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Phillip M. Hudson - Portofino Towers Condominium Association, Inc. 1e id A/V\I BEAC H Office of the CityC erk. MAY ,If�f 1700 Convention Center Drive Ty • Miami Beach FL33139 305.671 7411 LOBBYIST REGISTRATION FORM:: : , 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 anyaction,l decision or recommendation-of any City:personnel during the 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 committeei.The tem%;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 Clerkly If you need more spacelto•complete an answer, use:a separate sheet(s)of€paper,If you havenothing,to report,ih a particular ... • section you ;must write "none or,"nla in that section•;-Any change to any information originally fled or:any,;additional'City Commissioner or personnel who,are"alsosought to be lobbied.shall require;that the'lobbyist file an amendment to the'.registration form.. • The lobbyist,has eacontinuing;duty to;supply,information and amend.the;forms.fled;throughout the'period.that the lobbying occurs:,•: :,:Separate registrationtfornis:shall be:required-for each principal represented on each specific issue. : - : I. LOBBYIST INFORMATION: • • .I Hudson Phillip M: NAME OF LOBBYIST; (Last)• (First) (Middle Name) . " Duane Morris:LLP, 201,.SouthBiscayne'Boulevard,Suite:3400;;Miami FL 33131 LOBBYIST BUSINESS NAME AND.ADDRESS - :(Number and Street) (City) ;' (State) (Zip Code),: 305 960 2273' ,PMHudson@duanemorris.com • LOBBYIST BUSINESS TELEPHONENUMBER ."; • .CELLULAR.TELEPHONE'NUMBER , ;EMAIL ADDRESS II;PRINCIPAL INFORMATION , : -.. .Herman :a Alyson .. M. NAME-OF.PRINCIPAL (Last) '(First) , (Middle,Name),:. ' Portofino Towers-Condominium'Association Inc;'. • 300:South Pointe,Drive,`Miami Beach,FL 33139 : • PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) •(Zip Code)-:, 305 534 4422:., a alyherman@aol com . PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER,.,: EMAIL ADDRESS Pursuant to Cify Gode Section 2 482{h){1;(a); A pdncgal 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 indii ct or contingent;,to express support of or opposition to an item'shail register with the Clerk as re ulred this subsection but shall not be re uired 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). Alyson M.Herman,President NAME.OF ALL PERSONS HOLDING,'DIRECTLY OR INDIRECTLY A 5% R, OMORE OWNERSHIP INTEREST IN SUCH 'CORPORATION PARTNERSHIP OR TRUST:(if none,write N/A): N/A'(not for profit).. Page 1 of 5: • NotaryCam DocID:60999cabd022f7.5df4cfdcde • • III. 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. Proposed pump station location in South Pointe Park and proposed First Street renovations 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 City of Miami Beach Committees and Boards N/A X City of Miami Beach Attorneys Office and Administration N/A X City of Miami Beach Mayor and Commissioners N/A 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 appearance of impropriety(if none,write N/A): N/A 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): Page 2 of 5 NotaryCam DocID:60999cabd022f75df4cfdcde 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 x.No: Are you lobbying on a pending application for a Development Agreement with the City or application for change of zoning map designation.orclange 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 asrequired by this,section,but shall not be required to pay any registration fees. _Yes x 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 anyperson who onlyappears 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 specializedinformation: 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. 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(s)of the City Commission: • Yes.x No: if Yes,,has it been,;less than 12 months since'the elected official(s).whom°y'ou provided campaign consulting serviceswassworn 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 activity is not otherwise prohibited by Code section 2-491) shall disclose such particular service onhis/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(s)of the City Commission: Yes xNo: 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 A � ti I b -C I Annual Registration fee: j ],Yesmounta $ Dafe Lobbyist Registration Form received and verified by F.\CLER\$ALL\aFORMS\LOBBYIST FORb1S\Lobbyist Registration Form Revised 03-11-20 REG.doc Revised 03/11/2020 Page 3 of 5 NotaryCam DocID:60999cabd022f75df4cfdcde 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:'' Signature of Lobbyist: rPhiNd Tit gluct6cm Date 05/10/2021 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. cip11i0 'Yn. cAc{ial Date May 0, 2021. Signature of Lobbyist: Date t 1 .. . Signature of Principal: (`I(J.) VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of . .Florida State of 1=IOQICG County of:Broward County of: DC( Sworn to(or affirmed)andsubscribed before me, Sworn to(or aff�ir d)and subscribed before me, by means of 0 physical presence by means of C�'physicalpresence or NI online notarization, or 0 onlinenotarization,, this 10th day of May ,2021,by this %(o day of \ ,20 , by Phillip M.Hudson ( L VICerirSCA4NY NAME OF LOBBYIST NAME OF PRINCIPAL x Produced ID Driver's License _ Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION Aim .own ' Personally Known Signature of Notary Public Signature if ry Public� Nilda M.Castillo • L•(�l.tN‘Cr& Name of Notary, Typed, Printed or Stamped Name of Notary, ped, Printed or Stamped : NILDAM CAS ILLO JENNY CAMARA (NOTARY SEAL) d•:Notary Pu6fic•State ofRoddeNotaryPublic•State ofFlorida comm.Expir Oa31 2 �y r Commission GG 205091 { My Comm.Expires Oa 31,2022 .G-.;�r'fI3,.�@° a $or nd My Comm.Expires May 17,2022 "Bonded through NaUonaI Notary Assn.: 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. Page 4 of 5 NotaryCam DocID:60999cabd022f75df4cfdcde MAA:4 I BEACH. City,of Miami;Beach, 1700 Convention Center Dive,Miami Beach,:Elorida 33139,www:rniamibeachfl.gov. Office`of the`:City Clerk- Rafael E Gronodo,City Clerk CityClerk@iniamibeachfl,gov Tel 305:673.7411,Fax:;305.673.7254 NAME OF LOBBYIST: Philip M.Hudson 1) LOBBYIST FEE EXPENDITURE AND COMPENSATION,STATEMENT Pursuant to City Code Section 2-4.85(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 filethe 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 beenengagedto 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 $500:00:pursuant to Section 2-482 of the Miami Beach.City Code. AO m. clluc(4Ut1 May 10,2021 Signature of Lobbyist Date F:ICLERI$ALLtaFORMSILOBBYIST FORMSILobbyist Registration Form Revised 03-11-20 REG.dos Page 5 of 5 NotaryCam DocID:60999cabd022f75df4cfdcde ii ill Ci) Maa MBF City Hall - _I 1100 Convention Center Dr'. 0 k' - ..� : ! '_ Miami Beach , FL 33139 • O 305-673--742a ` n Welcome �; { 004776-0027 Maria A. 05/11/2021 02:41 PM ' :C)::. -' nt'!MISCELLANE0l1S '' - `Reference 1: 427916a. .m ,.- 2021 Item: MCR ' NCR OPEN ( 1CR} 1,200.00 `�'- • �. 1,200.0q - Subtota1 ` �-►. c� a Total 1,2aa.aQ �'F ,L�`? . 1,200.00 t�, ° : -,i CHECK 1,200.00 Check Number0000'1578 p. �{� . Change due 0-0 -.. Paid by: Juane morris 9 �1 L: , , ._.._—. fit. ; p +�. �� u '�'�, . 03 , teA 4, �� � #gra?9/6 `'«" ^� c y CO Thank you for your payment CUSTOMER COPY 4'., ,. -� , t,; qhs„ -.. •- - - �. .. ,�9 y