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2024 Lobbyist Registration Form - 4-6 Star Island (Brian Bilzin) __ _ ____ _______ . y -i S�'c�c' 1 s 1 s..2 _ ��CEIVED Offce of the City Clerk �iiN 3 2024 1700 Convenlion Center Drive Miami Beach, FL 33139 aoe.s73.7ai� CIIY ;.S ���IIAMI BEACH OFRGF p��i�HE CITV CLERK LOBBVIST REGISTRATION FORM Lobbyisl means all persons employetl or retained, whether paitl or not, by a principal who seeks to encourage Ihe passage. tlefeat or motlification of any ortlinance, resolution, action or tlecision of any commissioner', any action, tlecision, recommendation of the City Manager or any Ciry boartl or committee�, or any action, Gecision or recommendation of any City personnel during the time periotl of ihe entire decision-making pmcess on such action, tlecision or recommentlation Ihat foreseeably will be heard or reviewed by the Ciry Commissiory or a City boartl or committee. The tertn specificalry includes the principal as well as any employee engagetl in lobbying activities. The tertn "LobbyisP' has specific exclusions. Please refer ro Cily Cotle Chapter 2, Artide VII, Division 3, entitletl "Lobbyists," for atltlitional information. Instmetions: Please comple�e all sections of this fortn and submit the completetl form,with the applicable fee, to Ihe Office of the Ciry Clerk. If you need more space to complele an answer, use a separate sheet(s) of paper. I(you have nothing to report in a particular secbon, you must wnte "nona" or "n/a" in tha� sec�ion_ Any change to any informallon originalty Hled, or any adtlitlonal City Commissioner or personnel who are also sought to be lobbietl shall require ihat ihe lobbyist file an amentlment to the registration fortn. The lobbyisl has a wnlinuing tluty b supply information and amend the forms filetl thmughout ihe periotl that Ihe lobbying occurs. Sepa2te regisiration fonns shall be requiretl for each principal represented on each specific issue. I. LOBBYIST INFORMATION: Moehring Robert NAME OF LOBBVIST (Lasl) (Flrs[) (Mltltlle Name) DOMO Architecture+ Deisgn 420 Lincoln Road, Suite 506 Miami eeach FL 33139 LOBBYISTBUSINES9NAMEANDA��RESS (NumberantlS�reet) (Ciy) (S�ete) (ZlpCode) (305)674-8031 (305)984-3624 robert@domodesignstudio.com LOB9VISTBUSINESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILADDRESS II. PRINCIPAL INFORMATION: Brian Bilzin as Tmstee untlerTms�Na 20013302-00(4 8 5 S�ar Islantl AND Brian Bilzin as Tmstee Unaer 6 Star Islantl Resitlence Lana TmsQ NAMEOFPRINCIPAL (Last) (Firsl) (MiOtlleName) 25 West Flagler S[ree� Miami FL 33130 PRINCIPALBUSWESSNAMEANDADDRESS (Numberena5trae�) (GIry) (S�a�e) (ZipCotle) (305)350-2363 ��ilzin�bilzin.com PRINCIPAL9USINESSTELEPHONENUMBER CELLULARTELEPHONENUMBER EMAILADDRESS Pursuanl�o Gity Gotle Sectlon 2-482(h)(1)(a7�. A pnnclpal o(arry corporation, patlnershlp, or other ently w0o appears as a IobGylst on Oenal(ot ihat eMlty,without special compensation or reimbursement for ihe appearance.wlie�her tlirect,intlirecl,or contingent ro express suppoN ol or opposition to an i[em shall re9ister wilh ihe CIeA as requiretl by t�is subsec�ion but shall nol be requiretl to pay any regisUation fees. If the principal is a Corporation, Partnership or Trust, the following information MUST be provided pursuant to City Code Section 2-482�c): . NAME OF CMIEF OFFICER, PARTNER,OR BENEFICIARY(i(none,write N/A�: Swart Miller . NAME OF ALL PERSONS HOLDING, DIRECTLV OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCM CORPORATION, PARTNERSHIP OR TRUST(if none,writa N/A�: Stuart Miller 1�0% Page 1 of 5 � III. ISSUE TO BE LOBBIED: Describe with as much detail as is prectical, including but not limited to a specific description where applicable of a pending request for proposal, invitation to bid, or public hearing number. �esign ana arc�itecWral approvals for tlevelopment of 4-fi Star Island. IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-082�a)�4), list the City Commissioner or City personnel sought to be lobbied, and whether the lobbyist has entered into any contrectual 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 