HomeMy WebLinkAboutCarlos Pascual - KC Property Holdings Land Trust (Sanjay Jhaveri)f o.Sl-Vo...\
Docusign Envelope ID 9F6EF09B-5209-42A8-A2B4-8283D6F629BF
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M IAMI BEACH Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
305.673.7411
lobbyists@miamibeachfl.gov
LOBBYIST REGISTRATION FORM
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This form is required under Chapter 2, Article VII, Division 3 of the City Code for individuals who engage in lobbying activities
before the City of Miami Beach.
Pursuant to City Code Section 2-481 , a "lobbyist" means any person employed, retained, or designated, whether paid or
not, by a principal who seeks to encourage the passage, defeat, or modification of any ordinance, resolution , action, or
decision of any Commissioner; any action, decision, or recommendation of the City Manager or any City board or committee;
or any action, decision, or recommendation of any City personnel 1 during the time period of the entire decision-making
process on such action, decision, or recommendation that foreseeably will be heard or reviewed by the City Commission,
or a City board or committee. The term specifically includes the principal as well as any employee engaged in lobbying
activities. The term "lobbyist" specifically excludes the following persons: expert witnesses who provide only scientific,
technical, or other specialized information or testimony in public meetings; any person who only appears as a representative
of a neighborhood or homeowner association without compensation or reimbursement for the appearance, whether direct,
indirect, or contingent, solely to express support of or opposition to any item; and any person who only appears as a
representative of a not-for-profit community-based organization for the purpose of requesting a grant. without special
compensation or reimbursement for the appearance. Any person excluded from the definition of lobbyist under Section 2-
481 is not required to register as a lobbyist but must complete and submit a written disclosure form for each issue on which
they appear, identifying their name, address, and the principal on whose behalf they are communicating, as required by
Section 2-483(b) of the City Code.
Note: A separate form titled "Neighborhood/Homeowner Association Representative Registration Form" is available from
the Office of the City Clerk for representatives of neighborhood or homeowner associations. Other individuals excluded from
the definition of lobbyist under Section 2-481 may utilize this form and complete the relevant sections.
Instructions: Please complete all sections of this form and submit the completed form, with the applicable fee , to 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 to
report in a particular section, you must write "none" or "n/a" in that section. Any change to any information originally filed, or
any additional City Commissioner or personnel who are also sought to be lobbied, shall require that the lobbyist file an
amendment to the registration form. The lobbyist has a continuing duty to provide information and amend the forms fi led
throughout the period during which lobbying occurs. A separate registration form must be submitted for each principal
represented and for each specific issue on which the lobbyist is engaged.
Lobbyist Registration Fees: Pursuant to Section 2-482 of the City Code, a registration fee of $350.00 per issue is required
at the time of filing this form. In addition, an annual registration fee of $500.00 is required for each 12-month period
commencing October 1 of each year. These fees must be submitted to the Office of the City Clerk along with the completed
registration form. However, a principal of any corporation, partnership, or other entity who appears as a lobbyist on behalf
of that entity, without special compensation or reimbursement for the appearance. is not required to pay registration fees.
No fee is required for filing a notice of withdrawal. The City Commission may, in its discretion, waive the registration fee
upon a finding of financial hardship.
Public Records Notice and Address Disclosure: Forms filed with the Office of the City Clerk are public records under
Florida law. If your home address is exempt from disclosure or if you prefer it not be made public, you may provide an office
or alternate mailing address instead. Florida Statutes Section 119.071 (4 )(d) provides public records exemptions for certain
individuals and their families. If you believe you qualify, please consult the statute or contact the Office of the City Clerk for
guidance.
• City personnel include advisory personnel, autonomous personnel, departmental personnel, and quasi-judicial personnel.
Departmental personnel means the city manager, all assistant city managers, all department heads, all assistant and deputy
department heads, employees of the police department with the rank of captain, major or chief, building and zoning
inspectors, the city attorney, chief deputy city attorney and all assistant city attorneys; however, all departmental personnel
when acting in connection with administrative hearings, and any employee of a city department or division with the authority
to participate in procurement matters, when the communication involves such procurement, shall not be included for
purposes of this division.
