Ian DeMello Esq. - Stephane Mercier . ....
.NOV :S 2022:.
t" '\If\t''/\IBE : H : Office of the City Clerk
1700 Convention Center Drive CITY:OF MIAMI BEACH::
. , ... Miami Beach, FL 33139 '; : '
OFFICE OF THE CITY CLERK'
'305.673.7411 •
: .._ 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 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:ina particular
section, you must write "none".or''n/a" in that section. Any change to any information originally filed, or any ad.itional 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. : .
(::'LOBBYIST INFORMATION: .
.
. DeMeIIo, Esq.. :: Ian.
'NAME OF LOBBYIST : :' ' (Last) : : :: (First),:' (Middle Name) .•:
Shubin:& Bass, P.A. 46 SW1:st St.Suite 300 Miami FL.. 33130 :..•
• LOBBYIST BUSINESS NAME AND ADDRESS . (Number and Street). (City)... • (State) (Zip Code) •
.. 305-381-6060. • idemello@shubinbass.com ' ' '
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS:
'' Ili PRINCIPAL INFORMATION:' • ' : •
Mercier .. . Stephane • ...
•
'NAME OF PRINCIPAL:.: (Last) .- :.: : :: (First).. ' : (Middle Name) • :
New National, LLC 1677 Collins Ave. : - -Miami Beach : :FL :• 33139.._
PRINCIPAL BUSINESS NAME AND ADDRESS (Nuttier and Street) •(City) • . - (State) (Zip Code) •
305-532-2311 • • : • smercier@nationalhotel:com
PRINCIPAL BUSINESS TELEPHONE'NUMBER : CELLULAR TELEPHONE:NUMBER ' EMAIL ADDRESS; ;.:
Ursuant to City C ade S on L2 482(h)(i1)(aj A pn ncipal of any,corporation partnership or other entity who appears as a lobbyiy="st o behalrof,that
- entity Hnthoutt`specialEEcompensatio ar reimbursementyfer the appearance whether•�.direct sindirect" contingent toexpress support of;or opposdion�to
an shallregistec 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(if none;write NIA):
Delphine Dray_
: .... • 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
•
. : Page 1of5 - -
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.
Permit and code issues at 1677 Collins Ave.
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 Personnel X
City Commission 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):
$495.00/hour
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The following six(8)questions MUST be answered:
•
1) Pursuant to City•Code:Section 2-488,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues":
.
•
.• _Yes.V 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 :..
s.
Issue . • ... . - • .. .
Yes 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 es: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 No: .Are:You representing:a `.not-for-profit•:corporation or entity without special compensation or:::
reimbursement?
•
•: . 4) Pursuan 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, :• . .
• . .. .. iindirect.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
reimb• ursement.for the appearance; : .
Yesv No: Are.vou: providing only scientific, technical ;or other specialized Mforreatlpa;"'appearing •as a -
•
rep"resentative of a neighborhood association without special compensation Or reimbursement or'
. representing a not- profit based•organlzatton"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:ePeriod of 12 months
:following the swearing in of any elected official(s):forwhom the campaign consultant provided campaign consulting services
within the past election cycle. See Section 2-491 for more information.
Yes /No:.: Have you provided campaign consulting services to an incurnbent:member of the CitY'Commission
- - • :within the past election.cycle?if Yes,please listthe Incumbent members)of the City Commission: - -
•
—� it W
_ _No: • If yes, has l"h`een-lesssthan .7miinth"s sinceMtheYetectedlofficiaf[)whomtvou provided6camPaisin'
— •ca sutti• ngIse vices worn i l
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 .• . .
