2024 Lobbyist Registration Form - 3425 Collins Ave (Fran Scola) � RECtIVED
MIAMI BEA( ! I off�a��he �,ty ��e� AN oyzoz4
1700ComenHonCenterDrlve , �.,,yi{g ;���;r�
Miami Beach, FL 33139 � . . . , �,�.
305.673.7411
LOBBVIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by a pnncipal who seeks b encourage the passage, defeat or
motl�cation of any ortlinance, resoWtion, ac�ion or tlecision of any wmmissianer, any aclion, decision, recommendalion of the Ciy
Manager or any CiN board or committee;or any aclion, decision or recommendation ot any Ciry personnel dunng ihe time perioa of ihe
entire tlecision-makin9 process on such aclion, decision or recommentlalion lhat foreseeably will be heard or reviewetl by the Ciry
Commission, or a City board or committee. The term specifcalty indutles ihe pnncipal as well as any employee engaged in lobbying
activities. Tha term "Lobbyisf' �as specifc exdusions. Please refer to City Code Chapter 2, Article VII, Division 3, entitled "Lobbyists,
for adtlitional information.
Instmclions: Please wmple�e all sections of this fortn and submit the mmpleted form,with the applicable tee, �o the�ce of�he Ciry
Clerk. If you neetl more space to comple�e an answar, use a separete sheet(s)of papec If you have nothing to repotl in a paNcular
section, you must wnte `none" or "n/a" in that section. Any change lo any informa�ion originalty filed, or any additional Ciry
Commissioner or personnel who are also soughl to be lobbied sha0 require thal the lobbyist fle an amendment lo ihe registration form.
The lobbyis� has a mn�inuing tluty to supply informalion and amend �he fortns filed Ihroughout ihe period ihat lhe lobbying occurs.
Separate registration forms shall be required for each principal represen�ed on eac�specific issue.
I. LOBBYIST INFORMATION:
G�/irr� ��.u� T�",.Ys
NAME OF LOBBYIST (Last) (Firs�) (MiCCIe Name)
O.Lo C,-cPVP �ao •✓.E. �='A.� S�E,�o� �.r+s�i /L� 33�3�
LOBBVISTBUSWESSNAMEANDA�DRESS (NumberandSVeep (City) (State) (ZiOCotle)
/joT � 600 - (amo ��{d!c � y05- 35�,'j iL/e/isrE�oKoG.evs'/.Caw
LOBBVIST SMESSTELEPHONENUMBER LWLARTELEPHONENUMBER EMAILADDRE55
��.��f cZSCoI f i� M(.�J T�� �L L — �h.� �S�o�,�-
NAME OF PRINCIPAL (Last) (FrsQ (Mtltlle Name)
�� ,
3�t2Scpn?�5�..iT��C�L. �iU6 fVe �dave M; ,�,. F� 33 (3�7
PRWpPAL BUSMESS NAME AND AD�RESS (Number antl 5[reet) (Ciry) (State) (Zip Cotle)
� C�S S' �l I r0 J�t�nL Q�✓�w�
PRINC PAL B SMESSTELEPHONE NUMBER CELLULARTELEPHONE NUMBER EMAIL A�ORESS
Pursuanl to City Cotle Section 2-082�M1)(1Na�: A pnncipal of any corporalion, partnership, or otM1er entiry wbo appears as a IobOyist on �ehal(of�M1a�
entiry,witM1out special wmpensation or reimbursement for�he appearance,whe�her tlirecl,intlirect.or conOnBe����o express support of or opposition to
an item shall register with ihe Cled as requiretl by�M1is subsection Eut shall not be repuired�o Oay any re9is�ro�ion fees.
If the principal is a Corporetion, Partnership or Trust, the following information MUST be provided
pu�suant to City Code Section 2-482(c): c ,f
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFIqARY(ii none,write N/A�: �N�cl �'^�
• NAME OF ALL PERSONS HOLDING,DIRELTLV OR INDIRECTLY,A 5%OR M/ORE OWNElRSHIIP/INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST(ii none,write N/A�: �J �IaU'�j l�t K
an/ V/v��SW✓ L���n�n
Page 1 of 5 �
�3 �
III. ISSUE TO BE LOBBIED:
Describe with as much detail as is proctical, including but not limited to a specific description where
applicable of a pending request for proposal, invitation to bid, or public hearing number.
�Fa�r.r .✓ ex H /�Ge..t�c� r �v o N� i¢.r/o
! r+✓a fi+t �,✓ o= NEuJ /y L�a-..v c�v X� o .✓� ifi
�`�2,5 L � iv5 i7d6 /h.+� i Ti..✓ O� �ifE�/.a .Z�avin �
l� it f l�O�hLA'�l
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 �2 months preceding such commencement of service
with the City to the present date, stating the general nature of the subject contrectual relationship.
