2024 Lobbyist Registration Form - Workshops and Presentations (Mari Carmen Rodriguez) . Wec1�31�ep � (��tStla'ee�'toAS
RECEiVED
r��� ,��.t`•�� ���'""+� � otr�ce or me c�ry cie�k :J�AY 29 2024
1700 Convention Center Drive
Miami eeach, FL 33139 GTl' Or MIAMI BEACN
305.6737411 OFFICE OFTHE CITV CLERK
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employetl or retained, whether paid or not, by a principal who seeks to encourege the passage, defeat or
modifcation of any ordinance, resoWtioq ac�ion or tlecision of any commissioner, any ac�ion, decision, recommendation of the Ciry
Manager or any City board or commiltee�,or any action, decision or recommendation of any Ciry personnel during the time period of lhe
en[ire decision-making process on such action, decision or recommendation Ihat foreseea6ly will be heard or reviewed by the City
Commission, or a City board or committee. The term specifically inGudes the principal as well as any employee engaged in lobbying
activities. The term "Lobbyist" has specific eaclusions. Please refer to City Code Jhap[er 2, ArtiGe VII, Division 3, entitled "Lobbyists,'
for additional information.
Instmctions: Please complete all sections of this tortn and sobmil lhe completetl fortn, with lhe epplicable fee, lo�he Offme of the Ciry
Clerk. If you need more space to mmple�e an answer, use a separale sheet(s) of paper. If you have nolhing Io report in a particular
section, you must wnte "none" or "n/a" in �hat section. Any change lo any infortnation originaity fled or any additional City
Comi.�issioner or personnel who are also sought to be lobbied shall require that the lobbyist fle an amendment to the registration form.
The lobbyis� has a continuing tluty to suppiy information and amentl the forms filed throughou� �he period that the lobbying occurs.
Separate regist2tion forms shall be required for each pnnc' I represented on each specific issue.
I. LOBBYIST INFORMATION:
i v cz �.��.c�aZ�J
� ,
NAME OF 068VIST (Lest) (FIreQ (Middle Name)
ISI � Su' `F� S`�
��we€��s� U��s�caPs d Cs�r.s.,lt�ua�,�try,,ur� Fl� 33�a7
LOBBVIST BUSINESS NAME AN�AO�RESS (Number antl 5 ree[) (Ciry) (State) (Zip Code)
`���v-�S3 �'a��� -�"..-�. �i-cx�r-6��aS���s�PSX '`-4wa..B
LOBBVISTBUSINESSTELEPHONENUMBER CELLULARTELEPHJNENUMBER EMAILADDRESS, �.h
II. PRINCIPAL INFORMATION:
o� �i r� ' caJ
NAMEOF RINCIPAL (LasQ (Firs[) (MltltlleName) •
�l I
�c�v-1��Ke ��.�Cs,{t,_=�s�C�.s.,�t�r.r3 �s�(Po sw 'E`C sl�( . 33ea�
PRINCIPAL BUSMESS NAME AND ADDRESS (Number and Slree�) (Q�y) (5[ate) (Zip Code) ^
otJ
'l�� �S-3 33�'7 s��.�, �� ���,s� �;�icsk.�as1 �,,.a..G
PRWQPALBUSINESSTELEPHONENUMBER CELLULARTELEPHONENUMBER EMAILADDRE55 q,y�,,,
��e�
Pursuant to City Gotle Sectlon 2J382(h)(1)(a): A principal af any coryo2tion, patlnership, or other entity who appears as a iobbyis� on behalf of that
enidy,without specia�compensafion or reimbursemen�for[he appearance.whether Eirect,indirect,or contingent.to express support of or opposition to
an kem shall register with ihe Claik as requiretl by Ihis subsection but shall no�be requiretl to pay any registration fees.
