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John Brandt - Pix Realty Inc. 442 DocuSign Envelope ID:4A2443D4-6A3A-4756-A360-7CED6A0419A0 M I AM I BEACH RECEIVED Office of the City Clerk 1700 Convention Center Drive APR 19 2022 Miami Beach, FL 33139 305.673.7411 OM(OF MIAMI BEACH LOBBYIST REGISTRATION FORM WFIO@ 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"Lobbyists" 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: Brandt John NAME OF LOBBYIST (Last) (First) (Middle Name) Pix Realty Inc. One West Elm Street Greenwich CT 06830 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (914)523-1339 john@brandtorg.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Brandt John NAME OF PRINCIPAL (Last) (First) (Middle Name) Pix Realty Inc. One West Elm Street Greenwich CT 06830 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (914)523-1339 john@brandtorg.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant to City code Secfon 2-482(h, 1),a) Q principal of any co ooration partnership. or other e tity who appears as a lobbyist on behalf o than entity TM=special . o-d tlLm)cp - •�firPttalg appearance,vzikarNiftialt indirec CU o tine ,CoC2EiC 33 d e a CBC?o.aosition tE an item shall register with the Clerk as required by t,;is subsection but shall not be requir-.to.ay an registration fees N 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): John Brandt • 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): Please see attached. a a 0, N 0 Page 1 of 5 (Dinna.Rom•s.a. '85-A9669054468E _ Page 1of5 L1A966905446BE ] ,III ti ,lIII DocuSign Envelope ID:4A2443D4-6A3A-4756-A360-7CED6A0419A0 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. Development Approvals &Planning Issues,including but not limited to the Historic Preservation Board, Design Review Board,Planning Board,Board of Adjustment,Land Use Development,City Commission, and any City Workshops or Committees,if necessary,relating to the property located at 1235 Washington Avenue in Miami Beach,Florida. 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 Staff for the Planning&Building Department None X Public Works &City Administration,PB,HPB,BOA None X DRB,City Commission, and Mayor as necessary None X Land Use &Sustainability Committee None 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): None ro 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): $0.00 per hour 0 Page 2 of 5 DocVerify ID:CCE25BOA-D812-4C16-98B5-A9669054468E Page 2 of 5 I 2A966905446BE ,III ,I III www.docverify.com DocuSign Envelope ID:4A2443D4-6A3A-4756-A360-7CED6A0419A0 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 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 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. _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 x No: If yes, has it been less than 12 months since he elected official(s)whom you provided campaign consulting se.;ices was swo n]nt 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 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: rll Yes x No: If yes, were you promised or did you receive economic consideration in exchange for campaiq , conswltinq servicesr. o TO BE COMPLETED BY CITY CLERK'S STAFF ONLY `' Annual Registration fee: [ ]Yes Qom)No. Amount Paid$ MCR# `rW1 '�1.f 'P-;t, Date Paid N / o Lobbyist Registration Form received and verified by: F:\CLER\$ALL\eFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.dac Revised 09/20/2018 W 8 Page 3 of 5 Docverify ID:CCE25BOA-D812-4C16-9665•A966905446BE age 3 of 5 3A9669054468E J---' ] IEEE P IY7i9�5�� www wuvw.docverify.com ---- -- --- DocuSign Envelope ID:4A2443D4-6A3A-4756-A360-7CED6A0419A0 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 COMPENSATIIONssl[3tlR1NG THE REPORTING PERIOD.1 , Signature of Lobbyist: �f.D*aB4F 1 9 Date 04/19/2022 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 anc-attTerdrtiiVrequirements. Signature of Lobbyist: )Rik (0)11411- DocuSigned by: Date 04/19/2022 `—DaTOoB4F i89FnA5... Signature of Principal: 0%41 (OW& Date 04/19/2022 U9(0b84h189F4Ab... , VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL • State of Florida State of Florida County of: Miami-Dade County of: Miami-Dade Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of❑ physical presence by means of❑ physical presence or li(online notarization, or llonline notarization, this 19 day of April ,2022, by this 1s day of April , 2022, by John Brandt John Brandt NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION x Personally Kno� x Personally Known T,, 0 0 m Signature of Notary Public Signature of Notary Public a Diana Ramos 0 Diana Ramos Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped i - - ._ ._ - - - - m ( Diana Ramos ( 0Diana Ramos Commission#GG 308355 1 1 Commission#GG 308355 1 co Rotary Public-State of Florida 1 Notary Public-State of Florida 1 a My Commission Expires Apr 10,2023 1 Icy Commission Expires Apr 10,2023 m 1 The I persons: 1 Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings;any person who ;Jr only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance, whether 9 direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of g not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for W the appearance. 