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2024 Lobbyist Registration Form - CUP File No. PB17-0158 (Salem Mounayyer)! Cv� ��lt 1Jo . '. �� )'�- 015 g - ,�.i�_i� Office ofthe City Clerk 1700 Convention Center Drive � , . Miami Beach, FL 33139 305.6737411 LOBBYIST REGISTRATION FORM Lobbyist means all persons employetl or retaineQ whether paitl or not, by a principal who seeks to encourage Ihe passage, defeat or motlifcation of any ortlinance. resolution, action or decision of any mmmissioner', any action, tlecisioq recommentlation of the Ciry Manager or any Ciry board or mmmittee�, or any ac�ion, tlecision or recommendation of any City personnel during ihe lime periotl of�he en�ire decision-making process on such action, decision or recommendation that foreseeaby will be heard or reviewed by the Ciry Commission, or a City board or committee. The �erm specifically includes �he principal as well as any employee engaged in lobbying activities. The term "LobbyisY has specifc excWsions. Please refer to Ciry Cotle Chapter 2, Article VIL. Division 3, entitled `Lobbyisls" for atltlitional informacion. Instruc[ions: Please complete all sections o(this fortn antl submit the wmpletetl form,with the applicable fee, ro the Office of the City Clerk. If you need more space to complete an answer, use a separate sheet(s) of paper. If you have nothing lo report in a particular section, you must write "none" or "n/a" in that section. Any change to any information originalty filed, or any atltlitional Ciry Commissioner or personnel who are also sought m be lobbietl shall require that the lobbyist file an amendment ro t�e regisiration Porm. The lobbyist has a continuing dury to supply information and amend Ihe forms filed throughout the period thal the lobbying occurs. Separate regisValion forms shall be requiretl for each principal represenletl on each specific issue. I. LOBBYIST INFORMATION: de la Fuente Bob (Domingo) de la Fuente NAME OF LOBBVIST (Las�) (Frst) (Mltltlle Name) Lehtinen Schultz PLLC, 1200 Brickell Avenue, Suite 507 Miami FL 33131 LOBBVISTBU9INESSNAMEAN�AooRESS (NumberentlSVeep (Glry) (State) (ZlpCotle) 305.760.8540 BdelaFuente@Lehtinen-Schultz.com LOBBVISTBUSWESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILADDRE55 II. PRINCIPAL INFORMATION: Mounayyer Salem NAME OF PRINGIPAL (Lae�) (Flrs�) (Mltltlle Name) Strand 1060 LLC 1400 Broadway, 15th Roor NYC NY 10018 PRWCIPALBUSWESSNAMEANOA��RESS (NumbarantlSVeet) (Ci�y) (S�ate) (ZipCotla) 305.760.8540 salem@jordache.com PRINCIPALBUSINESSTELEPHONENUPABER CELWLARTELEPHONENUMBER EMAILA�DRESS Pursuant m Ci�y Cotle Section 2-A82(h)(1)(a): A principal of arry corporation, partnership, or other en�ify who appears as a lobbyist on �ehalf of�ha� en�ity,wil�out special wmpensa�ion or reim�ursement for�he appearance,wheroer alred.Inairect,or contingenL ro express support of or opposition to an Item shall registerwith iM1e Clen as required by�his subsection�ut shall not be required to pay aM regisVa�ion 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 CHIEF OFFICER, PARTNER,OR BENEFICIARV(if none,write N/A): N/A • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST(if none,writ¢NIA SEE ATTACHED Strand 1060 LLC is 100% owned by Nakash Slrand LLC Page 7 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, or public hearing number. Modification of CUP File No. PB 17-0158 IV. CITY AGENCIES/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 general nature of the subject contractual relationship. Full Name of Individual and Con[ractual Rela[ionship (If yes, explain) VES NO Ti[le of Person [o be Lo6bied Planning Department x Planning Board X Pursuant to City Code Section 2-482(g), every reqistrant 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 current City Commissioner or City personnel who is sought to be lobhied 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 : N/A V. DISCLOSE RATE AND AMOUNT OF L0B8YIST COMPENSATION — Be