2024 Lobbyist Registration Form - Mobility Services (William L Braden) _ . . M�: , ;kr 5� „ � _
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MIAMI BEACH �ceo„„a�;ry�,ef� ��� ���024
1700 Convention Center Drive
Miami eeach, FL 33138 CTTY OF MIAMI �ACH
305.6737411 OFFlCE CF THE CITY CLERK
LOBBVIST REGISTRATION FORM
Lobbyist means all persons employatl or retained, whether paitl or not, by a pnncipal who seeks lo encouage the passage, tlefeat or
motlification of any ortlinance, resolution, action or deusion of any wmmissioner', any action, tlecision, recommentlation o(the Ciry
Manager or arry City boarC or committee;or any actlon, tledsion or recommendation of any Ciry personnel during the time period of tha
entire decisioo-making praess on such actioq tlecision or recommentlation that foreseeabry will be heaN or 2vievred by the City
Commission, or a City boartl or commitlee. The term specificalty in�ludes the pnncipal as well as any employee engageG In lobbying
aqivities. The tertn'Lobbyist"has specific exclusims. Please refer to City Cotle Chapter 2, ArtiGe VII, Division 3, entltletl"Lobbyists;
foratltlitionalinfoimation.
InstrucLona: P�ease complele all seclions of Ihis form antl suGmit fhe mmpletetl form,with ihe epplirable fee, to t�e Office of t�e Ciry
CIeM. If you neetl more space to wmplete an answer, use a separate sheet(s) of paper. IF you have nothing to report in a particular
section, you must wnte "none" or "n/a' in thet section. My diarye to any information onginally fileA, or any atldRional CM1y
Commissioner or personnel who a�e also soughl to be lobbied shall require that ihe lobbyist file an amantlment to the registrafion tortn.
The lobbyist has a continuing tluty to SupPly infortnatlon and amenE the torms filed thmug�out Ihe penotl Nat the lobbying occurs.
Separate registration forms shell be rapuiretl kr each pnntipal representetl on each specific issue.
I. LOBBYIST INFORMATION:
PenGn Leslie E
NNMEOPLOBBYIST (ias�) (First) (MitldleNartre)
Pannn Gov LLC 300 SeNlla Avenue,Sutle 215 Core1 Ga�les,FL 33134
LOBBYIST9USINESSNAMEANDA�ORESS (NumberaMStreep (Gily) (Slale) (ZipCotle)
305215-2162
les(Bpen9ngovcom
LOBBVISTBUSMESSTELEPHONENUMBEft CELWIAl2TELEPHONENUMBER EMAILADDRESS
II. PRINCIPAL INFORMATION:
Braden William �
NAMEOFPRINCIPAL (Last) (Firsp (MitldleName)
Sensys Gatw USA 900 Cummings Center,3t6-U Bevetly Mp p�g�s
PRINCIPALBUSMESSNAMEANDA�DRESS (NumEerentl5Vee1) (CM) (State) (ZJpCotla)
978.9227296 e#210 E bratlen�sensysgatso wm
PRINCIPALBUSMESSTELEPHONENUMBER CELWtARTELEPHONENUMBER EMAILADDRESS
Pursuant to f y Cotle SecGon 2<82(h)(1J(a): A pnndpal of any co�poration, patlnen�ip or o1M1er en�iry who appears as a lo�byis�on Oe�alf of[M1at
entiry,wtlhoW special compensalion or reimbursemen�Por fhe aDPearance,whelher tlirect,intlirecl,or cmtingenq lo express suppwt oi or oppositlon to
an item sM1all�egister wii�the Cletic as requiretl by�his suEseclion Out a�all no�be requireE[o pay arry regis�2�ion�ees.
If the principal is a Corporation, Partnership or Trust, the following Infortnation MUST be providetl
pursuant to City Cotle Section 2482�c�:
• NAME OF CHIEP OFFICER,PARTNER,OR BENEFICIARY Qf none,write WA): VNlliam Bratlen
• NAME OF ALL PERSONS HOL�ING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST Q!none,write WA): FDFJ Inc. RichaN Kosina AMrew Noble
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1
111. ISSUE TO BE LOBBIED:
Describe with as much detail as is practical, including but not limited to a specffic descriptlon where
applicable of a pentling request for proposal, inviWtion to bid, or public hearing number.
