �K� , a�e� I•�� � sil. � tlat �n ^ ne�[. cy
On Tue,lan 30, 2024 a[ 11:56 AM Marquez, David<DavidMarquez[dmiamibeachfl.eov>wrote:
Hi Viviem,
Can you please give me a call at your earliest convenience, something has been brought to my
attention.
305.673.7000 Ext26155
All the best,
i