Specific. (Note that a contingency fee is prohibited pursuant to City Code Sec. 2-485.3): $SSO/hour Page 2 of 5 The following six(6)questions MUST be answeretl: �) Pursuant to Ciry Code Section 2d88.. entitletl"Pmhibited Campaign Contributions By Lobbyis45 On Pmwrement Issues"' YesX No: A 1 bb ' n t a d a b'tl f a tl b t serv'ces or on a oresenl or p d' q df q d a 'o lorservice� 2) Pursuant to City Cotle Section 2-490. entitletl `Prohibited Campaign Contributions By Lobbyisis On Real Estate Development Issues": _Ves�No: A v I bb ' n d' q f t' f D I p t Aq t 'th th C'ri I" fon f h q f o d 'q t' h a t th C'N's FUW re Lantl Use Mao7 3) Pursuanl to City Code Section 2-082(h�, any person (except �hose exempt from the definition of "IobbyisY' as set forih in Seclion 2-481)who onry appears as a representative of a noFfor-pmft corporation or entity without special compensation or reimbursement for the appearance,whelher direct or indirect to express support of or opposition to any item, shall regis�er with Ihe city clerk as required by this sec�ion, but shall not be requiretl to pay any regis�ration fees. _Yes7LNo: A V eo C t f f't C o f fN 'th t c'al SaYon or reimbursemenfl 4) Pursuant to City Code Section 2-481. lhe term "IobbyiSP specifcally exclutles Ihe following persons�. Expert witnesses who provide only scientific,technical or other specializetl information or testimony in public meetings; any person who only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether direct, indirect or conlingent, to express support of or opposition to any item�, and any person who only appears as a representative of nobfor-protit communiry based organization for Me purpose o( reques�ing a grant without special compensation or reimbursement for the appearonce. _Yes�No: A o �d 0 I C(' t h ' I lh ' I' tl ' f at ' a p taT t 'ahb a d ' f lh t c'al com af'on or reimbursemenl or p [' q l f D f�t b d O f f0 [h p OS f q SS n0 Q [ w IhOOf ' I como t' n or reimbursement7 5) Pursuant fo City Code Section 2-491(�), no campaign consultant shall lobby lhe City Commission for a period of 12 months following the swearing in of any elected official(s) for whom the campaign consul�ant provitled campaign consul�ing services within the past eledion cycle. See Section 2-49� for more informalion. _Ves�No: H v 'tl d It t n 'ncumbenl m¢mber o(the CiN Commission 'th- th p t I Yo v I "+ I( ol I' t the'ncumbent memberlsl of the Cin Commisson: Ves N¢ � ^� h 't be 1 th 12 th e th I ted oHc'al(sl whom vau orovidetl camoaiqn eonsultina senices was sworn in7 6) Pursuant lo City Cotle Section 2-082(a�(4)a., a lobbyis�who has within the pasl election cycle provided campaign consulting services to an incumbent member of�he Ciry Commission (which lobbying activity is not otheiwise prohibitetl by Cotle section 2-491) shall tlisclose such particular service on hislher lobbyis� registretion form tl h II orollv dsclose such oarfcular b f I bb � th Ct C t D bl f o. _Ves�No: H v o 'tl tl moa'a I['na se ' to an 'ncumbent member of lhe CiN Commission 'tti th o t I C v I i If ol I' t th 'ncumbent memberlsl of the CiN Commission: Yes No: If � d d'd m'c cons'deraCon 'n exchanqe for camoaiqn consultinq services? TO BE COMPLETED BY CITY CLERK'S STAFF ONLY m a Annual Regis[ration�ee: �Yes[ ]No P.moun[Paitl 5��• MCR# �3��� U �a[e Paitl � a LOEbyist Registra[ion Form receivetl antl verifietl by: �M F:\CLER\SALL\afORMS\L0B6V[STFGRMS\LobbyirtRegis[ratlonFormRevisM03�1Y20REG.Eoc R¢v15¢tl03/11/2030 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 PRECEDING CALENDAR YEAR WI7H REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMEN7 SHALL BE FILED EVEN IF 7HERE HAS BEEN NO EXPENDITURE OR COMPENS ON URI G T E REPORTING PERIOD.' Signawre of Lobbyist: � C ` l � �� � - - Date � i �D� �� I do solemnly swear or aKrm that all of Ihe foregoing fads, statements, and disclosures in this form are tme and correct, and that I have read or am familiar with ihe provisions