If the principal is a Corporation, Partnership or Trust, the fr,llowing information MUST be provided
pursuant to City Code Section 2-482(c):
. NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARV(it none,write NIA�:
. N SONS HOLDING, DIRECTLY OR INDIRECTLY,A a OR MORE OWNERSHIP INTEREST IN SUCH
� �D.�� ` �� � �z
CORPORATION ARTNERSHIP OR TrR,UST(if n�one,wr-ite N/A�:
`-c'� C�J�P� l �'J �RP'SS- '�,�,`�,^.�
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, nr public hearing number.
�1�J Q �n� ����5�—sX cs...l Y)tifi.a-��v_. c��
�O —q'li ,
�SZI�- �ati}A6<�y.��.t.�iJ�42.. �llS�-�
,��� J�;�.�t_C�-�.-��, �-e�,,. ^ , P.u�E S��.
-�. �n9.s�-� � <yy .,
IV. CITY AGENC7ES/INDIVIDUALS 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 generel nature of the subject contractual relationship.
Full Name of Individual and Contractual Relationship (If yes, explain) YES NO
Title of Person to be Lobbied
� V ` _ '
l UV�+
a
Pursuant to City Code Section 2-482(g), every registrent 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 Commiss�oner or City personnel who is sought to
be lobbied as identified on the lobbyist registration form filed.
List any Business, Financial, Familial or Prafessional Relationship, or o[her relationship giving rise to an
a earonce of im ro riet if none, writeAN//A :
✓f
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Sqecific. (Note that a
contingency fee is prohibited pursuant to City Code Sec. 2-485.3):
.�.�` (O vv��.ti^���.� -
�
Page 2 of 5
{
The tollowing six(6)questians MUST be answered:
1) Pursuant to City Code Section 2-068. entitletl"Prohibitetl Campaign Con(ributions By Lobbyisis On Pmcurement Issues":
_Ves V No: Are I bb ' ese t o d' b'd f tl ea 'o e 1 o ase t r
oendina award for aootls.equioment or servlceT
2) Pursuant to Ciry Code Section 2-490, emilled "Prohibited Campaign ConMbulions By Lobbyists On Real Eslate Development
Issues"
_Ves�: Are v lobbvi ue d' o aol' f f De I t An t "th the CIN aal' £
for chanoe of o ' a ao d s'u t' ha ae to the C't 's F t e L d U Mao�
3) Pursuant to City Code Section 4-462�h), any person (except �hose euempt from the defnition of "IobbyisY' as set fotlh in
Section 2-481) who only appears as a representative of a not-for-pwfit corporation or entity without special compensation or
reimbursemen[for Ihe appearance,whether direct or indirec�to express support of or opposition to any i�em,shall register with
Ihe city clerk as required by�his section, but shall not be required to pay any registralion fees.
Yes No: A f t-f -a ft roor f� Ftv 'th t o ial o f
reimbursement?
4) Pursuan[ to City Cotle Section 2-487, the lerm "lobbyis�" specifically exdudes the following persons�, Expert witnesses who
provitle only scientific, technical or o�her specializetl informalion or testimony in public mestings; any person who only appears
as a representative of a neighborhootl association without compensa�ion or reimbursement for ihe appearance,whether tlirecl,
indirect or conlingenl, to express support of or opposition to any item; antl any person who onty appears as a representative of
noFfoo-proft community based organization for lhe purpose of requesting a grant without special compensation or
reimburse/nen[for the aDPearance.
_Yes�No: Are vou orovidina onlv scientific. technical or other soeeialized 'nformal'on� aooear'no as a
reoresentative of a neiohborhaod association without soecial comoensat on or re'mbursement or
reoresentino a no4torvorofil based omanization for the ournose of reauesFnq a orant w'thout
soecial comoensation or reimbursement?
5) Pursuant to City Cade Section 2-491�1), no campaign consultant shall lobby the City Commission for a penotl of t2 months
following the swearing in of any eleded offcial(s)for whom the campaign consWtant provided campaign consulting services
within iheDast election cycle. See Section 2-09t for more information.
