HomeMy WebLinkAboutTab 10 - Lobbyist Registration FormsNote: Annual Registration Fee Effective Through 12/31/2018
(1)
Lobbyist Name:
Print Form
For Office
Use Only:
Check# 300 21
7
57
Receipt# ' fi26o
CITY OF MIAMI
LOBBYIST REGISTRATION FORM
Kasdin, Neisen, O.
(Last Name, First Name, Middle Initial)
Business Phone: 305-982-5629
Business Address: 98 SE 7th Street, Suite 1100, Miami, FL
Email Address. neisen.kasdin@akerman.com
Zip 33131
(2) Principal Represented: MCD Miami, LLC
Business Address: One SE 3rd Ave, Ste. 2110, Miami, FL
Zip 33131
(3). Specific issue lobbyist has been retained to lobby (if representing a corporation, partnership or trust, give business
address of chief officer, partner, or beneficiary of same, and the names and addresses of all persons holding,
directly or indirectly, at least five percent (5%) ownership interest in said corporation, partnership or trust).
Magic City Innovation District entitlement applications and all relevant land use and zoning matters,
(4) Lobbyists shall state the extent of any business association, partnership, or financial relationship with the Mayor,
any member of the City Commission, any member of a City board, the City Manager or a member of the City staff
before whom he or she lobbies, or intends to lobby.
N/A
Lobbyists shall pay all registration fees ($525.00 annually, plus $105.00 for each principal represented and for each issue
a lobbyist has been retained to lobby on behalf of any one principal), and specifically define the issue for which they are
employed. The Clerk shall reject any statement which does not detail the issue for which the lobbyist has been employed.
Each lobbyist shall, within sixty (60) days after registering as a lobbyist, submit to the City Cleric's Office a
certificate of completion of an ethics course offered by the Miami -Dade County Commission on Ethics & Public
.Crust ("Ethics Commission"). Lobbyists who have completed the initial ethics course mandated by the preceding
sentence and have continuously registered as a lobbyist thereafter shall be required to complete a refresher ethics
course offered by the Ethics Commission every two (2) years. Each lobbyist who has completed a refresher ethics
course shall submit a certificate of completion within sixty (60) days after regist * i g as a lobbyist.
I do solemnly swear that all of the foregoing facts are true and correct, and I have�dr am familiar with the provisions
contained in Sections 2-651 through 2-658 of the Miami City Code, as amended.
State of Florida, County of Miami -Dade
w rn to an subscribed before me thi
day of f .Ilti� x.
Lobbyist Signature
Diana Perez -Data
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF233833
Nota or Deputy .� )." Expires 6/8/2019
Office of the City Clerk, 3500 Pan American Drive, Miami, FL 33133 / Phone: (305) 250-5361 / Email: clerks@miamigov.com miamigov.com
Note: Annual Registration Fee Effective Through 12/31/2018
(1)
Lobbyist Name:
Print Form
For Office
Use Only:
Checkli s) 0 7 t .5 5
Receipt#
CITY OF •MIAMI
LOBBYIST REGISTRATION FORM
Crowley HI, T., Spencer
(Last Name, First Name, Middle Initial)
Business Phone: 305-982-5549
Business Address: 98 SE 7th Street, Suite 1100, Miami, FL
Email Address: spencer.crowley@akerman.com
Zip 33131
(2) Principal Represented: MCD Miami, LLC
(3)
Business Address: One SE 3rd Ave, Ste. 2110, Miami, FL
Zip 33131
Specific issue lobbyist has been retained to lobby (if representing a corporation, partnership or trust, give business
address of chief officer, partner, or beneficiary of same, and the names and addresses of all persons holding,
directly or indirectly, at least five percent (5%) ownership interest in said corporation, partnership or trust).
Magic City Innovation District entitlement applications and all relevant land use and zoning matters.
(4) Lobbyists shall state the extent of any business association, partnership, or financial relationship with the Mayor,
any member of the City Commission, any member of a City board, the City Manager or a member of the City staff
before whom he or she lobbies, or intends to lobby.
