Phillip Sylvester/Rok, LLCm MIAMIBEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
~~~~~
2009 NOV 2 I PM 4: 4~
i:l r ~' C! ~~ti'S UH=F I(;
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.
Sylvester Phillip
NAME OF LOBBYIST: (Last) (First) (M.I.)
3801 Collins Avenue Miami Beach, FL 33140
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(312) 718-0000 (305) 531-1239 OPSO47 aol com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
Rok, LLC
NAME OF PRINCIPAUCLIENT:
Rokbar 1905 Collins Avenue Miami Beach, FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(312) 718-0000 (305) 531-1239 OPSO47 aol com
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
out this section if princpal is a Corporation, Partnership or Trust [Section 2-482 (c)]
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Phillip Sylvester, Manager
IDENTIFY ALL PERSONS HOLDING, DIRECTLY CR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
Phillip Sylvester (100%), Manager and Member
SPECIFIC LOBBY ISSUE:
Modification of Conditional Use Permit for the property located at 1905-1921 Collins Avenue.
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to City Code Section 2-4$2(g) include a
statement of the extent of any business, financial, familial, professional or other relationship, giving rise to an
appearance of an impropriety, with any City personnel sought to be lobbied; further, pursuant to City Code Section 2-
482(a)(4) include a statement of any contractual relationship (paid or unpaid) from 12 months preceding the
commencement of service of City personnel to be lobbied.)
A) Full Name of Individual/Title B) An Financial, Familial or Professional Relationship
City of Miami Beach Planning Board None
City of Miami Beach Planning Staff None
City of Miami Beach Mayor/Commissioners None
MIADOCS 3142023 1
ti~
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) No additional compensation for lobbying.
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): ~-
(Required). No additional com ensation for lobb in ~~ (~(~, 1 ," ~O `,(8y
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":
^Yes 6a No: Are you lobbving on a present or pending bid for goods equipment or services or on a
present or pendmg award for Goods equipment or service
2) Pursuant to Miami Beach City Code 2-49G Entitled "Prohibited Campaign Contributions By Lobbyists On
Real Estate Development Issues":
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..
^Yes 6a No: Are you representing snot-for-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1g` OF EACH YFOR FOC^H i nRRVicT cunt I CIIQIIAIT Tn TuC nor.. ..~ ~",. ,,..,..~..
Signature of Lobbyist:
Signature of Principal/Client: ~
~hillip~
VI. LOBBYIST IDENTIFICATION:
Personally known (Lobbyist)
rand Member of Rok, LLC
PRINCIPAL IDENTIFICATION:
Personally known (Principal)
MIADOCS 3142023 1
I do solemnly swear that all of the foregoing f is are true and correct and that I have read or am familiar with the
provisions contained in Section 2-482 of the~Ai~hY~~~i~r Code and all reporting requirements.
?~ MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl aov
CITY CLERK office CitvClerkCcr~miamibeachfl aov
Tel: 305.673.7411, Fax: 305.673.7254
Phillip Sylvester
LOBBYIST NAME:
I understand that no later than October 1$` of each vear, I must file the following forms, pursuant to Section 2-485 of
the Miami Beach City Code, with the City Clerk's Office for all active lobbying issues.
1) Lobbyist Expenditure Form
2) Disclosure Form
Failure to file these forms on a timely basis will result in my name being transmitted to the Miami-Dade County
Commission on Ethics and for code violation evaluation.
In addition, once an issue I have registered to lobby on has been resolved, I am required to immediately notify the
City Clerk's ffice for lobbyist withdrawal in writing.
fig a r : fillip Sy vester /` ~ QG ~
Date:
MIADOCS 3142023 1