2024 Lobbyist Registration Form - Long Term Agreement (Maureen Bruckmayr) Lo n9 Tecm lagceemehk
�11 I / i 1 \/ ` I R F A` H RECEIVED
Offce of the City Clerk SEP 23 2024
1700 Convention Center Drive
Miami Beach, FL 33139
305.6737411 CITY Ur MIAMI BEACH
OFP�CE OF T�IE CIT'I CLF.V�R
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage ihe passa9e, defeat or
modifcalion of any ordinance, resoWtion, action or decision of any commissioner', any ac�ion, decision, recommendation of �he City
Manager or any City board or commitlee; or any action,decision or recommendation of any City personnel during the�ime period of Ihe
entire decision-making process on such action, decision or recommendation ihat foreseeabry will be heard or reviewed by ihe City
Commission, or a City board or committee. The term specifcally inclutles the principal as well as any employee engaged in lobbying
activities. The lerm "Lobbyist" has specifc exclusions. Please refer to City Cotle Chap�er 2, Ahicle VII, Division 3, entilled "Lobbyisls;
for additional in(ormation.
Instmctions: Please complete all sections of lhis fortn and submi�ihe completed form,wi�h the applicable fee, to the Offce of�he City
Clerk. If you need more space lo comple�e an answer, use a separate shee�(s) of paper. If you have nothing to repotl in a patlicular
seclion, you must write "none" or "n/a" in that section. Any change to any information originally fled, or any additional City
Commissioner or personnel who are also sought to be lobbied shall require that ihe lobbyist file an amendment to the regisiration form.
The lobbyist has a continuing dury to suppty information and amend ihe forms 91etl throughout the periotl ihat the lobbying ocwrs.
Separate regislra�ion forms shall be required for each principal represenled on each specifc issue.
I. LOBBYIST INFORMATION:
Angulo FelipB
NAME OF LOBBVIST (Last) (First) (Mltltlle Name)
C pt ICt C If q-M' ' LLC 235CataloniaAvenue CoralGableS R 33134
LOBBVIST BUSINESS NAME AND ADDRESS (Number antl S�ree�) (City) (Slate) (Zip Code)
ao5-asi-azso Felipe@cccfla.com
LOBBVISTBUSINESSTELEGHONENUMBER CELLULARTELEPHONENUMBER EMAILADDRESS
II. PRINCIPAL INFORMATION:
Bmckmavr Maureen
NAME OF PRINCIPAL (Las[) (Frs�) (MltlCle Name)
An Basel/U.S.Corp.
Atl Basel I Miami Beach 1]6-iB0 Grantl Street,#601 New VoB NY 10013
PRINCIPAL BUSMESS NAME ANO AD�RESS (Number antl SireeQ (Cdy) (S�ate) (Zip Cotle)
011-41-58-206-2751 011-4149-619-0802 MaureenBmckmayr@aribasel.com
PRINCIPALBUSINESSTELEPHONENUMBEft CELWLARTELEPHONENUMBER EMAILA�ORESS
Pursuant to City Cotle Section 2-482(h)(1)(a): A p�incipal ot any co�pora�ion, paMersM1ip, or o[her entity wM10 appeare as a lobbyis[on behalf of that
entiry,wi��oul special compensa�ion or reimbursement for ihe appearance,whether tlirecG Indirect,or wnlingen(�o express support of or opposition�o
an item shall register with the Clerk as requireC by ihis subsection but shall not be required to pay any regisiration fees.
If the principal is a Corporation, Partnership or Trust, the following information MUS7 be provided
pursuant to City Code Section 2�82(c):
• NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARY(if none,write N/A�: Noah Homwi�z
. 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�: N�A
Page 1 of 5 ��
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.
Long Term Agreement
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 o� 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
Title of Person to be Lobbied
Clty Manager X
Mayor X
Commissioners x
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
appearence of an impropriety, with any current City Commissioner or City personnel who is sought to
be lobbied as identified on the lobbyist registretion 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 NIA :
None
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a
contingency fee is prohibited pursuant to City Code Sec. 2-085.3):
$7,000.00 monihly
Page 2 of 5
The following six(6)questions MUST be answered:
1) Pursuan�to City Code Section 2�88, eniitled'Prohibi�ed Campaign Coniri6utions By Lobbyisis On Procuremen� Issues"'.
Yes xNo: A v I bb ' a o t ce d' q b'd to a d q ' e t or on a t or
o d'na awa d f a ods eau'o t or service'+
2) Pursuant to City Code Section 2-090, enti�led"Prohibited Campaign Contributions By Lobbyists On Real Esta�e Development
Issues":
Yes x No: Are vou lohbv' a on a oe d' a ool'cat'o f D eloome t Aa ment with th C'N or aool'c t'
for chanae of 'np mao des'a fon o cha a t the CiMs F t Land Use M o?
3) Pursuant to City Code Section 2d62(h�, any person (excep� lhose ezempt from lhe defnition of "lobhyist" as se� forih in
Seclion 2-481) who only appears as a representa�ive of a no4forvproft corporetion or entity without special compensation or
reimbursement for 5he ap0earance,whether direct or indirect to express support of or opposition to any item, shall register with
�he dty clerk as required by ihis section, bul shall not be required to pay any regisirelion fees.
YesxNo: Are ou o £na a olf o (t coo f enFN 'lh t ecial o aYon or
reimbursement?
4) Pursuant to Ciry Code Seclion 2�8'I, �he term "IobbyisP specifcalty exclutles the following persons'. Expert witnesses who
provide only scientifq technical or other specialized informalion or testimony in public meetings; any person who only appears
as a represenlative of a neighborhood association without compensation or reimbursement for ihe appearance,whether direct,
intlirect or contingent,to ezpress support of or opposition to any item',and any person who only appears as a representative of
nobfor-prof� community based organization for �he purpose of requesting a grent withoul special compensation or
reimbursement for�he appearance.
