2024 Lobbyist Registration Form - Miami Grit Classic, MBVCA Grant (Jennifer Karbarani) ,
�� M;o�..: C,�;} Class :o
. � t�ECEIVED M6YGKl
�VII/-�MI E�E,�C i_� aus 2szoza
�y.QAIvT
Office of ihe Ciry Cierk
1700Conven�mnCen�erDrrve L•ITy �FMIANIIBEAC)H
Miami Beach FL 33139
JO56'l31d11 OFF!CE OF THE CITV CLERk
LOBBYIST REGISTRATION FORM
Lobpyi5t means all pp�s employed or relaiireE,xTel�er peid or not �y a p^r�cpal wM10 seaFs ro enwurege Ine passege.Ec+e+�'�
����� ��B�Y o�Eing�p, resolNion, aclpn ar Eeasim oi any commiswoner, eny eclron Ceasim, � A^'menaa�ion of ine Pr/
Manager or eny CtlY�b or canminee.or eny action,deasion or recommentlaLon ol eny Gy personnel auring iM tima parioC ol lno
eniire tlmsionmakiig p�¢ys on suc� actbn, Eetlaion or recommeMaoon �hat loresceabty win be �eaN or reviaweE EY �� �'�'
Cdpmission,or a CM��4 or comminre. T�e�eim specificelly iriduCes Me pnnapal as wall as any employee enpageE in ioDGy,�9
attNibeS. TT!Il�m'LODbyisf M1es speti&exdusions Pleese reM lo Ciry CoEe C�apb/2,ANtle VII.Oivisbn].en1�bE'LODb/�s s.'
br adtlitqnel inbimeUon
InaW tl . Please canplete all secHws ol�M1is bim entl su�millM1e wmpleled bim,wit�I�e epPliWbla be.lo t�e Olfice M�ha��V
Ckn. If you neeE more spece lo wmDkte en answer, use a sepaiata sM1eet(s)ol Daper. If you�eve rw����9�o repotl in a Oarliwiar
secGon, you musl wn�e 'rwne' or 'Na' in mm sedion. any cnange to eny inbrmaUon onBinely fikE. w any adEuionai Ciry
Commissioner or ce��^el wbo are alw souBh��o be�oUbie�snall reQuire t�at t�a b�byisl file an amentlment to I�a regislralion lorm
TTe bDb�ist �as a wntimm�g Cury b suppry m(ormetwn anC amentl rtie(orms fiietl��muBhaN Ne penotl t�ai Ine b�Uying occurs
Separale repisNation rortns s�all Oe re4uveE br eeU pnna0al represanleE on eaGi speclbc issue.