8 Page 4 of 5 Dwww.docfvedfy com2580A-D812-4C16-96a5-A9669054468E Page 4 of 5 1 4A966905446BE I 1111 yy m II I DocuSign Envelope ID:4A2443D4-6A3A-4756-A360-7CED6A0419A0 MIAMI BEACH 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: John Brandt 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. DocuSigned by: 09 (Ylni 04/19/2022 Signature of Lo�ybyis(5yF4A5... Date m F:\CLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc W 0 Page 5 of 5 DocVerify ID:CCE25B0A-D812-4C16-98B5•A966905446SE L Page 5 of 5___I 5A966905446BE J ,IIIµ Ili ,I II I www.docverify.com — — Disclosure of Interest Name/Address Percentage John Brandt 2005 Family Trust 24.75% 1 West Elm Street Greenwich, CT 06830 Robert Brandt 2005 Trust 24.75% 1 West Elm Street Greenwich, CT 06830 Gary Brandt 19.675% 1 West Elm Street Greenwich, CT 06830 Gary Brandt 2012 GST Exempt Pix Trust 5.075% 1 West Elm Street Greenwich, CT 06830 James Z. Brandt Revocable Trust 14.85% 111 Marquez Place Pacific Palisades, CA 90272 James Brandt 2020 Trust 9.90% 111 Marquez Place Pacific Palisades, CA 90272 Pix Realty Inc. 1% 1 West Elm Street Greenwich, CT 06830 4/19/22,2:00 PM Detail by Entity Name DIVISION OF CORPORATIONS DIYEIDPI U./ • •Org C'arLp Ey Q ATf.Al wi official Srwe of Florida wehsire Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Foreign Profit Corporation PIX REALTY, INC. aping Information Document Number F98000005951 FEI/EIN Number 06-1496422 Date Filed 10/26/1998 State DE Status ACTIVE Last Event CANCEL ADM DISS/REV Event Date Filed 10/23/2006 Event Effective Date NONE rincipai Address %THE BRANDT ORGANIZATION ONE WEST ELM STREET GREENWICH, CT 06830 Mailing Address %THE BRANDT ORGANIZATION ONE WEST ELM STREET GREENWICH,CT 06830 Registered Agent Name&Address NRAI SERVICES, INC. 1200 South Pine Island Road Plantation, FL 33324 Name Changed:01/26/2016 Address Changed:06/10/2013 Officer/Director Detail Name&Address Title PCT BRANDT,JOHN • 2 Laurel Lane Spur Greenwich, CT 06830 https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=PIXREAL... 1/3 4/19/22,2:00 PM Detail by Entity Name Title VD BRANDT, ROBERT 144 GOODHILL ROAD WESTON, CT 06883 Title SVC BRANDT, GARY 3 MITTMAN ROAD RYE, NY 10580 Annual Rep its Report Year Filed Date 2020 01/26/2020 2021 01/17/2021 2022 03/03/2022 Document Images 03/03/2022—ANNUAL REPORT View image in PDF format 01/17/2021—ANNUAL REPORT View image in PDF format 01/26/2020—ANNUAL REPORT View image in PDF format 02/12/2019—ANNUAL REPORT View image in PDF format 01/17/2018—ANNUAL REPORT View image in PDF format 01/10/2017—ANNUAL REPORT View image in PDF format 01/26/2016—ANNUAL REPORT View image in PDF format 01/12/2015—ANNUAL REPORT View image in PDF format 01/15/2014—ANNUAL REPORT View image in PDF format 06/10/2013—ANNUAL REPORT View image in PDF format 01/10/2012—ANNUAL REPORT View image in PDF format 01/05/2011—ANNUAL REPORT View image in PDF format 01/18/2010—ANNUAL REPORT View image in PDF format 01/08/2009—ANNUAL REPORT View image in PDF format 01/02/2008—ANNUAL REPORT View image in PDF format 08/02/2007—ANNUAL REPORT View image in PDF format 10/23/2006—REINSTATEMENT View image in PDF format 02/07/2005—ANNUAL REPORT View image in PDF format 02/23/2004—ANNUAL REPORT View image in PDF format 01/14/2003—ANNUAL REPORT View image in PDF format 02/07/2002—ANNUAL REPORT View image in PDF format 01/23/2001—ANNUAL REPORT View image in PDF format 01/19/2000—ANNUAL REPORT View image in PDF format 08/24/1999—Reg.Agent Change View image in PDF format 02/06/1999—ANNUAL REPORT View image in PDF format 10/26/1998—Foreign Profit View image in PDF format https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inq uirytype=EntityN ame&directionType=l nitial&search NameOrder--P IXREAL... 2/3 4/19/22,2:00 PM Detail by Entity Name Florida Department of State.Division of Corporations https://search.sunbiz.org/I nq uiry/CorporationSearch/SearchResultDetail?inqu i rytype=EntityName&d irectionType=Initial&searchNameOrder=P IXREAL... 3/3