2024 Lobbyist Registration Form - AFSCME (Sergio Feliciano Cantu) AfS� ME _
�ECEIVED
Office of ihe City Clerk
�70o Convention Center orive MAY 17 2024
Miami 8each, FL 33139
305.673.7411 CITY OF MIAMI BEACH
LOBBYIST REGISTRATION FORM OFFICE OF THE CITV CLERK
Lobbyist means all persons employeG or retaineq whether paitl or not, by a pnncipal who saeks lo encourage the passage, defeat or
modi(cation of any ordinance, resolu�ion, action or tledsion of any commissioner; any action, decision, recommenEation of the City
Manager or any City boartl or commiHee; or any adion, tlecision or recommendation of any City perwnnel dunng ihe time period of the
entire decision-making process on such action, decision or recommendation ihat foreseeaby will be heard or reHewed by ihe Ciry
Commission, or a Ciry boarU or commdlee. The tertn speci(caly indudes t�e pnncipal as well es any employee engaged in lobbying
aclivities. The tertn "Lobbyist"has spedfic exGusians. Please refer to Ciry Code Chapter 2, AfiUe VII, Division 3, errtiOeC "Lobbyists,"
for additional information.
Instructions: Please complete all sedions of this fomi and submit t�e completed form,with ihe applicable(ee, to the O/fice of the City
Clerk. If you need more space to wmplete an answer, use a separate sheet(s) of papec If you have nolhing to report in a partiwlar
seclion, you must wnte "none" or "Na" in thal section. Any change to any information onginally (lad, or any atltlilional Ciy
Commissioner or personnel who are also sought to�e IobbieC shall require thal ihe lobbyisl file an amendment to Me registration fortn.
The lobbyist has a continuing dury to supply information antl amerW Me fortns lleG throughoul ihe penod ihat the lobbying occurs.
Seperale regis�ration fortns shall be requiretl for each pnnppal represenfed on each specific issue.
I. LOBBVIST INFORMATION: ��
�srn'N cS�%a �"£1:G9'1D
NM1EOFLOBBYIST (Last) (F t) (MiddleName)
F C�C �o S. I �o;nd : s L /,6,6�
LOBBYISTBUSINESSNAMEANDADDRESS (Number ngStree7ke �. p (Ciry) (S�ate) (ZipCotle)
t3/vd. S �, �
Si2 6¢9 araJ scon�v @ Q�rc�. o.r�
LOBBYISTBUSWESSTELEPHONENUMBER CELWLARTELEPNONENl1MBER EMAILADDRES$J
II. PRINCIPAL INFORMATION:
�q�'�v Se� �o �� ' Ca'a�
NAMEOFPRWqPAL (Last) ( irs (MidEleName)
hfS' C�lF �� S. iL f P;��.� �1n�.�� ��- FC T71G6
PRINCIPAL BUSINESS NAME AND ADORE55 (Number antl Stre (C�Y) State) (Zip Cotle)
S/.Z �e �� ois� ,S�C�n7U/" 9��. �✓/�
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLUTAR TELEPHONE NUMBER EMNIL ADDRESS \/
Pursuant W Cdy Gotle Sedion 2i82(h)(1)(a)' A pnncipal of any croryoreaon, paMers�ip, or other enfiry who appears as a lobbyist on behal(ot��at
en�ity,wifhout special compensation or reimbursement for the appeamnce,wheNer direct,indirecl,or wMinqent,�o express support of or opposition to
an ilem shall regster wilh Me qe�k as aquireE by fhis subseclion bu[shall not be reQuireC to pay any registretion Res.
If the principal is a Corporation, Partnership or Trust, the following infortnation MUST be provided
pursuant to City Code Sedion 2-482�c�: /�
• NAME OF CHIEF OFFICER,PAR7NER, OR BENEFICIARY('rf none,write N/A�: N, /�
. NAME OF ALL PERSONS HOLDING, DIRECTLY OR INOIRECTLV,A Sk OR MORE OWN/ER,S�NIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST('rf none,write N/AJ: ��
Page 1 of 5
Z-3 -��
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.
fl�SC�tE L�c41 �ss4 �0. b� ISsve�- -Fr
�f�am = �eacGj G�ti ��-�olo vees.
IV. CITY AGENCIES/INDIVIDUALS TO BE �OBBIED:
Pursuant to City Code Section 2-482�a�(4�, list the Cky Commissioner or City personnel sougM to be
lobbied, and whether the lobbyist has eMered irko any conVactual relationship (paid or unpaid) with
said City Commissioner or City personnel from 12 months preceding such commencemeM of service
wkh the Ciry to the present date, stating the general nature of the subject contractual reiationship.