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.-.. Docusign Envelope ID: 9F6EF098-5209-42A8-A284-828306F629BF
I. LOBBYIST INFORMATION:
Pascual
NAME OF LOBBYIST (Last)
Hemisphere Real Estate, Inc.
LOBBYIST BUSINESS NAME AND ADDRESS
(305) 441-2728
LOBBYIST BUSINESS TELEPHONE NUMBER
11. PRINCIPAL INFORMATION:
Jhaveri
NAME OF PRINCIPAL (Last)
KC Property Holdings Land Trust
PRINCIPAL BUSINESS NAME AND ADDRESS
(310) 739-2368
PRINCIPAL BUSINESS TELEPHONE NUMBER
Carlos
(First)
9100 South Dadeland Blvd., 1500 Miami
(Number and Street) (City)
(Middle Name)
Florida
(State)
33156
(Zip Code)
carlos@hemispheremiami.com
CELLULAR TELEPHONE NUMBER
Sanjay
(Middle Name) (First)
7901 Hispanola Avenue Miami Beach Florida
(Number and Street) (City) (State)
EMAIL ADDRESS
33141
(Zip Code)
sanjay.jhaveri@gmail.com
CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
Pursuant to City Code Section 2-482(h)(1 )(a): A principal of any corporation, partnership, or other entity who appears as a lobbyist on
behalf of that entity, without special compensation or reimbursement for the appearance, whether direct, indirect, or contingent, to
express support of or opposition to an item shall register with the Clerk as required by this subsection but shall not be required to pay
any registration fees.
If the principal is a Corporation, Partnership, or Trust, the following information MUST be provided
pursuant to City Code Section 2-482(c):
Sanjay Jhaveri, Manager/Trustee • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY (if none, write N/A): __________ _
NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST (if none, write NIA): _s_e_e_a_t_ta_c_h_e_d_. ----------
111. ISSUE TO BE LOBBIED:
Describe the specific matter you are lobbying on. Include as much detail as possible, such as the title
or subject of the item, relevant ordinance or resolution numbers, RFP or 1TB numbers, or the date and
topic of any public hearing, if applicable.
Development Approvals & Planning Issues, including but not limited to the Historic Preservation,
Board, Design Review Board, Planning Board, Board of AdJustment, Land Use Development, City
Commission, and any City Workshops or Committees, if necessary, relating to the property located
at 50 W Di Lido Drive, in Miami Beach, Florida.
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IV. DISCLOSURE OF CONSIDERATION PROVIDED BY LOBBYISTS TO NEIGHBORHOOD OR
HOMEOWNER ASSOCIATIONS:
Pursuant to City Code Section 2-482(k), any lobbyist who provides, directly or indirectly, consideration,
whether monetary or non-monetary, of $1,000 or more to a neighborhood or homeowner association or
its designee, for purposes of supporting or withholding its objection concerning a matter before the City
Commission, or any City board, or committee must disclose such consideration.
IJYesl;!No: Have you provided, directly or indirectly, any consideration, monetary or non-monetary, of
$1,000 or more to a neighborhood or homeowner association or its designee, in connection
with the matter for which you are lobbying?
If yes, please describe:
N/A
V. 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 Contractual Relationship (If yes, explain) YES NO
Title of Person to be Lobbied
Staff for the Planning & Building Department None □ 0
Public Works & City Administration, PB, HPB, BOA None □ 0
ORB, City Commission, and Mayor as necessary None □ 0
□ 0
□ 0
□ 0
Pursuant to City Code Section 2-482(9), every registrant shall be required to state the extent of any
business, financial, familial, or professional relationship, or other relationship giving rise to an
appearance of 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
annearance of improprietv (if none, write NIA):
Export witness testimony related to the property located at 50 W. Di Lido Drive, Miami Beach, Florida
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VI. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION -BE SPECIFIC.
Contingency fees are strictly prohibited under Section 2-485.3 of the City Code. This
prohibition applies to all lobbyists and to individuals excluded from the definition of
lobbyist under Section 2-481. If compensation is not monetary, describe the form of
consideration (e.g., services, goods, etc.).