N/A
Lobbyists shall pay all registration fees ($525.00 annually, plus $105.00 for each principal represented and for each issue
a lobbyist has been retained to lobby on behalf of any one principal), and specifically define the issue for which they are
employed. The Clerk shall reject any statement which does not detail the issue for which the lobbyist has been employed.
Each lobbyist shall, within sixty (60) days after registering as a lobbyist, submit to the City Clerk's Office .r
certificate of completion of an ethics course offered by the Miami -Dade County Commission on Ethics & Public
"Trust ("Ethics Commission"), Lobbyists who have completed the initial ethics course mandated by the preceding
sentence and have continuously registered as a lobbyist thereafter shall be required to complete a refresher ethics
course offered by the Ethics Commission every two (2) years. Each lobbyist who has completed a refresher ethics
course shall submit a certificate of completion within sixty (60) days after registering as a lobbyist.
I do solemnly swear that all of the foregoing facts are t. re and correct, nd I h read or a familiar with the provisions
contained in Sections 2-651 through 2-658 of the MiamTGit3-CCQde, as mend.
State of Florida, County of Miami -Da
Shorn to ands ..bscribed before me j
day of ,
Diana Perez-Gata
NOTARY PUBLIC
STATE OF FLORIDA
Comm# FF233833
Expires 0/8/2019
Notary o o uty Clerk
Office of the City Clerk, 3500 Pan American Drive, Miami, FL 33133 / Phone: (305) 250-5361 / Email: clerks@miamigov.com rniamigov.com
CITY OF MIAMI
Office of the City Clerk, 3500 Pan American Drive, Miami, FL 3
LOBBYIST REGISTRATION
(i) Lobbyist Name: Neil Fairman
For Office Check#
Use Only:
Receipt#
Ethics Certificate
Phone: (305) 250-5360
Last Name. First Name, Middle lnitial
Business Phone: 954-630-8880
Business Address 1 SE 3rd Avenue, Suite 2110, Miami, Florida zip 33131
E-Mail Address nfairmangplazaequity.com
(2) Principal Represented Nei1 Fairman, Partner
(3)
Principal's Business Address same As Above
Zip
(If different from above)
Specific issue lobbyist has been retained to lobby (if representing a corporation, partnership or tnist, give business
address of chief officer, partner, or beneficiary of same, and the names and addresses of all persons holding,
directly or indirectly, at least five percent (5%) ownership interest in said corporation, partnership or trust).
Magic City Innovation District Entitlement Rezoning and Magic City Temporary Use Permit Application
(4) Lobbyists shall state the extent of any business association or financial relationship with any member(s) of the
City Commission, any member of City staff before whom he/she lobbies or intends to lobby. (If applicable,
please explain)
None
Lobbyists shall pay all registration fees ($525,00 annually, plus $.1.05.00 for each principal represented and for each issue
a lobbyist has been retained to lobby on behalf of any one principal), and specifically define the issue for which they are
employed.. The Clerk shall reject any statement which does not detail the issue for which the lobbyist has been employed.
L.,:obtoist shall Asa Su Mint a ceshnishate of co napielikin of .isill ethics course ruclusidesel the the Chum hoti.,,
I do solemnly swear that all of the foregoing facts arc true and correct, an
the provisions contained in Sections 2-651 through 2-658 o fl)e
ft
including "annual registration, withdrawal. reporting requiremet ti, det n
l'T
violations and contingency fccs."
State of Florida, County of Miami -Dade
Sworn to and subscribed before me this
day of
fik a .11, 411,- 46116.
KAREN BETH WOODBURY
Notary Public - Stale oi
Commission 0 GG 051489
e My Comm. Expires Mar 18, 2021
d through National Notary Am.
'e read or am familiar with
arni Code, as amended,
xaminations, penalties for
Lobbyist Signature
Notary or Deputy Clerk
Nato. nnmall Pprrictrafinn PricAetivo throorah 1//11 01116.