I. lO8BY1STINFORMATION: I�nn � /\�r �n
K��rhorc�n � t- ,M ,
NRMEOFLOBBYIST ILazO �Fm��
17� 1�1t�15 InG `19G'0 AlhUmb/a C�i� l� �' �cibl��, T� 3siy(�
LOBBYIST6US�MESS�MEFNONOORE55 INu i 5 1 (�M� (5
��i, �K � /a��3 —� lennu °�tl���ms co��
LOBBYISTBUSMESSTELEPHONENUMBER
CEl U iE P O E UMBE 1 D 55
11. PRINCIPAL INFORMATION: .
' f i(�hhCYYty]_L_, Jann i r
1 !'h 1711r 'rS inc ,M b ,
NpMEOFPRINC� (L �) (F 1
/11/u/1 ]� U/� f--L'ICLI'1i� `i�iDQ A �f�c�mb�a L'�r� le C ��h�
GRINCIPRlBU51NE55NANF//JIOP�IllRaS �^�"""""""'^' �( j � l/�//
� �tc � S�3 �lc� � __� Jtn��4�+nay�;,�.�a «,
pRINCIPAL BUSINE55 iELEPHONE NUMBER
CE LUTARTE E NO EN BE E PD�RESS
Pursuant lo CRy LaUa SeCbn 2482(N111(a):A OMNaI o(arty w�po2�oM1 Oa�ers�iD.or NM1e�rnlih'w�o eppays as e b0�y[t on EMatt W Nat
entemWsnan�Biel��penCleMdsrrepuml'LyMlssuMetliOnWl%M1ellmlb¢reCaulRd�Op2Yx�Yr�9iSiaeli0nhes.O�eupponNo�oppos�ionlo
If lhe principal is a Corporation, Partnership or Trust, the following iniormation MUST be provided
pureuant to Ciry Code Section 21821cR � , �. �` ,� (` „ �
. NAME OF CHIEF OFFICER,PPRTNER.OR BENEFICIARV(ii none,wnle NIF�. �
. NAMEOFALLPERSONSHOLOING.OINEGTLYORINDIRECTLY,ASFORMOREOWNERSHIPINTERESTINSUCH
CORPORATI N.PARiNERSHIPORTRUST�Hnone.wrlOeNiA1:
' i �� r ��:�1-t ni ��p(� iUti� 507
� �t�bferr.i )0
�lVV �� S � C111L�1f � � IlC pa e
�,1.�
111. ISSUE TO BE LOBBIED:
Oeacribe with as much detail aa le ractical, includin bul not Iimlled to a speclflc deacripqon where
aPP��ca61e oi a pending requeal for proposal,InviWtion to bid,or public hearing numbe�.
�, h !' 1 c�f � � Itc� __
� m� r� � � c, � r � fi � . Wc
` in tu t � ar�
� � � � � � � - , o�� eve �
IV. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED:
Pursuant to Ciry Code Section 2382(a��4�, list the City Commissioner or Ciry personnel sought to be
iobbied, and whethar the lobbyist has enteretl into any contractuai relationship (paid or unpaitl) with
saitl City Commissionar or Ciry personnel hom 12 months precetling such commencement of service
with the Ciry to the present tlate,statlng the genenl naWre of the subject contractual rela6onship.
Full Name of Indivitlual anC Conlacluai Relalfonship(Hyes,explain) �ES NO �
TiUe o(Pe�son to Ee LobbieA
Pursuant to Ciry Code Section 2d82(g�, every regisVant shall be requiretl to sfate the extent ot any
business, financial, familial or protessional relationship, or other relaUonship giving rise to an
appearance ot an impropriery, with any current CiTy Commissioner or CiTy personnel who is sought to
Ee lobbied as identified on the lobbyist registration fortn iletl.
Lis[ any Businaes, Financbl, Familial or Pmtescional Relatlons�ip, or other relatlonship giving rise to an
a earonce of im ro rie if nona write WA :
�� IVr�
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION—Be Soecific. (Note that a
I contlngency fee is prohibited purauant to City Code Sea 2-085.3�:
Nn �';ornoenSc�t�v�1
Page 2 of 5
` �
III. ISSUF TO BE LOBBIED:
Deschba�,qM as much tlala�l as is practical, Including but not Ilmited lo a speciflc descripllon whera
applica6le of a pentlinp request tor ro osal,Invifnlion to 61d,or public hearin0�umDar.
P P
� ��—.��l�a �a�� r' ur,� � � alx n1i3�'� cc� llF��
1 an,� i�� � C ' 1 � . � � e ��
�1 i� , Y c c ci
_il'� ��r�il� a 1z � ��✓ 2vC�1t
IV. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED:
Pursuant to Ciry Cotle Section 2-0BI�a��4�, Ilst the City Commissioner or Ciry personnel sought to be
lobbieq antl whether tha lobbyfst has enteretl into any contrectual rela0onship (pald or unpald) with
saitl Ciry Cammissionar or City personnal from 72 months preceding such commencement of service
with the City to the pmsent date,stating lhe genaral natu�a of the subject contraetual relaEonship.
Full Name of IntlivlEual and Contnelual RNaWnship(I/yas,szplain) YES NO
Tilla of Person lo bay L�o�bietl
� l I i I ' I �
I ��
Pureuant to Ciry Cotle Seclion 2-482�p1, every regisVanl shali be requiretl to sfate the extant of any
business, financial, tamilial or pro/essional relationshlp, or other reladonship giving rise to an �
appearance of an impropriety,with any current City Commissioner or Ciry personnei who is soupht to
be lobblatl as itlentifled on the lobbyist regislretlon iorm file0.
