2024 Lobbyist Registration Form - Long Term Agreement (Maureen Bruckmayr) Ga�Te,cn, d�?gsccmenk
MIAMI BEA� �jt�t'�E°
Office of the City Clerk SEP 23 2024
1700 Convention Center Drive
Miami Beach, FL 33139 CITY OF MIAMI BEACH
305.6737411 OFFi
CE OF 7HE C�'ry CLEFK
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retainetl, whether paid or not, by a principal who seeks to encourage IDe passage, defeat or
modifcation of any ordinance, resolution, adion or decision of any commissioner', any action, decisioq recommendation of Ihe Ciry
Manager or any City boartl or commitlee; or any action, decision or recommendation of any Ciry personnel during the lime period of ihe
entire decision-making process on such action, tlecision or rewmmendalion that foreseeably will be heard or reviewed by �he City
Commission, or a Ciry board or commiXee. The lerm specifcally includes ihe principal as well as any employee engaged in lobbying
activities. The term "Lo66yisP' has specific ezclusions. Please refer to City Code Chapler 2, Article VII, Division 3, entitled "Lobbyisis,"
for additional informalion.
Instmctions: Please complete all sections of this form and submit ihe completed(orm,with ihe applicable fee, to the OKce of the City
Clerk. If you need more space lo complele an answer, use a separate sheel(s) of paper. If you have nothing to report in a particular
section, you musl write "none" or "n/a" in that section. Any change to any information originally 91ed, or any addi�ional CiTy
Commissioner or personnel who are also sought to be lobbied shall require ihat ihe lobbyist fle an amendmen��o[he regisiration form.
The lobbyist has a continuing tluty lo supply information and amend lhe forms fled Ihroughou� �he periotl �hat �he lobbying occurs.
Separete registration forms shall be required for each pnncipal representetl on each specifc issue.
I. LOBBYIST INFORMATION:
Mav Brian
NAME OF LOBBYIST (Lest) (First) (Mitltlle Name)
Caoital CiN Consultinq-Miami, LLC 235 CataloniaAvenue Coral Gables FL 33134
LOBBYIST BUSINESS NAME AND ADDRESS (NumOer antl Streep (CAy) (State) (Zip Cotle)
305-461-4260 305-796-3011 bmay3@ma.com
LOBBVISTBUSWESSTELEPHONENUMBER CELLULARTELEPHONENUMBER EMAILADDRESS
II. PRINCIPAL INFORMATION:
Bruckmavr Maureen
NAMEOFPRINCIPAL (Lasp (First) (MitltlleName)
Ah Basel I 118.Corp.
Ah Basel/Miami Beach 1�6480 G�antl SVee�,#601 New Vork NV 10013
PRINCIPALBUSINESSNAMEANDADDRESS (NumberandStreet) (City) (State) (ZipCotle)
011-41-58-206-2751 011-41-79-619-0802 Maureen.Bmckmayr@art�asel.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR 1ELEPHONE NUMBER EMAIL ADDRESS
Pursuant to Ciry Cotle Section 2-082(h)(1)(a): A principal of any wryoration, partners�ip, or o[her enti�y who appears as a lob�yis[on behal/of ihat
en�ity,without special mmpensation or reimbursement for�he appearence,whether diretl, intlirect, or wntingent,to express support of or opposi[ion to
an item shall register wRh ihe Clerk as requiretl by�his subsection but shall no[be required ta pay any regisiretion tees.
If the principal is a Corporation, Partnership or Trust, the following infortnation MUS7 be provided
pursuant to CiTy Code Section 2-482(c�:
• NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARV(if none,write N/A�: Noah Homwitz
• NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLV,A 5%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 practical, 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 2-482�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 72 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 antl Contrectual 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 registrent 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 fortn 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 N/A :
None
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):
$7,000.00 monthly
Page 2 of 5
The following six(6)questions MUST be answered:
1) Pursuant to City Code Seclion 2-088, enti�letl "Prohibiled Campaign ConUibutions By Lobbyisis On Procuremenl Issues":
Yes xNo: Are vou lobbvina on a oresent or oentlina bitl for 000tls. eauioment or services, or on a oresent or
oendino award for qaods,eouioment or service7
2) Pursuant to City Code Section 2�90, en�i�led "Prohibited Campaign Con�nbutions By Lobbyisls On Real Estate Development
Issues":
Ves x No: Are vou lohbvinq on a oendinn aoolication for a Develooment Apreement with the CiN or aoolication
for chanqe of zoninq mao desiunation or chanqe to the CiN's Future Land Use Map?
