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HomeMy WebLinkAboutCory Dorman - One Island Park, LLC (Gerald Beeson)MIAMI BEACH Office of the City Clerk 1700 Convention Center Drive Miami Beach, FL 33139 305.673.7411 LOBBYIST REGISTRATION FORM ...:J_;)..o ~A• tt-vr ,ouk.w•'1 RECEIVED JUL 1 0 2025 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK Lobbyist means all persons employed or retained, 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, recommendation of the City Manager or any City board or committee; or any action, decision or recommendation of any City personnel 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" has specific exclusions. Please refer to City Code Chapter 2, Article VII, Division 3, entitled "Lobbyists," for additional information. 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 supply information and amend the forms filed throughout the period that the lobbying occurs. Separate registration forms shall be required for each principal represented on each specific issue. I. LOBBYIST INFORMATION: Dorman Cory D. NAME OF LOBBYIST (Last) (First) (Middle Name) Kimley-Horn and Associates, Inc. 2 Alhambra Plaza, Suite 500 Coral Gables FL 33134 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 954-535-5114 co ry.dorman@kimley-horn.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Beeson Gerald A. NAME OF PRINCIPAL (Last) (First) (Middle Name) One Island Park LLC c/o GFS LLC 200 South Biscayne Blvd., Suite 3300 Miami, FL 33131 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-929-6851 oip@citadel.com PRINCIPAL BUSINESS TELEPHONE NUMBER 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 r~ister 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 N/A): Kenneth C. Griffin NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST (if none, write NIA): One Island Park Holdings LLC, 100% Sole Member of One Island Park LLC; Kenneth C. Griffin, 99% Member of One Island Park Holdings LLC Page 1 of 5 Ill. 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. Zoning, including but not limited to site plan and CUP approvals forredevelopment of 120 MacArthur Causeway 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 Contractual Relationship (If yes, explain) YES NO Title of Person to be Lobbied Design Review Board X Planning Board X Mayor, City Commissioners and Staff X Planning Director and Staff X 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 rise to an appearance of an 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 lif none, write NIAi: nla V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION -Be Specific. (Note that a contingency fee is prohibited pursuant to City Code Sec. 2-485.3): $305.00 per hour Page 2 of 5 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": Yes x No: Are you lobbying on a present or pending bid for goods, equipment or services, or on a present or pending award for goods, equipment or service? 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 application for change of zoning map designation or 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. _Yes ~No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement? 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 association without compensation or reimbursement for the appearance, whether direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. Yes X No: --Are you providing only scientific, technical or other specialized information: appearing as a representative of a neighborhood association without special compensation or reimbursement or representing a not-for-profit based organization for the purpose of requesting a grant without special compensation or reimbursement? 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 of 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. 6) 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{sl of the City Commission: Yes XNo: If yes, has it been less than 12 months since the elected official{sl whom you provided campaign consulting services was sworn in? 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 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 x 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, were you promised or did you receive economic consideration in exchange for campaign consulting services? TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: c/i Yes [ J No Amount Paid $ 3.S-o MCR # :JS SC Date Paid 7 . k:, • :;.).S Lobbyist Registration Form received and verified by:D...::c..__M _______________ _ F:\CLER\$ALL\aFORMS\LOBBYJST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc Revised 03/11/2020 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 WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.1 Signature of Lobbyist: ~~ Date_g-..,_._/_.8--+/_2"'"'0--=-Z.._S _______ _ 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 or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and all reporting requirements. Signature of Lobbyist: ~ Signature of Principal: VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: State of-:\ \t,n'-~ U\. County of: ~ l Am, Sworn to (or affirmed) and subscribed before me, by means of Grphysical presence or D o~ne notariza\on, this day of -f-~-L-l~l,,~,,._....,.