2024 Lobbyist Registration Form - 1535 and 1545 Collins Ave (Nancy VU) 153s G ISL)S Loll�r3
AUe .
RECEIVED
oRKeormearycie�k SEP 032024
1700 Convention Center Drive
Miami Beach, FL 33139 CITY QF hqlqMl BEACH
905.6737411 OFFICr�=1"�-ry,7�CLERK
LOBBVIST REGISTRATION FORM
Lobbyist means ell pe,ons emplayetl a retained,vA;ether paid or mS W a pnnr pal wM 6eeks to encourage Ihe passa9e, oe(eat or
motlifltalion oi any atlinance, re5du0on. adion or dedsion ol any commissiarer: arcy actlon, tletls�on, recanmentlatim of the Ciry
Manager ar arty Ciry bcv�M or commiHee;or any eclion,decision orrecommentlation of any Ciry personnN tlurinq the time penod ot Ine
entire oecision-makieg pracess on such ac6on, aecision or recortmenaauon met foreseea0ly vnll oe heartl or reviev.etl Oy Ne Ciry
Commission, or a Ciry board or commitlee. The lerm speu�cally includes Ne pnnaPal as weli as any employee engegetl in lobbying
aaivilies. The term 'LOEbylsf has speciAc axclusicns Please rekr to City COEe Chapler 2, AR�ide VII, qvision 3, enti11e0"LobGyists,-
tor atltli6onal inkrmation.
Inetruetioro: Please cwnpiete all seclions o(IOis fo�m antl submit��e wmpletetl fonn.wilh Ihe epplicable fee, lo tbe Office ol Ne Ciry
Clerk. It ya nced more space to complete an answer, use a seperete sneet(s)of paper If you Oave nolhing to repoM1 in a partiwlar
secvan. you must vmte 'none' w 'Na' in ihat seclion. Any cnange to any into�mation ongmally fied, or aM aatlitional Ciry
Commissioner of personnN who 2re also SOught�o bE lab�iatl Shall repuirp Ihat�h010b0y�St AE an amentlm8nt�o lM1e fegistr2tro�tOrm,
The IoODyis� h25 a COnlinuing tlury lo supply mformaUon eM amentl Ihe forms IiIM Mroughout Ihe penoG thal ihe Iobbying ocmrs.
Separate regiahBtian forms stwll Ee rapwreE br exlt pnncipal repra58ntetl on earh speCific��ssue
I. LOBBYIST INPORMATION:
Berg Malcolm P.
NPME OP Lo8BVI5T 0.asp (F+%0 (MiaaM Nane)
EoA, Ina 1929 Ponce de Leon Boulevard Coral Gables FL 33134
IOBBYISTe�SINESSNNMIEANOPDORESS (NumoeranOS�reep �Cny7 (Stetcl IZIpCoee�
305-444-0990 3052063114 m6Ca�eoaarouo.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLUTAR iELEPHONE NUMBER EMAIL AODRE55
II. PRINCIPAL INFORMATION:
Vu Nancy
NAMEOFPRiNCIPAL �Lnsq IFirsp I�ItlEbName)
RP Hotel Haitli�gs,LLC Ga Park Hotels&Resorb Inc. 17]5 Tywns Boulevarq 71h Ploor Tysoa VA 22i02
PRMGPALBUSINESSNPMEPNOAOORESS (NumberaM5hee0 (Ciry) (S�ete� (ZiOCotla1
577302-957 nvu�pkhotelsantlresotls.com
PNMCIPALBUtiME95feLEP110NENUMBEH CGLLULARTELEPHON[NUM3ER EMNLADDRE55
Pwawnl to Giy Cotle Seqcn 2JB21�Nblal: A�MVJpaI N rry arporaeon, prlrcreNp.m oNer arvkY�appean es a bb0ybl an ONwtl ot ttu�
eMXy.1M�t fpecial cwnpensatlm a mbnhu�een�mi tar Me epyn2nce.v.TelM1er E4atl,k�Eeea,w eM�npert lo nvp�est suppotl d a appoallron ro
en ikm seiatl regKtx wNi IM!Lk�k as ropueaC 0�Vda suMecuon dn sMi�nd be repuirea to P�T'T�Y re9iatmlion kes
If fhe principal is a Corporation, Partnership or Trust, the following information MUST be provided
pursuant to City Code Sectlon 2-482(c):
• NAME OF CMIEF OFFICER,PARTNER,OR BENEFICIARV pl nane,write N/A�: ThOrt135 J. 621ti100fE, PfESidBflt
. NAME OF ALL PERSONS HOLDING, DIRECTLY OR IN�IRECTLY.A Sh OR MORE OWNERSHIP INTEREST IN SUGH
CORPORATION,PARTNERSHIP OR TRUST Qf none,wrka N/A):
Ultimate ownership entity is Park Hotels 8 Resorts, Inc.tredetl on NYSE as PK
Page 1 of 5
�
III. ISSUE TO BE LOBBIED:
Describe with as much detall as is precHcal, including but not limited to a specific description where
applicable of a pending request for proposal, Invitatfon to bitl, or public hearing num6er.