•
PrintForm
For Office Check/
Use Only:
Receipt/
Ethics Certificate
CITY OF MIAMI
Office of the City Clerk, 3500 Pan American Drive, Miami, FL 33133 Phone: (305) 250-5360
LOBBYIST REGISTRATION
(1) Lobbyist Name: Tony Cho
Last Name, First Name, Middle Initial
Business Phone: 305-571-9991
Business Address 1 SE 3rd Avenue, Suite 2110 zip 33131
E-Mail Address tchogimetrol corn
(2) Principal Represented Tony Cho, Partner
Principal's Business Address Same As Above Zip
(If diffcren above)
(3) Specific issue lobbyist has been retained to lobby (if representing a corporation, partnership or trust, give business
address of chief officer, partner, or beneficiary of same, and the names and addresses of all persons holding,
directly or indirectly, at least five percent (5%) ownership interest in said corporation, partnership or trust).
Magic City Innovation District Entitlement Rezoning and Magic City Temporary Use Permit Application
(4) Lobbyists shall state the extent of any business association or financial relationship with any member(s) of the
City Commission, any member of City staff before whom he/she lobbies or intends to lobby. (If applicable,
please explain)
None
Lobbyists shall pay all registration fees ($525.00 annually, plus $105.00 for each principal represented and for each issue
a lobbyist has been retained to lobby on behalf of any one principal), and specifically define the issue for which they are
employed. The Clerk shall reject any statement which does not detail the issue for which the lobbyist has been employed.
I do solemnly swear that all of the foregoing facts arc true and correct, and I have read or am familiar with
the provisions contained in Sections 2-651 through 2-658 of the City of Miami Code, as amended,
including "annual registration, withdrawal, reporting requirements, definitions, examinations, penalties for
violations and contingency fees."
State of Florida, County of Miami -Dade
Sworn to and subscribed before me this
3 _day of
MELISSA FULGENCIO-NERIS
Nly COMMISSION #FF239334
EXRRES' JUN 10, 2019
Bonfled Mrougn ist [nsurartc,E
Lobb ie Signature
Notary or Deputy Clerk
e: Annual Registration Fee: EfTcctie through 12/31/2016
PrintForm
CITY OF MIAMI
Office of the City Clerk, 3500 Pan American Drive, Miami, FL 33133 Phone: (305) 2 -5360
LOBBYIST REGISTRATION
For Office
Use Only:
Check#
Receipt#
Ethics Certificate
(1) Lobbyist Name: George Helmstetter
Last Name, First Name, Middle Initial
Business Phone: 954-630-8880
Business Address 1 SE 3rd Avenue, Suite 2110, Miami, Florida zip 33131
E-Mail Address Abuins,Zplazaequity.com
(2) Principal Represented George Helmstetter, Partner
(3)
Principal's Business Address Same As Above
Zip
(If different from above)
Specific issue lobbyist has been retained to lobby (if representing a corporation, partnership or trust, give business
address of chief officer, partner, or beneficiary of same, and the names and addresses of all persons holding,
directly or indirectly, at least five percent (5%) ownership interest in said corporation, partnership or trust).
Magic City Innovation District Entitlement Rezoning and Magic City Temporary Use Permit Application
(4) Lobbyists shall state the extent of any business association or financial relationship with any member(s) of the
City Commission, any member of City staff before whom he/she lobbies or intends to lobby. (If applicable,
please explain)
None
Lobbyists shall pay all registration fees ($525.00 annually, plus $105.00 for each principal represented and for each issue
a lobbyist has been retained to lobby on behalf of any one principal), and specifically define the issue for which they are
employed. The Clerk shall reject any statement which does not detail the issue for which the lobbyist has been employed,
a!th-, siG.1* ,;,..Tqni; cki-C:oc,ii, of," [rir.rr'r!r-
r tar, rrr ; -
I do solemnly swear that all of the foregoing facts are true and correct, and I have read or am familiar with
the provisions contained in Sections 2-651 through 2-658 of the City of Miaini Code, as amended,
including "annual registration, withdrawal, reporting requirements, definitions, examinations, penalties for
violations and contingency fees."
