2024 Lobbyist Registration Form - Long Term Agreement (Maureen Bruckmayr) Lon9 'I'ecm YaeJseemen�
nn i nn� i RFAc' H �"tCtivED
Office of the City Clerk SEP 23 2024
1700 Convention Center Drive
Miami Beach, FL 33139
305.6737411 CITY GF MIAMi BEqCN
LOBBYIST REGSTRATION FORM OFF!CE OFiHE C�ry CLERk
Lobbyis� means all persons employed or retained, whether paid or not, 6y a principal who seeks to encourage lhe passage, defeat or
modiLcation of any ordinance, resolu�ion, action or decision of any commissioner, any action, decision, recommendation of ihe Ci�y
Manager or any City boartl or committee',or any action, decision or recommendation of any City personnel during ihe time period of ihe
entire decision-making pmcess on such action, decision or recommendation lhal foreseeably will be heartl or reviewed by lhe City
Commission, or a City board or committee. The �erm specifically includes ihe principal as well as any employee engaged in lobbying
activilies. The term "Lobbyis�" has specifc exclusions. Please refer to City Code Chap�er 2, Article VII, Division 3, entitled "Lobbyis�s,"
for additional informa�ion.
Instmctions: Please complete all sections of ihis form antl submit lhe wmpleted form,with the applicable fee,to ihe Offce of the City
Clerk. If you need more space to complete an answer, use a separate shee�(s) of paper. If you have nolhing to repotl in a particular
section, you mus� wnle "none" or "n/a" in that sec�ion. Any change to any informalion originally fled, or any adtlilional City
Commissioner or personnel who are also soughl lo be lobbied shall require ihat Ihe lobbyist Ale an amendment to lhe registration form.
The lobbyist has a con�inuing duty to supply information and amend �he forms fled throughout ihe period Nat ihe lobbying occurs.
Separate regisUation forms shall be required for each principal represented on each specifc issue.
I. LOBBYIST INFORMATION:
Riera-Gomez Timothy
NAME OF LOBBVIST (Lasp (First) (Mitltlle Name)
Capi�alCiryConsul�ino-Miami.LLC 235CatalaniaAvenue CO�elGdbl¢5 FL 33134
LOBBVIST BUSINESS NAME AND ADORESS (Number entl Street) (Clty) (State) (Zip Code)
sos-asi-azso timgomez3@gmail.com
LOBBVISTBUSINESSTELEPHONENUMBER CELLULARTELEPHONENUMBER EMAILADDRESS
II. PRINCIPAL INFORMATION:
Bmckmavr Maureen
NAME OF PRINCIPAL (Last) (First) (Mltltlle Neme)
Art Basel/U.S.Corp.
Ah Basel/Miami Beach 1�6480 Grantl SVee�,k601 New York NV 10013
PRINCIPALBUSWESSNAMEANDADDRESS (NumberantlS�reet) (CTy) (State) (ZipCotle)
011-41-58-206-2751 011-41-79-619-0802 Mauraen.Bmckmayr@atlbasel.com
PRINCIPALBUSWESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILADDRESS
Pursuant to Ciry Cotle Sedion 2-082(h)(1)(a): A principal of any wrporation, patlnersM1ip, or other entity who appears as a lobbyist on beM1al/of ihat
entiry,withou[special compensation or reimbursemeM for t�e appearance,wheUer CirecL indirect,or contingent,ro express supPort of or opposRion�o
an kem shall regisler with the CIeB as required by�his subsection bul shall not be required to pay any regis�retion 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,write N/A): Noah Homwi�z
• NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLV,A SY OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST(if none,write N/A�: N/A
Page 7 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 AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-462(a)(4), list the City Commissioner or City personnel sought to be
lobbied, and whether the lobbyist has entered into any contrectual 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 Contrectual Relationship (If yes, explain) YES 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
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 NIA :
None
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Sqecific. (Note that a
contingency fee is prohibited pursuant to City Code Sec. 2-465.3�:
$7,000.00 monthly
Page 2 of 5
The following six(6)questions MUST 6e answeretl:
1) Pursuani lo Cily Code Section 2388, entitled'Prohibited Campaign ConUi6utions By Lobbyisls On Pmwremenl Issues":
Yes xNo: Are vou lobbv nq an a oresent or cendinq bid for aootls. eauioment ar services, or on a oresent or
pendinq award for aootls eauioment or service?
2) Pursuant b City Code Section 2<90, entitled "Prohihited Campaign Contribulions By Lob6yists On Real Estate Development
Issues"'.
Ves x No: Are vou lobbv'nq on a oend'nq aoal'wl on(or a Develooment Aqreement with the CiN or aoolication
for chanqe of zon'nq map des'analion or chanqe to the CiN's Future Land Use Mao7
3) Pursuanl to City Cotle Seclion 2-0ffi�h), any person (excep� �hose exempt from lhe defnition of "IobbyisP' as set forth in
Seclion 2-481) who only appears as a representalive of a no4for-pmf� corporation or entity without special compensalion or
reimhursement for ihe appearance,whether direct or indirect to ezpress suppotl of or opposi�ion to any item,shall regisler with
ihe ciry clerk as required by this section, but shall not be required lo pay any registration fees.
Yes x No: Are vou reoresen£na a not-for-orofit corooretion or entih without soecial comoensation or
reimbursement9
4) Pursuani to Ciry Code Sec�ion 2-081, ihe lerm "lobbyisi" specifcally excludes the following persons'. Expetl witnesses who
provide only scientrfic,techniwl or olher specialized infortnation or�estimony in public mee�ings; any person who only appears
as a representative of a neighborhood associalion wi�hout compensation or reimbursemenl for ihe appearance,whe�her direct,
indirect or contingent,to ezpress suppotl of or opposition to any item; antl any person who only appears as a representalive of
no4for-proft community based organization for ihe purpose of requesting a grant without special compensation or
reimbursement for ihe appearence.
