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2024 Lobbyist Registration Form - Wolfsonian Audio Visual Upgrade (FIU Board of Trustees for the Wolfsonian) _ _ �<���Sofl io.�l �V� � o • • f<'SUa' U�'7jsca� g RECEIVED D E AC H oe�ce otme c�ry cie�k SEP 212024 1700 Convention Center Drive Miami Beach, FL 33139 Cf1Y OF MIAMI BEACH 3058737411 OFRCF O°T"�E CnY CLFRK LOBBYIST REGISTR4TION FORM Lobbyist means all persons employetl or retained, whet�er paid or not, by a principal who seeks to encourage lhe passage, defeat or modlfication of any ordlnance, resoWHon, ac�lon or declsion of any commissioner. eny action, tlecision, recommantlation of ihe City Manager or any City board or committee', or any action, tlecision or recommendation of any City personnel during the time period of the entire tlecision-making process on such action. tlecision or recommentlation Ihat foreseeably will be heartl or reviewed by the CiTy Commission, or a City boartl or committee. The term specifically indudes ihe principal as well as any employee engaged in lobbying activities. The term "Lobbyisf' has specifc exclusions. Please refer to City Code Chapter 2, Ahicle VII, Division 3. entitled "Lobbyis�s,' for additional in(ormation. Instmctions: Please complete all sec[ions of this form and submit the completed fortn,with [he applicable fee, to the Office of the City Clerk. If you neetl more space to complete an answer, use a separate sheeqs) of paper. If you have nothing b report in a particular section, you mus� wnte "none' or "Na' in that sectioa Any change to any information originalty filed, or any atltlitional Ciry Commissioner or personnel who are also sought to be lobbied shall require iha�lhe lobbyist file an amendment to ihe registration form. The lobbyist has a continuing tlury to supply informa�ion and amentl the forms filed throughout ihe period that lhe lobbying occurs. Separete registration forms shall be requiretl for each principal representetl on each specifc issue. I. LOBBYIST INFORMATION: S�eatlman Casey Palton NAMEOFLOBBVIST (Last) (Frtsp (MltltlleName) The Wolhonian-FIU 1001 Washing�onAve Mlami Beach FL 33139 LOBBYISTBUSWESSNAMEANDAD�RESS (NumberentlSVeet) (Giry) (Stete) (LpCatle) 305-535-2fi55 ]]031]-9890 wsey@�hewolf.fw.edu LOBBVIST9USINESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILADDRE55 II. PRINCIPAL INFORMATION: Florida In�ema�ional Univsity Board of Tms�ees far�he Wolisonian-F W NAMEOFPRWQPAL (�esp (Flrsp (MitltlleName) TM1eWolfsonian-FlU 1001WashingtonAve MiamiBeach FL 33139 Rorida Intemational University 11200 SW B�h Street Miami FL 33199 PRINCIPALBUSWESSNAMEAN�ADDRE35 (Numberentl5lreeQ (Clty) (Steta7 (ZipCatle) 305-535-2615 �]0-31]-9890 casey@ihewolCfw.etlu PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL AD�RE55 Pursuanl to City Code Section 2482(h)(1)(a)'. A pnncipal of arry corporalion. partnership, or other en�iy who appears as a lobbyist on behalf of�hat entiry,wilhout special compensation or reimbursement for ihe appearance,whether direct,intlired. or contingenL lo express support of or opposition�o an item shall registerwi�h�he Clerk as required by�his subseqion�ut shall no�be required to pay any registretion fees. If the principal is a Corporetion, Partnership or Trust, the following information MUST be provided pursuant to City Code Section 2-482�c�: Dr. Ken Jessell, President-FlU . NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(i(none,wri[e N/A�: C25¢y Steadtt120, WOIfSonlan DIf2CiOf • NAME OF ALL PERSONS HOLDING,DIRECTLV OR INDIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(i(none,wri[e NIA): Fbrida International University Boartl of Trustees Page 1 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. Proposal to support the Wolfsonian Audio Visual Upgrade and Cinema Programming - one time costs for the upgrade of the audio visual equipment in the Wolfsonian auditorium and one time support to launch 12 months of cinema programming (12 Wolfsonian produce programs and access for 6 partner produced 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 to the present date, stating the general nature of the subject contractual relationship. Full Name of Indivitlual and Contractual Rela[ionship(If yes,explain) vEs NO Ti[le of Person to be Lobbied CMB Commission Finance and Economic Res. Com X CMB Commissioners, Mayor, and Aides 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 riet if none,wri[e N/A : N/A V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Sqecific. (Note that a contingency fee is prohibited pursuant to City Code Sec. 2�85.3): � o � o�� c....� C�•�ov� Page 2 of 5 The tollowing six(6)questions Ml1ST be answe�ed: 1) Pursuant to City Code Section 2�88..entitled"Prohibited Campaign Contributions By Lo6byis[s On Pmwremen�Issues". Ves XNo: A lobb ' a e t o o tl' b'd fo a tl 'ome t ' es or on a nt or 0 d a d f q d a 'o [ rv'Ce� 2) Pursuan[to City Code Section 2d90, entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues"'. Yes XNo: A lobb ' q d' n DDI' t' fo D I t Aa t 'th lh C'b I' [' ( h q f o tl 'q t" h q t ih C'N' F t L d U M p� 3) Pursuant to City Code Section 2-082(h�, any person (except lhose exemp� from the tlefinilion of "lobbyist" as set forth in Section 2-08�)who only appears as a representalive o(a no4for-profit corporation or entiTy without special compensa[ion or reimbursement for Ihe appearance,whether direct or indirec�m express support of or opposilion�o any item,shall register