State of Florida, County of Miami -Dade
Sworn to and subscribed before me this
day of ° fl 4 ,
KAREN BETH WOODBURY
Notary Public - State of Florid
Commission # GG 051469
My Comm. Expires Mar le, 202
through P4alional Wary
Lobbyist Signature
=
Notary or Deputy Clerk
Note: Annual Registration Fee: Effective through 12/31/2016
Ptint Form
CITY OF MIAMI
Office of the City Clerk, 3500 Pan American Drive, Miami, FL 33133 Phone: (305) 250-5360
LOBBYIST REGISTRATION
For Office
Usc Only:
Check#
Recciptfi
Ethics Certificate
(1) Lobbyist Name: Anthony Burns
Last Name, First Name, Middle Initial
Business Phone: 954-630-8880
Business Address 1 SE 3rd Avenue, Suite 2110, Miami, Florida Zip 33131
E-Mail Address Aburnsavl azaequity .com
(2) Principal Represented Anthony Burns, Partner
(3)
s
Principal's Business AddressSame AAbove
(If different from above)
Zip
Specific issue lobbyist has been retained to lobby (if representing a corporation, partnership or trust, give business
address of chief officer, partner, or beneficiary of same, and the names and addresses of all persons holding,
directly or indirectly, at least five percent (5%) ownership interest in said corporation, partnership or trust).
Magic City Innovation District Entitlement Rezoning and Magic City Temporary Use Permit Application
(4) Lobbyists shall state the extent of any business association or financial relationship with any member(s) of thc
City Commission, any member of City staff before whom he/she lobbies or intends to lobby. (If applicable,
please explain)
None
Lobbyists shall pay all registration fees ($525.00 annually, plus 5105.00 for each principal represented and for each issue
a lobbyist has been retained to lobby on behalf of any one principal), and specifically define the issue for which they are
employed. The Clerk shall reject any statement which does not detail the issue for which the lobbyist has been employed.
1 do solemnly swear that all of the foregoing facts are true and correct, alld I have read or am familiar with
the provisions contained in Sections 2-651 through 2-658 of the Cityof Miami Code, as amended,
including "annual registration, withdrawal, reporting requirements, deft ijo1xaii:iinatins, penalties for
violations and contingency fees."
State of Florida, County of Miami -Dade
Sworn to and subscribed before me this
day of (
41.
KAREN BE ni WOODBURY
'1. Notary Public - State ol Florida
E Commission • GG 051489
My Comm. Expires Mar 18, 2021
rough National Poly
0
/17-1
/Lobbyist Signature
Notary or Deputy Clerk,
Note: Annual Registration Fee: Effective through /2016
,l1F, -41.^ "11.," 4
Print Form
(1)
Use Only:
CITY OF MIAMI
Office of the City Clerk, 3500 Pan American Drive, Miami, FL 33133 Phone: (305) 250-5360
LOBBYIST REGISTRATION
Ethics Certificate
Lobbyist Name: Max Sklar
Last Name, First Namc, Middle Initial
Business Phone: 954-630-08H0
1 SE 3rd Avenue, Suite 2110, Miami,Florida
Business AddressZi
E-Mail Address AburnsCe;plazaequity. corn
(2) Principal Represented Neil Fairman
(3)
Principal's Business Address Same As Above
f different from above
Zip
Specific issue lobbyist has been retained to lobby (if representing a corporation, partnership or trust, give business
address of chief officer, partner, or beneficiary of same, and the names and addresses of all persons holding,
directly or indirectly, at least five percent (5%) ownership interest in said corporation, partnership or trust).
Magic City Innovation District Entitlement Rezoning and Magic City Temporary Use Permit Application
(4) Lobbyists shall state the extent of any business association or financial relationship with any member(s) of the
City Cominission, any member of City staff before whom he/she lobbies or intends to lobby. (If applicable,
please explain)
None
Lobbyists shall pay all registration fees ($525.00 annually, plus $105.00 for each principal represented and for each issue
a lobbyist has been retained to lobby on behalf of any one principal), and specifically define the issue for which they are
employed. The Clerk shall reject any statement which does not detail the issue for which the lobbyist has been employed.
rrintrilWOM EiriICs 1 A ar,i 0,11
I do solemnly swear that all of the foregoing facts are true and correct, and 1 have read or am familiar with
the provisions contained in Sections 2-651 through 2-658 of the City of Miami Code, as amended,
including "annual registration, withdrawal, reporting requirements, definitions, examinations. penalties for
violations and contingency fees."