Full Name of Individual and Contractual Relationship (If yes, explain) YES NO
Title of Person to be Lobbied
�RNNiR/ �G�T. �TRF X
c f � .i7 X
LrT X
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, 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 o(im ro rie if none write 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):
d`P�
Page 2 of 5
The following six(6)questions MUST be answered:
1) Pursuant to Ciry Code Section 2�88,entitled'Prohibited Campaign Coniributions By LobbyiSGs On Prowrement Issues":
_Yes�No: A I bb I t d' b'd 1 od t 'ees or on a enl or
o d d f a tl t rv'ce9
2) Pursuanl to Ci�y Code Section 2d90, entiHed'Prohibited Campaign Con[ributions By Lobbyists On Real EsWte Development
Issues':
_Yes�No: A I bb ' ce di A I' f i a D I t A t Ith l� C'N I'wH
Tor ehanae af zon'na mao tleslanat on or chanae to the CiN's Future Land Use Map9
3) PursuaN to City Code Section 2-d82(h�, any person (encept ihose exempt from the tlefinilion of "IobbyisC' as set forth in
Section 2-481)who only appears as a representa�ive of a no4for-pmfi�corporetion or entity without special compensation or
reimbursement for the appea2nce,whether direct or intlirecl to ezpress suppon of or opposition to any item,shall regis�er with
the city clerk as requiretl by this seclion,but shall not be required to pay any regisira�ion fees.
_Yest/No: A V f t-f - ft tl ft 'th t s i I f or
�� reimbursement7
4) Pursuant to City Cotle Section 2d87, ihe tertn "IobbyisC spec�cally ezGutles the following persons: Expert wi�nesses who
provide only scientifq technical or other specializetl informa�ion or testimony in public meetings;any person who only appears
as a representative o(a neighborhood associalion without oampensalion or reimbureement for ihe appearance,whether tlirecl,
indirect or contingent,to enpress support of or opposition to any item;and any person who only appears as a representative of
no4for-pro(it communiry basetl organization for the purpose of requesting a grant without special compensalion or
reimbursemen�for the appearance.
_Ves�No: A 'd' a IY fi' te h 'C I lh ' I' ed ' f � ar'na
o t tiv of a neluhborhood assoc'ation w'thout soecial <omoensatian or reimbureemen[ or
u C n bf - ft b d n ' ti f ih a o M T a a t 'th t
soecial comcensation or reimbursement7
5) Pursuant to Ciry Code Section 2d91�1�, no campaign consultant shall lobby Ihe City Commission for a period of 12 monihs
following ihe sweanng in of any elected official(s)for whom the campaign consultant provided campaign consulting services
within lhe past election cyde.See Sec�ion 2-491 for more intormation.
_YesXjNo: H 'd d if rv' lo an incumbent member of the C'N Commission
'thl th t I f I ?If I I' t th I b t be / 1 f th C'tv C m' 'on�
Yes No: �� �a: ha t b I lh n 12 months s'nce the electetl oH'i al(sl whom vou orovided camoaian
consultina services was sworn in7
6) Pureuant to City Code Section 2dB2(a�(4�a., a lobbyist who has within the pas� eleclion cycle providetl campaign consulting
services to an incumbent member of ihe City Commission (which lobbying activity is not otheiwise prohibited by Cotle section
&491) shall disdose such panicular service on hislher lobbyist regis�ralion form and shall orellv tlisclose such oahicular
sery ce befora lobbv no the Ctv Gommission at a ou�lic meetina.
_Ves�No: H 'tl tl It'n erv'ces to an Incumbent member o(Ne CiN Commission
'th' th � I C I 71t I I' tlh ' b t b ( 1 fth CIIvC mm'ss'on�
Yes No: f y o d d'd o reee've econom'c cons'deret'on 'n e:chanae for camoaian
consultina services7
TO BE GOMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: �Yes[ ]No Amount Pai^tl f��/SO MCRp y3a7ya Date Paltl i _ q "ay
Lobbyist Reglatmtion Form receiveE anE verifietl by: !�/"1
F'.\CLER\SPLL\.�FORMS\LOBBYISTFOPMS\LOLLyis[Ryis[raFonFo�mRevisetl 03-]]-20REG.doc RlvI50d03/11/3030
Page 3 of 5
VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CIN CLERK A
SIGNED STATEMENT UNDER OATH LISTING LOBBVING EXPENDITURES. AS WELL AS COMPENSATION
RECEIVED FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHIGH THE
LOBBVIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.'
SignaWre of LobbyisL / —�iC���� Date a��8�7
� T�•
I do solemnly swear or affrm that all of ihe foregoing facts, statements, antl disclosures in Ihis form are true and correct,
and that I have read or am familiar with Ihe provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" o(
the Miami Beach Ciry Code and all reporting requirements.