Zoning antl lantl use matters involving pmperty located a[ 1535 and 1545 Collins Ave, Miami Beach. FL 33139
IV. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED:
Pursuant to CHy Code SeUlon 2-482(a��4), list the City Commissioner or City personnei sought to 6e
lobbied, and whether the Iob6yist has entered into any contractual relationship (paid or unpaid) with
said City Commissioner or City personnel (rom 12 months preceding such commencement of service
with the Ciry to the present date, stating tbe generai nature of the subject contractual relationship.
I Full Name of Intllvitlual and ConHactual RelMionship Qi yes,explain) VES NO
Title ai Person to ba Lobhied
,-___.__..___—____'___-._.____-- - _ - _ — - ___ .
�Members of Ne Ciry Adminisha[ion X
. _ _ ..____.._____— —__—
,City AH yemo O iffce as Pefmltted X
i Members of the Planning Board X
�.Members oi the Desgn Review Board X
The Mayor and City Commission X
��Hisloric Preservation Board and members X
Pursuant to City Code Sedion 2�82(g), every registrent shall be requlred to state [he e#ent of any
business, Flnanclai, famillal or professional relationship, or other relallonship giving rise to an
appea�ance of an impropriety, with any current City Commissioner or City personnel who Is sought to
be �obbied as identified on tha lobbyist registration form filed.
List any Business, Financial, Familial or Proteuional Relationship, or othar relationship giving rise to an
ap0earenca of Improprlety(H none wrRa NlA�:
N/A I
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION - Be Specific. (No[e that a
contingency fee is prohibited pursuant to City Code Sec. 2-485.3):
5250/hr
Page 2 015
The fWlowing slz(6)quastions MUST Ge answeretl:
i� Pursuant to Ciry Code Seciion 2�q88.ent�tled'ProhibRetl Campaign ConiribuUons By Lobbyists On Procurement Issues�
_YeaXNo: A�i I bp In t tli b'tlt E I 1 � �
pentllna awartl br 400tls.eauioment or cervice7
27 Pursuant�o Ciry Cotle SecSon N90. en�illetl'Prohibited Campe�gn CantnbNions By Lob�yists On Real Esla�e Developmen:
Issues'
_YnXNo: A I bW' tli II tl / 0 I tp twH�[h GIN 0 H
to lu o(2onl Dd tl hen t Ihe 'N' Ful La d M ?
3) Pursuent lo Ciry CoGa Section 2<82(h). any perem (excepl ttwse exempt /rom ihe definition of"IobDyisf as sel fotlh in
SecAon 2-i81)w�o only appears as a represen�ative ol a nohbrprofit corporation or entiry without special oomp¢nsauon or
reimbursement kr t�e appearance.whethe�tlrtect o�intlired to axpress support of or opposi�ion to any ilem,shail register vntb
the cM1y derk as requiretl Ey this section,but shall not be requiretl to pay any registra�ion lees
_Vesx No: Are vou reorasantlna e n Lf � Pt t tIN with ut I I ��
r¢imbursement7
4`� Pursuant to Ciry CoOe Section 1<81, the tertn "IobbyisP'spedfcally exdudes ihe bllowing persms. Evpert wiinesses who
proviEe anty scientlfic.techniral or olner sperJaiizeG inkrmation or restimony in pubiic meatings.any person who only appears
as a represenca��ve ot a neighborhootl assaciation wit�out compensation or reimbursement lor the aD7earence,whether tlirecl.