contained in Chapter 2, Art. VII, Division 3, entRled "Lobbyists" of the Miami Beach City Code and al p ing r quir me . Signature of Lobbyist: Date 0 �Z� Signature of Principal: Date �y l� Z�� VII. NOTARY SIGNAT E AND SEAL: LOBBYIST: PRINCIPAL 1 State o! �0 Y I L� State of �'�,�AOV�GGl r Countyof� I�I�QIMI �- �/��. Counryof: IVIIQ,W1�t'�aG'�- Swom to(or aKrmed) and subscribed before me, Sworn to(or affrmed)and subscribed before me, by means of�physical presence by means of,P4 physical presence or O onJ�ne notarization, or 0 online notarization, this �U day of�20�by [his /O day of�2014, by Bob de la Fuente GJq,wrv� �Y�l9u.Ncc�1N�N NAMEOFLOBBVIST NAMEOFPRWGIP L Produced ID Producetl ID F R ENTIFlGATION FORM OF IDENTIFICATION x Personall o n �Personall G own L Signature of t ry Pu lic Signature of � ublic �-{'�I f���.J�Mde�' {��ina Name of Notary,Typed, me of Notary,7yped, Printetl or Stamped o�::�.,,, S FIA M. CAMPO ( �;NobryPubllo5teuoiFloriA� QTARYSEAL NOTARY SEAL '� ) Commission�HHZ912)a � �P Naa PUCFc9areaFlwke ��fq�f�= My Commieeion ExDirea Y ��piM Sepromber10, Y0Y8 �� MyCommuwnHH1J81<0 Evpiren 10,OYM�6 'The term"IobbyisT'specifically exdutles the following persons: Expert witnesses who provitle onty sciantifc, technical or other specializetl infortnation or testimony in public meetings;any person who only appears as a representative of a neigh�orhootl association without compensa�ion or reimbursement for the apPearance, whether tlirecl, intlirect or contingent, to express support of or opposition to any item', and any pereon who only appears as a representalive of not-for-profil community based or9anization for the purpose of requesting a grant without special compensation or reimbursement for �he appearence. Page 4 of 5 � � � � QJ N L ^� O V > w e a m � � p m � � > ._ � a w `^ w v ^' c a � c � '° w l'1 N r3o C7 v � � w1O e m m -o � c ^' C� w d�+ L J f0 � J t J U v J � � � J Y N � �C t� -O W V � � O 10 �+ O � LL v {A � Y L � Y N � H m � � � 3 m Z N � •� � � � Z H f0 � �n � C' � Z � � v o O L N H U o� U � a J O J Q N �/1 M O � v � M � J W J J d J N 3 N i/i m � N VI N E � Z � v � � � 3 c n v~i ° 3 `� a � � — O a m in N N c � � L Q L p L L � � � (O Y � � A Z Z N � a � L � m � > F O. p m y N m v � o s � � � m H N p L � � ~ Z ¢ � n '- h f�-? Ciy d Miomi Baach, 1700 Convention Cenrer Drive,Mlomt Beach,Floride 33139,www.mlomibeachA.gov Offi<e of Iha Ciy Clerk Rafael E.Gwnodo,Ciy Clerk CltyClerk@miamibeachFl.gov Tel: 305.6737411, Fax: 305.673.7254 NAME OF LOBBYIST: Bob de la Fuente 1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT Pursuant to Ciry 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 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 fle 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 fnes 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 ihe 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. , ������� S��/�� •�� Signature of Lobbyist Date FICLEF�S>LL�sPoflMSLOBBYi6TFOPMSW�OyIs�Pegis�rellonFo�mR¢ued W��l-20FEGdoc Page 5 of 5 gity of Niami Bcach f.ily Hall 1700 Cunvention Cenler �r. Miami Beach . Fl 33139 305-613-7420 3 � � �; � o a m ❑ ^ 3 Welr.ame ; o w ' ° �- ^m °�' < '^ � g m < � O = OS/10/2024 �2:19PM Adrian V. � � °' � � � � m � � a � o � 3 'm 0069B9-OOIfi -- � v � D c _ `-;� — c 3 � MISCELLANEOIIS �< : Reference 1 : MCR433408 � ;' e^, a � MCR OPEN (MCR) a i � 2024 Item: MGR � � 1 � $1,200AU00 0 � .o MCR OPEN (MCR) $L 20G.00 � � D F ________._..___ � iL ;��2��.0� SubYotal 5�.��•�� Total 51.200.00 CHECK $350.00 Check NumUer003397 CHECA $350.00 Check Number003398 CHECN $500.00 Check Numher003399 ChanBe due -------�50.00 � ,n z � o m Paid bv: LEHTINEN SCHULTZ PLLC � w T A ����I�������i��I��u�����������V�H���������������������h������� � � � ___.______ __ o ------- _. ii. a�•R�,W ..�...._ .,�..w,..li o O �� I � w. ��. I I �- "� ---- � � v ��] - -- -- - � u�. �_ _ ._ _ ' �� � _��::-� o ' �� - l� .:�.,�,�,.��.�....��. ihank v���.� for You� PaYmanY � Y