SignaWre of Lobbyist: Date o� D8 L
Signature of Principal: Date � �
VII. NOTARY SIG T E AND SEAL:
LOBBYIST: PRINCIPAL
Stateof ��DV1aQ Stateof �"�DY�dp
Countyof: MIL1�Y�i -�ot�0 Counryof: M1QI11 � I�QdL
Swom to(or affrmed)and subscribed before me, Swom to(or a�firmed)and subscribed before me,
by means of C�physical presence by means of�physical presence
or 0 online notarization, or� online notarization,
this 9�" dayo( lnnuan� . 202`Iby this�dayofJQ�IUQry 2Q� by
Ma� W�Re. lacon �acobson
NAME OF LOBBYIST NAME OF PRINCIPAL
Produced ID Protluced ID
FORM OF IDENTIFICATION I FORM OF IOENTIFICATION
JPersonally Known v Personally Known
v �G �„� v�,,.�a ��
SignaNre o!Notary Public Signature of Notary Public
a Vane�a To�neS
Name of Notary,Type , ,� or tai{,�p,g¢tpppEs Name of Notary,Typed, Printed or Stamped
l� •.. Na(arv�blic-SleteWFloriA�
(NOTARYSEAL) '� �' Cwmm�simwXNl�bos] NOTARYSEAL
..nh MYComm.�CimluU�t011 � � .✓rr VANESSItORAES
pmded t�rouqh x�tlonal Natarf Au�. �y,�a�±, Mat+ry WElic�S�ace a�FbrYN
Commission tl XH 1�605]
'���� MyCanm.EvDirnJul1,30tb
'The tertn"IobbyisP'specifically excludes�he following persons' ��� ewCM mrwN Nrtional Mauryissn.
Expert witnesses who provide onty scientifc,technical or other specializetl information or testimony in public meetings;any person who
only appears as a represen�alive of a neighborhood association without wmpensation or reimbursemenl for�he appearence,whether
direcl, indirec[or contingent,to express support o(or opposition to any item; and any person who only appears as a repreSeNative of
no4for-pmf�community based organization for the purpose of requesting a grant without special wmpensa�ion or reimbursement for
�he appearence.
Page 4 of 5
��^, I ,^,I�.� I � E,�,C Fi
Ciry of Miami Beach, V00 Convemion Centxr Drive,Miami Baoch, Florida 33139,wme.miamibeochA.gov
Office of ihe Ciy Clerk
Rokel E. Granado,City Clark CityClerk�miamibeachfl.grn
Tel: 305.6737411, Faz: 305.6737254
NAME OF LOBBYIST: ./L��_ / ,�s,s�, a,rs ��rrf
1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
Pursuant lo City Code Section 2-485(d), lhe City Clerk shall notify any lobbyist (or
principal) who fails to fle timely a Lobbyist Fee Expenditure and Compensation Slatement
(Statement). In addition to any other penalties that may be imposed as provided in
Section 2-485.1, a fne of $50.00 a day shall be assessed for Stalements 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 the Statement or pay the
assessed fines after notification.
Any lobbyist, who fails to fle the required Sta[ement by April 30�" of each year, shall be
au[omatically suspended from lobbying until all fines 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 Slatement under oa[h 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 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
$500.00 pursuant to Section 2-482 of ihe Miami Beach City Code.
./ %—�///�� o� ma z
Signatur f Lobbyisf Date
v:�ciea�snuawaMs��oeansr roausween���e'�svm��vo�m aa�i:m oa-i+-za vec.aoo
Page 5 of 5
� nni,qnni ��A� � �F�t���o
,tiN 092024
City of Miami Beach
1700 Convention Center Drive '�-�' � '%IAMI BEACH
Miami Beach, Florida 33139 �� � -,,.-,7„�, Fpk
www.miamibeachfl.gov
City Clerk's Office
Tel: 305-673-7411
Fax: 305-673-7254 otnce Use Only
ANNUAL LOBBYIST REGISTRATION FORM
Name: �7-CR.�c liU� TYE
a
Business Name: �J��O CR.�vP
Address: ye0 � oZ="� 5��� ✓�o� �l.-rm. � .31/,3�'
Office Telephone Number: (ljo5� Seo -�000
Cellular Telephone Number: �7BL�� 1�5-.35�3
Email Address: i�l�/.rT� � o�RedP. G'e�r/
lf more fhan one lobbyist, please lisf:
1)
2)
3)
4)
5)
6)
7)
Submit this form to the Office of the City Clerk, along with a eheck for 5500 for each
lobbyist. Please make the check(s) payable to the City of Miami Beach.
For City Clerk's Office Use Only
MCR#:7'���L��.
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Amount paid:50� � Date paid: � — a
Processed by: / J/"1 Dale:
F:WLER15RVaFORM$LLOBBYISi iCqMSWINUPL LOBBVIST REGISiFAiION FORM rag tlw
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH No. 432742
❑Cash [�Credit Card ❑Check# $
20
Received of
Address
For
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MiscPlianeous-MCR-2024
�06656-0009 Moises C...01I0912024 0347AM
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Paymen[Amoun[' BSOAO OHice of Finance Director
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