Full Name of Intlividual and CoMractual Relationahip(If yes, ezplain) vEs No
Title of Person to be Lobbied
� � : w� i�' nx 2V
Pursuant to City Code Section 2-482�g�, every registraM 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 curreM Cily Commissioner or City personnei who is sought to
be lobbietl as itleMified on the lobbyist registration form filed.
Lfst 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 :
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Soecific. (Note that a
contingency fee is prohibited pursuant to City Code Sec. 2-485.3):
�D �6 tvi /J e n « � a l�
Page 2 of 5
The following six(6)questians MU3T be answeretl:
1) Pursuant to Ciry Code Section 2-488, enlilled"Prohibitetl Campaign Coninbulions By loDbyisis On Procurement Issues':
Yes �No: A v lobb Ino resent o d' b'd for ao tl ' ment or serviees or on a resent or
pe d'na awarC f no ds eauio t o serviceT
2) Pursuant lo Ciry Code Section 2190, entitled"Pmhibited Campaign Comributions ey Lobbyisis On Real Estate Development
Issues"' /
Yes`�No: Are I bb 'na on d'n aoolioati f Daveloome t A e t 'th the Citv ooi' t'
f chanae of zon' m o tlesianat'on r chanae to the C'Ms Fut re Lantl Use Mao?
3) Pursuanl to City Code Sedion Y184�h�, any pe�son (excepl ihose exempt hom the definition ot "IobbyisP as sat (otlh in
Section 2-481)who only eppean as a represanialive ot a no4forvprofit corporetion or entily vnihout special mmpensatron or
reimbursement for the appearance,whether direct or indirecl to express support of or opposition to any item,shall regislerwith
the ciry Gprk as raquired by ihis section, but shall nol be required to pay any regislralion fees.
Ves�No: A v reoresenfnn a not{orar�t coroont'on or enliri without soecial comcensation or
reimbursement7
4) Pursuant to City Cotle Seclion 2d81, ihe tertn "IobbyisP specitr�ally exGudes t�e following persons: Fi�perl wifnesses who
provide onty sdantfic,techninl or other spedalized info�mation or lestimony in public meetings; any person who only aDGeare
as a representative of a neighborTootl association wiMout compensation or reimbursamenl for the appearance,whether dired,
indirecl or contingent,lo express support of or opposition lo any item; and a�ry Person who ony appears as a rapresentative of
no4forvproft communiry based organization !or Me purpose of requesting a grant without special mmpensation or
reimbur�ement for the appearance.
Yes✓No: A v nrovidna I sc'ent�c techn'cal or other soecialized �nformation� aooearino as a
represeMati f a ne'ahDorfiood assoc ation w'Mout scec al comnensation or reimbursement or
represenfna t�or-proft De d man'zafon for the n mose M rea e f n u t ithout
special comcensation or reimbursemeMT
5) Pursuant to City CoOe Section 2d91(7), no campaign consultant shall lobby Ihe City Commission (or a penod of 12 monl�s
followin9 ihe swearing in ot any elecled o/ficial(s) for whom ihe campaign conwllant provided campaign consulling services
wit�in the ast election cycle.See Sadion 2-491 for more infortnation.
Ves �o: Ha e v o 'ded camo 'a na ttina serv'ces to an incumbent member of!he CN Commiseion
w th' th oast electio I ? If es ol I' t the 'nc mbeM bertsl of the Ciri Commisaiom
}y���j.�a; i� �ec � it b n less than 12 monMs since the elected oRi allsl whom vou orovitled �amoaian
consultina services was swom inT
6) Pursuanl lo City Code Sedion 4d82�e)(4�a., a lobbyist who has within IDe pasl election cyGe provided campaign wnsulting
senices to an incumbent member of lhe Ciry Commission (which Iobbying activity is not otherwise prohibited by Code section
2-09'I) shall disGose sucti particular service on hismer lob�yist registration tortn antl shall orallv distlose such oaNalar
senice b fore lobb in the Ci Commission at a ublic meetin .
Yes No: Ha e vou oro 'ded camoaian con tt'na services to � c mbeM membe t th C'N Comm'ssion
with' M Da t elect I 71f ves oM f t th - c mbe�H bert 1 Of the C'N C
Ye� No: f � re o o ' d tl'tl vou receive economic cons"derrt'on �n exchanae for wmoaian
consultina services?
�:nG� o- JG � TO BE COMP...L...���ETED BY q�TY CIERKp'3 STAFF ONIY
Annuat Ragistralion fee: I 1 Yes(vt No Amount Pa^N�, l MCR/1 G��G�A� �I;'��ate PaiO � ��
Lobbyis[Registration Form mceivetl and verified by:.L.!/�1
� � Revke�03/11/]020
Page 3 of 5
VI. StGNATURES 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
EXPENDINRE OR COMPENSATION DURI THE REPORTING PERIOD.'