generel nature of the subject contractual relationship. Full Name of Individual and Contractual Relationship(If yes, explain) VES NO Title oi Person to be Lobbietl Planning Diredor NIA X Planning antl Zoning�epatlment Staff N/A X Design Review Boartl NIA X Cily Gommissian N/A X Pursuant to Ciry Code Section 2�ffi�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 appearence 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, write N/A : NIA 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): $25o per nour Page 2 of 5 The following six(6)questions MUST be answered: 1) Pursuant to City Code Sec[ion 2d88,entitletl'Prohibi�ed Campaign Contributions By Lobbyists On Pmcurement Issues": y¢s xNo: Are vou lobbv'nq on a oresent or oentlino bid for pootls. eauioment or services. or on a oresent or p¢ndnq awartl for aootls eauioment or service7 2) Pursuant to City Code Sec�ion 2-090, entitletl "Pmhibited Campaign Coniributions By Lobbyists On Real Estate Developmenl Issues"'. Yes X No: A V I bb ' e d� a ool' t' ( D IOD t Aq t 'th lh C'N o aDDI' t for chanae of zon"na mao tles'nnation or chana¢lo[he CiN's Future Land Use Mao7 3) Pursuant to City Cotle Sec�ion 2-d82�h�, any person (except those exempt fmm ihe definition of "IobbyisC' as set forth in Section 2-481)who only appears as a representative of a no4for-pmfit corporetion or entity withou� special compensation or reimbursement for ihe appearance, whether direct or intlirect to ezpress support of or opposition ro any item, shall register with the ciry derk as required by this section,but shall not be requiretl to pay any registration fees. V¢s X No: A D C n bt -u 0![ o t Ct ilhoul s ' I Sa['on or reimbursement? 4) Pureuant to City Cotle Section 2-487. the term "IobbyisP' specifically exclutles the following persons' Expert witnesses who provitle only scientifiq technical or other specialized infortnation or testimony in public meetings', any person who only appears as a representalive of a neighborhood association without compensation or reimbursement for ihe appearance,whether direc[ intlirect or contingen;to express support of or opposition to any item; and any person who onty appears as a represenlative of not-Por-profit community basetl organization for the purpose of requesting a grant without special compensation or reimbursement for ihe appearence. Ves XNo: A v 'd' a o Iv ff' t h 'cal th ' 1' etl information� a as a p faf f e"ahb h tl ' Co �th t ' I mo t ' b m nt or o f a a t-f -o f't b d ora ti f the o o f f a a t 'th t soe<ial eomoensation or reimbursement? 5) Pursuant to City Cotle Section 2d97�7�, no campaign consWtant shall lobby the City Commission Por a period of 12 months � following lhe swearing in of any elec[etl official(s) for whom the campaign consWtant pmvided campaign consulting services wilhin Ihe past election cycle. See Section 2-491 for more information. Yes XNo: H 'd d o 'n IC t b¢ t b f th CN C 'th' th o t I f cle�ITv ol f tth¢'ncumbentmember(sloftheC'NCommission: Ves xNo: ���^^ h 't b n less than 72 months s'nce the elected oHiciallsl_whom vou orovitletl camoaian consultina services was sworn in1 6) Pursuant to Ciry Cotle Section 2d82(a��4)a., a lobbyist who has within Ihe past election cycle provitleG campaign consulting services to an incumbent member of the City Commission (which lobbying activiry is not otherwise pmhibited by Code section 2-091) shall disclose such particular service on his/her lobbyist regisiralion form antl shall orallv dsclose such oarticular 'ce b f I bb � the Cb C t o bl f Yes xNo: H V �tl tl p 'S1 I£ to an 'ncumbent member o(Ne C'N Commission '[�' th t I f I �If ol I' tthe"ncumbenlmemberlslo([heC'tvCommission: Yes X No: �� v^� ere vou o ' ed or dtl vou rece've econom'c cons'dention in e:chanae tor camoaian consultinq services7 !pv :oo p TO BE LOMPLETED BY CITY CLERK'S STAFF ONLY � pe / /'^ Annuel Registration fee: h/]Yes� ]No Amount Paltl S �V• MCR f��337 j� Date Paitl .� LobOyist Repis[ration Fortn receivatl antl va�ifa0 by:�'t F:\CLE0.\§AlL\aFORMS\tOBBTISTFOFMS\Lobbyis[0.