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HomeMy WebLinkAboutMaria Trochimezuk - Bravo Story LLC -VCA Grant (principal self rep)M°'' '°' '\<oGh,~e,"2Vk -[3,o-.rC) $-t(:s:5 LLL, M IAMI BEACH VGA~ '°'r--t RECEIVED Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 305.673.7411 lobbyists@miamibeachfl.gov LOBBYIST REGISTRATION FORM FEB 1 2 2026 CITY OF MIAM I BEACH OFFICE OF THE CITY CLERK 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 personnel1 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 tenn specifically includes the principal as well as any employee engaged in lobbying activities. The tenn "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 fonns filed 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. Hovvever, 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 pfovide 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. 1 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. Page 1 of7 I. LOBBYIST INFORMATION: Trochimezuk NAME OF LOBBYIST (Last) 00,ca!lrardaSlrNt 11thtocr ... , ....... LOBBYIST BUSINESS NAME AND ADDRESS C:,co.vc S-ro~.1Ll..c II. PRINCIPAL INFORMATION: Trochimezuk NAME OF PRINCIPAL (Last) 600 California Street 11th floor PRINCIPAL BUSINESS NAME AND ADDRESS '!3> ,c o.--r o -5-ro c·\, 1 LL '- PRINCIPAL BUSINESS TELEPHONE UMBER Maria (First) Fernanda (Middle Name) California 94108 (Number and Slreet) (Clly) (Stale) (Zip Code) • 310-696-9585 maria.trochimezuk@9mai1.com CELLULAR TELEPHONE NUMBER !!MAIL ADDRI!§§ Maria Fernanda (First) (Middle Name) San Francisco California (Number and Slreet) (Clly) (State) (Zip Code) 310-696-9585 maria.femanda@bravostory.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): ' ' • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY (If none, write NIA): Mo{' i 51).-Y<~~~3 roez uk • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, AS% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST (if none, write N/A): _N_l_A ____________ _ 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 hearing, if applicable. Advocacy and coordination related to the STEAM Career Fair powered by IOScholarships, proposed to be held at the Miami Beach Convention Center. This includes engagement with the Miami Beach Convention Visitors Bureau for grant funding and Mla1111 !:leach Co11ve11tio11 Cente1 1eya1dl11y evetll loylstlcs In s□ppul t of the initiative. The purpose of this event is to promote career pathways in science, technology, engineering, arts, arid mathematics cs I EAIVI) tor lvllaml residents attd 1nternat1otta1 and national st□dems tosterlng workforce development. and community engagement within the City of Miami Beach. Page2 of7 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. I;lvesE.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 deslgnee, in connection with the matter for which you are lobbying? If yes, please describe: V. CITY AGENCIESRNDIVIDUALS 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 Relationshlp (If yes, explain) YES NO Title of Person to be Lobbied City Staff, David Marquez □ 0 Board and Commitees □ 0 Miami Beach Visitor and Convention Authority □ 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 imoroorietv (if none. write NIAi: NIA Page 3 of7 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.). No compensation The following six (6) questions MUST be answered: 1) Pursuant to City Cade Section 2-488, entltled "Pmhibtted Campaign Contributions By Lobbyists On Procurement Issues•: □ Yes !!I No: Are you lobbying on a present or pending bid for goods. equipment, or services, or on a present or pepdinq award for goods, equipment, or services? 2) Pursuant ta City Cade Section 2-490, entitled "Prohibited campaign Contributions By Lobbyists On Real Estate Development Issues•: D Yes f!! No: Are you lobbying on a pending appllcation 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 Ctty Cade Section 2-482(h), any person (except those exempt from the definition of "labbyisr as set forth in Section 2-481) who only appears as a representative of a not-for-profit corporation or enttty without special compensation or reimbursement for Iha appearance, whether direct or lndlrec~ ta express support of or opposition to any Item, shall reglsterwtth the Ctty Clerk as required by this section, but shall not be required to pay any registration fees. m Yes □ No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement? l Note: If you are exempt from the definition cf lobbyist under Section 2-481 and are required to submtt a written disclosure pursuant to Section 2-483(b ), representatives of neighborhood or homeowner associations should use the "Neighborhood/Homeowner Association Representative Registration Farm.• other exempt individuals may ullllze this Lobbyist Registration Fann to fulfill the disclosure requirement and should complete the applicable sections. 4) Pursuant to Ctty Cade Section 2-481, the tenn "lobbyist" specifically excludes the following persons: Expert witnesses who provide only scientific, technical, or other specialized infonnation 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 contingen~ solely to express support of or appasttlon to any Item; and any person who only appears as a representative of a not-far-profit communtty-based organization for the purpose of requesting a grant, without special compensation or reimbursement far the appearance. Individuals who qualify for these exclusions are st111 required to submit a written disclosure form far each appearance, as required by Section 2-483(b) cf the City Cade. □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 infonnatlan or testimony In a public meeting. □ Representative of a not-for-profrt community-based organization requesting a grant without compensation or reimbursement. □ Representative cf a neighborhood or homeowner association appearing without compensation or reimbursement Note: Representatives of neighborhood or homeowner associations should use the "Neighborhood/Homeowner Association Representative Registration Fann.