SignaWre of Lobbyist Date O S O ¢
I do solemnly swear or affrm t at ali ot the foregoing facts, statements, and disdosures in this form are true and correct,
and that I have read or am familiar with the provisions coMainetl in Chapter 2, M. VII, Division 3, entitled "Lobhyists" of
the Miami Beach Cdy Code and all re orting requirements.
Signature of Lobbyist Date o2.0 �
Signature of Principal: Date �
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of �` State of �L
County of: ��OY�: � I�L Counry ot:MZOY►�•[7�C
Swom ro(or affirmed)and subscribetl before me, Swom b(or affirmetl)and subscnbed before me,
by means of� physical presence by means of�physical presence
w O online notanzation or 0 online notariz tion, ,�y,�
this��day of M a�l . 20��y this 1','�day of�2u_�oy
�C��o Gw �'n V ,S se-a �.a Go�n}V
NA OF LO YIST NAME OF P IPAL
Producetl ID��t�t�! � r<t«S�, ,Produced ID �C ►Y�S �PLeA3'�
PORM OF IDENTIFICATION FORM OP IDENTIFICATION
_Personally Known _Personally Known
Signature of Notary Publi� Signature of Notary Pubh�
.Dsv:� Kotqu�,L �v;� }'laC�►vCL
Name of Notary, Typed, Printed r Stamped Name of Notary, Typed, Printed or Stamped
(NOTARY SEAL) ,�+""�MAROU�"`'+�.,, (NOTARY SEAL)
fe.P��D..........fl y, „„o,w. �w„
t O,-pti1RV PUB4�'., `* a'p,NO A1!!RQ(i `,.1
t :'? •: � =t'f O'oSpPYP�&�
'Theferm"IobbyisP'spedficallyfxcNdM���pa'so�s: � ,� � � �:�
42420 � . �
Fxpert wiNesses who provitle ordy sbi��cElechnicalp.i r speaalizetl infortnation or teslimony in p licirt����r�o�w o
only appears as a represenlative M�g hborhoo � tion vnihout compensation or reimburseme�t 1 tFie appearance, wdett�r
direct, inCirect or contingem, ro ex ''S�t�('i�6k�, ;� sition to any item�, and any person who ony a s a repre�pMa"�o(
no4for-profit communily based orga ' ose of requesling a grant without spedal compen �pprp�jil�for
the appearance. ��*w�.+��^'"" •S/q�����N�,
Page 4 of 5
i
Ciy ef Miami bea<h, V00 Comenfion Center Dnve, Mloml Beo<h, Flonda 33139, www.miomibeachll.go.
Office of Ihe Ciy Clerk
Rafoel E. Gmnodo, City Clerk CilyGlerk@miamibeochfl.gov
Tel: 305.673.7411, Fax: 305.673.725d
NAME OF LOBBYIST: J�4 i a �e-��I C,� q'�� C�*h�v
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 fne 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) LOBBYtST 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.
0 4 a �4
ture o obbyist Date
F'1ClERLLALLrFO1MI5LLOB8YI5T FOPoAS'WtlryM RepM9lbn Form MviseE 0411�IDREG Jx
Page 5 of 5
RECEivEo
City of Miami Beach
t700 Convention Center Drive MAY 1 i 2024
Miami Beach, Florida 33139
www.miamibeach0.gov ��TY UF MIAMI BEACH
City Clerk'S OffiCe OFFlCE OF THE CIN G_ERK
Tel: 305-673-7411
Fax: 305-673-7254 Office Uae On1y
ANNUAL LOBBYIST REGISTRATION FORM
Name: �X4 o r2- �% pQn n (_G�'+!v
8usiness Name• S��"( � /
Address: �6' � �m � 'f"0'`nC�ov�a �/�lG� � C�- /"� _ _
�aa-,t S' ��r � y'G �J /�6
Office Telephone Number:
Ceiluiar Telephone Numbec J � � (O 7"7 Oy C}-�
Email Address: Sui ri �'�j'�� • GfG
tl more than one 1o66yis4 P�ease list:
i)
2)
3)
4)
5)
6)
7)
Submit this form to the Office of the City Clerk, along with a check for $500 for each
lobbylst. Please make the check(s) payable to the City of Miami Beach.
For City Clerk's Offlce Use Only
MCR#:l S srG: +�� 52�� Pe�
Amount paid: Date paid:
Processed by: �/ I Date:
F�.ICLER�SKL1vFORMS'LOBBYIST iCPMSV�NNWLL LOBBYIST REGISTMTICH FIXiM rry Oon