HomeMy WebLinkAboutNick Pennink - Upsolut Sports Amenca Inc (Principal Self Rep) VCA GrantN ') u k f B-Yl r\ '1 r) k ti '/ -(' O ·x M_ ~ °' (I'\ ·, :;)_o ~ (o
M IAMI BEACH MB V {, A 'J/r> J~~°'t~or,'\
Office of the City Cieri( r r ~1 c E, 1 E 0 1700 Convention Center Drive, Miami Beach, FL 33139 ' •
305 673 7411
tobby1sts1tm1an"•be hfl _ggv DEC O 1 I ?'
LOBBYIST REGISTRATlON FORM CITY OF .'Ii • ~
ThfstbrmrsrequtrodunderCh ipter2 ArtJcle VII, t.Jw,s,onJofthe CAtyu,oofor1n<JrvrdualswhocngJ)/,fJf;j~~S' R
b fore the City of Miami Be.acfl
Pursuant 10 City Cooe SectJOn 2-481. a 0lob0y1s means any person employed, retained, or designated, wtlemer paid or
not by a pnoopal who seeks to encourage the passage. defeat. or modrficatJon of any ordinance, resolutJOn, action, or
deciSIOn of any Comm1ss10ne,, any action, decision, or recommendation of the City Manager or any City board or coml'Fllttee,
or any actJon, deoslOO, or recommendation of any City personnel' dunng the bme penod of the entJre deaslon-malong
process on such action, decision, or recommendation that foreseeably will be heard or reviewed by the City Comm1SSt0n .
or a City board or committee The tenn specifically includes the principal as well as any employee engaged In lobbying
actMtJes The cem, 01obbyIsr specmcany exctuoes ftle tollOW1~ persons expert wrtnesses who provide only SQt:'trllllC
techn1eal, or other spec1ahzed information or testimony In ptJbhc meetJngs, any person who only appears as a representat,ve
of a neighborhood or homeowner assoc1a11on without compensatJon or reimbursement for the appearance whether direct.
,ncllrect, or oootmgent. solefy to express support or or opposruon 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 definibon of lobbyist under SectJon 2-
4e1 tS not requrreo to register as a lobbyist but mus1 complete and submit a wntten d,sctosure rorm for eactl rssue on wtucn
they appear, ldenllfy1ng their name, address, and the pnnc1paf on whose behalf they are communrcabng, as required by
SectJOn 2-483(b) of the City Code
Note A separate rom, tTtJed ·Ne,ghbomood/Homeowrter ASSOC1afl0n HepresentatJ Heg1strat,on 1-om1· is avatlable from
the Off,ce of the City Clerlc for representatJves of ne,ghbomcxxJ or homeowner assoc,at,ons Other individuals excJuded from
the defin{t,on of k>bby,st under Secbon 2-481 may utJlrze this form and complete the relevant sectJons
lnstrucbons: Please complete all sectJons or this torm and submit the completed form. wrth the apphcable fee, to the Ufflce
of the City Clerk ff you need more space to complete r'I answer use a separate sheet(s) of paper ff you have nothing to
report In a particular section, you must wnte •none• or •n1a· In tnat section Any change to any 1nformatJon onginally fifed or
any addt~ City CommlSSIOflef or personnel Who are also sought to be lot>bfed, shall requrre that the lobbyrst hie an
amendment to the regIstralion form The lobbyist has a conbnuIng duty to provide 1nformabon and amend the forms filed
throughout the penod dunng which lobbying occurs A separate registration form must be submitted tor each pnnc1pal
represented and tor each specTflC issue on which the lobbyist ,s engag
Lobbyist Registration FffS: Pursuant to Section 2-482 of the City Code, a regrstrat,on fee of $350 00 per issue Is required
at the tJme of filing tt11s form In addition. an annual reg,strabon fee of $!,00 00 IS required for each 12-month penod
commencing October 1 of each year These fees must be submitted to the Office of the Crty Clen< along wrth the completed
registration form However, a pnnc1pal of any corporat10n, partnership, or other entity who appears as a k>bby,st on behalf
of that entity, wrmour speer.JI oompensatJon or retmbursement tor the appearance, Is not requ,rec, to pay regIstrat10n tees
No fee Is required for fifing a nouce of withdrawal The Crty Commission may, In rts d1scret10n. waive the reg1stra1Jon fee
upon a finding of financial hardship
Publte R9COf"d:S Nobce and Address Oisctosure: f-omlS flied with tne Office or me C,ity <.;lent are public reoorc.1S under