State of Florida, County of Miami -Dade
Sworn to and subscribed before me this
clay of r
— a — a aaaaa
a a _
KAREN BETH WOODBURY
Notary Public - Stale ol Florida
Commission # GG 051489
My Comm Expires Mar 18, 2021
Boodeci through National Notary Au&
Lobbykt Signature
Notary or Deputy Clerk
Note: Annual Registration Fee: Effective through2 2016
Note: Annual Registration Fee Effective Through 12/31/2018
(1)
Lobbyist Name:
Print Form
For Office
Use Only:
Check# (JO�Z /15 &6-
Receipt# L/ / 2 5 f(
CITY OF MIAMI
LOBBYIST REGISTRATION FORM
Wernick, Steven, J.
(Last Name, First Name, Middle Initial)
Business Phone: 305-982-5579
Business Address: 98 SE 7th Street, Suite 1100, Miami, FL
Email Address; steven.wernlck@akerman.com
(2) Principal Represented: MCD Miami, LLC
zip 33131
Business Address: One SE 3rd Ave, Ste. 2110, Miami, FL
zip 33131
(3) Specific issue lobbyist has been retained to lobby (if representing a corporation, partnership or trust, give business
address of chief officer, partner, or beneficiary of same, and the names and addresses of all persons holding,
directly or indirectly, at least five percent (5%) ownership interest in said corporation, partnership or trust).
Magic City Innovation District entitlement applications and all relevant land use and zoning matters,
(4) Lobbyists shall state the extent of any business association, partnership, or financial relationship with the Mayor,
any member of the City Commission, any member of a City board, the City Manager or a member of the City staff
before whom he or she lobbies, or intends to lobby.
N/A
Lobbyists shall pay all registration fees ($525,00 annually, plus $105,00 for each principal represented and for each issue
a lobbyist has been retained to lobby on behalf of any one principal), and specifically define the issue for which they are
employed. The Clerk shall reject any statement which does not detail the issue for which the lobbyist has been employed,
Each lobbyist shall. within sixty (60) days after registering as a lobbyist, submit to the City Clerk's Office a
certificate of completion of an ethics course offered by the Miami -Dade County Commission on Ethics & Public
Trust ("Ethics Commission"). Lobbyists who have completed the initial ethics course mandated by the preceding
sentence and have continuously registered as a lobbyist thereafter shall he required to complete a refresher ethics
course offered by the Ethics Commission every two (2) years. Each lobbyist who has completed a refresher ethics
course shall submit a certificate of completion within sixty (60) days after registering as a lobbyist.
1 do solemnly swear that all of the foregoing facts are true and correct, and I have read or am familiar with the provisions
contained in Sections 2-651 through 2-658 of the Miami City Code, as amended.
BUSUVNEY M. SAINZ
MY COMMISSION # FF 919693
EXPIRES: December 21, 2018
Thru Notary Public Underwdter
State of Florida, County of Miami -Dade
Sworn to and subscribed before me this
day of JqV-1,L_AC
Lobbyist Signature
Office of the City Clerk, 3500 Pan American Drive, Miami, FL 33133 / Phone: (305) 250-5361 / Email: clerks@miamigov.com miamigov.com
Registered Lobbyists and Active Issues
Hedrick, Benjamin O.
Address: 98 se 7th street Ste 1100
City : Miami
State : FL
Zip : 33131
Organization
Telephone 3059825564 Fax:
Email: benjamin.hedrick@akerman.com
Principal Name
MCD Miami LLC
Issue Description
Annual Lobbyist Registration Fee
Magic city innovation district entitlement
applications and all relevant land use and
zoning matters.
Registration
Date
01/09/2018
01/09/2018
Amount Payment Comments
$525.00 30021543
$105.00 30021570
Page 1 of 1 Printed On 1/10/2018 3:30:09 PM