intlirecl or conirngent, [a evpress support o�o�oOPosition to any item;antl any pErSOn v,tio only appears as a representaMe of
nol-for-proft wmmunity Oased crganizabon for the pur0ose of requestlng a g2nt wflhout special compensatim or
re�mbursement tor me appearonce
_YeaXNo: A Itlf IY aci (f IBCh ' I th hll d i f f tl q
reoreaenntive of a ne'ohbahoatl auxlatlon wNhoul s I I tlon N h� t r
reoreeentlna a iwhlorbmB[ bese0 oraanlatlOn 10 N f tl M wlm
aceclal comcenaallon ar rafmbursemant?
51 Pursuanl m City Code Section 2i91�1). no pmpayn consultant shaA bEby lhe Gty Commission tor a penotl ol 12 monNs
followmg t�e sv+eanrg In of any elected olfKial(s) (or whom Ne campagm m�sultant provitled cam0aign consulong scrnces
vn�hm Ine past election cyde See SeGian 2A91 (or more inkrmation.
_YeaX No: Nave vou ororidatl umoalan conaulUna eenicee to an Inc b nt be f the Gb C 1 I
YVR�I t� t I 6 <I 4 II I II t�h I be l be�1 1 1 N C'N C I I
_r�XNo: n■ ms n x� k. m. �z m in m i�.a om Nusi un, iew c wb
ce�wWM�o a¢rvices waa exrom in9
6) Pursuant to Ciry CoCe Sxuon P�SP�aN!)a., a lobbylst who has vnlnm tne past eiection ryde prwiCeG campaign wnsullvg
servicas ro an i�umbent member o!Ne Ciry Commi55ian(w�ich lobbying adivity is not olneiwise O�o�ibited by Cotle section
2-091) s�all tlisClose SUch Dahiculaf SeNice on hislha lobbylst regisiraiion lorm a�tl shall orelb dsclose 5 tn N W
sery ce bebre iobbv ng the C N Camm'ss Qn�t�pu¢lip meg��g.
_Vvaj�No: Have vou orovitled eamoalon eoneullina aorvicea to an Incumbent membe�of ihe QN Lommiaalon
? Ibtth lacumbentmembe a o/thaC Commi i
_VesX No: R rwnbN �Y rae�iv i eanNMalbn In M for oW
eoriseMem eervicea?
TO BE COMPLETED BY CITY LLEflN'S STAFF ONLY
_.—.____._._____.._. _
�i a���,�n.a�.�,.ea�i..: � r..l l� nmo��e r,w s.�3� MCR�y33 7�3 0.0.a.m� 3 a� �
i Lobbyiat RaBMM1�tlan Fwm��u1veU aM re�illatl Dy:�� I
_.___ ..._ ____._ eM`aaw/l1lmm �
Page 3 of 5
VI. SIGNATURES UNDER OATH:
ON FEBRUARY 20 OF EACH YEAR EACH LOBBYIST SMALL SUBMIT TO THE OFFICE OF TME CITV CL RK A
SIGNEO STAiEMENT UNOER OATH. LISTING LOBBYING EXPENDITURES AS WELL AS COMPENSATION
RECEIVED FOR THE PRECEDING CALENDAR YEAR WITH REGARD T T C F H C iHE
Vl T S EN O L BBV. A TATEMENT SHALL BE FILEO EVEN IF THERE NA BEEN NO
E%PEN�ITURE OR COMPENSATI 1 DURING THE REPORTING PERI00! G
� � � J 2�
Signalure ol labbyisC D2le
I tlo solemnry swear or aKrm ihat al of tf e foregoing tacts, statements, and disGosures in this form are irue and cortect.
and that I have read or am familiar ith he provisions contained in Chapter 2, Art. VII, Division 3. enlitletl "Labbyists' oi
the Miami Beach City CoOe antl ell� ng requirements.