Flonda law If your home address is exempt from disclosure or 1f you prefer It not be made public, you may provide an office
or alternate marting address instead Honda Statutes Section 119 0/1(4)(d) prov1des public reoorc.1S exempt,Olis tor certain
1nd1viduals and their fam1f1es ff you believe you qualify, please consult the statute or contact the Office of the City Clerx for
guidance
' City personnel include adV1sory personnel autonomous personnel, departmental personnel, and quas1-JudIciaI personnel
Departmental personnel means the city manager all assistant city managers, all department heads all assIs1ant and deputy
department heads, employees of the police department with the rank of captain, maior or chief bu11d1ng and zoning
inspectors tne crty attorney chief deputy city attorney and all assrstant city attorneys. however all departmental personnel
when actJng In connectJon with adm1nistratJve hearings, and any employee of a city department or d1v1s1on with the authonty
to participate In procurement matters when the communIcatJon involves such procurement shall not be included ,01
purposes or thrs dMSIOfl
Page 1 of 7
I. LOBBYIST INFORMATION:
Pennrnk
(l.al)
Upsolut Sports Amenca Inc
LOBBYIST SS NAME ANO AOORESS
1088 ,c; TF1 FPHONF NIIMRFR
II. PRINCIPAL INFORMATION:
1ck Pennink Pennink
NAME OF PRINCIPAL (Last)
Nick
(Fnt)
1001 N North Branch St Chicago
917-515-5193
C--FI I IH AR TFlFPHONF NJ.IMAFR
Nick
(Flrll)
Mime)
lllrno1s 0 60654
CZ.C,Code)
Nick Pennrnk@Hyrox com
FMAJt AllORFS<;
Upsolut Sports Amenca Inc 1001 N North Branch St Chicago Illinois 0 60654
(ZIP Code) -------------------------------PR I NC IP Al BUSINESS NAME ANO ADDRESS (Number and Street) (Cny) (St.lie)
917-515-5193 Nick Pennink@Hyrox com
PRINCIPAL BUSINESS TELEPH E NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
Pursuant to Crty Code Section 2-482(h)(1)(a) A pnnapal of any corporation. partnership, or other entity who appears as a lobbyist on
behalf ol lhat entity. Without speaal compeosabon or reunbursement for the appearance, whether dlred. ndlted. 01 conungent to
express support of or opposrbon to an item shall register with the Clerk as required by thrs subsection but shall not be requrred to pay
any registration fees
If the principal is a Corporation, Partnership, or Trust, the following Information ~ be provided
pursuant to City Code Section 2-482(c):
Douglas Gremmen • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY (lf_.1'one, write NIA): _________ _
• NAME OF All PERSONS HOLDING, DIRECTLY OR IHOJRECTLY, A 5% OR MORE OWNERSHIP INTEREST IH SUCH
CORPORATION, PARTNERSHIP OR TRUSI (If none, write NIA): Upsolut Sports GMBH
Ill. 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 hemng, if applicable.
HYROX Miami 2026 VCA Grant
Page 2 of 7
IV. DI LOSUR Of CONSIO RATION PROVIO D BY LOBBYISTS TON IGHBORHOOD OR
HOMEOWNER ASSOCIATIONS:
Pursuant to City Code Section 2-i82(k), any lobbyist who provides, dlrectly or Indirectly, consideration,
whether monetary or non-monetary, of $1,000 or more to a neighborhood or homeowner assoc ation or
its deslgnee, for purposes of supporting or withholding its objection concerning a matter before tho City
Commlulon, or any City board, or committee must disclose such consideration.
Q ves(;}No: Have you provided, directly or Indirectly, any consideration, monetary or non-monetary, of
$1 ,000 or more to a neighborhood or homeowner association or its designee, In connectlon
with the matter for which you are lobbying?
ft yes, please descnbe:
V. CITY AGENCIESnNDIVIOUALS TO BE LOBBIED:
Pursuant to City Code Section 2-432(a}(4), list the City Commissioner or City personnel sought to be
lobbied, and whether the lobbyist has entered into any contractual relationship (paid or unpaid) with
said City Commissioner or City personnel from 12 months preceding such commencement of service
with the City to the present date, stating the general nature of the subject contractual relationship.