$0.00 per hour
The following six (6) questions MUST be answered:
1) Pursuant to City Code Section 2-488, entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues":
D Yes I!! No: Are you lobbying on a present or pending bid for goods, equipment, or services1 or on a present or
pending award for goods, equipment, or services?
2) Pursuant to City Code Section 2-490, entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development
Issues":
□Yes~ No: Are you lobbying on a pending application for a Development Agreement with the City or an
application for a change of zoning map designation or a change to the City's Future Land Use Map?
3) Pursuant to City Code Section 2-482(h), any person (except those exempt from the definition of "lobbyist" as set forth in Section
2-481) who only appears as a representative of a not-for-profit corporation or entity without special compensation or
reimbursement for the appearance, whether direct or indirect, to express support of or opposition to any item, shall register with
the City Clerk as required by this section, but shall not be required to pay any registration fees.
D Yes I!! No: Are you representing a not-for-profit corporation or entity without special compensation or
reimbursement?
Note: If you are exempt from the definition of lobbyist under Section 2-481 and are required to submit a written
disclosure pursuant to Section 2-483(b), representatives of neighborhood or homeowner associations should
use the "Neighborhood/Homeowner Association Representative Registration Form.n Other exempt individuals
may utilize this Lobbyist Registration Form to fulfill the disclosure requirement and should complete the
applicable sections.
4) Pursuant to City Code Section 2-481, the term "lobbyist" specifically excludes the following persons: Expert witnesses who
provide only scientific, technical, or other specialized information or testimony in public meetings; any person who only appears
as a representative of a neighborhood or homeowner association without compensation or reimbursement for the appearance,
whether direct, indirect, or contingent, solely to express support of or opposition to any item; and any person who only appears
as a representative of a not-for-profit community-based organization for the purpose of requesting a grant, without special
compensation or reimbursement for the appearance. Individuals who qualify for these exclusions are still required to submit
a written disclosure form for each appearance, as required by Section 2-483(b) of the City Code.
111!!1 Yes □ No: Do you qualify for one of the exclusions listed above under Section 2-481?
If yes, please check the applicable category:
~ Expert witness providing only scientific, technical, or other specialized information or testimony in a public
meeting.
□ Representative of a not-for-profit community-based organization requesting a grant without compensation
or reimbursement.
D Representative of a neighborhood or homeowner association appearing without compensation or
reimbursement.
Note: Representatives of neighborhood or homeowner associations should use the
0Neighborhood/Homeowner Association Representative Registration Form." Other exempt individuals may
utilize this Lobbyist Registration Form to fulfill the disclosure requirement and should complete the applicable
sections.
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5) Pursuant to City Code Section 2-491(1), no campaign consultant shall lobby the City Commission for a period of 12 months
following the swearing in or any elected official(s) for whom the campaign consultant provided campaign consulting services
within the past election cycle. See Section 2-491 for more information.
□ Yes II No: Have you provided campaign consulting services to an incumbent member of the City Commission
within the past election cycle? If yes, please list the incumbent member(sl of the City Commission:
□Yes □ No: If yes, has it been less than 12 months since the elected official(s) whom you provided campaign
consulting services was sworn in?
6) Pursuant to City Code Section 2-482(a)(4)a., a lobbyist who has within the past election cycle provided campaign consulting
services to an incumbent member or the City Commission (which lobbying activity is not otherwise prohibited by Code section
2--491) shall disclose such particular service on his/her lobbyist registration form and shall orally disclose such particular service
before lobbying the City Commission at a public meeting.
□ Yes ■ No: Have you provided campaign consulting services to an incumbent member of the City Commission
within the past election cycle? If yes, please list the incumbent member(s) of the City Commission:
□ Yes !!!I No: If yes, were you promised or did you receive economic consideration in exchange for campaign
consulting services? If yes, please describe the nature and amount of any economic consideration
received or promised in exchange for campaign consulting services.