� List any Buslness, Financial, famllial or Professional Relatlonshlp, o� oNer relatlonship givinB rise to an
�' cP �' D P ' N lif none wrib WAI'
�I���
� �
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION —Be Speei�c. (Note that a
contingency fee is prohibited pursuant to Ciry Code See. 2-486.3�:
N�� (' cn'N+'��1Ia1�c�1
—�—
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T�e loliowing ela(610ueellone MUST p�a��swmed
�) Pu�y�enl�oCi
ry Cotle SerLon 2d0B.enl�lled'I`ioluD�ed CnmDnign Gonlnpuenns ffY I.o��Y�cis Un Rouu�mo�l i¢�ms
_Yls�No: A I bb 1 t J bitl 1 E 1 f M n1 or
Oantli a Mf tl I 1 I '!
Z� Pursuanl�o CM Cotle Seclion 2-090.enl�letl'PmhiOileU Campaign ConNbutions By Lo��yisls On Real Estale�evalOpme^�
I6SUQ5-
—�n�No: q I bp I tl 0 tl I De I tA t IU1� CN I. tl n
1 � n ofz n a tl i n orc oM C §F reLan U Ma i
3) Pursuent to Ciry COCe SMion 3�a82���, any persan (ezcepllM1ose evem0���am Me definilan ol'IOEDyisf as se�for1� in
Sepion 2J81)wpo only appea�s es a represen�a�ive al a nobfor-profi�coryoralion or mlity wilM1oul spedal cemp¢nse�io�o�
reim Wrsemenl ror me eppea2nce,w�etM1er tlirect or inCireC lo evpress supporl ol or opposition lo any Ilem,s�all req�ster witn
I�e ury yeA as repuiretl by Uis seclion,but shall nol be repuiretl to pay any regisl2tion lees
_Yes\�No: Are ou o b ro0t co n"o or enG wIU a clal com maG n ar
reimewaement9 �
4) PursuaM to Ciry Code SeGwn IJ81,the lerm"bbEyisl"specifiwlly exGutles IM1e lollowing Dersons: ExDert witnesses w�o
provitle only scientifi4�echnical or ot�er spetializeE inloimalion or testlmony m public meelings�,any Derson wno only appears
as a repre5¢nlalive o(a neigh�oTootl essOciMion wit�wl compensation or reimGursemeM for t�e appeerance,w�e�M1er tlrtM,
MEired or mn�ingen�,lo express suppo�of d opposAion�o any ilem-,antl any penon w�o onty appears as a represanlalrve of
nobbo-pmfit mmmuniry �asetl oigan¢ation lor Ine purpose oi requesting a grznt w��oul soeolai mmpensauon or
reimCursemenl for t�e appea2nce.
Yes✓No: Are vau omvlElnu onlv acientifc lacM1nical or oUer scecializeC infortnatiom aocearina as a
rePresanhtive of a �o�borliooE associaGon w't�out scei al cancensaUon or reimbunamen[or
tl [f ft ba etl i tl f the f 1' t 'N u1
soeclal comcensation or reimEureemant?
5) Pursuan�to Ciry Catle SeNon 3d91�t�,no wmpaigm m�wlWn�s�ali IobOy U�e CM Commiuion kr a penoE ol 12 monNs
(ollowing l�e sweanng in of any e�ecleE WRpai(s)br w0om I�e wmpaigm m�sullairt provitletl wmpeign consuMng servirss
wi�M1in Na past election cyGe.See SeAion 2A91 br mpa Inkrtnafion.
Yes�No: H IE tl i Iti I t 1 be I Oe i M C'N C i
MI N t I tl I 'I If I f t tli ' Ee t berl 1 f Ne Litv L
Yea No: ^" A= 't been less Nan 12 moMhs since the electetl oRciallsl whom vou orovitled camoalan
Itln rviceswasaxromini �
6) Pursuan�ta City COEe SetUon 2483�a��6�a..a lobbyist who�as wAhin Me pas�elevion rytle provitleE campaign conwping �
services�o an inwmbent memb¢r of�he Cily Commission(which labbying activily is nat Wheiwix prohibAetl by CaEe sedlon
2-491) s�all tlisGose suUi pa�iwlar service on �islher bbbyisl regist24on k�m anE shall arallv d sGose such oatliwlar
befo bbD ' N C N C � �a�a oubl c meetlrw.
