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HomeMy WebLinkAboutJoseph R. Salzverg - Serve Robotics (Erin Lama)12 . s~,-zve,_, -Se eve 12-obo.\--, ~s BEACH (~.-n, Lo-n--.o.) Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 305.673.7411 lobbyists@miamibeachfl.gov LOBBYIST REGISTRATION FORM RECEI VE D FEB 1 8 2026' CITY OF M/A ivi1 fiEACH OFFICE OF THE CJry 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 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 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. 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 fil ing 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. 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 of 7 I. LOBBYIST INFORMATION: SALZVERG JOSEPH R NAME OF LOBBYIST (Last) (First) (Middle Name) GRAYROBINSON, P.A 333 SE 2nd Ave. #3200 Miami Florida El 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (Sla!e) (Zip Code) 305-416-6880 305-924-9904 joseph.salzverg@gray-robinson.< LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Lama, Erin NAME OF PRINCIPAL (Last) (First) (Middle Name) Serve Robotics, Inc. 730 Broadway Redwood City CA 94063 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and S!reet) (City) (Slate) (Zip Code) (415) 903-2800 ServeRobotics@polilicomlaw.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant lo City Code Section 2-482(h)(1)(a); A principal of any corporation, partnership, or olher enlily 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 lo 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 (Ir none, write N/A); Ali Kashani. CEO • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST (If none, write N/A): --'--'N~/A'-'-------------- Ill. ISSUE TO BE LOBBIED: I 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. Operation of food delivery robots within the city Page 2 of7 IV. DISCLOSURE OF CONSIDERATION PROVIDED BY LOBBYISTS TON EIGHBORHOOD OR HOMEOWNER ASSOCIATIONS: Pursuant to City Code Section 2-482(k), any lobbyist who provides, directly or lndl rectly, consideration, owner association or matter before the City whether monetary or non-monetary, of $1 1000 or more to a neighborhood or home its designee, for purposes of supporting or withholding its objection concerning a Commission, or any City board, or committee must disclose such consideration. i;;;!Yes~o: Have you provided, directly or Indirectly, any consideration, monetary or non-monetary, of signee, in connection $1,000 or more to a neighborhood or homeowner association or its de with the matter for which you are lobbying? If yes, please describe: V. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(a)(4), list the City Commissioner or City pe lobbied, and whether the lobbyist has entered into any contractual relationship ( rsonnel sought to be paid or unpaid) with encement of service uai relationship. said City Commissioner or City personnel from 12 months preceding such comm with the City to the present date, stating the general nature of the subject contract Full Name of Individual and Contractual Relationship (If ye s, explain) YES NO Tille of Person to be Lobbied City Manager and their staff 00 Mayor and Commission and their staff 00 00 00 00 00 Pursuant to City Code Section 2-482(g), every registrant shall be required to st ate the extent of any p giving rise to an who is sought to be business, financial, familial, or professional relationship, or other relationshi appearance of Impropriety, with any current City Commissioner or City personnel lobbied, as Identified on the lobbyist registration form filed. List any business. financial, familial, or professional relationship, or other relation ship giving rise to an annearance of lmoroorietv (if none. write N/Al: N/A 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.). $2,500.00 monthly Tho following six (6) quastlons MUST be answered: 1) Pursuant to Cliy Code Section 2-48B, entitled "Prehlblled Campaign