Full Name of Individual and Contractual R•lationshlp (If yes , explain) YES NO
Title of Person to be Lobbied
MBVCA Annual Grant Application 0 D
D 0
D 0
D 0
□ 0
D ~
Pursuant to City Code Section 2-482(g), every registrant shall be required to state the extent of any
business, financial, familial, or professional relationship, or other relationship giving nse to an
appearance of impropriety, with any current City Commissioner or City personnel who is sought t o be
lobbied, as identified on the lobbyist registration fom, filed.
L ist any business, financial, familial, or professional relationship, or other relationship giving ris. to an
aanearance of impropriety (if none write NIA):
Page J Of /
•
VI. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION --BE SPECIFIC.
Contingency fees aro strictly prohlbltod under Section 2-486.3 of tho City Codo. This
prohibition appUes to all lobbyists and to Individuals oxcluded from tho deftnition of
lobbyist under Section 2-481. If componsatlon is·not monetary, describe tho form of
consideration (o.g., sorvicos, goods, otc.). .., ' ' • No Compensation ,; • 1. ·-+ . t,i " ,1
Tho following six (8) question$ IIUST bo lll1SWdrVd: , " i
1 y "' , • ) , :'t i, l-"' -~ <:\ .. .;:, .,
1) Pursuant ID City Code Soction 2-488, entiUed "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": •
D Yes l!!!I No: Ara you lobbying on a present or ponding bid for goods, equlpmant, or sarvfcos, or on :a present or
ll!'.ru!lrul..lll!G.td for goads. equlpment, or sc,ooccs? ..
2) -Pursuant lo City Code Section 2-490. enUUed 'Prohibited Campaign Contnbutsons By Lobbyists On Real Estate Development
Issues":
□ Yes !!I No: Am you lobbying on ? pcndlng :ipptlc:illon for :a llovcloDm~J!riUJ_l!J,!, CllY.9< llD
;,ppllc,illon foLJl ch;mpo of zoning rruip doslgn:illon or a c;h?nge lo the City's Futuro Y!}!I U!!" l!?P~
3) Pursuant to City Code Sedlon 2-482(h), any person (except those exempt from the definition of "lobbyist" as set for!h in Secllon
2-481) who only appears as a reprasentaliVe of a not-for-profit corporallon or entity wilhoUt special compensation or
reimbursement for the appearance, whether dired or indireet, to express support of or opposiliOn to any item, shaD register with
the City Clerk as requued by this seclion, but shaD not be ~ I'! pay any regislrabon fees. , ,
□Yes !!I No: wt. j ,. Aro you rgprosentJoq a potafor:Profit corpor.atJon or entftv without specl:al compons.rtJon or
(i,! -~ t ....... tt ~ J .,
rcJmbursemcnt? a
4)
\,
• Note: If you are exempt from the defirution of lobbyisl under Section 2-481 and are required to submit a wntten
disclosure pursuant to Sedlon 2-483(b), representatives of neighborhood or homeowner associations should
use the 'Ne1ghbolhood/Homeowrn-r Associati~n RepresantatiVe Registration Form.• Olher exempt inalYiduals
may utilize this l.obbyisl RegislralJOn Fann ID fullill the disclosure reqwremenl and should complete lhe
appficable sections. • , • • • , • ,. .., ,Of ..,
P!JISUanl to City Code 5edion 2-481, lh8 tenn "lobbyist" specifJCally excludes the following persons. Expert witnesses 11/lJo
provide only scienUfic, technical, or other specialized information or testimony in public meetings: any person who only appears
as a represenlallve of a neighbolhood or homeowner associabon without compensaUon 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 representalille of a not-for-profil commuruty-based o,ganaalion for the purpose of requesting a grant. wilhoul special
compensation or reimbursement for the appearance Individuals who qualify for these exclusions are sllll required lo submit
11 written dlsclosuro fonn for each appearance, as required by Section 2-483(b) of the City Code
_□Yo:, !!I No: Do you R""Pl'y for one of tho oxcluslons listed :ibove undor Section 2-481?
If yes, please check the applicable category-
□ Expert wJtness provlding only scientific, lechnlcal, or other spedafozed ,nf.,,,._ or testimony in a public
meeting . . . □ Representative of a not-for-profit community-based organization requesting a grant without compensatlon ':l LI' L f·.J or reitnbursetnenl • .; ,~ ,,. ..
□ Representative of a neighborhood or homeowner assodallon appearing without compensation or reirnbtxsernenl • 'II , _J 'i 'l,
" Note: Representabves of neighborhood or homeowner assoaations should use Iha
"Neighborhood/Homeowner AssoclaUon Representative Registration Fann • Other exempt indivlduals may
utifrze this Lobbyist Registration Form to fulfill the cfisclosure requirement and should complete the applicable
$8CIIOns.