3) Pursuant to City Code Section 2�82�h�, any person (except those exempt from the definition of "IobhyisY' as set fotlh in
Section 2-481)who only appears as a represenlative of a nob(or-pmLt corporation or entity wilhout special compensa�ion or
reimbursement for ihe appearance,whether direct or indirect lo ezpress suppoh of or opposition to any item,shall register with
ihe city derk as required by this section, bu�shall not be required lo pay any registration fees.
VesxNo: Are vou reoresentino a nobfor-orofit corooation ar entiN without scecial comoensation or
reimbursementT
4) Pursuant to City Cotle Sec�ion 2<81, ihe term "lobbyisf' specifcally excludes lhe following persons'. Expetl witnesses who
provide only scientifc, �echnical or olher specialized informalion or lestimony in puhlic meetings; any person who only appears
as a representalive of a neighborhood association without compensation or reimbursement 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 of
nobforvpmft community based organization for the purpose of requesting a grant without special compensation or
reimbursement for the appearance.
Yes x No: Are vou orovitlina onlv scientific. technical or other soecializetl information: aooearino as a
reoresentative of a neiohborhootl association without soecial comoensation or reimbursement or
reoresenlinp a nobfor-pmfit based oraanization Tor the ouroose oT reauesfino a arant without
soecial comoensation or reimbursementY
5) Pursuant to City Code Section 2-097�1), no campaign consul�ant shall lobby �he City Commission for a period of 12 months
following �he swearing in of any elected oH�cial(s) for whom lhe campaign consultant provided campaign consulting services
within t6e past election cyde. See Section 2-491 for more information.
Ves x No: Have vou urovitletl camoaian consultina services to an incumbent member of the Ciri Commission
within the aast election cvcle?If ves.olease list the incumbent memberlsl of the CiN Commission:
Yes x No: If ves. has it been less than 72 months since the elected official(sl whom vou orovidetl camoaian
consultinq services was sworn in9
6) Pursuant to City Code Section 2<82(a)(4�a., a lobbyis�who has wi�hin ihe past eledion cycle provitled campaign consulting
services to an incumben� member oi Ihe Ciry Commission (which lobbying aclivily is not olherwise prohibited by Code sec�ion
2-491) shall tlisclose such particular service on his/her lobbyist registration form and shall orallv tlisclose such oarticular
sery ce before lobbv no ihe CiN Commission at a oublic meetino.
Ves" No: Have vou orovided camoaion consultina senices to an incumbent member of the CiN Commission
within the oast election cvcle?If ves.olease list the incumbent member(s1 of the CiN Commission:
Yes XNo: If ves were vou oromised or did vou receive economic consitleration in exchanae for camoaiqn
consultina services7
TO eE COMPLETED BY GITY CLERK'S STAFF ONLY
� 00
AnnualReBis[rz[iontee: [I]Yes[ ]No AmountPaidE��• MCR% 33�51 DatePaitl�� c+�l �
LOEbylsl Reglatra�ion Form rewivetl and verified by: J���
F.\CLE0.\$ALL\aFORMS\IOBBVISTF00.M5\LObbyiSlR¢yi[[ra[imFo�mHevised 03-ll-lOREG.tloc Revised03/11/2020
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 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 COMPENSATION DURING THE REPORTING PERIOD.'
SignatureofLobbyist: �� Ij Vu-�—�� Date _//}��.
I do solemnly swear or affirm that all of the foregoing facis, statements, and disdosures in this form are true and correct,
and that I have read or am familiar with the provisions contained in Chap[er 2, Art. VII, Division 3, entitled "Lobbyists" of
[he Miami Beach City Code and all re orting requirements.