Can~lbutlons By Lobbyists On Procurement Issues•: 2) 3) 4) □ Yes l!!I No: Are you lobbying on a present or pending bid for goods. equipment, or services, or on a present or ponding award for goods, equipment, or services? Pursuant ta Clly Code Seollon 2-490, enllUed "Prehlblled Campaign ConlrlbuUons By Lobbyists On Real Estate Development Issues": □ Yes l!I No: Are you lobhylng on a pending appUcatfon for a Development Agreement with the City or an appllcatfon for a change of zoning map designation or a change to the City"s Future Land Use Map? Pursuant to Clly Code Section 2-4B2(h), any pe,son {except !hose exempt from the dofin!Uon of"lobbyisl" as sel forth In Secllon 2-481) who only appears as a ropresentallve of a not-for-prent corporation or enUly without special compensation or reimbursement for Iha appearance, whelher direct or Indirect, to express support or or opposition to any Item, shall reg Islar with the Clly Clerk es required by lhls section, bu! shall not be requ~ed to pay any registration foes. Cl Yes II No: Are you representing a not-for-profit corporation or entity without special compensallon or reimbursement? Nole: If you are exempt !rem lho definllion o!lobbylsl under Section 2-4B1 and are required to submit a written' disclosure pursuant to Section 2--483(b), representatives of neighborhood or homeowner associations should uso tho "Neighborhood/Homeowner Association Representatlvo ReglslraUon Form." Olher oxompl Individuals may ullllzo lhls Lobbyist Registration Form to fulfill lhe disclosure requirement and should complete Iha applicable sections. Pursuant to Clly Code Section 2-4B1, lhe 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 as-soclaUon without compensation or reJmbursement for the appearance, whether direct, Indirect, or conUngent, solely to express support of or opposmon to any Jtemj and any person who only appears as a representative of a not-for-prollt community-based organization for the purpose of requesting a grant, without spoclel compensaHon or reimbursement for the appearance. Individuals who qualify for these exclusions are sUU required to submit a written dlsclosura fonn for each appearance, as required by SecUon 2-483(b) of the City Code. D Yes I!! No: Do you gua11fy for one of the exclusions llstod above under Section 2-481? I! yas, please check lhe applicable category: D Expert Witness providing only scientific, technical, or other specialized Information or tesUmony In a publ!c meeting. □ Representative of a not-for-profit community-based organization requesting a grant without compensation or reimbursemenL 0 Representative of a neighborhood or homeowner association appearing without compensation or reimbursement. Nole~ Represenlallves of neighborhood or homeowner associations should use the uNelghborhood/Homeowner Association Representative Registration Fann." Other exempt indivfduals may utUlze this Lobbyist Registration Form to fulfill the disclosure requirement and should complete the applicable sections. Page4of7 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) D 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 incumbont member(sl of the City Commission: D Yes D No: If yes, has it been loss than 12 months since the otoctod offlclal{sl whom vou providod 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. D Yes ■ No: Have you provided campaign consulting services to an Incumbent member of the City Commission within tho past election cycle? If ves. please list tho Incumbent member(sl of the City Commission: D Yes ■ No: If ves, wore you promisod 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 II') exchange for campaign c,onsulllng services. • IMPORTANT -Annual Requirements for Registered Lobbyists: As a registered lobbyist, I acknowledge and agree to the following yearly obllgations. 