Yea�No: Have vou orovidetl camoaian consolGna services to an iricumbent member of the CiN Commission
wiNin Ilie Wal electlon wcle?It vea.oleaee liat Me IncumOent memhetlsl ot Ne CiN Commisaion:
Ves No: If d d'tl ce've econom'c wnsitlerztion in excM1anae for camoalan
— nsultlnaservices4
TO BE COMGLEfEU BYCRY CLERN'S STAFF ONIY
� AnnualRaBisvatlon(ee: f 7Yes No RmountPalES MCRk
�e':n : +. m�eraia� �4 ��
5�14 - e�
�I LobbylstReplsValionFormrewivetlantiverifiedby:��
� � 'seaa3-iv�ioacca« Revised03/11/30N1
Page 7 of 5
� —
VI. SIGNATURES UNDER OATH:
ON FEBR___�ARy?e uF E�GH Y[qR CH LOBBYIST SNALL SUBMIT TO THE OFFICE OF THE qTY CLERK A
�� STATEMENT UNDER p�TH LISTING LOBBYING E%PENDITURES AS WELL AS COMPENSATON
l.[IVED FOR THE PRECEOING CALENOFR YEAR WITH REGARD TO THE SPEGIFIC ISSUE ON WM�LM THE
LOBBYIST H�EN EN�AGED TO LOBBY q STATEMENT SMALL BE FILED EVEN IF THERE HAS BEEN
t%PENDITURE OR COMPENSATION D qINGTME REPORTING PERI00
Sipnature o:Lobbyiy ��� � Oale���)���
I tlo solemnry swear or affirm t�at all ot the bregoing fac[s,statements,and tlisclosures in Ihis form are true ana w��T
antl t�at I �ave reatl or am f miliar with t�e pmvisions contained in Chapter 2, qrt VII, Division 3, entit�eC'LoDGyists'of
t�e Miami Beac�Ciry Cotle a all reporting'"rE�ei�ements.
Signature of Lo�byist Date Il l��r�7
1
Signatvre ot Pnncipal:� Date ��J�
/ /
VII. NOTARY SIGNATURE AND SEAI.:
LOBBYIST: PRINCIPAL
State of `��,0A�+ i�A State of /�,��.a
Counryof: /�"/.%1w+: 1�y�� Counryaf:�.4i.+�� /�,o�
Swom to(or afirmed)and subscnbed before me, Swom M(oraffirmeE)antl suEscn�etl Eekre me,
by means of 9'physical presence by means of B"physiwl preunce
or O online notanzatio or O online notanzplion,
lhis � tl/ayot �aws/' .2�yby ihisz/Gayo/f �fnav�� .20Z�!by
lLv 1.. ✓�++ Ki✓�i .mn.� ,�i,r.+.' W �n Ll.4..Li,i.w.+.-
NSME OF LOBBYIST WJAE OF PRINCIPRL
�ProtluceElD �G��- KProtluceClD �-�
FORM OF IOE FTO FORM OF IpEMIFI
_Pereonaliy Known _Personalty Known /
Sig/na�WreofNo� ry ubli SignatureofNotary ub'
l�cS.✓ J i� �N .L�i.>
Name of No ,Typed, intetl or Stamped Name of Notary, .Pn tl or Slampetl
(NOTARVSEAL) aMp�rppp� (NOTARVSEAy ��qAY0M110Y
�J �@ Wy�P✓156YYdfbtl� � � No0M1Gi0l�.ShbMFlwE�
S: .��%1%) &� �qmiRiMJHN3l181I
M .o..ocn.ae r.ymm�.s:uo.n�s.zms
'TM1e term'IaEOyisY spetifife
Expert wiNesses who provide anly suentific,techniwl ar Wher special¢etl info�maHon or�es�imony in public mre�ings,any person wM10
only appears as a represenlative o/a neig�0or�oatl assotie�ion wilhool compensation or reimbvrsemenl far I�e appearonce.w�et�er
Crtea. inairM or contingenl,to express suppo�l o(or apposdion to any item:antl any person who only appears as a representaUve of
not for-profit wmmuniry baseE organaaeon kr�he pumose ol rvyuesting a granl withoN spedal wmpensaUon or reimbursemem lor
ine aDPearance
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