Russell Galbutm MIAMIBEACH
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.
Galbut Russell
NAME OF LOBBYIST: (Last) (First) (M.I.)
Go Crescent Heights of America 2200 Biscayne Boulevard Miami FL 33137
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 573-4127 (305) 573-8489 rgalbut@crescentheights.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
1100 West Properties, LLC
NAME OF PRINCIPAUCLIENT:
Go Morgans Hotel Group 475 10t" Avenue New York NY 10018
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305-) 674-4848 N/A agalbut@hudcap.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:
IDENTIFY ALL PERSONS HOLDING, DIRECTLY CR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
See Exhibit "A" attached.
II. SPECIFIC LOBBY ISSUE:
Appeal of DRB amended consolidated order 20181 to City Commission
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to City Code Section 2-482(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 IndividuaUTitle B An Financial, Familial or Professional Relationshi
City of Miami Beach Planning Board None
City of Miami Beach Mayor/Commissioners None
City of Miami Beach Committees None
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
No extra compensation for lobbying
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). No extra compensation for lobbying
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 ®No• Are you lobbvina on a present or gendina bid for aoods equipment or services or on a
present or pendina award for Goods, equipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On
Real Estate Development Issues":
^Yes ®No• Are you lobbvina on a gendina application for a Development Aareement with the City or
application for chance of zoning map designation or chance to the Citv's Future Land Use Mag?
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 anot-for-profit corporation or entity without special comaensation or
reimbursement.
V. SIGNATURE UNDER OATH:
Signature of Lobbyist: ussell Galbut E
Signature of Principal/Client: E
A AI. Gelb a ident of 1100 West oldings, LLC, Manager of 1100
West Properties, LLC
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
^ Produced ID ^ Produced ID
Form of Identification Form of Identification
® Personally known (Lobbyist) Personally known (Principal) ,~~~gHI111111t
VII. SIGNATURE AND STAMP OF/N~O~T~ARY:
State of~, County of • HN-li ~ IJA~do
Sworn to and su scribed before me
fhi~(~ day of , X668 01009
(( ~~ ~ -
Si~nati.~e of Publib N6tary -State of Florida
Notarization of Lobbyist's signature
M.
State of Florida, County of Miami-Dade * ~ ~~0~9 ~~
Sworn o and subscribed before me = ; ~O~
~ N
This da 008 -~ t ~ •
i-~S
9; f
•~ : a~u
ure of Public Notary -State of Florid'iJ~~li~ ••••••••'F
Notarization of Principal's signature ~~iq~„~~?E~~p
TO BE COMPLETED BY CITY CLERK'S USE ONLY
and verlfled by: _
on Form 32708.doc
Mir CorrrN~ion Expires Mar 16, 2011
Commission # DD 644032
Bonded Through Natlonal Notary Assn.
I do solemnly swear that all of the foregoing s are true correct and that I have read or am familiar with the
provisions contained in Section 2-482 of th~',~~cty~pde and all reporting requirements.
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov
CITY CLERK office
Tel: 305.673.7411, Fax: 305.673.7254
LOBBYIST NAME:
Russell Galbut
C ityC IerkCa~ m i a m i beachfl . Uov
I understand that no later than October 1St 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 Office for lobbyist withdrawal in writing.
E
Signature: Russell Galbut
U~ b p `~
Date:
MIADOCS 3130691 1
1100 WEST ~,~tOPER'~IES. LLC
1100 West Holdings, LLC
{Sole Member of 1100 West Properties, LLC}
475 l Os' Avenue
c% Morgans Hotel Gmup
New York, New York 10016
1100 WEST H LDINGS. LLC
Mondriaa Miami Investment, LLC
475 10"' Avenue
c% Morgans Group, LLC
New York. New York 10018
Sanctuary West Avenue, LLC
c% Hudson Capital
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
MONDRIAN IM MIA INVE3TMENT. LLC
Morgans Group, LLC
475 l Os' Avenue
New Yorlr, New York 10018
MO~GANS GROUP LLC
Morgans Hotel Group Co.
475 10"' Avenue
New York, New York 10018
Residual Hotel Interest LLC
c% 475 l Os' Avenue
New York, New York 10018
11~+ ORGANS HOTEL GROUP CO
Morgans Hotel Group Co, is a publicly held corporation
100%
50°~
50%
100%
97.I%
2.9% {See attached
flow chart}
M:~uocs ~as+oao t
SANCTUARY WEST AVENUE. LLC
Sanctuary West Holdings, LLC
(Sole Owner of Sanctuary West Avenue, LLC)
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
~-ANCTUARY WEST ~O,~pING8. LLG
Sanctuary West Management, LLC
4770 Biscayne Blvd., Suite 400
Miami, Florida 331.37
Gladys Brownstein
Honey Waldman
AI~CTUARY WEST 1VIANA,~EMENT. LLC
Abraham Galbut & Nancy K. Galbut, his wife
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Keith Merin
do 4770 Hiscayae Hivd., Suite 400
Miami, Florida 33137
Daniel Galbut
c/o 4770 Biscayne 81vd, Suite 400
Miami, Florida 33137
Seth Frohlich & Kimberly Frohlich, his wife
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Robert N. Galbut and Rita Galbut, his wife
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
David Galbut and Gets Galbut, his wife
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Joan Brent
c/o 4770 Biscayne Blvd., Suitc 400
Miami, Florida 33137
~.
100%
95%
2.5%
2.S%
28%
18%
lb%
$%
10%
10%
10%
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