_Ves��No: Have vou orovided camoaian consultina services to an incumbent member of the C'N Comm'ss'on
within the oast election cvcle? If ves. olease list the incum6ent member(sl of the Cih Comm'ss'on�
Yes No: If ves. has it been less than 12 months since [he electetl oKcialfsl whom vou orovided �amoaian
consultino services was sworn In?
6) Pursuant to City Code Section 2-482(a1(4)a., a lobbyist who has within 1he pas� eleclion cyGe provided campaign consulting
services lo an incumbent member of Ihe Ciry Commission (which lo6bying acliviry is not othervvise prohibited by Cade sec[ion
2-491) shall disclose such particular service on his/her lobbyist regishation fortn and shall orallv disclose such oarticular
service be re lobb in the Ci Commission at a ublic mee[in .
Yes No: Have vou orovitletl camoaiqn wnsultinq servlces to an incumbent member of the CiN Comm'ss'on
within the oast election cvcle? If ves olease list the incumbent member(sl of the CiN Commission:
Yes No: If ves, were vou oromised or did vou receive economic consitleration in ezchanqe far camoaion
consultina services?
TO BE COMPLETED BY C�ITY CLERK'S STAPF ONLV q
Annual Regishation fee: � ]Yes�No Amount Paitl SJ •L� '"�� • MCR# Date Pai�' �� - «
LOEEyist Regisiration Fo�m receivetl antl verifietl by: / �M
F:ACLER\SAII�aNJRMSVicRnYisYFORiiS aby tHe9�is� • i��..-sta nlCfl£:,3nc Revised03/11/2020
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 LOBBYING EXPENDITURES. AS WELL AS COMPENSATION
RECEIVED FOR THE PR EDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN E G GED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COM N ATION DU REPORTING PERIOD.' (
Signature of Lobbyist - — C�ate S 1 �l \ Z'`I
I do solemnly swear or aff hat all of[he foregoing facts, statements, and disclosures in this form are true and correct,
and that I have read or a fa iliar with tf��rovisions contained in Chap[er 2, Art. VII, Division 3, en[itled "Lobbyists" of
the Miami Beach Ciry Co e an all reporting requi�n its.
Signature of Lobbyist � � Date S � v'l
Signature of Principal: � Date S Vl
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of �� Sta[e of ��
Countyof: l� >O�r�� J.��+ Countyc:: M ic�.M.-; 1J0-�,e.
Sworn to(or affrmed) antl subscribed before me, Sworn to(or aK�med)and subscribed before me.
by means of 0 physical presence by means of 0 physical presence
or � online notarization, �,�— '` �/ or C online notarization,
'his�.day of�7�,20�7by this�`�'' day of �� 20���by
)
�'Icac ; C�...E., .rza�..�,,��. Ma�, a��-,�, r�«g�ea
�E OF L08BVIST* N�A�ME OF PRINCIPA
ProducedlD U� ''ve,6 � SG��,^S(�, Y producedlD 6 s�l2f� � 6G0rSe ,
FORM OF I�ENTIRCATION FORM OF IDENTIFlCATION
_Personally Known _Personally Known
�-� D�
Signature of No ary Public Signature Notary Public
I�v •t� ?-�o�r-4vez� �s ;� M�x-9��.
