Jessica Browdy - Jessica Browdy RECEIVED
Office of the City Clerk 0 C T 13 2022
1700 Convention Center Drive
Miami Beach, FL 33139 CITY OF MIAMI BEACH
305.673.7411 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: •
Browdy,Jessica
NAME OF LOBBYIST (Last) (First) (Middle Name)
XI LLC c/o Jessica Browdy. One SW Third Ave, Suite 2250, Miami FL 33131
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
786-877-2884• jessica@jkellyadvisors.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Browdy,Jessica
NAN E OF PRINCIPAL (Last) (First) (Middle Name)
XI,LLC One SW Third Ave,Suite 2250,Miami,FL 33131
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)•
786-877-2884 jessica@jkellyadvisors.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
•
Pursuant in(ft Code Section 2-482(h)(1 Q principal CfilegV corporation, partnership,Cpcag700f2110... m a lobbyist m l 62t (
entity,MOIR compe sationcp reimbursement for Qibi -p,ea - '-,whe er drizi111,indirect,Cp contingent,'Pp ex`resssubdortd2CPobaositionft,
an item shall register with the Clerk as required by this subsection but shall not be required to.ay an 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): 5�if �' r''''! '
• 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): See organization chart attached
Trustee of the Haudenosaunee Trust u/t/d December 18,2017
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Page 1 of 5
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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.
Approvals for 5446 N Bay Rd, Miami Beach, FL
DiQ5 ,P; /e, A)a 142-
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
Mayor&Staff N/A X
Commissioners&Staff N/A X
City Officials&Staff N/A X
Design Review Board Members 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):
No additional compensation
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 XNo: If yd'esRhaslltibe��le"gsTthan1F12Tmbnth`s7sincelithWieetedro`fci`a1(s)Iwhom you provided campaign
consulting services was sworn in+ ��
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:
_Yes XNo: If yes, were you promised ordid you receive economic consideration in exchange for campaiq
consulting sencices, �� �� �— - —
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee:>91:es( ]No Amount Paid$ SO'0") // f MCR# {/C7 Date Paid / °08/a:
r
Lobbyist Registration Form received and verified by: J_e_ J v
• r a'4 f.ER .At.L WORMS4r-F7e ST FORMS\LOtrylat Registration Farm Rel.ised c -1t-2O REEVA Revised 03/11./2020
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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 COMPENSATION DURING THE REPORTING PERIOD.' •
I
Signature of Lobbyist: Date FS {15 14:7—
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 C de and all repo "requirements.
Signature of Lobbyist: `--" Date 1 15 /2_2-,.
Signature of Principal: l Date 8 I 1. 12Z
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VII. NOTARY SIGNATURE AND SEAL:
•
LOBBYIST: • PRINCIPAL
State of F Q -1 o P` State of FL L . t O
County of: ?A1.M SN- County of: P Aa--I'll g G Q CAA
Sworn to(or affirmed)and subscribed before me., Sworn to(or affirmed)and subscribed before me,
by means of Lhysical presence by means of❑p ysical presence
or 0 online notarization, or El online notarization, •
this k 5 day of Pint,LA ST • ;20 22Tby this 25 day of P k-I-O S , 202.2,.by
J' 6S1 (-P 1C2J 1 w o`-(' j'ES5\ P. 1?:9 12)W D`{
NAME OF LOBBYIST - NAME OF PRINCIPAL
•`� �
'VC Produced ID j( iJ r)\r(A C�'1 Produced ID c( Li Cevi c
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
_Per nally Known _Pers Ily Known
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Sig ture of Notary Public • Signat of Notary Public
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•` ...W �t (otary, Typed, Printed or Stamped Name of Notary, Tx4 'PJi or Stamped
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"•,tom try lob st specifically excludes the following persons: •
•
.,�4OU FL0 10Po.•`. �J,•\ • •••.
Lixo nlRlesses who provide only scientific,technical or other specialized information oi'.� ip. • etings;any person who
only appears as a representative of a neighborhood association without compensation or#% nIiiirspa� .j• 'the appearance,whether
direct, indirect or contingent, to express support of or opposition to any item; and any person�IMtniewir%pears 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. ,
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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 CityClerkemiamibeachfl.gov
Tel: 305.673.7411, Fax: 305.673.7254
NAME OF LOBBYIST: J�SS� �-P C wDY
• 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
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
SI (SI ()--z
Si nature of Lobbyi Date
F:ICLERI$ALL1aFORMSILOBBYIST FORMSILobbylst Registration Form Revised 03-11-20 REG.doc
• Page5of5
Arturo J.Aballi
Hendrik G.:Milne
CraigP.:Kalil
Joshua D:Poye'r
Renee D.Tischle►
Shareholders •
Aballi Milne Kahl,P.A.
a Florida Professional
Corporation
Sole Member of Sole Admin
L.L.C.
Sole Admin L:L.C.>'a Florida.
Liniiited.Liabili'ty Conipany-
:Manager of South Florida
Consolidated Holdings LLC
SOUTH FLORIDA•
CONSOLIDATED
HOLDINGS LLC
a Florida Limited`Liability.
,Company
Sole Admin.L.L.C.
Manager of XI LLC
XI LLC`
.a Florida Limited
Liability Company
XI LLC, Florida;Limited Liability Company as
Trustee.'of the IlAUDENOSAUNEETRUST
u/t/d December 18, 2017
1
5466 North BayRd.,
Miami Beach,FL 331.49.
LIMITED POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS,that CRAIG P.KALIL as the Manager of SOLE ADMIN L.L.C.,
in its capacity as Manager of XI LLC, as Trustee of the Haudenosaunec Trust u/t/d December 18, 2017
(hereinafter referred to as the"Trustee"),and by these presents does hereby make,constitute and appoint,Jessica
K.Browdy,President of J Kelly Advisors,Inc.,a Florida corporation,an authorized signatory of the Company for the
specific purpose of executing any Land Use Board Applications and associated necessary documents for the purpose
of submitting and progressing an application before.the Miami Beach Planning Department, under Pile Number
DRB22=0877 seeking a variance for the real property located at 5446 N.Bay Road,Miami Beach,Florida 33140,(the
"Property")and in connection specifically therewith appointing her as the true and lawful Authorized Representative
of the Company,however this Limited Power of Attorney shall not confer any right to sell,convey,mortgage or
otherwise encumber the Property or the assets of the corporation or the Trustee.
This Power of Attorney shall remain in full force and effect until such time as expressly revoked by the
Trustee or surrendered by the Attorney-in-Fact.
IN WITNESS WHEREOF, I have hereunto set my hand and seal this 12th day of August,2022.
Signed,sealed and delivered in
the presence 9f: ,
Witn e XI LLC,as Trustee of the Haudenosaunee Trust
• u/t/d December 18,2017
Print ime: 1VtaN V O/
By: SOL PMIN L.L.G.,Manager
Prim Name: ( a , ger .
STATE OF FLORIDA )
)SS:
COUNTY OF MIAMI-DADE )
The foregoing instrument was acknowledged before me by means of physical presence,this 12th day of August,
2022 by CRAIG P.KALIL in his capacity as Manager of SOLE ADMIN I .L.C.,Manager of XI LLC,as Trustee
of the Haudenosaunee Trust u/t/d December 18,2017,and who is personally known to me.
•
NOTARY PUBLI ,St to of Florida
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Miami Beach , FL 33139 o' = " . W.-
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