¢gishMlonPormRevisetl03-11-20REG.Goc 0.evi5eE03/11/3020 Page 3 of 5 VI. SIGNATURES UNDER OATH: ON FEBRUARV 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 PERI00.' Slgnalure of Lobbyist � Date os/3o/2024 Robetl Moehnng I do solemnry swear or affirm that all of the foregoing facts, statements, and disclosures in this form are true and correct, and that I have read or am familiar wilh the provisions contained in Chapter 2, AR. VII, Division 3, entitletl "Lobbyists" of the Miami Beach City Cotle and all reporting requiremenls. SignaWre of Lobbyist: Date OS/3o/2024 RobeR Moehnng OS/31/2024 Signatureo(PrincipaC �� Date Brian L.Bilzin VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL Notaraetl remotely onllne usin9 mmmurvcabon�echnology via Pmof. State of Floriaa Stateof Flofida Countyof: Broward Countyof: Seminole Sworn to (or affrmetl) and subscribetl before me, Swom to(or aRirmed)and subscribetl before me, by means of O physical presence by means of� physical presence or�online notarization, or�online notarization, [hls 30th day of MaY 20?4, by [hls�day of MA� 20 Zq by Robeh Moenring Brian L Bilzin NPME OF LOBBVIST NAME OF PRINCIPAL � PfOdI1C2d ID DRNER LICENSE � PfOdUC2tl ID DRNER LICENSE FORM OF IDENTIFlCATION FORM OF IDENTIFlCATION Personally Known _Personally Known � .,���.�� ?�,�.-� Sign ture of Notary Public SignaWre of Notary Public Raymond D Stonecipher Brandon Coleman Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Prinretl or Stamped (NOTARY SEAL) � �� (NOTARV SEAL) � � �,.,�� .,... 1'�� a�a,�,�..,��.�. \„„ � The term"IobbyisY'specifically excludes the following persons'. Notarized remotety online using mmmunica[ion technology via Proof. Expetl witnesses who provitle only scientifc, technical or olher specialized informalion or testimony in public meetings', any person who only appears as a representative of a neighborhood associalion without compensation or reimbursemenl for the appearance, whether direct, intlirect or contingent, to express support of or opposition ro any item; antl any person who only appears as a representative of nobfor-pmfit community based organization for the purpose of requesting a grant without special compensation or reimbursemenl for the appearance. Page 4 of 5 Ci1y of Miami Bsach, 1700 Convemion Cemer Drl�e,Miami Beach,Florlda 33139,www.mlamibeachfLgav Office of ihe Ciy Clerk Rafoel E Granado, City Clerk CltyClerk@miamibeachfLgov Te1: 305.6737411, Fax: 305.6737254 NAME OF LOBBYIST: Rooen nncenrinq 1� LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT Pursuant to City Code Section 2-485(d), the City qerk shall notiy 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 Cily 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 notificalion. Any lobbyist, who fails to file the required Statement by April 30'^ of each year, shall be automalically 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 specifc 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 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. � � OS/30/2024 Signature of Lobbyist Date Robetl Moehring e�c�a�snLL�Foems�oeensr Foamsunoeyis�rae������o�Form a�isea a�nzo eec m� Page 5 of 5 re,,...�.a�.,.� c.,�,iii�9�. n��m� u�n�r � 106-613 /41U ' vl���c:o�:ie v ➢ �� a 8 = = D � � n � n q � a a m n � o6!a�;Y¢4 o'C13PM Adrian V. a o i - o � � z °- m � < � d c �^ '. m o _ � < � � m OOIU•1S {,Ull m .�r 2 3 � ^? ° 3 N a T m ❑ 3 � MISf.HLANEUIIS � z c " v � d � ° ^ D o Reference 1 : MCR433422 Q � ` � � � c 3 � MCR OPEN (MCR) � y - � ^ m on, 2024 Item: MCR o � > d � s 1 C� $700.0000 , MCR OPEN (MCR) $700,D0 � � � i � Cb � � fl 9 __ ._.. _.. . .. A S G W � � y���.�� n s F � # SuGtutal $700.00 3 Total $700.00 � m ti CHECK $350.OG o Check Numher026458 ' CHECK $350,OU Check Nuin6er026457 0 v Chan9e due $0.00 w < Paid by: 8TL2IN Sl1MBERG ftAENA PRICE & AXELR�D lLP p � +i* z � o m �IIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII „ A _.. . — _.+� . � N �..C°.CL' .o�,. 'Wy'� � � N N _ ._. ,,.. m � � � y I�� m..g... �m—�_�� . � I I O ��_____...____ ��; -ra:_:_[_e��' �iY/^ � m�e, . � ,�___""'_ .. ..... ',.� _. ....._._....._._. w . __ �...: .