MOGIiry Soludons
IV. CITY AGENCIESIINDIVIDUALS TO BE L0861ED:
Pursuant to City Code Section 2A82�a)�4�, list the City Commissioner or Ctty personnel sought to be
lobbied, and wAether the lobbyist has entered into any contractual relatlonship (paltl or unpaid) wfth
said CiTy Commissioner or City personnel from 72 months preceding such commencement of service
with the City to the present date,stating the generel nature of the sub�ect contractual relationship.
Full Name of Individual antl COMraMual Relallonship(If yes,explain) VES NO �
Tltle of Person to be Lobbietl
Ciry Managei enG Statl %
Meyrn,Ciry Commission antl siatt x
I
�_
PuBuant to City Code Sectlon 2-082(g), every registrant shall he requlred to sWte the extent of any
6usiness, financial, famillal 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 itlentified on the lobbyist registration form filed.
List any Busineac, Financial, Familial or Professional Relatlonship, or other releHonshlp giving rise to an
a earance of im ro>rie if none write WAI:
N/q
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Soecific. (Note that a
contingency fee is prohibited pursuant to City Code Sec. 2485.3�:
$2,000.001 monm
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The following six(6)questiwq MUST be answeretl:
i) Pursuant b Ciry COGe Section 2�88,entitletl"Prohibitetl Campaign Coirtnbutions By Lobbyista On Procurement Issues':
_Ven X No: Are you lobbvino on a oreaeM or ceM' a biE f tl t I �
DB tl rtlf tl i t 1 9
2) Pureuant to Ciry Cotle Section P<90, entlUed"Pmhibfled Campaign Contnbutions By Lobbyists On Real Estate Development
Issues'
_Ve�%No: Arevoulobbvinaonacendina I' tl f D I o MA m twiththeClN oli tl
for ehanoe of zonlno mao tlesianation or ehanoe W Ne G!w•g FuNre L nd Uae Mao?
3) Pursuant ro Qry Cotle Section 2482(h�. any person (except llwse exempt from the definition of"IobbyisC as set foM in
Section 2-481)who only appears as a representative of a not-foo-pmfit corporefion w entiry without spedal wmpensatlon or
reimbursemeM for ihe appearance,whether tlirec[or intlirect ro express support of w opposition to any ttem,shall mgister xn(h
'he city clerk as tequired by Mis sectioq but shall not be 2quiretl to pay any registration fees.
_Vee KNo: Al@ reea U a no4f - flt co 0o f tlN Ith t I 1 ti
relmbu�semeM?
4) PUBuant to Ciry Cotle Section 2<87, ihe term "IobbyisY' specifiplly exGudes the fallaxing persons: Fxpert witnesses who
provide onry scientifq technipl or other specializetl information or testimony in public meetings;any person who onty appears
as a representative of a neighborhood association without mmpensa[ion or reimbursamenl for the appeerance.whether direcC
intlirect or contingen[to ezpress support of or opposition ro any item;and any person who only appears as a representative of
not-for-pmFlt communiry based organ¢ation tor t�e puryose of requesting a grant without special wmpensation or
reimbursement for ihe appearance.
_Ves XNo: Are vou orovitlina onlv x erMiflc techn'cal or ih ' I' tl I h tio � ea i
represenfebve of a ' �Dorhood ' tlon wlth t ced I oan ti rei b t
representina a nM-for-oroft b tl ' ati f the of tl t wlthout
scecial comoeneation ot re'mburaementi
5) Pursuant to Ciry Cotle Section 2<91�1), no campalgn consultarn shall lobby t�e CM1y Commission for a penotl of 12 monNs
following the sweanng in of any electetl official(s) for whom the campaigm m�sultarrt provitletl campaign consulting services
within ihe pas[election cyde. See Seclion 2-491 Por mo2 information.
_Vea x No: Have vou orovltletl camoalan cons tt' a to �� p f th C'N C I '
wHhin ihe oast election wcle7 H vas olease Ibt the'n b t b rt 1 M the Cln C i 'o �
_Ves_No: If v han 't be th einema oeie�ai wnom a c
COO911�[�OU SBN�L23 Wd3 BWOIII�ll�
6) Pursuant to Cdy Cotle Section T�82�aNb�a., a lobbyist who has within the past elecUon cycle proviAad campaign wnsultlng
services to an inwmbant member of ihe Ciry Commission (w�mh lobbying activity is not othervnse pmhibited by Code section
2491) shall tlisclose such particular service on his/her lobbyist registra4on form d ;hall orall G' I 5 ch rt I
s� icebePo I bW' IheCNC ' S � bl' ti U.
