Jordan Rinzlerl~~ ~ ~:~~~hn~t ~~
m 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, deasion or
recommendation of any aty 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 aty bond or
committee. The term specifically includes the principal as well as any employee engaged in lobbying activities. The
bean "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Rinzler Jordan
NAME OF LOBBYIST: (Last) (First) (M.I.)
c/o Automotion Parking Systems, LCC 411 West Hempstead Turnpike Hempstead, New York 11552
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(516) 656-5600 (516) 977-3347 jordanr@automotionparking.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
IC, LLC
NAME OF PRINCIPAUCLIENT:
IC, LLC 2200 Biscayne Boulevard Miami FL 33137
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 374-5700 (305) 847-3354 mkramer@crescentheights.com
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
section if principal is a Corporation, Partnership or Trust
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Russell W. Galbut and Irving
Cowan
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
Russell W. Galbut (50%), Managing Member
Irving Cowan (50%), Managing Member
SPECIFIC LOBBY ISSUE:
Conditional Use Approval (1) to permit the use of a robotic parking system in a commercial main use parking
garage at 1826 Collins Avenue, which incudes a restaurant within the commercial space; and (2) to operate the
garage after midnight.
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to City Code Section 2-482(g) incude 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 Fnnanclal, Familial or Professional Relationshi
City of Miami Beach Planning Board None
City of Miami Beach Planning Staff None
City of Miami Beach Mayor/Commissioners None
City of Miami Beach Committees None
y~
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
LOBBYIST DISCLOSURE: (Required) $0.
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). $0.
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 lobbvina on a present or pendina bid for aoods, equipment or services. or on a
present or pendina award for aoods, 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 pendina application for a Development Aareement with the Citv or
application for chance of zoning map designation or chance to the City'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..
^Yes ®No• Are you representing snot-for-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
PERIOD.
Signature of Lobbyist -Jordan Rinzler
I do solemnly swear that 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 Principal/Client:
VI. LOBBYIST 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
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
1~' Personally known (Principal)
State of Florida, Coun
Sworn to and su scrib a DAYAMIAGUiAR
Thi day of PuDNC -State of FloriCa
_ ~ onrNSaiun Expires Mar t6, 2011
Commission # DD 644032
Si atur of Public o -' 3NNotaryAasn.
Notarization of Principa s signa
- TO BE COMPLETED BY CITY CLERK'S , S Y.
Annual Registration fee: [ ]Yes [ ] No Amount Paid ~ MCR # S ate Paid
Lobbyist Registration Foam received and verlfled by:
F:\CLER\LOBBYISTLobbvist Res~istration Form 32708.doc ~~ "~ Revised 3/27/2008
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
LOBBYIST DISCLOSURE: (Required) $0.
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). $0.
The following information must be answered:
1) Pursuant to Miami Beach City Code Sedion 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
^Yes 6a No: Are you lobbvina on a aresent or aendina bid for goods, eauinment or services. or on a
present or oendins~ award for snoods. eauinment 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 uendina aDDlication for a Develoament Agreement with the City or
~Dlication for chans~e of zoning map desis>nation or chansle to the Citv's Future Land Use MaD?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist" as set forth in Sedion 2-481 above) who only appears as a representative of snot-for-profd
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 ~ No: Are you rearesentins~ a not-for-Drofit comoration or entity without special comaensation or
reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1't OF EACH YEAR. EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A .SIGNED
STATEMENT UNDER OATH. LISTING LOBBYING EXPENDITURES. AS WELL AS COMPENSATION
RECEIVED IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL
BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR SOMPEN9ATION DURING THE REPORTING
PERIOD. ~\ ~ ,~ ~
I do solemnly swear that all of the forego
provisions contained in Section 2-482 of th
Signature of Lobbyist:
Signature of Principal/Client. ~\"
Russell W.
VI. LOBBYIST IDENTIFICATION:
Signature o'ta gpbbyist -Jordan Rinzler
fads true and oorred arlC~ that I have read or am familiar with the
liami a ch City Code and all reporting requirements.
as Managing Member of IC, 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~~y of,,,~it~, 200x1
Siture o`f Publi~fVotary -State of Florida
No rization of Lobbyist's signature
^ Produced ID
Form of Identification
^ Personally known (Principal)
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 Principal's signature
TO BE COMPLETED BY CITY CLERK'S USE LY_
Annual Registration fee: [ ]Yes [ ] No Amount Pald; MCR ~; ' Date Pald
Lobbyist Registration Form received and verlfled by:
F:\CLER\LOBBYISlILobb ist R istration Form 32708.doc Revised 03/27/2008
JO LYNN GRILL
Notary Public, State of New York
No. 01 GR6108467
Qualified in Nassau County
Commission Expires April 19.20
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov
CITY CLERK office CitvClerkCa~miamibeachfl.gov
Tel: 305.673.7411, Fax: 305.673.7254
LOBBYIST NAME:
Jordan Rinzler
I understand that no later than October 1" of each veer, 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 lokbyist withdrawal in writing.
~- Zc~d y
Date: