Zed CondorousisW RNt% /~ a nr>'>~ ~~S
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, 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.
Condorousis Zed
NAME OF LOBBYIST: (Last) (First) (M.I.)
Boucher Brothers Management 420 Lincoln Road, # 265 Miami Beach, FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 535-8177 (305) 538-3288 Zcon@boucherbrothers. com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
1100 West Properties, LLC
NAME OF PRINCIPAUCLIENT:
c/o Morgans Hotel Group 475 10~h 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:
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See Exhibit "A" attached. .~ ~ ,.~.~
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II. SPECIFIC LOBBY ISSUE: ~~ ~-
~, -~ „~
Miami Beach Marine Authority Board Approval for Wave Runners ~
Issue to be lobbied (Describe in detail): "~
t°> 'c-
.,., O
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to City Code Section 2-482(8) 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 Relationshi
City of Miami Beach Planning Board None
City of Miami Beach Mayor/Commissioners None
City of Miami Beach Committees None
MIADOCS 3366795 1
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
~8~'I t
B) PRINCIPAL'j~~ISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). /~ o-i~t-e.--
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":
^Yss 6a No• Are you lobbvina on a present or pending bid for goods equipment or services or on a
present or pending 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 ba No• Are you lobbvina on a osndina application for a Development Agreement with the Citv or
application for chance of zoning map designation or chance to the Citv'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 opposifion to any item, shall register with the clerk as required by this
section but, shall not be required to pay any registration fees..
DYes ®No• Are you representing a not for profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
I do solemnly swear that all of the
provisions contained in Section 2-4
Signature of Lobbyist: ~
Signature of PrincipaUClient:
id' correct and that 1 have read or am familiar with the
Code and all reporting requirements.
Produced ID r / ~ ~ ^ Produced ID
Form of Identification Form of Identification
® Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
^ Personally known (Principal)
State of Florida, ounty of Miami-Dade
Sworr~ cribed afore me
This fir!;!
State oI Florida
:4etcerNlay 17, 2009
Assn.
Form received aed verlflad
bbvist Registration Form 3271
State of Florida, County of Miami-Dade
Swom to and subscribed before me
This _ day of , 2009
Signature of Public Notary -State of Florida
Notarization of Principal's signature
MIADOCS 33667951
Abraham AI. Galbut, President of 1100 West Moldings, LLC, Manager of 1100
West Properties, LLC
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER}:
A) LO'B`BYIST DISCLOSURE: (Required}
!v $~ 2
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). ~ Uyt_.~..
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "i'rohibited Campaign Contributions By Lobbyists
On Procurement Issues":
^Yes ~ No: Are you lobbying on a present or pending bid for goods equipment or services. or on a
present or pending award for Goods equipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "ProhG:~lted Campaign Contributions By Lobbyists On
Real Estate Development Issues":
^Yes ®No: Are you lobbying on a pending application for a Development Agreement with the City 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 anot-for-profit comoration or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
PERIOD.
Signature of Lobbyist -Zed Condorousis
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 aid all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
West Properties, LLC
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
® Personally known (Lobbyist)
VIl. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This ,day of , 2009
Signature of Public Notary -State of Florida
Notarization of Lobbyist's signature
00 West Holdings, LLC, Manager of 1100
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification ..•••••••~
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Personally known (Principal) 8 ;'Qe-,-'~
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State of Florida, County of Miami-Dade
Swo t and subs ribed before me
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Signatur ub N ary - ate f or a ~ c ~ ~
;; ion of Principal's signature q ~, u,
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TO BE COMPLETED BY CITY CLERF: S USE ONLY
Annual Registration fee: j ]Yes [ ] No Amount Pald; MCR ~ S Date Paid
Lobbyist Registration Form received and verKled by:
F:\CLERILOBBYISIIIobbyist Re~tration Form 32708.doc Revised 03/27 008
MIADOCS 3366795 1
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, F-orida 33139, www.miamibeachfl.gov
CITY CLERK office
Tel: 305.673.7411, Fax: 305.673.7254
CityC Jerk@m iami beachfl. qov
LOBBYIST NAME: Zed Condorousis
t understand that no later than ~gber 1" of eac~i vgar, 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 registe lobby on has been resolved, I am n3quired to immediately notify the
City Clerk's Office for lobbyist withdra n writing.
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MIADOCS 33667951
1100 WEST PROPERTIES ,LLC
OWNERSHIP STRUCTURE
1100 WEST PROPERTIES, LLC
1100 West Holdings, LLC 100%
(Sole Member of 1100 West Properties, LLC)
475 10`h Avenue
c/o Morgans Hotel Group
New York, New York 10018
1100 WEST HOLDINGS. LLC
Mondrian Miami Investment, LLC 50%
475 10(h Avenue
c/o Morgans Group, LLC
New York, New York 10018
Sanctuary West Avenue, LLC 50%
c/o Hudson Capital
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
MONDRIAN MIAMI INVESTMENT, LLC
Morgans Group, LLC 100%
475 10"' Avenue
New York, New York 10018
MORGANS GROUP LLC
Morgans Hotel Group Co. 97.1
475 10`h Avenue
New York, New York 10018
Residual Hotel Interest LLC 2.9% {See attached
c/o 475 10"' Avenue flow chart)
New York, New York 10018
MORGANS HOTEL GROUP CO.
Morgans Hotel Group Co. is a publicly held corporation
M[ADO(.'S 2884089 1
SANCTUARY WEST AVENUE, LLC
Sanctuary West Holdings, LLC 100%
(Sole Owner of Sanctuary West Avenue, L]~C)
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
SANCTUARY WEST HOLDINGS LLC
Sanctuary West Management, LLC 95%
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Gladys Brownstein 2.5%
Honey Waldman 2.5
SANCTUARY WEST MANAGEMENT. LLC
Abraham Galbut & Nancy K. Galbut, his wife 28%
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Keith Menin 18%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Daniel Galbut 16%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Seth Frohlich & Kimberly Frohlich, his wife 8%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Robert N. Galbut and Rita Galbut, h.is wife 10%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
David Galbut and Geta Galbut, his wife 10%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Joan Brent 10%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
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