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Max Wolfe Sturman/TBS REalty, LLC Tudor South BeachQ? MJAMIBEACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 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 bond or committee. The term specifically includes the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. Sturman Max Wolfe NAME OF LOBBYIST: (Last) (First) (M.I.) Max Wolfe Sturman Architect, Inc. 2997 Day Avenue Coconut Grove, FL 33133 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 441-1171 N/A maxwolfe@aol. com TELEPHONE NUMBER: FAX NUMBER: EMAIL: LOBBYIST RETAINED BY: TBS Realty, LLC; Tudor South Beach Resort Condominium, Inc.; and Tudor South Beach Resort-North Condominium, Inc. NAME OF PRINCIPAUCLIENT: 1111 & 1119 Collins Avenue Miami Beach, FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (212) 474-9845 N/A jstein@hh-r.com TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Jay Stein IDENTIFY ALL PERSONS HOLDING, DIRECTLY CR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Exhibit "A" attached. c~ *~ 0 II. SPECIFIC LOBBY ISSUE: --~r ~ -< <~t Modification to Certificate of Appropriateness/Construction of New ADA Ramp ~ © i~1`i Issue to be lobbied (Describe in detail): ;-, ~' N S III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to City Code Section 2-482(8) inc~de a~ statement of the extent of any business, financial, familial, professional or other relationship, givir~-,rise~o ar,~ appearance of an impropriety, with any City personnel sought to be lobbied; further, pursuant to City Co Se~bn 2'°~-~ 482(a)(4) include a statement of any contractual relationship (paid or unpaid) from 12 months p~edjnq the"` commencement of service of City personnel to be lobbied.) , , N A) Full Name of Individual/Title B) An Financial, Familial or Profe ~ r#a a t' i City of Miami Beach Planning Board None `~ City of Miami Beach Mayor/Commissioners None z 1 :~~ ~~ z ~ AQN Cit of Miami Beach Committees None l~ ~ / 1 I ..,r .,~ .. MIADOCS 3139433 1 ~.~~ oo~ ~ 5~ IY. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) Hou - 3185.00 B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Houry 3185 00 The following infomnation must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development issues': j,~Yes ®No Are you lobb-rina on a aendinst apaucation far a Devebpment Agreement with the City or ~pptl^stio.^ for chance of zoning m~ tiesiortwtion or chancQ to the Citv's Future land Use Map? 3) Pursuant to Miami Beach Gity Code 2ai84 (h) Any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481 above) who only appears as a representative of a not-for-profit corporation or entity without specal compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or apposition to any item, shall register witl~ the Berk as required by this section but, shah not be required to pay any n3gisbration fees.. ^Yoe ~' .Jo ,,1~[g vp~,~aresenttnst a not for-{~,rofit cora„gration or gnti~without special comaensation or reimtwrsement. Y. SIGNATURE UNDER OATH: Signature of Lobbyist: ~`~~ Signature of Princ~aUCkent: VI, LOBBYIST IDENTIFICATION: ^ PrCldflfC~KI~LI,,~,~A~OFFLORIDA !i ~a~ ,~r~t Commission ~~ 2011 ® Pen4 ~;ri6ii~~~ ©~o., ~tsc. p+F~Td~tSA 7~~ VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Sworn to and subscri before me This •,~,- day a 2008, ~I t S fir-' En lire of Public Notary -Stets of Florida Notarization of ~~.obbvist's signature PRINCIPAL IDENTiFiCAT10N: ^ Produced tD Form of Identification ^ Personally known (Principal) State of Florida, County of Miami-Dade Sworn to and subscribed before me This „day of , 2008 Signature of Pubik: Notary , State of Florida Notarization of ~r~ipai's signature TO BE COMPLETED BY CITY CLERK'S USE ONLY Annual RepNtratlon too: [ ] Yas [ ] No Amount Paid MGR i; Doh Pah 4obbybt RaQbtration Fom1 receMad end wriNad by: F.ICLERtLO86YIST\L tat R istralion Form 32708.doC RsYhad 03t2trY00s S~ lItAM/`Q 4i9QA4Q 1 I do solemnly swear that al! of the foregoing facts are true and correct and that I have read or am familiar with the provisions cxtntained in Section 2-48 Miami Beach City Cods and aN reporting requirements. IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": L]Yes ®No: Are you lobbvina on a present or pending bid for goods eauipment or services, or one press t or pending award for Goods eauli,ment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Gontributions By Lobbyists On Real Estate Development Issues": ^Yes ~ No• Are you lobbvtng on a pending A^^lication for a Development Agreement with the City or application for chance of zoning map designation or chance to th® Cltv's Future Land Use Map? 3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481 above) who only appears as a representative of