A IMPORTANT -Annual Requirements for Registered Lobbyists: As a registered lobbyist, I acknowledge and agree to
the following yearly obligations. An annual registration fee of $500.00 must be paid by October 1 of each fiscal year to
maintain my lobbyist status active. A new issue registration fee of $350.00 is due when submitting any new issue registration
and is a one-time fee per issue. Additionally, I am required to file an Expenditure and Compensation Form annually by
February 28, which must include a signed statement of all lobbying-related expenditures and compensation. Once lobbying
activities for a specific issue have ended, I need to submit a Notice of Withdrawal using the same Expenditure and
Compensation Form. All forms should be sent either via email to Lobbyists@miamibeachfl.gov or mailed to the Office of
the City Clerk at 1700 Conventi ~\!lfffl ti!Jrive, Miami Beach, FL 33139.
Signature of Lobbyist: ~s Ptts~ Date _____ 1_0I_1_7_/2_0_25 ________ _
I do solemnly swear or affirm that all of the foregoing facts, statements, and disclosures in this form are true and
correct, and that I have read and am familiar with the provisions contained in Chapter 2, Article VII, Division 3,
entitled "Lobbyists," of the Miami Beach City Code, including all applicable registration and reporting
requirements.
I understand that violations of the City's lobbying ordinance are subject to enforcement by the Miami-Dade County
Commission on Ethics and Public Trust and may result in admonition, fines, public reprimands, prohibitions from
registering as a lobbyist or engaging in lobbying activities by the City, debarment, or the voiding of contracts.
I further affirm that I am not receiving any compensation or reimbursement in violation of the City Code, and that I
am not engaged in any prohi 1~fii!Yngency fee arrangement.
Signature of Lobbyist: ~s Ptts~ Date ____ 1_0_I1_7_I2_0_2_5 ________ _
Carlos Pascual Printed Name of Lobbyist: ________________ _
Signature of Principal: Date _______________ _
Printed Name of Principal:_S_a_n_j_a_y_J_h_a_v_e_r_i _________ _
Page 5 of 7
5) Pursuanl lo City Code Section 2-491(1), no campnlgn consultant shall lobby tho Clly Commission for a period of 12 months
following Iha swoering In of any olacled offlclal(s) lor whom U10 campaign consultant provldod campaign consull\ng services
within the past elecl\on cycle. See Secllon 2-491 for more lnforrnallon,
□ Yes ■ No: Haye yoy provldad cq,opalgn oqnsulllnu 9oryJco9 to PD Jncumbont mombor of tho City Commission
Within tho past oloctlon cyclo? )t yos, ploaso IJst lho Jncumbont momborf9) of tho City C9mmls:sIon:
D Yes lJ No: « yes, has It boqn ress than 12 month, aJnco tho oloctod offJcJnlls) whom vou provided camoalan
consulting sprylcos was sworn In?
6) Pursuant lo City Code Secllon 2-482(a)(4)a., a lobbyist who ha• within Iha past olecUon cycle provided campaign consulting
se!Vtces to an Incumbent member or the City Commission (which lobbying activity Is nol otherwise prohibited by Godo section
2-491) shall disclose such particular service on his/her lobbyist reglslraUon rarm and 5hall oraflv discfoso such Particular serti~ before lobbying the Citv Commission at a oubt1c megtjng.
D Yes • No: Have YOU Provided camoalan consult!na SONICBI to PD lncumbont member of the City Commission within the cast efocuon cvcle? If vol, Ploa■o Utt the Jncumbont momborfs) of tho Cftv Commfssf0 n:
D Yes !II No: If yes, W8r9 YOU promised gr did yoy receive economic consideration IQ oxchangg for campaign
consultlng services? If yes, please describe the nature and amount of any oconomlc c9psld9ratlon
received or promised In exchange foe camnalan con,uftlna services,
A IMPORTANT • Annual Requirements for Registered Lobbyists: As a registered lobbyist, I acknowledge and agree to
lhe following yearly obligations. An annual registration fee of $500.00 musl be paid by October 1 of each fiscal year to
maintain my lobbyist slalus active. A new issue registration fee of $350.00 is due when submitting any new Issue registration
and Is a one-lime fee per issue. Additionally, I am required lo file an Expenditure and Compenselion Form annually by
February 28, which musl include a signed statement of all lobbying-related expenditures and compensation. Once lobbying
activities for a specific issue have ended, I need to submit a Notice of Withdrawal using lhe same Expenditure and
Compensation Form. Ail 'forms should be sent either via email to Lobbylsts@miamlbeachfl.gov or mailed to the Office of
lhe City Clen< at 1700 Convention Center Drive, Miami Beach, FL 33139.