Page4of7
r
O YN ■No
O YN II No·
Secoor1 2◄11(1) no aimpeign oon:suftanl Sh lobby tho Uy {,()mmlsSQI lcr a penod Of fl monl1a
nng in of any ~ o l(s) fof whom tho cam ign consultant provided campaign oonwttng ~,c;
Cfde ~ seciJon 2◄91 for OIOfU lnfoonabon
Have you provided ~mp2lgn consultJng servlen to 1n lncum!Mnt member of the City Commlu.lon
with n the p:ast election cycle? If yes. please llyt the Incumbent m~ber{•l of the City Comml slon
If Yf!. hH It been IHB th:u1 12 month• since th• elected officlal(al whom you provld.cl c•mP?lgn
consulting Mrvlees w:as swom In?
6) P\nuiJnt to Qty Code Sedk>fl 2-412(:a)(4):a. lobby1st who has Within Ille past 4tlecOof1 cyde pr0Y'IOed canpagn ~
se,vx:cs to an incumbent member of the City ComrrusSIOO (which lobbying ectN,ty rs nol otherwise prohibited by Code sedJon
2-491) shall d,sdose such pamcul3r seNIO& on hrs/her lobbyist reg1stratron fom, IIQd sllan orally dlSdQ,e such partJcUlar Sf!VICS'
before loObplq the C.f!Y Con:m:Jt$5100 t publlc mt:rtJnO
0 YN ■ No: H:ave you provided c?mp.algn consultlng service• to :an Incumbent member of the City Commission
within the put eloetJon cycle? !f YH, please fist m, Incumbent member(1) of the City Comm Hlon:
□Y• ■No If yes, were you promised or did you reeefv• ec:onomle consideration In exch:anqe for ~mp.algn
consulting Mrvlces? If yes, please describe the nature and amount of :any economic consideration
r1Jeffi9d or eromlffd rn nct,:ange tor campaign eonsutting Mrvten.
A IMPORTANT -Annual Requi(ffl'lents for Realstered Lobbyists As a reg1Stered lobbyist, I acknowledge and agree to
the followmg year1y obhgabons An annual regtstratJon fee of SSOO 00 must be paid by October 1 of each fiscal year to
maintam my lobbytst strtus actrve A new rssue reg1stratJon fee of $350 00 rs due when submrttmg any new rssue regiStl abun
and ls a one-bme fee per issue Add11Jooally, I am required to file an Expenditure and Compensation Form annually by
February 28. wtuch must include a signed statement of all lobbying-related expenditures and compensation Once lobbying
act,vrt,es ror a specdic issue have ended, I need to submit a Notice of Withdrawal us,ng the same Expendrture and
Compensation Form All forms should be sent erther via e 11 to • b..1 • _,... a· O.:"Cti or ma11ed to the Office of
the Crty Clef1t at 1700 Convention Center~, t 33139
,d/,, Fnday November 28, 2025 Signature of Lobbytst I l ....Ct, Date ______________ _
I do solemnty swear or 2ffirm that all of th• foregoing facts, statements, and disclosures In thls form al'9 true and
COfT9Ct, and that r haV9 read and am tam11tar Wl'ttt the provaslons contained 1n ChapClef' 2. ArtJ<:fe vn, Osvrs,on 3,
entitled "Lobbyls1S," of the Mlaml S.ach City Code, Including all appll<:4'ble r~lstr.rtion and reporting
requirements.
I understand that v1otatJOnS of th• Crty's lobbying orcunanco are subJect to enforcomem by th• M1amt-oad• County
Commission on Ethics and Public Trust and may result In admonition, fines, public reprimands, prohibitions from
n,g«s11enng as a tobbyrst or engaging 1n toC>t,y,ng actrvmes by the Crty, debarment, or the voldrng of contracts.
I further affirm that l am not receiving any comp•
am not engaged 1n any prohibited contingency
.,--'£ ,· Signature of Lobbyist
Pnnted Name of Lobby~t Nod< Pen7/
s,gna1Ure ot Pnnapal U p7 ~ 7
Printed Name of Pnncipal [\\ c ~ \f b »>, \bk
Page!> Of I
~ursement In violation of th• City Code, and that I
Date __ F_n_d_a_y_. N_ov_e_m_be_r_2_a_. _2_0_2s __ _
VIII. NOTARY SIGNATURE AND SEAL:
LOBBYIST:
State ot llhft615-________ __.__....__ 0
County of -~----"-__,;;._.,_ _____ \.,_._\
5'M:>rn to (or affirmed) and subscnbed before me.
by ~s of!! phys,col presence
or D on6ne notanzation.
this 28 0 day of November 0 20 25 . -.