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 lo submit a Notice of Withdrawal using lhe same Expenditure and Compensation Form. All forms should be sent either via email to Lobbyists@miamibeachQ.gov or mailed to the Office of the City Clerk at 1700 Convention Center Drive, Miami Beach, FL 33139. Signature of Lobbyist: Date 2/18/26 I do solemnly swear or affirm that all of the foregoing ts, 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 prohibited contingency fee arrangement Signature of Lobbyist: ~kc /42n1 Hv'V Date, __ 2.__,__/..:..1.:...1 ..:../ _2_0 _______ _ 7 ~;, / --~ - Printed Name of Lobbyist. dO.)rQ 1 5.ll ZY0(j Signature of Principal: Date __ .....;_-.:...:../.c......=.c... _______ _ Printed Name of Princlpal: __ __::.....!..----'----'-'-''--'-----'-'-------'-' Page 5 of 7 VIII. NOTARY SIGNATURE AND SEAL: LOBBYIST: State of Florida County of: Miami-Dade Sworn to (or affirmed) and subscribed before me, by means of (Xphysical presence or D online notarization, this day of. NAME OF LOBBYIST Joseph Salzverg Produced ID -F :cOR:-=-M-:-O=:F"""1=0E:ONC:::T"'IF""1CA=-=T"'10,c-:N,---- l$..Personally Known S~oatu,e of Nota,y Puhl:..,\~~ Name of Notary, Typed, Printed or Slamp~d (NOT ARY SEAL) ASHLEY E. LIMA MY COMMISSION# HH 377452 EXP1RES: July 22, 2027 PRINCIPAL: ei<t~ l.ama...-- State of C l/t,tfb/<.JJ / Jf County of: /1 ~ ;J Sworn to (or af~ed) and subscribed before me, by means of !p" physical presence or C1 online notarization, this 9 dayof 11)P~ • Z 02~ NAMJ OF PRINCIPAL _✓ Produced ID C,/; J.¥i°VQ(& J.J CWJ.u / FORM OF IDENTIFICATION _VPersonally Known s;g,atu,e of Nota,y P,bfio ~ + Name of Notary, Typed, Printed or Stamped (NOTARY SEAL) SHEi LA SCALLY COMM. #2467819 z Notary Public • California ~ Marin County ~ M Comm. Ex Ires Nov. 9, 2027 TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Roglstratlon feo: i'X1 Yes ( J No Amount Paid$ f S-() MCR I 4 3 '1 :J J ..J Lobbyist Roglstrallon Form rocelvod and verified by: --=t)=...:t--:\__,~----------- Date Paid..:) • / f • ~ ( F:ICLER\SALL\aFORMSILOBBYIST FORMS\Lobbylst Registration Form REG KM RB OM NK REVISED OCTOBER 1 2025.docx Revised: October 1, 2025 Page 6 or 7 MIAMI BEACH City ot Miami S&ach. I /00 t:onvent,on Center Onve. Miami Beach, fl0<ido 33139. www miomibeochll gov Office of the City Clerk Rafael E. Granado. City Clerk Tel: 305.673.7-41 l CltyClerlOO m1om-beochfl.aov NAME OF LOBBYIST: Joseph R. Salzverg --~----~-------------- 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 falls 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 . .f J ,J2.. { Si nature of Lobbyist ~=---9..,,._..~ ...... ,_. _____ _ Feb. 13 2026 Dale F \ClERIMl.lloFORMS\l.088YIST FORMS\LObbyt<I R<g str•Uoo Form REG KM RB OM NK REVISED OCTOIIER t 20U_, Page 7 of 7 Payee: Vendor ID: lnvolceNum 20260216KM City of Miami Beach 010982 Invoice Date Feb 16/26 Reference 6548 Totals: ClientMatter , 29051.1 Check#: Check Date: Invoice Amount Discount Taken 850.00 o.oo $850.00 $0.00 580748 Feb 17/26 Payment Amt 850.09 $850.00 Miscellaneous Cash Receipt CITY OF MIAMI BEACH □ Cash □ Credit Card □Check n ___ l_1_( 436313 No. ____ _ $------- --------20 ___ _ Received of ____________________________ _ Address------------------------------ City of Miami Beach Miscellaneous -MCR -2026 008584-0051 Ebani Th_ 02/18/2026 04 :31PM MCR OPEN (MCR) Payment Amount: $850.00 Office of Finance Director (THIS INFORMATION MUST BE COMPLETED) By _________ _ Account number:--------------------------- Preparer: _______________ Dept: _______ _ EXT: __ _ I City of Miami Beach Customer Service Center 1755 Merdian Ave Suite 100 Miami Beach , FL 33139 305-673-7420 tlelcome 02/18/2026 04:31PM Eban1 T. 008584-0051 MISCELLANEOUS MGR OPEN (HCR) Reference 1: MCR_436313 2026 MCR 1 @ $850 ,00 $850 ,00 $050.00 Subtota 1 $850. 00 Total $850.00 CHECK $850 . 00 Check Number00580748 Change due Paid by: GRAY ROBINSON 111111111111111111111111111m11111111111111111111111111111111111111 1-••r llli:M!!I IIMII &¥ Thank you far your payment CUSTOMER COPY $0.00 JJN