Name of Notary, Typed, Printe or Stamped Name of Notary, Typed, Printed or Stamped
(NOTARY SEAL) (NOTARY SEAL)
,rMPR�U��,,,,,,,.,., v,,,OPVID Mqj�p�„�b
— �S�•' PUB4 � � SARYP�. G
V C�'. t + ;'e�0 !j•:�"s��
' Theterm"lobbyisf'specificallyexcl�Tl�tivC�ollowingpetson� 1+ , B(�:,
'a� pH •. z i '� MY c��
Expetl wimesses who provide only 6cieji[iflc, �thpr�ecialiZed information or tes[imony n {2L1�1M1� �rs�n who
only aOPears as a representative o€a neigFb ssofiial'g wi[hout compensation or reimbur nt for rP, �hether
direcl, indirect or contingent, to exp¢ssis of or o $� to any item; and any person who '�ears as a re e$e�live of
not-for-pmFil community based orgar}i,zaHon�,r ihe p�4�f requesting a gran�.without special c ���r�A��pt�rs ent for
the appearance. q7E OF'.i�p, ,a / �" �
...... . � ...... ..�
�ry�.•^'�� Page 4 of 5 '*�ER�
i �
� �� � ,r� � ��,� N
Ciy of Miami Beaah,1700 Conveniion Cemer Drive,Mloml Beach, Fbrida 33139,www.mlamibeachfl.gav
Office of the Ciry Clerk
Rafnel E. Gronado, Ciy Clerk CityClerk@miamibeachFl.gov
Tel: 305.6737411, Fax: 305.6737254
NAME OF LOBBYIST: �Qc i C. �G�S�o.UG'7�
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
(Slatement). In addition to any other penalties that may be imposed as provided in
Section 2-485.1, a fine of $50.00 a day shall be assessed for Statements filed after the
due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and
Public Trust of the failure of a lobbyist (or principal) to file the Statement or pay the
assessed fines after notification.
Any lobbyist, who fails to file the required Statement by April 30'" of each year, shall be
automatically suspended from lobbying until all fines are paid, unless the fine has been
appealed to the Miami-Dade County Commission on Ethics and Public Trust.
I hereby acknowledge that on February 28 of each year, I shall submit to the City Clerk a
signed Statement under oath listing all lobbyist expenditures, as well as compensation
received, for the preceding calendar year with regard to the specific issue on which I have
been engaged to lobby.
2) LOBBYIST WITHDRAWAL
Once an issue I have registered to lobby has concluded or I am no longer lobbying on
that issue, I shall immediately file a Notice of Withdrawal with the Office of the City Clerk.
3) ANNUAL LOBBYIST REGISTRATION FEE
I understand annual registration of all lobbyists shall be required for each 12-month period
commencing October 1 of each year, and the fee for such annual registration shall be
0.00 pursuant [o Section 2-482 of the Miami Beach City Code.
C � z
Signat e of Lobbyist Date
F��LLET$ALLHFORM9LLOBBYIBi GORMSLLo��yisl HeqiSVa�an Poim Hwisotl p}�F20 NEGtloc
Page 5 of 5
' " '� �' ' `� �°"°� ''" � RECEIVED
City of Miami Beach
1700 Convention Center Drive '��'i�� 29 2024
Miami Beach, Florida 33139
www.miamibeachfl.gov CITY OF MIAMI BEACH
City Clerk's Office �FFicF r"�"1E cm C�eaK
Tel: 305-673-7411
Fax: 305-673-7254 Office Use Only
ANNUAL LOBBYIST REGISTRATION FORM
�
Name: �AF� �ILnAE�[��f��C_�
11 �
Business Name: _��u=�C't10�jL �C�J1-1�-S�n.�,05 4���5� ����.�-LC �
Address: \ S� lo � �(S� �� 51 l�lWy'�lA(Z ` '�� � '330�1'� .
Office Telephone Number: �B b-�`J �- �3 �`� �
Cellular Telephone Number. S�vv�e PS c� loo i� �
Email Address:�0 �L'�:.C�O�'�c�E' WOR-�-s��� ��'�Y"'�'-� �- ' ��"�
Hmore than one lobbyis[, please list:
1)
2)
3)
4)
5)
6)
7)
Submit this form to the Office of the City Clerk, along with a check for $500 for each
lobbyist. Please make the check(s) paya6le to the City of Miami Beach.
For City ClerKs Office Use Only
MCR#��f^L��b, �c�-C �+�_
Amount paid: .�" Date paid:��,� � �y
Processed by: �}'� Date:
G".CLE0.SALCaFORMS!LO6BYIST fORA�$VWNUAL LOB9VIST ftEGI$TRPTION PoRM reg Oou