Nick Penmnk
NAAfE OF LOB8YIST
~Produced ID Dnver's License
FORM OF I TIFICATION
_Personally Known
---:r:(2.A c ;ytf 6 GL< IL/\A-c,Z f'
Signature of Notary Pubhc
:C Q...A c... C:? <:J t,.__;-t C L( t"?J'·-··-<-t"fl. G
Name of Notary, Typed Pnnted or Stamped
(NOTARY SEAL)
TRAC!YL!I! OUTZMORI!
Notary Public -Stato of New York
No. 01GU0032938
Quallfled In Rennolaer county
My commlsalon Expires Jan.16.2029
PRINCIPAL:
Stateor~ ~0121<'. O ----------
County of-_~ __ _.__~_(\_rv __ j_
Sworn to (or affirmed) and subscnbed before me.
by me:ms of D physlCOI presence
or (1 onhne notanzatron,
O this 28 0 , of_ November 0 2025 0 .. -.
Nick Pennrnk
NAME Of PRINCIPAL
~roduced ID Dnver's License
FORM Of IDENTIFICATION
_Personally Known
=r:R-:f\u.?:) let G L,( <1-,¼&f'
Signature of Notary Public
c e. Ac. 21 ift;-c... < I 2-,. .... ~ :a L~
Name of Notary Typed, Pnnted or Stamped
(NOTARY SEAL)
TRACEYLEE Gl/TZMORE
Notary Public -Stale of New York
No. 01GU0032938
Oualltled In Rensselaer County
My Comm, .. ,,,,,. ""If"'' ... • Ian 6, 2029
TO BE COMPLETED BY CITY CLERKS STAFF ONL
A--,11s,..,.....,,,_ ( JY•0 No AmountPalCU 7 tli/Crtl1VJ-f f S' f.. O..Paid J ~_-__ _
~lllt ,-,g111,..., l'orm ,....._, Md V9ltf'led t,r. D )J,
F \CLER\IAU.laFORMS\LOBBYIST FORMS\Lobt,rlst Registration Form REG KM RB OM NK REVISED OCTOBER 1 2025 don
l'tevtMCL ~ 1 2.02.5
Paqe 6 of 7
rv\lAMI BEACH
C OI Miami 11.c>Ch. I <.on~on110n nlcr lJl1VO Miami &oocr Fk:rldo 3J I J9 WWW mbmbcoe'.hll ~
Olf1eo of t C 1y Cieri(
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lot 5673.7.Cll
NAME OF LOBBYIST: Ni Penmnk ----------------------
1} LOBBYlST FEE EXPENOfTURE ANO COMPENSATlON STATEMENT
Pursuant to Crty Code Section 2-485(d). the Crty Clerk shall notify any lobbyist (or pnnc1pal)
who fails to file timely a Lobbyist f-ee E:xpendrture and Compensation ~"tatement
(Statement) In add1t1on to any other penalties that may be imposed as provided 1n Secuon
2-485 1, a fine of $50 00 a day shall be assessed for Statements filed after the due date
I he Crty Clerk shall not1ty the M1am1-Dade County Comm1ss1on on E:th1cs and Public Trust
of the failure of a lobbyist (or pnnc1pal) to file the Statement or pay the assessed fines after
notification
Any lobbyist who tails to file the required Statement by Apnl 30th of each year shaff be
automattcally suspended from lobbying until all fines are paid. unless the fine has been
appealed to the M1am1-Oade County Comm1ss1on on t::th1cs and Public r rust
I hereby acknowledge that on February 28 of each year I shall submit to the City Clerk a
signed Statement under oath hstmg all lobbylSt expenditures, as well as compensatton
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 ,ssue I have registered to lobby has concluded or I am no longer lobbying on that
issue, I shan immediately tile a Notice of Wrttidrawal wrth the Office of the Crty Clerk
3) ANNUAL LOBBYIST REGISTRATION FEE
I understand annual registration ot all lobbyrsts shall be required tor each 1 :l-month penod
commencing October 1 of each year. and the fee for such annual reg1strat1on shall be
$500 00 pursuant to Section 2-482 of the M1am1 Beach City Code
Fnday, November 28, 2025
Signature of Lobbyist Date
Page I or I
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