• Other exempt individuals may utilize this Lobbyist Registration Farm to fulfill the disclosure requirement and should complete the applicable sections. Page 4 of7 5) Pursuant to CHy Code Section 2-491(1), no campaign consuHant shall lobby the City Commission for a period of 12 months following the swearing in of any elected ofticial(s) for whom the campaign consuHant provided campaign consuttlng services within the past election cycle. See Section 2-491 for more information. □ Yes 'l5l. No: Have you provided campaign consulting services to an Incumbent member of the City Commission within the past election cycle? If yes. please Jlstthe Incumbent memberfs) of the City Commission: □Yes~No: If yes. has it been Jess than 12 months sf nee the elected offlclal(s) whom you provided campaign consultlng 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 of the City Commission (which lobbying activltY 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 seryjce before lobbying the City Commission at a pyblic meeting. □Yes~ No: Have you provided campaign consulting services lo an Incumbent member of the City Commission within the past election cycle? lfyes. please Jlstthe Incumbent memberls) of the City Commission: □ Yes ls{ No: • If yes, were you promised or did you receive economic cons(geratfon In exchange for campaigrl consulting seryfces? ff yes, please describe the nature and amount of any economic consideration received or promised In exchange for campaign consylting services. A IMPORTANT -Annual Requirements for Registered Lobbyists: As a registered lobbyist, I acknowledge and agree to the f9llowing 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 subml!Ung any new Issue registration and Is a one-time fee per Issue. Addltionally. 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 Wrthdrawal using the same Expenditure and Compensation Form. All forms should be sent either via em • Lobbylsts@mlamibeachfl.gov or mailed lo the Office of the City Clerk al 1700 Convention Center • e, Miami B ch, F 33139. Signature of Lobbyist: ---<:t -_ ""--=/'-;; -J;--;__.t._ "'_:-_:;;b" /'----Date I l / 2o /✓Q? s I do solemnly swear or afflnn tha -a I of the f/mgoinq 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 co"!l)erlsationbr reimbursement in violation of the City Code, and that I am not engaged in any prohibite nting cy fe-e-armrtgement. Date /J b,., / 7 p 7. '5 Signature of Lobbyist: I < Date,_"'141--;f'-"J,6,.;;3-;'/~7,.<:.,..,..,__,7:;.....:..S.=-----• I I Page 5 of7 MIA/\/\IBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, FIOlida 33139, www.mlamibeachfl.gov ' Office of the City Clerk Rafael E. Granado, City Clerk Tel: 305,673.7411 NAME OF LOBBYIST: Maria Trochimezuk CifyClerk@mfamibeqchfl.gov ---------------------- 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 irfSection 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 3oth 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 $500.00 pursuant to SectiOA-'.2::2182'0{ the Miami Beach City Code. Date F;\CLER\SAU.\i,FORMS\LOBBYIST FORMSU.obbyist Registration Fo,m REG KM RB OM NK REVISED OCTOBER 1 2025.docx Page 7 of7 VIII. NOTARY SIGNATURE AND SEAL: LOBBYIST: State of Select State ?!f: County of: H,~ Swom to (or affi'lJ'E!l'l)and subscribed before me, by means of lll'physical presence or □ onj!i;~JWilrization, this OCTHday of,selectmonth)\4 , R. ,...,... _Personally Known Name~~p~CZed (NOTARY SEAL) SEE ATTACHED CERTIFICATE PRINCIPAL: staie of Select State /./1-: Countyof:..J,!.~L..===".L..---- SWom to (or d subscribed before me, by means of I presence or □ onllne notarization, . .h~~/YR this • , of_ select montH' ·" -·..--:,. ~~ IPAL Produced ID~~~/~ -ROFr TIFJCATION • _Personally Known ~/1~/Vl/ SignatureoNotary Pubttc v~~??-z ary, Type rinted or stamped (NOTARY SEAL) SEE ATTACHED CERTIFICATI= TO BE COMPLETED BY CITY CLERK'S STAFF ONLY AnnualReglstrationfee: [ ]Yes[ ]No AmountPaid$, ____ MCR# ________ DatePaid ____ _ Lobbyist Registration Fonn received and verified by: _____________ _ F:ICLER\$ALL\aFORMSILOBBYIST FORMS\Lobbyist Registration Form REG KM RB OM NK REVISED OCTOBER 1 2025.docx Revised: October 1. 2026 Page 6 of7 \ California Jurat Certificate • A notary public or other officer completing this certificate verifies only the Identity of the indMdual who signed the document to which this certificate is attached, and not the truthfulness, accuracy, or validity of that document State of California County of ~t//},a S.S. /"') // /-vJ Subscribed and sworn to (or affirmed) before me on this ~~'---day of ~J~,K Month 20~y /111Yac:P--£i.-'J14PJfRl~~ed to me on the basis of Uame ot Signer (2) satisfactory evidence to be the person(s) who appeared before me. --- ~ n e n a o • ·~;:;••E j Notary Public• California Marin County ! Commission 12427◄22 - My Comm. Exi>~es Nov 20, 2026 Seal OPTIONAL INFORMATION ----------- Al/hough the infonnallon in this section is not required by Jaw, it could prevent fraudulent removal and reattachment of this ju rat to an unauthorized document and may prove useful to persons relying 011 the attached document. Description of Attached Document ~J:!itttmmrur~-. The certificate is attached to a document titled/for the purpose of Method of Affiant Identification Proved to me on the basis or satisfactory evidence: 0 form(s) of ldentificatfon O credible witness(es) Notarial event is detailed In nataiy journal on: Page# __ EnW# __ Notary contact: containing ___ pages, and dated _______ _ Other D Afliant(s) Thumbprint(s) D Describe: __ © 2009-2015 Notary Leaming Center~ All Rights Reserved You can purchase copies oflhlsfarm from our web site al W\',,W,TheNalarysStore.com