_Ves x No: y,ve vou orovitletl camwian conaultina servlces to an ' be t be f th CIN C i
�vithin the oast elect'on evete7 If vea le Ilat M ' �eM berl �of�h C'N C i I
_Vea_No: IT yes, were you u�om'setl or tlitl vou �ece"ve I 'tl t� h f
eonsultina serviees7
TO BE COMPLETED BY CITY CLERK'S STAFF ONIY
♦nnwl Regb[ratlon fae: [ Yes[ �No Amount Paitl 7S�3 SU MCR%f-S� 7d � Oero Paitl �� ��
Lobbyiat Regichation Form receiveE entl verifietl by:_ yLl
f:\CLER\SBIi\aFORMS\LOBBYISTFORMS�LobbY�rtReglrtra�m0.¢vlaeG 03-11-30NEGtlac RlVLSE4�3/11/2020
Page 3 of 5
VI. SIGNATURES UNDER OATH:
ON FEBRUARV 28 OF EACH VEAR EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CI1V CLERK A
SIGNED STATEMENT UNOER OATH LISTING LOBBYING EXPENDITURES A WELL AS COMPENSATION
RECEIVED. FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC IS UE ON WHICH THE
LOBBYIST HAS BEEN ENGAGEDiTO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE �R CO PENS ( N DURING THE RE ORTING PERIOD.'
Signature of Lobbyist: Date �/ 2 `f l 2 y
I do solemnly swear or�rm that all ot the foregoing facts, slatemenfs, and disclosures in this form are We and cortect,
antl that I have read or am familiar w th ihe provisions con�ained in Chapter 2, Art. VII, Division 3, entRled"Lobbyists" ot
the Miami Beach City Code nd I poNng requirements.
SignaNreofLobbyist � � Date �/ �' y � Z —/
Signature of PrincipaC - ��+ Date Julv 24.2024
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST:— PRINCIPAL
LG
Sfateot � SWteof W�s< .v�5, ✓�
Counryof: M ��l'�� ' DK�C Counryot Wc�kecLs—
Swom ro(or affirmed)and subscribed before me, Swom to(or atfirmed)antl subscnbed be(ore me,
by means of O physkal presence by means ohF7 physical presence
or❑sn' e notaraation or�online noter¢atbn,
thisel dayof�Zp��',by this�dayof J�.. I� 20'�`,��y
C...�s �i'1 E �r�A„r� . w.��,.. ii- ,�o „
NAME OF LOBBVIST NAME OF PRINGIPAL
ProtlucedlD �P�otluCEtlID br�v�r kCPwfC
FORM OF IOENTIFlGATION FORM OF IDEMIFICATION
J Personally Known _Personally Known
� , � -
yS�ignature ry Public Signature of Notary Public
/i1�V �Y �0���+'L W1A3D1 A 13�,.1- Jt �, �
Name of Notary,7yped, Prmted or Stampetl Name of Notary,Typed, Printed or Slamped
(NOTARV SEAL) ""���`RQ�FI� NOTARY SEAL
��0 .-.......... ( )
O?:" Y PUB� , .
3 /�,OS� � '' AWDI ABDULJAUL
'The teim"IobbyisC'specifically exclu�lhe kll�s � £ Notary Publlc
: My 4Z420.tj ? : S[ate of Wlttonsin
Expert witnesses who pmvide only sci�frtllc,��or otheq�vdQ,i¢I¢etl iniormation or testim
only appears as a representa6ve oF a i hbo ootl associ v out wmpensa[ion or reimbursement for the appeardnce, whether
tlirect, indirect or contlngent to express any item; and any person who only appears as a representative oi
nohkr-pmfit community based organizati � e. p� Questing a grant vnlhout special mmpensatlon or reimbursement Por
the appearance. {
Page 4 of 5
I
N1IAMIBEACH
Ciry ef Miomi Baxh, I]00 Convantion Canrer Drive,hVami Beoch, Fbrldo 33139,mvw.mlomi6eachA gov
OfAce ofihe Giy Clerk
Rafael E. Granado,Cily Clerk CityClark�miamibeochH.gov
Tel:305.6737411, Fax: 305.6737254
NAME OF LOBBYIST: � �� L � !'G-+�I I✓j
1� LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
Pursuant to City Code Section 2-465(d), the City Clerk shall notify any lobbyist (or
principap 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 notifcation.
Any lo6byist, 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) IOBBYIST 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.
'� ( Z `/ / Z `f
Signat r of Lobbyist ate
FICLERWLLMiOFM8LL09BY16lGOftM91LONM&FpI51rtWnFormqavlseE W�IYP➢REdAo[
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