Signature of Lobbyist: Date / �lc�T
Signature of Princlpal�. ,� L U � Date !�a 3�a� �
VII. NOTARY SIGNATURE AND SEAL: R������� d7 m( ��(b��'�r
l�A/�L� �'2 �Ld'�cLl9G�
LOBBYIST: PRINCIPAL
State of Plorida State of 7 L
COUlIIY Of: Miemi-Datle COUfIIY Of'. /VI(�� / (/Q/,(i
Sworn to(or affrmed)and subscribed before me, Swom to (or affrmed) and subscribed before me,
by means of 0 physical presence by means of�hysical presence
or o online notarization, �4 or o online notarization,
this_day of Sep�ember , 20�, by ihis�day of��1-�./f1�1�/J�i� . 20�by
BrianMay /�//q,U7'-(_fi�1 ��IZ[,�/fifC(it/y✓'
NAME OF LOBBYIST NAME OF PRINCIPAL !�
_Produced ID �Produced ID '�
FORM OF IDENTIFICATION FORM OF I ENTIFICATION
x Personally Kno n// _PersoY31' Known
!� � `
�
Sig ture Not •Pu lic igna ure Mic
Mire a Carb y-�(�_ LG��C!l<J
Name of Not �,. , PriAlB�'A Name of Notary. Typed, Prin[ed or S[amped
MYCOMMI3810N �
(NOTARY S �� � EXPIRES,FebwryYl.�� (NOTARY SEAL)
°`�`•�'�o ILqE 8.UVABB
�MY fAMM5510N#HH2]256D
FXPIpES:JUN06,2026
' 7he term"lobbyist"specifcally ezcludes the following persons: � �"� BurdalNmWnlstSbrelnsuance
Expert witnesses who pmvide only scientifiq technical or other specialized information or testimony in public meetings',any person who
only appears as a representative of a neigh6orhood association without compensation or reimbursement for ihe appearance, whether
direct, indirect or contingenl, to ezpress suppotl of or opposi�ion to any item', and any pereon who onty appears as a representative of
no4for-proft wmmunity based organization for lhe purpose of requesling a gran�without special compensation or reimbursemen� for
Ihe appearance.
Page 4 of 5
�� i � f�� n,� E� �
City of Miami Beaah, 1700 Convemion Cemar�rive,Miomi Beach, Florido 33139,www.miami6eachfl.gov
Offica of ihe Ciy Clark
Rafael E. Granado, Ciy Clerk CityClerk@miamibeachfl gov
Tel: 305.6737411, Fox: 305.6737254
NAME OF LOBBYIST: erian May
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 aker 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 Offce 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
$500.00 pursuant to Section 2-482 of ihe Miami Beach City Code.
9 aa a
Signature of Lobbyist Date
F�\CLERIFALUeFORM$\LOBBVIST FORMSLCE�yisl ReBi9�e4on Fo�m Revis N 0�11 20 REG Ooc
Page 5 of 5
C,itY of Niami Bear.h � n .�� � � s� � p � � �
Ci1Y flall 'n R x � A o ° a 'r°- y � 3
IlUO Cunvention Centvr t$- m °c '^ n � � _ � � n � � �p m
Miaul Beach , fL 3J1i9 'm ,.�, z o � g � 3 � � r d
305-fi13-7420 � O a o o " o ❑ g o
19elcome � 3 A � A ° � 3 �
m D a
24/L02C IO:LBA�d [ai'w�u V_ � � m w
�348-GD09 Z _ d a s
n
a = �
ICfI.IANf:Ol1S N o ❑ m
:ferenr,p 1 : t4Cha3395i � � �
1GR (1PEN IMCh?i �
m �
m o F
?iJ24 itein: 14�R n � � .
I @ $1,050.0060 �
MCI� �PEN (MCR1 yLuhn.iJU �
r
m
�
m
$1,05ll.U11 O ,
htotal 31,0'.��O.uu
tal SI .OSO.:U o
a
F.CK $70i i.iiU y
Check Nuinl�crU05969 �
ECK $�5������
Cheak Number[105986 � w z
- --- � y0_Ou ' m �
Iil119B dllC ' A
-�i. W
iiii by: CFPTIAL L'iiY �ONSULIItJG-htl�J41 i i��. T u'
S �
y N
N
m n O
Il���fll�llll�'�I'llMllll��lllil�lllllllllllllllllh�llllllllnllllll'� � ° �I
I
�
�
_���_ . _
_:�, o
�.�y �w .�.�, ,
TJ P(W
--�6 i sa.z'Sr �.,.Q I
�.. .�... NW , .. . .
-3t.�y�^-�_g-...
� .�
"�"ara +"—
luwu . ,... _.. ' �i
t �,;�= �,. -:Q�,
O ..:a�s�- ��., /
'.I'ig�ik yGl; fr,l YO'Jr �,r;i;'hl¢:Id
LU�.,IGItEk iLl-f