Signature of Lohbyist: �ate -�' ' ��' �L
SignaWreo(PrincipaC ��nD�Pi.tP Date B aQ a4
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
Stateof,�d.: a� Stateof V�rc�'�n+.�-
Counryoh. Mi�.-.� - C��. Counryof rn�-F�+
Swom to(or aHrtmed)a�d subscri6ed before me, Swom to(or aRirmed)antl subsctlbed 60fore me.
by means of GI physical presence by means o(�hysical presence
or 0 online notarizalion. 1 or O online notanzation,
this 1 C,tS tlay of �,,,a t .20�` Dy this .r±"tlay o( A..T F 2N'f, Ey
1"lalw,.-- C3e.� NnnW Vu.
NAME OF�OBBYIST NpME OF FflINCIPAL
1C Produced ID H � �- � � � �- � _Produced ID
FORM Of IOENTIFICATION FORA1 OF IOENTKICATION
_P�ersvImal nown Personally Known
\ � ,-�{✓i.� IL�un-- �'���.r��
Sigrre Signature oi Notery Public
` /i+.-� ��..doeol
�ame of Notary, iypea, rfntetl or� $tampetl Name of Notary,Typetl. Printed or S[amped
(NOTARYSEAL) ����,^��q�F mEGoSM�DOVAL (NOTAR S �� �EN JOHNSON
'�;�v� CommifsionpHH1]9505 I
'A��'?.^_ E�pueaAptembera.]o2] •�' MOT/AYRIBLIC•PECn113M701
CmrymwzelNdWpinY
'The�erm"IaDbyisP'specificauyextluEestnelallovnnqpersons: 5 3�' > ��
Expertwrtnesses wno provitla only scienbhc,technlcal or othar speaalize0lnfameUon or tesbmony in pubbc meepngs; any person w�o
only appeare as e represemaUve of a neghborliooE association vnYttiaul mmpensatlon or reimbursement(or�he appearance,wtiether
tl:rect. intlirecl or cunUngent, to express support ol a opposition to any ttem�, ar�0 any person wt�o onty appears as a representauve ol
noh(ohprofil cwnmuniry hased organiza�ion for Ihe pur0ose o/requesting a gront vn�hout special mmpensatiw or reimGursement�or
IDa appearance
Page 6 of 5
,��� 'r�
Clry ol Mlaml 6eaah, I�CG Ce.n�rr�b�Ceme,0.'�w.M�.om.�P�;n.Fbnda 77!39,.�.ww.m�em�oeoch0.gw
Offlce al Ihe Ciy C'nk
Roluel E Gmnada CiryC�e��C ClryClerk@miamibaocMLSw
icP. �05.6737A1I, fur 3C5.673725A
NAME OF LOBBYIST: Malcolm Berg
7) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
Pursuant to City Code Section 2-485(d), the City Clerk shall notify any lobbyist (or
principal)who (ails to fle timely a Lo6byist Fee Expenditure and Compensaiion Statement
(Statement). In addi�ion to any other penalties that may be imposed as provided in
Section 2485.�, a fine of $50.00 a day shall be assessed for Statements filed atler the
due date. The City Clerk shall notify the Miami-Dade Counry Commission on Ethics and
Public Trust of the failure of a lobbyist (or principal) to file the Statement or pay lhe
assessed fines aNer notification. �
Any lobbyist, who fails to file ihe required Statement by April 30'" of each year, shail be
automatirally suspended from lobbying until all fines are paid, unless the fine has been
appealed to the Miami-Dade Counry 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) L088YIST WITHDRAWAL
Once an issue I have reglstered to lobby has concluded or I am no longer lobbying on
that issue, I shall immediately fle a Notice of Withdrawal with the ORice of the Ciry Clerk.
3) ANNUAL LOBBYIST REGISTRATION FEE
I understand annual registration of ali lobbyists shall be required for each 12-month period
commencing October 1 of each year, and the fee for such annual registration shall be
5500.00 pursuant to Se�tion 2-482 of the Miami Beach Ciry Code.
' k ans�zoza
Signature of Lobbyist � Date
r r�e�i+��wrovrnsi oen.s�roaas��er,.�A�tl�,.od.rar��a�ss.o m.i�.zoaec a�..
Page 6 0l 6
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