. 2491) shall disclose such particular service on his/her lobbyist registration form and shall orally disclope such particular• •
service.before lobbying the City Commission•at a public meeting:
' _Yes�.No: . Have you provided campaign consulting services to an incumbent member of the City Commission
Within the nest election cycle?If yes •
,please.11ist the incumbent member(s)of the City Commission:
—Yes_No: .:. If yes, werelya promisedtorti'didsuou reaeivefeconomic `co sideration,in exchange for. campaign
consulting Tserti-c s?- :
..: TO BE COMPLETED BY.CITY CLERK'S:STAFF ONLY
Annual Registration fee::[ ]Yes[.. ]No:. Amount Paid$ ` __._MGR#_ - , :• Date Paid --
`Lobbyist Registration Form,received and verified by _ ..:... :_...: ..•• - ••
•
•
+F:I CI.ER\SALL\aFORMS\LOBBYIST`FORM5 Lcbbyist,RegistrationForniRevised 03-11-20REGd0.:;! . : Revised'03111/2020 : ..
Page3of5
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.. 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 COMPENSAT •N DURING THE REPORTING PERIOD?''
.: Signature of Lobbyist: d -� .. Date;11/23/22 .. •
I do soleinnly 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 rting:requirements. :
Signature of Lobbyist: • Date 11/23/22
: Signature of Princi al; . � '
9 p ,. : .... Date I i• .I- : :20 7Z-
••
VII: NOTAR 6 :URE AND SEAL: .
LOBBYIST.:• . PRINCIP
Florida •State of State:of �n '
Miami-Dade •• � ^^
County.of: . County of: v`l�� • .
Sworn to(or affirmed)and subscribed before me, Sworn.to affirrried)and subscribed before me,
. ':by means:of 0 physical presence.. . .. ' • • by means of hysical presence' •
ot•Ercinline notarization,, :; : or 0 online notariization,: �4
'• this - day of . b J • �r :�2022, by this day of •• :DISK ._ ,20Z2by
:::Ian DeMello, Esq.:: �C ��=�..
NAME OF LOBBYIST
NAME OF PRINCIPAL
__Produced ID '
^Produced ID
•
FORM OF.IDENTIFICATION : FORM OF IDENTIFICATION
.. V'TPersona K own . : • Personally Known
qrX
c
Signature of Notary Public Signature.of:Notary Public c.' . . : .
e, :•. . .
���0 -:: i. , : •
:: ::.
Name of Notary,Typed, Printed or Stamped Name of Notary;Ty.ed,'Pit te. o =d •
r _ NA GOME
(N TA' .S�la}y Politic State of Florida } Publliic••State of Florida '(NOT I N Notary
Mu,* Cantitlo : ` ;.
My Gommi ion HH 283370: e; Commission x HH I399423
III ".?oF. My Comm.Expires Mar 14,20Z6,
Expires 71+gtpp26 • ,Bonded through National Notary Assn.
The ter In. . p owing persons;
i.
Expert witnesses who provide only scientific,technical or other specialized information or,testimonyin 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' . •
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: . .: .: V—\IsAM. . 1. EACH .: ; ..
City of Miumi Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,www.rniamibeachfl,gov
Office of the City.Clerk : -.::
Rafael E.Granado, City Clerk � ::• : ::• :.: CityClerk@miamibeachFl.gov
• - . ' ' Tel:.305:673.741.1 Fax:305.673:7254 • - • • • -
.
NAME OF LOBBYIST: Ian DeMello.;Esq,
: .. . 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 le.day shall be assessed for Statements filed after thee:
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
'eeeeited fines.efter.notification.. .,::
Any lobbyist, who.fails:to :file the required:Statement by:AO! 301h of each year,;.shall be
• automatically suspended from lobbyinguntil_:all fines are _aid,: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 : i
-- 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 l 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 (lerk.
•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. ..
• . . ... —__M-77 , . .
11/23/22 ..
:: Signature of Lobbyist- . .. . : . . . : . .. •: Date. . : . : . .•- . •. . . . .. • . ..
F:ICLERiSALL1aFORMSILOBBYIST:FORMSLLabbylst Registrellon Form Reylsed 03-11-20 REG doc '
. - .... Page 6 of 5
MBF
City Hall
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