---------'' 20 2~ by Cory D. Dorman (J 4 NAME OF LOBBYIST _Produced ID _________ _ FORM OF IDENTIFICATION Sig ' ture of Notary Public \cwl,"-\0~ el~u- Name of Notary, Typed, Printed or Stamped E.+.lu~INE TOFT-NIELSEN o~ry Public • Statt of Flol1dl HH 518490 following persons: Date :J:/K { l.O '-5" Date --------------- PRINCIPAL State of __________ _ County of: _________ _ Sworn to (or affirmed) and subscribed before me, by means of D physical presence or D online notarization, this_ day of ________ _. 20,25, by Gerald A. Beeson NAME OF PRINCIPAL _Produced ID -=Fo,:--R=-,M....,-,:-O-::-Fc-:ID""'E'.'"""N-::'Tl""C'FC-IC-A=T1_o_N __ _Personally Known Signature of Notary Public Name of Notary, Typed, Printed or Stamped (NOTARY SEAL) 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 association without compensation or reimbursement for the appearance, whether direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. Page 4 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 WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.1 Signature of Lobbyist: Date. ______________ _ 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 or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and all reporting requirements. Signature of Lobbyist: Signature of Principal: VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: State of ________ _ County of: ________ _ Sworn to (or affirmed) and subscribed before me, by means of □ physical presence or □ online notarization, this __ day of _______ ~ 201.§ by Cory D. Dorman NAME OF LOBBYIST Produced ID -F_O_R_M_O_F-ID-E-NT-1-Fl....,.C-AT_I_O_N __ _Personally Known Signature of Notary Public Name of Notary, Typed, Printed or Stamped (NOTARY SEAL) 1 The term "lobbyist" specifically excludes the following persons: Date ______________ _ Date_,....:..+-, 7--L--+-'I we.....=.,_~--=----- PRINCIPAL State of :C\\if\O\S County of: _Coo=--=~-------- Sworn to (or affirmed) and subscribed before me, by means of ~ physical presence or ~line notarization, this~ day of -:S"u\.~ , 20~. by Gerald A. Beeson NAME OF PRINCIPAL _Produced ID _________ _ FORM OF IDENTIFICATION £,Personally Known ~~\ ffi ~wo.~ Name of Notary, Typed, Printed or Stamped (NOTARY SEAL) RACHEL M SCHWARTZ Official Seal Notary Public -State of 11111\ols My Commission Expires Jun 24, 2026 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 association without compensation or reimbursement for the appearance, whether direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. Page 4 of 5 MIAMI BEAC H City of Miami Beach, 1700 Convention Center Drive, Miami Beoch, Florido 33139, www.miomibeochA.gov Office of the City Clerk Rafael E. Granado, City Clerk Tel: 305.673.7 411 , Fox: 305.673.7254 CityClerk@miamibeachfl.gov NAME OF LOBBYIST: Cory D. Dorman ---------------------- 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 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 Section 2-482 of the Miami Beach City Code. Signatu~ Date F:\ClER\$~L\aFORMS\LOBBY1ST FORMS\Lobbylsl Reglstiatlon Fo,m Revised 03-11·20 REG.doc Page 5 of 5 ;'~ ,,,./} , :, c-ih' of Hi alili Beach ' City Hall noo convention Center Dr. Hiami Beach, FL 33139 305s6J3-7420 \le lcome 07/10/2025 10:38AM Carmen V. 008094°0008 HISCELLAtlEOUS MGR OPEN (mer) Reference 1: MCR435564 2025 mer 1 @ $5800.00 Subtotal Total CHECK Check Number31006716 Change due Paid by: Al<EllMAN LLP $5,800.00 $5,800.00 $5,800.00 $5,800.00 $5,800.00 $0.00 111111111\\1111\ lillll lllll ll\1111111 ~Ill lllll llll llllU\ 11111111111 U 21 u4 #GH/ffii .a;s ¥! ?i4MW5!9MH r 1 SABI Thank you•for your payment Miscellaneous Cash Receipt CITY OF MIAMI BEACH ,.,,c,, ·' 0 Cash O Credit Card □Check#----- No. 435566 ~ -------20---- $ _.) ______ _ Received of __ l ____ l_) __ '(_)_"'r"l_'">_'i_l'I ______________ _ Address-------------------.-----,-------- City of Miami Beach Miscellaneous -mer -2025 008094-0016 Carmen V ... 07/10/2025 01: 58PM MCR OPEN (mer:) Office of Finance Director Payment Amount: $350.00 (THIS INFORMATION MUST BE COMPLETED) By _________ _ Account number: \ · J / ; / -'.') Preparer: l -'\ Dept:_.:,___.;../ ____ _ EXT: _ii/_/_( c..l City of Miami Beach City Ha 11 1700 Convention Center Dr. Miami Beach, FL 33139 305-673-7420 lie ]come 07/10/2025 01 :5BPM Carmen V. 008094-0016 MISCELLANEOUS MCR OPEN (mer) Reference 1; MCR435566 2025 mer 1 @ $350.00 $350.00 $350.00 Subtotal $350.00 Total $350.00 CHECK $350.00 Check Number00301614 Change due Paid by; AKERMAN LLP I llllillllllll II lllli lllll lllll llil lllll lllllllll lillill lllllll llll Thank you for your payment CUSTOMER COPY $0.00