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Paul C. Savage - Thomas Hahn RECEIVED . I Avi B EAC H Office of the City Clerk FEB 4 2022 1700 Convention Center Drive �' Miami Beach, FL 33139 305.673.7411 CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 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 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: Savage, Paul C. NAME OF LOBBYIST (Last) (First) (Middle Name) Rasco Klock Perez&Nieto,P.L., 2555 Ponce de Leon Blvd., Suite 600, Coral Gables, FL 33134 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 476-7100 psavageArascoklock.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS • II. PRINCIPAL INFORMATION: Hahn, Thomas NAME OF PRINCIPAL (Last) (First) (Middle Name) 5401 Collins Avenue,Unit 1535, Miami Beach,FL 33140-2573 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) •(State) (Zip Code) (303) 234-0440 . vze286r7Averizon.net PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant 1D igtity©ON✓4 ° 2-48 (h,(10(a): A principal dm corporation, partnership,CL(InGir GIEW Tao appears ea a lobbyist CM)trtflifdling entity,iitilrfi special compensation to�i'r-imbursement fo TO appearance,angitigrdina indirect,CO • e- flaiZaVOIE amMillagar o••asition c•; an item shall register with the Clerk as required by this subsection bu 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): N/A . • 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): Page 1 of 5 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. Appeal of Approval of Application for Design Review Order No. DRB21-0694 for property located at 5333 Collins Avenue, and Related Issues. 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 Commission X Thomas Mooney,Planning Director X Planning Staff X Office of the City Attorney 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): $525/hr. 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 XNo: 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_XNo: 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 xNo: 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 XNo: 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. —Yes XNo: 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_No: If yes, has i been less than 12 months since the elected official(s) whom you provided campaign consulting services was worn irii?J N/A 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 on his/her lobbyist registration form and shall orally disclose such particular service before lobbying the City Commission at a public meeting. _Yes jiNo: 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 No: f yes, were you promised or did you receive economic consideration in exchange for camparq onsulting servicesr. N/A TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes Io Amount Paid$ 'S�� 00 'D�l N cMCR# U b 3_?.• Date Paid v 2 - S 7 Lobbyist Registration Form received and verified by: F:\CLER\GALL\aFORMS\LOBBYIST 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 EAC • H 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 EN ED TO LOBBY>A STATEMENT.SHALL BE FILED EVEN IF' ERE ' S BEEN NO EXPENDITURE OR C E SA U THE. :ORTING:PERIOD.1 I Signature.of Lobbyist: Date• February 22;2022 • • I do solemnly swear or affirm that all of the:foregoing facts„statements,and di``sclosures•:In,this form;are,true.and correct, : .•• and that I have read or aril'famillar;with the'provisions contained,in Chapter 2;Art VII,,Division;3,entitled.'Lobbyists°`_of • the.Miaml Beach City 'o• re `nfs. - ` . • Signature of Lobbyist : . .. Date February 22,2022 ::. - Signature of Piincipai; . Dated: 2. ' 1- i.--+-- -• ' • • VI.. NOTARY.SIGNATURE AND-SEAL: . .: LOBBYIST: PRINCIPAL., r State of Florida ;• State:.or :.V Q _ County of. Miami-Dade: County of• f C 1, ' . Sworn to"(oraffirmed)and subscribed before me Swom,to(oraff ed)and subscribed before ma;; .:.`. by means_of❑.physical presence . . - by means:o physical,presence- • or l online notarization,, or I7 o Ilne noteriz ttop, - fhia 22nd.day of 'February • -,20 by •thia4c• day of. ke,Coi.: .20?by . - Paul C.Savage : • . Thomas Hahn 1.:•: N.. .•• •„ . •: •• NAME-OF LOBBYIST - NAME OF PRINCIPAL. - ..1 • . . _ProducedlD : - . • - _Produced°iD , • .•• .. ii ' - ` • FORM OFIDENTIFICATiON .• . FORM OF IDENTIFICATION, . . x Personally.Known - 1.Persona no • , • , 7 ' ' ' ' ( ' : '' : ' Sign lure of Notary P IIic . .f Signature1 f Notary Public ` ' '; : _--_ f3,9•)Org• tom, • -C, �y N= •'' .,• = ;;„ t;�ejfle1 Yml=d N1I3eofNotary,:TYped;PrintedorStamped _/ 4 ''•' BOtiDANNAVOL AP4ii' fbinmDertt,ZGZ4 NOTARY SEAL ` _ t _ ThN ._ Wbtolfnd Mrs;I ( Nt[ar,P.iblic-State or,NewYork . . . HO,Ot,Vo6399529 I t Qualified in Kings County My.Commission Expires Oct 21.•2023 ='.•The tenn'lobbyler epedflcaly excludes the following perso• ns: . - • - -Expert vritaessea who provide only;scientific,;technical or other specialized Information or testimony In public meetings;any.person who • - only appear ac a roPtesentatke of a neighborhood association without compensation;or reimbursement for the appearance,-whether • • dined,,Indirect or.contingent,td.akpMaisuPport of or opposition to any Item;and any person who only appears as a representative of rsit=for-profit,community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance; Page 4'of.6 MIAMIBEACH . City of Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov Office of the City Clerk Rafael E.Granado,City Clerk CityClerk@miamibeachfl.gov Tel: 305.673.7411, Fax: 305.673.7254 NAME OF LOBBYIST: Paul C. Savage 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 $50.00 a day shall be assessed for Statements filed after the due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist (or principal) to file the Statement or pay the assessed fines after notification. • Any lobbyist, who fails to file the required Statement by April 30th of each year, shall be automatically suspended from lobbying until all fines are paid, unless the fine has been appealed to the Miami-Dade County Commission on Ethics and Public Trust. I hereby acknowledge that on February 28 of each year, I shall submit to the City Clerk a signed Statement under oath listing all lobbyist expenditures, as well as compensation received, for the preceding calendar year with regard to the specific issue on which I have been engaged to lobby. 2) LOBBYIST WITHDRAWAL Once an issue I have registered to lobby has concluded or I am no longer lobbying on that issue, I shall immediately file a Notice of Withdrawal with the Office of the City Clerk. 3) ANNUAL LOBBYIST REGISTRATION FEE I understand annual registration of all lobbyists shall be required for each 12-month period commencing October 1 of each year, and the fee for such annual registration shall be ursuant to Section 2-482 of the Miami Beach City Code. February 22, 2022 Signat re of L y' Date F:\CLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc Page 5 of 5 • a, a »~`' 'sr ',� eh\� �.� s.R,,aayx �. ,.._ r \� „; y } __r "t ,s "x itr ? Miscellaneous Gash Receipt • r GJTY OF IAMB BEACH . - ,, No 429632 4 Y�" d \� N��'C Y \\\^i- �� f ',9 .-.t _.# q V - . • `i.b`. Miscellaneous Nth( 2022 �fl"".�rta 0J2 /2o22 1.0��0i�T 1 - r , ✓ . ,.: • v 33. Payment Amount700 00 .� , W �P`� a ��av . i 3 t� W`� �- .s r� y E ,�� (TH1$PW RMAT)ON MUST°8E COMPLETED) �� Offtco of Flnanc Dlnctor �Y ' �� m Zvi @ �ACcacmt Nt nbN': . i �`` i ,t , ' F t • �ry� ii �[ Q 3 V3 �` a '3 t` a` ae -x`a t f c- a ,` uti ��u +A. _ S �ri° � ' ... a '`L..• to .0 6's.a,,.. Fs{ x3'Rr, .. x,�'' �, �� , . ,.,.a _ .. .�, • • •