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Kobi Karp - Ryan Schinman • cJ I La G°r& 4' 1 j Lc DocuSign Envelope ID:7FEA4617-81D3-4FD7-9EB8-01BFFA9B660C ( orce. RECEIVED MIA1v'\I BEACH Office of the City Clerk APR —6 2022 1700 Convention Center Drive A' Miami Beach, FL 33139 305.673.7411 CITY OF MIAMI BEACH LOBBYIST REGISTRATION FORM 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"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: Karp Kobi NAME OF LOBBYIST (Last) (First) (Middle Name) Kobi Karp Architecture&Interior Design Inc 2915 Biscayne Blvd.#200 Miami, Florida 33137 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)573-1818 kobikarp@kobikarp.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Schinman Ryan NAME OF PRINCIPAL (Last) (First) (Middle Name) 39 La Gorce Circle Miami Beach Florida 33140 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (212) 608-0958 Ryanbschinman@gmail.coxn PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursue tOD Mr @:=C§Gtlifiblit 2 482{h(13f0 Q• +. cf?� • ++ . + partnership,V ci=Gov .butzaw Epa lobbyist cal bgarfiREC rsi e by (281:224tx4U4 compensation Cfi + •Qg(" appearance,tanifil2FaM,[ al-' ,a co tingent,tfiji +++ +}CB+�+. + M an dear sh-I register with the ete'as required by this ubsec ion but shall not be required to pay any reqistra ion fees, N N If the principal is a Corporation, Partnership or Trust, the following information MUST be provided pursuant to City Code Section 2-482(c): LL • 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): U co • Page 1 of 5 Lieidy MontrsinnPemz —)0-9F004853FF7C I Page 1 of 5 I 19F004853FF7C DocuSign Envelope ID:7FEA4617-81D3-4FD7-9EB8-01BFFA9B660C 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 properties located at 39 La Gorce Circle and 41 La Gorce Circle 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 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 0 CI LL 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): 8 250 h U U m m Page 2 of 5 DocVerlfy ID:468B687C-CBOE-42FF-9300-9F004853FF7C I Page 2 of 5 I 29F004853FF7C I 'III gyY, pF�T 'I II I www.docverify.com CdaT H DocuSign Envelope ID:7FEA4617-81D3-4FD7-9EB8-01BFFA9B660C 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 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 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 XNo: If yes, has it been less than 12 months since the elected official(s) whom you provided campaign consulting services w s as worn 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 N service before lobbying the City Commission at a public meeting. N _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: 0 Yes XNo: if es, we,e you promised or did you receive economic considera ion in exchange or campaiq consulting servicesi 0 LL TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes ]No Amount Paid$ 3'Q;CC) t MCR# l C( b Z Date Paid Ott 14-21 • Lobbyist Registration Form received and verified by: m F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09.-20-1$REG.doc Revised 09/20/2018 Page 3 of 5 DocVerify ID:468B687C-C80E-42FF-93D0-9F004853FF7C L Page 3 of 5 J 39F004853FF7C j ,III �c 1� e'I III I" www.docverify.com ``� LL. DocuSign Envelope ID:7FEA4617-81 D3-4FD7-9EB8-01 BFFA9B660C 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 Docastgned by: 3/24/2022 Signature of Lobbyist: C Date DF0AE1D9985441E... 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 rep¢r#irdg d �jments. J 3/24/2022 Signature,of Lobbyist: DooustgHed �` `�"J Date '-DF0AE1D9985441 E... Signature of Principal: [±t Q'lit' S.atu iMttln' Date 3/24/2022 A89D89566071475... 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 0 physical presence by means of 0 physical presence or® online notarization, or 0 online notarization, this 24 day of March ,2022, by this 24 day of March ,20?, by Kobi Karp Ryan Schinman NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION x Perso x Personally Krpwn _a,,,,,, (41 (1i4 Nso.,m mvavn rzn.n.em .a am Signature of Notary Public Signature of Notary Public (V Yeidy Montesino Perez Yeidy Montesino Perez Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped 1 eidy Montesino Perez 1 etd Montesino Perez LL (NOTARY SEAII Commission#HH 084273 (NOTARY SEAL Commission#HH 084273 1 Notary Public-State of Florida 1 votary Public-State of Florida I Icy Commission Expires Jan 24,2025 ► My Commission Expires Jan 24,2025 • 1 The term"lobbyist"sp; N 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 cSw • 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 DocVerify ID: edfy.c 8B687C-C80E-42FF-93D0-9F004853FF7C Page 4 of 5 49F004853FF7C ,III gqY 'I III • DocuSign Envelope ID:7FEA4617-81D3-4FD7-9EB8-01BFFA9B66OC 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: Kobi Karp 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. N 3) ANNUAL LOBBYIST REGISTRATION FEE N I understand annual registration of all lobbyists shall be required for each 12-month period N commencing October 1 of each year, and the fee for such annual registration shall be $500.00.pursuant to Section 2-482 of the Miami Beach City Code. LL LL p—Doc fined by: o k/ l 3/24/2022 rn it Signature of Lob6yis 'Uyy�'441t' Date LL LL F:ICLERI$ALL1aFORMSILOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc m m m Page 5 of 5 DocVerify ID:468B687C-C80E-42FF-93D0-9F004853FF7C Page 5 of 5 59F004853FF7C ,III GymQ(y�, 'I II I www.docverify.com E A C docv'erify. II 4 ..i ,,a "CVEIts Lobbyist Registration Form - K. Karp.pdf DocVerify ID: 468B687C-C80E-42FF-93D0-9F004853FF7C Created: March 24, 2022 12:21:22 -8:00 Pages: 5 Electronic Notary: Yes/ State: FL This document is a DocVerify VeriVaulted protected version of the document named above.It was created by a notary or on the behalf of a notary,and it is also a DocVerify E-Sign document,which means this document was created for the purposes of Electronic Signatures and/or Electronic Notary.Tampered or altered documents can be easily verified and validated with the DocVerify veriCheck system. Go to www.docverify.com at any time to verify or validate the authenticity and integrity of this or any other DocVerify VeriVaulted document. ‘ l • E-Signature Summary E-Signature Notary:Yeidy Montesino Perez(ymo) March 24,2022 12:27:49-8:00 1991 D1 C05FB4E][162.244.152.118] ymontesino@brzoninglaw.com t �' . r t �r t � t 11111111111111111111111 I I I 1111111 I I I 11111111111111111 I l l s 111111 I I I l i l t DocVerify documents cannot be altered or tampered with in any way once they are protected by the DocVerify VeriVault System.Best viewed with Adobe Reader or Adobe Acrobat. All visible electronic signatures contained in this document are symbolic representations of the persons signature,and not intended to be an accurate depiction of the persons actual signature as defined by various Acts and/or Laws. IDoc'Vdeonfy fDY481B687C•C80E-02FF-93D0.9F004853FF7C Generated Cover Page 9F004853FF7C ,III @F'A MHC'I III I , . r i .:, " r. 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