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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