Yes xNo: Are vou orov'd'na onlv scientific technical or other soecialized information: aocearina as a
a senWt e of a e'ahb a d ' t on without so ' I a C o reimbursement or
represent'nq a nobfor-prof't basetl oraanization for the puroose of reauestinq a qrenl without
soecial compensation or reimbursement?
5) Pursuant to City Code Section 2-491�7�, no campaign consultant shall lobby ihe City Commission for a periotl of 12 monihs
following ihe sweanng in of any elecled oKcial(s) for whom �he campaign consultant provided rampaign consulling services
within lhe pas�eledion cycle. See Sec[ion 2-491 for more information.
Ves x No: Have vou orov'ded camoa'an consultino services to an incumbent memher of the CiN Cammission
'th' lh leleclo cvcl ? Ifv pl I' tthe'ncu be t be ( 1 fth C'NComm'ss'on�
Yes x No: If ves has 't been less than 12 monlhs s'nce the elected official(s1 whom vou orovitletl camoaiun
consultino services was swom in?
6) Pursuant b City Code Section 2�48P�a�(4�a., a lobbyist who has within ihe past election cycle provided campaign consulting
services b an incumbent member of the City Commission (which lobbying activity is nol otherv,�ise prohibi�etl by Code seclion
2-491) shall disclose such particular service on his/her lobbyist regislrelion form and shall orallv disclose such oarticular
serv'ce before lobbv no ihe CN Comm'ss on af a oublic meetin4.
Ves' No: Ha e vou o �tl d s IC q t b t b f th C'ri C mm'ss'on
'th' th t I f I 71i e ol I' tth ' be t b 1 1 fth C'NC mm'ss'on�
Ves XNo: If es were vou o o ' d d'd o receive econam'c cons'tleration 'n exchanne for camoa'an
consultinq services9
TO BE COMPLETED BV CITV GLERK'S STAFF ONLV
,/ d�"' ��3395 ! a , a�
Annual Regis[ration tee: [ ]Vas[ ]No Amoun[Paid E �S MCR# Date Paid
Lobbyist Regis[ration Fortn receivetl and venfed by:��
F\CLER\4FLL\aFORMS\LOBBttSTFORMS\Lobbyls[h¢�ISLra[ionFo�mRevlsed 03-llQOREG.tloc Ravisad03/11/2020
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 LOBBVING 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 COMPEN TION DURIN E REPORTING PERIOD.' /
Signature of Lobbyist Date�?�/1`7
I do solemnly swear or affvm 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 [he provisions contained in Chapter 2, Art. VII, Division 3. entitled "Lobbyists" of
the Miami Beach City Code an all reportin qui e ents.
Signature of Lobbyist Date ��zo��
Signature of Principal�. �� ' �� Date /��3/2 y
��n���,L� o� ��-f 3�c(ba�� ,�
VII. NOTARY SIGNATURE AND SEAL: �ayC� S✓�/C` tP�N�4,�"I�
LOBBYIST: PRINCIPAL
Stale of Florida State of r,� q�
Countyof: Miem�-oaae Counryof�. l�lC������ �a-��
Swom [o(or affirmed) and subscribed before me, Swom to (or affrmetl) and subscribed before me,
by means of 0 physical presence by means of�'physical presence
or 0 on me notarization, or 0 online notarizangn,
this�day of Seotember , 20� by this�day of .) �'�7{IN�(GiP,v . 20�y
TimothyRiera-Gomez Iv/a�✓CLUL IJWGf��a�
NAME OF LOBBYIST NAME OF PRINCIPAL
Produced ID /�Produced ID . f��� �
FORM OF IDENTIFlCHTION FORM OF IOEN IFlCATION
x Personally Kno r� _Per ally Known
/ /
��C. C(. jJ
Sign ture o otary ublic Signa e of Nota Public
Mire a Carba�losa �\C� � CI.�CI("Q � 1
Name of Name of No[ary, Typed, Printed or Stamped
:p�!'"�""�r:: MIHEVACIABALLOSA ... :,:=__:.'_
(NOTAR � MYCONMISSIONSXH31�51 (NOTARYSEAL) ,,.,,, ,LLMlLIAWDo
p� EX%NES:Fduerytt.�7 �t MYCOMMISSIONSHH2l25fi0
��?,o:i:?.'�` E(%pE$:JUN08.2026
' The term"IobbyisP'specifcally excludes the following persons:
L "� BoMeUNmupM1lst8latelnsunnce
Expert witnesses who pmvide only scientifc,technical or other specializetl information or�es�imony in public mee�ings;any person who
only appears as a representative of a neighborhood association without compensation or reimbursement for ihe appearance, whether
direct, indirect or comingenl, to express support of or opposition to any item', and any person who onty appears as a representative of
no4for-pmf� community based organization for ihe purpose of reques�ing a grent withou� special compensa�ion or reimbursemeN for
the appearance.
Page 4 of 5
� iE; [ �� n� i ;
Ciy of Miami Bsoch� 1700 Convemion Center Drive, Miami Beach, Florido 33139,www.miamibeachA.gov
Office of ihe Ciy Clerk
Rafael E. Gmnado, Ciy Clerk CiyClerk@miomibeachfl.gov
TeD. 305.6737411, Fox: 305.6737254
NAME OF LOBBYIST: Timothy Riera-Gomez
7) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
Pursuant to City Code Section 2-455(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 file 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 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
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
9 Zo
� natureb Lobbyist Date
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