Signature of Lobbyist: Dale'---------------
I do solemnly swear or affirm that all of the foregoing facts, statemants, and disclosures In this form are true and
correct. and that I have read and am familiar with the provisions contained In Chapter 2, Article VII, Division 3,
entltled "Lobbyists," of the Miami Beach City Code, Including all applicable registration and reporting
requirements.
I understand that violations of the City's lobbying ordinance are subject to enforcement by the Miami-Dade County
Commission on Ethics and Public Trust and may result In admonition, fines, public reprimands, prohibitions from
registering as a lobbyist or engaging In lobbying activities by the City, debanment, or the voiding of contracts.
I further affirm that I am not receiving any compensation or reimbursement In violation of the City Code, and that I
am not engaged In any prohibited contingency fee arrangement.
Signature of Lobbyist: Dale _________________ _
Printed Name of Lobbyist: _C_a_r_lo_s_P_a_s_c_u_al _________ _
Signature of Principal: -~----------
Printed Name of Principal:_S_a_n.:.ja_y;_J_h_a_v_e_ri _________ _
Pago 5 of 7
Docusign Envelope ID: 9F6EF09B-5209--42A8-A2B4-8283D6F629BF
VIII. NOTARY SIGNATURE AND SEAL:
LOBBYIST:
State of Florida ----------
County of: Miami-Dade
Sworn to (or affirmed) and subscribed before me,
by means of □ physical presence
PRINCIPAL:
State of Florida ------------
County of: Miami-Dade
Sworn to (or affirmed) and subscribed before me,
by means of □ physical presence
or !!!I on line notarization.
this 17 day of October 20 25
1 -
or □ online notarization ,
this ~ 1 of _ October
Carlos Pascual
NAME OF LOBBYIST
_Produced ID _________ _
FORM OF IDENTIFICATION
_x_Pernonally Known [~" ••
Signature of Notary Public ocA0349051094A•
Diana Ramos
Name of Notary, Typed, Printed or Stamped
(NOTARY SEAL)
DIANA RAMOS
NOTARY PUBLIC
STATE OF FLORIDA
Comm1ss1on #HH386927
My Comm1ssIon Expires 4/16/2027
ONLINE NOTARY
Sanjay Jhaveri
NAME OF PRINCIPAL
Produced ID -,-________ _
FORM OF IDE
~ersonally Known
(NOTARY SEAL)
YEI0Y MONTESINO PEREZ
Commission# HH 596999
Expires January 24, 2029
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ) Yes [ I No Amount Paid $ _____ MCR # _________ Date Paid _____ _
Lobbyist Registration Form received and verified by: ________________ _
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form REG KM RB OM NK REVISED OCTOBER 1 2025.docx
Revised: October 1, 2025
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Oocusign Envelope 10: 9F6EF09B-5209-42A8-A2B4-8283O6F629BF
MIAtv,I BEACH
City of Miami Beach, 1700 Convenl,on Cenler Dnve M1om1 Beach Florida 33139 www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado. City Clerk
Tel: 305.673.741 1
NAME OF LOBBYIST: Carlos Pascual
CityClerk ~ miamibeachfl.qov
------------------------
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 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 30th of each year shall be
automatically suspended from lobbying until all fines are paid, unless the fi ne 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
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
Signed by:
s t f Yf~f.~~~ 10/17/2025
Igna u Date
f \CLERISALL\afORMSILOBBYIST FORMS\lobby,sl Reg,strauon form REG KM RB OM NK REVISED OCTOBER 1 2025 docx
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