Max Losner - Ihab Osman G
tv\I AM I B A H OC1 26 242z
office of the City Clerk EACH
1700 Convention Center Drive Ip,Nll 8 RK
Miami Beach,FL 33139 Or( OF NE3 GIN cLE
411
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 hes 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 an each specific issue.
I. LOBBYIST INFORMATION:
Losner, Max
NAME OF LOBBYIST (Last) (First) (Middle Name)
Becker&Poliakoff, P.A., 121 Alhambra Plaza, 10th Floor, Coral Gables, FL 33134
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zrp Cade)
(305)260-1049 (305)878-2090 Mlosner@beckerlawyers.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Osman, Ihab
NAME OF PRINCIPAL (Lest) (First) (Middle Name)
Ross&Baruzzini, Inc. 201 Alhambra Circle,suite 900, Coral Gables, FL 33134
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(800)404-7677 n/a iosman@rossbar.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
•ursuant{Di 7(d?�J E si rxl (h 1)(6): A pwnclpel of i ram corps on,p- e rp,Q 1 er = ti"2 appears Ma eliSof ail babel/OM
fluty,without special compensation C?relm ursenrent for the appearance,whether direct :, ,•.a.or contingent,to express supl or cppoattipn t•
gn Item shall rgtsr withZtf jerk as regui 4 by la su _ hJETJT I *.Wri'••to Pay any Mg t
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2-482(c): ` GI
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(If none,write WA): `� v�1
• NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP lNTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST(if none,write WA): D P . ko 6S, u&
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.
Contract negotiations- CCNA Contract NO. 2020-096-ND for Security and Safety Engineering
IV.CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to CityCode Section 2-482 a 4 list the CityCommissioner 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
Aline T. Hudak n/a X
Lester Sola 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):
$3,500 a month
Page 2 of 5
•
The following six(8)questions MUST be answered:
1) Pursuant 'City Code Section 2488,entitled'Prohibited Campaign Contributions By Lobbyists On Procurement Issues":
Yes o: Are you lobbying on a present orirendinir bid for neects.'equipment or services.or on a*resent or
pending award for goods.equipment 9r service?
2) Pursuant to City Code Section 2490,entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development
Issues":
_Yes VNo: Are you lobbying on a pendina•apalleatlon for a Development Agreement with the Cliv 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 as required by this section,but shall not be required to pay any registration fees.
_Yes No: Are you .representing a notdorcroflt cornoratlon or entity without special commiseration 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
reimburayment for the appearance.
Yea o: Are you providing only scientific: technicai or other specialized Information: appearing as a
representative of a neighborhood association without special compensation or reimbursement or
reprasantinii a net-for-Profit *Weed..orrmnizstlon for the transom Of requesting a Grant without
epeeist conspensation or reimbursement?
5) Pursuant to City Code Section 2491(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/paet election cycle:Sea Section 2-491 for more information.
_Yes G!No: Have you provided campaign consulting services to an incumbent member of the City Commission
within the Peet election cycle?if vee please list the Incumbent members)of the City Commiseion:
.Yes No: v s.has tt teen ass 12 he no?tea "e4 P om + ravi4f
Mai ttnsa iserylcey was sworn n?
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 hislher lobbyist registration form and shall orally disclose such particular
service before lobbying the City Commission at a public meeting.
Yes ZNo: Have you provided campaign cansultlno services to an incumbent member of the City Commission
wiihln the past election cycle?If vas,ptaase liet_the Incumbent member(s)of the City Commission:
_.Yes. o: es. to roc$, ynit
d d v re rive egon is smns(dar on oxphen._ for newsman
„or
TO BE COMPLETED.BY CITY CLERK'S STAFF ONLY
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Page 3 of 5
VI. SIGNATURES UNDER OATH:
I
ON FEBRUARY 28 OF EACH YEAR,EACH LOBBYIST SHAM-SUBMIT TO THE OFFICE OF THE CITY CLERK A
swamp.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 LORRY.A STATEMENT SHALL RE FILED EVEN IF THERE HAS BEEN NO
EX NDITU•E OI COMPENSATION DURING THE REPORTING PERIOD.'
• Signature of Lobbyist: " Date 9/27/2022
1 I do solemnly swear or affirm that all of the foregoing facts,statements,end 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
i the Miami Beach City Code and all reporting requirements.
Signature of Lobbyist: :'%% oats 9/27/2022
Signature of Principal: ///�� C51' Date 7/pZr/�2/ 22
t
i VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST:e`6�' PRINCIPAL
State of f 14�I ``'`x'� I
j state of 15 5 u.1'' 1
County of: Pv a vci County of: \-..)0c n
Sworn to(or treed)and subscribed before me, Sworn to(or a )and subscribed before me,
by means of 04 physical presence by means of I�hysicai presence
or D.�notarizatIp r. n or❑ e notariz lion,
this.. ,dayof.,} X 1bCr 420z�"''by thi day of 20
,20
'!A.>C as nix / a 0 in 01—'0
NAME OFLOSBYIST NAME OF PRINCIPAL
_Produced ID _Produced ID
JFORM OF IOENfIFICATiON 7tflsonally
FORM OF ICENTIFIGITION_je.....E.0
e—nallply Known
/ Known 111/4
Signature of Notary Public • Sirpture of Notary Public ,
Nm, ti Name of Notary.Typed,Printed or Stamped
•.•••., 1?AHIACUSTIS
( COMMISSION 0 NH 000504 (NOTARY SEAL) ��� ��
-1 6� ' IRES:November 4,2024 �gileji�, CASSANDRATHIELE
"..W.;" Banded Thru Notary PrWI Undervrtifers �2:.
wo w .t:•NOTPR 's
r The term lobbyist"specifically excludes the following persons: u SFAL, : Jefferson C0rnty
Expert witnesses who preside only scientific,technical or other specialized information or testimonyrra ' smeetinOMMIbtailia72
only appears as a representative of a neighborhood assodatlon without compensation or reimbursement for the appearance,whether
direst,Indirect or contingent,to express support of or opposition to any Item;and any person Who only appears as a representative of
notdor-profit community based organization for the purpose of fequesting a want without spacial compensation or reimbursement for
the appearance.
Page 4 of 5
`9
MIAMI BEACH
Cep of Miami Beach,1700 Convention Center Drive,Miami Beach,Florida 33139,www.miomiberiehli.gov
Office of the City Clerk
Rafael E.Granada,Ciy Clerk CityClarkOmiamheachfl.gov
{ Tel:305.673.7411,Fox:305.673.7254
NAME OF LOBBYIST: Max Loaner
{
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.
9/27/2022
Signature of Lobbyist Date
c LER%VLL1rtoRMatLoe8YlaT FORMBRalhy4t Rest balm Fenn Ravlxd 03-11-20 REe4oe
Page 5 of 5
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