Yes x No: A vo o 'd' 4 onl sc'e t'f technical o lh soecial'zed 'nformat on� aooear'nu as a
o esentaE f ne'ahborhood associafon w'thout soecial comoensation or reimbursement or
ep e f n a not fo o ft basetl o a ti for the o 0 of reaue t' 4 prant 'th t
soec'al comoensation or reimbursement?
5) Pursuant to Ci�y Code Seclion 2�97(7�, no wmpaign consullanl shall lobby the Cdy Commission for a period of 12 monihs
following ihe swearing in of any elected oKcial(s) for whom ihe campaign wnsultant provided campaign consul�ing services
within lhe past election cycle. See Section 2-091 for more information.
Yes x No: H v o o 'd d oa'an co It' serv'ces to an 'ncumbent member of[he CiN Commission
'th'n the oast I t on cvcle� If v lease I'st the'ncumbent memberlsl of the CiN Commission:
Ves x No: � ••^� has 't be I than 12 th s'nce Me elected offc'al(sl whom vou orovided camoaion
consult na services was sworn in7
6) Pursuant to City Code Section 2-082�a�(4�a., a lobbyist who has within the past election cycle providetl campaign consWting
services to an incumben� member of Ihe City Commission (which lobbying activity is not otherwise prohibited by Code section
2-491) shall disclose such paRicular service on his/her lobbyist regisiration form and shall orallv d�sclose such oarticular
b f I �b - th C'N C t bf t
Yes' No: H o �tletl co It' rv'ces to an 'ncumben[ member of the CiN Commission
'th' th oas[ I t' le7 If I e I' t th ' b nt mem6erlsl of the C'N Commission:
Yes XNo: ' �•^^ e v orom'sed dd vou ec ' e econom'c consitlerat'on 'n exchanae tor camoaian
consultina services?
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY /� �) 1/�
Annual Registrotlon fee: [ ]Yes[ �No Amoun[Pald��� MCR N L/-3�� s� Oate Paid 7 • "�% • `t /
Lobbyisl Registrallon Fortn received anE verifietl by:�
f:\QER\SFLL\aFORNS\L060VISTFO0.N.5\Lobby�slPeS�`�rationPo�mRevisetl 03d140REG.tloc Revised03/11/2020
Page 3 of 5
VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR EACH L08BYIST 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
EXPENDITURE OR COMPENSA DURING THE REPORTING PERIOD.'
Signature of Lobbyist Dale ��/�-'/�
I do solemnly swear or affrm that all ot the foregoing facts, statements, and disdosures in this form are true 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 rG brting requirements.
� 9��/3s�
Signature of Lobbyist Date
Signa[ure of Principal: Date //^`z�y
VII. NOTARY SIGNATURE AND SEAL: ��V����� � � �`"�'n' I ���
I ✓� �G/le-� Slti'l �Zly��
LOBBYIST: PRINCIPAL
State of Florida State of E L ,p
COuOty Of: Miemi-Dade COuOty OE �C O,�[ OA/il..0
Swom to (or affrmed) and subscribed before me, Swom to(or affrmed) and subscribed before me,
by means of O physical presence by means of,�physical presence
or � online notarization, ,Z� or 0 online notarizati ,� �� p � �
[his y�[Q_.day of Septemeer . 20_, by this�tlay of '�(':n R✓✓!M(/' . 20 a,�'�y
Felipe Angulo �p,riv.e�q �YU(�vu[N GaI/
NAME OF LOBBVIST NAME OF PRINCIPAL
Produced ID � Produced ID
FORM OF I�ENTIFICATION FORM OF IDENTIFICATION
x p rsonalty Known Pers a Known
9
> O ,
Sign ure of otary ic Si[Qnature of Notary ublic
MireVa CaPoallosa Ti�AC� ����� �
Name of Nota Name of Notary, Typed, Prin[ed or Stamped
dii".:.,,
,F � MIREqCARBALLOSA
(NOTARY SE F.j . (NOTARY SEAL)
" M1'COMMISSION/NHJ/B&51
;x. .
"ro.h.g^:�' E%PIflE3:Fbuary21.y027 I PLICES �AVPDO
���"k;. MYCOMMISSION#Hk272580
' The�erm"IobbyisP'specifically excludes ihe following persons: IXAHES JUN06.Y026
� BantlaO���ugA1s151alelnsurefca
Expeh witnesses who provide only scien�ifq�echnical or other specialized informalion or testliflony in public mee�ings',any person who
only appears as a represen�ative of a neighborhood associa�ion withoul compensation or reimbursement for�he appearance, whether
direct, intlirect or contingent, to express support of or opposition to any ilem: and any person who ony appears as a representative of
nobforprof� community based organization for lhe purpose of requesting a gran� without special compensation or reimbursemeM for
ihe appearance.
Page 4 of 5
I3I nc. f ,
Cily el Miami Bacah� V00 ConvenNon Centar Drive, Miomi Beoch, Florido 33139,www.miomi6eochA gov
Office oF Ihe City Clerk
Rafaei E Gwnado, Ciy Clerk CityClerk�miamibeachfl gov
Tel�. 305.673.7411, Fax: 305.673.7254
NAME OF LOBBYIST: Felipe Angulo
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 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 fle the Statement or pay the
assessed fines after notifcation.
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 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 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
$500.0 pursuant to Section 2-482 of the Miami Beach City Code.
' �1"���3�� ,��Y
Signaty e of Lobbyist Date
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