with the city derk as required by this sec�ion, but shall nol be requiretl ro pay any registration fees. XXes No: A eD f n t fo o Ft aEo fN 'th t p ' I o C or reimbursemenl7 4) Pursuanl to City Cotle Seclion 2d81, the tertn "lobbyist" specifcalry excludes the following persons: Expert witnesses who provitle onty scientifc, technical or other specializetl information or testimony in Oublic meetings�, any person who only appears as a representative of a neighborhood association without mmpensation or reimbursement for ihe appearance,whether tlirect indirect or contingen�,to express support of or opposition to any item; antl any person who only appears as a representative of not-(or-profit communiry basetl organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. Ves XNo: A v �d' a I t'f'c t h ' I oth " I' d �ntormat'on' aooear'nn as a p Wt f ' hb hood � t' 'th t ' I mo t r re'mbursement or u se C n t f o of't b tl a ' aC ( th o f 4 esfnn n t w'thout soec'al comoensation or reimbursemenl? 5) Pursuant b City Cotle Section 2d91�1), no campaign consultant shall lobby the CiTy Commission for a period of 12 monihs following lhe swearing in of any electetl offcial(s) for whom the campaign consultan� provitletl campaigm m�sulting services within the past election cycle. See Section 2-491 for more information. Ves X No: H v 'd d o 'n Iti n t a ' b t member of the CN Comm'ssion 'th' lh [ I t I �It ol I' tthe bcumbenl m¢mberfsl otthe Citv Commission: Yes N¢ � •^� ^ 't bee I th 12 o th th elected oH'c'alfs) whom vou orovitletl camoaion consultina services was sworn in? 6) Pursuan�to Ciry Cotle Section 2dffi(a�(4�a., a lobbyist who has within ihe past election cycle pmvided campaign consulting services to an incumben(member of the Ciry Commission(which lobbying activity is not otherwise prohibitetl by Code section 2-491) shall discbse such pahicular service on hislher lobbyis� registration form and shall orallv dsclose such oarticular b f I �b - tM1 Ct C t bl' f Ves X No: H o �tl tl If t b t memb¢r o(the Clv Comm'ssion 'th' th t I C 1 71f I f tth 'n mbentmember(sloftheCNCommission: Ves No: If v d tl'tl n m'c cons'tleral'on 'n exchanae for camoaion consultinq services? ��` JJJ TO BE COMPLETED BY CITY GLERK'S STAFF ONLY n Annual Regislration fee: � ]Yas[�No Amounl Pa}i�tl E�/� MCR p ��" Da[e Paitl 7 � � Lobbyist Registrotlon Form rxeive/tl`antl veriiletl by� / 11_1 F\QER\SALI�aFORMS\LOB9YISTPORMS\lobbyi5l0.e915Va[IonFormRevlsM 03-11-30REG.tloc RGVIS¢dOJ/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 E%PENDITURES AS WELL AS COMPENSA710N RECEIVED FOR THE PRECEDING CALENDAR VEAR 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 ATION D RING THE REPORTING PERIOD.' 1 Septem6er 20. 2024 Signawre of Lobbyist � Date I do solemnly swear or affirm that all of the foregoing facts, statements, and disclosures in ihis form are Vue and correct, and ihat I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" ot the Miami Beach City Code an II reporting equirements. Signature of Lobbyisf. Date September 20. 2024 Signature of Principal: Date September 20. 2024 VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Florida State of Florida Count of�. Dade County of�. Dade Y Swom to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of O physical presence by means of O physical presence or 0 online notarization, or 0 online notarization, this Z� day of September 2024, by ihis 20 day of September 20 24 by Casey Pa��on Steadman Casev Pa��on Steatlman NAME OF LOBBVIST NAME OF PRWqPAL Produced ID _Produced ID FORM OF IDENTIFlCATION FORM OF IDENTIFICATION �Personally Kno �Personally Known Si tur lic Signa e ,� t lic /�� �.�w.� � C1��«�e�e� Name of Notary, Typed, Printed r Stamped Name of Notary, Typed, Printed or S mp� (NOTARY SEA ) No�ary Puorm Sta�e oi Fmriaa (NOTARY SEAL � Abel ROCriguex NOOryPUDIIcSbleolFlotlEa �� MyCommbsion HH38aBe3 AElI ROCtlpuBi Expues �191202] �� My Comml�flon XX 0Ua6E3 EzDlr�t alYl3o]1 ' The term"IobbyisP'speci ica y exc u es the o lowing persons'. ExpeM1 witnesses who provide only scientifi4 technical or other specialized informalion or testimony in public meetingsl any person who onty appears as a representative of a neighborhootl association without mmpensa�ion or reimbursement(or Ihe appearance, whether direc[, indirea or contingent, ro express support of or opposition m any item�, and any person w�o onry appears as a representative of no4farvprofit community basetl organization for the purpose of requesting a grant without special compensation or reimbursemen� for the appeaance. Page 4 of 5 tiy ofMiami Beach, l]00 Conve�fion CenrerD�ive,MlamiBeach,Flonda 33139,w.wimiomlbeochfl.gov Offica ofrha Ciy Clark Rafael E Gmnado, Cily Clerk CiyClerk@miomi6eachfl.gov TeP. 305.673J411, Fax: 305.6737254 NAMEOFLOBBYIST: � �Sc- ��• TI �`� � ��`` 1 �.�"•� 1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT Pursuant to City Code Section 2-485(d), the City Clerk shall notiTy 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 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 Statement under oath listing all lobbyist expenditures, as well as compensation received, for the preceding calendar year wilh 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 wi[h ihe 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. � � �,�-- s ��� �o �6� �� Signature of Lo yist Date �— F�c�erevcnivawams�oeev�sr Foams�oeev�+�a rei.��a��ro,m a��.� o�-i i.zo eEam= Page 5 of 5