anot-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 clerk as required by this section but, shall not be required to pay any registration fees.. I-lYes lRl No: Are you representing anot-for-profit corporation or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: I do solemnly swear that aEl of the foregoing facts are true and correct and that I have read or am familiar with the provisions contained In Section 2-482 of the Miami Beach Cily Code and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: Jay Ste So VI. LOBBYIST IDENTIFICATION: jC. behalf of Tudor South Beach Resort Condominium Assn Resod-North Condominium Association, Inc. PRINCIPAL IDENTIFICATION: ^ Produced ID Form of Identification ® Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Sworn to and subscribed before me This ~ day of , 2008 Signature of Public Notary -State of Florida Notarization of Lobbyist's signature tAbbyist Registration Form received and verified by: F•~c~ER\~OBBYIST1Lo66vist Realstratron Form 327o8.d ^ Produced ID Form of Identification ® Personally known (Principal) State of New. York, County of New York Sworn to and subscrib~e~d~be~fere me This ~ day of In o yiWa'_008 Signature Public No t o Notarization of PrtMa i~l~a~ of New York o. tAH6 38953 BY CITY CLERK'S USE ONLGPmmission Exptres March 20,~p MIADOCS 2973020 1 The following information must be answered: Signature of Lobbyist IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR DTHER): A) LOIl,BB__YIST DISCLOSURE: (Required) 1rT'y~le- ~~ .. ~ ~ ~ . CC> B) PRINCIPA_ 4'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). J~. ~•. - .A t SrS . The following Information must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": I'7Yes ®N • Are you lobbying on a present or pendinrt bid for Goods equipment or services or on a pn~se try or pending award for Goods, equipment or service? 2) Pursuant to Mlami Beach City Code 2-490 Entitled 'Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": j]Yes 6a No• Are you lobbying on a pending appllcatio f r a Develo ment A reement with the City or application for chance of zoning map designat[on_or chance to the City's Future Land Use Man? 3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "IobbyisY' as set forth in Section 2-481 above) who only appears as a representative of snot-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 clerk as requlred by this section but, shall not be required to pay any registration fees.. C-lYes ®No: Are you representinst snot-for-profit corporation or entity without special compensatlon or reimbursement. V. SIGNATURE UNDER OATH: PERIOD. Signature of Lobbyist I do solemnly swear tl~at all of the foregoing facts are true and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami Beach City Code and all reporting requirements. Signature of Lobbyist: Signature of PrincipallClient: Kapmaer F'al 51ngn on VI. LOBBYIST IDENTIFICATION: ^ Produced ID Form of Identification of TBS Realty, LLC ' PRINCIPAL IDENTIFICATION: ^ Produced ID Form of identification ® Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Swom to and subscribed before me This _ day of , 2008 Signature of Public Notary -State of Florida Notarization of Lobbyist's signature [~, Personally known (Principal) State of New York, County of New York Swom to and subscribed before me This ~ day of , 20 ~ V +~ / Signature of Public Notary e~ ~ E`D Notarization of Princid~ttartfi~gilW'ditate of New York No. o-aAHl;838953 TO BE COMPLETED BY CITY CLERK'S USE ONLY Commission Expires March 20,1)!~ Annual Realstratlon fee: [ ]Yes [ ] No Amount Pald i MCR # S Date Paid Lobbylat Reptatration Farm received end verified by: F:ICLERILOBBYIS71Lobbyist Registration Form 32708.dnc Revlaed 03/27/2D08 MIADOCS 29728841 OWNERSHIP STRUCTURE CHART -TBS REALTY, LLC PARDAMAN K. VNEK CHATWAL CHATWAL Member Member 50% \ 25% ~ 25% v>xRAM CHATWAL Member Chatwal Family, LLC (NY Limited Liability Company) Sant Chatwal -Sole Manager 100% Channel Properties, LLC (NY Limited Liability Company) Pardaman K Chatwal -Sole Manager 100% owner TBS Hotel Management Corp. (FL Corporation) Rabinder Pal Singh -Vice President of the Corp. Manager Member 1 % interest 99% interest TBS Realty, LLC FL Limited Liability Company Rabinder Pal Singh -Vice President of the rrr MIADOCS 3009786 1 C7 ~ ~ ~ y: .:,: ~ Gp, C? a ~ ~ ~D ~~ ~.~ ~~~ ~« ~ v~~'~ 3 ~ ~ o ~~ ~~ ' ~ ~ ~ -~ ~ ~r ~ c~ ~ C) ~ ~ ~ ~ ~ ~ O ~~ ~ ~ ~ ~ ~~ ~ cD a' N ~ cD O ?CMG ~ -s Q. ~ ~" 3 ~ CD ~ ~' ~' ~ ,~ .~ ~, ~ i ~ '" . c ~ ca a ?~. ~~• C~emi ~ ~' C ~ ~ ~ ~. ~ ~ ~ ~ a, - ~ ~ ~~ a ~ ~ ~- ~ a~ o ~' ~ ~ ~~ a m ~ ~' ~ ~ ~ ~ 3 vim, ~ c 1 Q + .1 .~ 3 `~ ~ ~ a ~ ~_ ~ CD 0 ~ , ~ ~ ~ a_ ~ '~ c ~ c m ~' .,, Q m O f~ ~ n Cif ~ ~~ r~ ~ ~a ~~ ~~ X W N n m ro n 4 n ~_ 3 S O [~~ 7 v ~~ a w w 3 3 C