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Dennis PfizenmayerGvAti~ R uN w e t~ Mar. 5, 2009 11:48AM m MIAMIBEACH No.Ob05 P. 7 City of Miami Beach Office of the City Clerk 1700 Convention C®nt®r Drive, Miami Reach, F~. 33139 t.OBSYIST REGISTRATION FORM Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat or modlflcation of any ordinance, resolution, action ar deci&ion of any commissioner, any action, deCEslon, recommendation of the City Manager or any city board or committee; or any action, decision or recommendation pf any city personnel during the time period of the entire decision-making process on such action, decision or recommendation that foreseeably wi11 be heard or reviewed by the city commission, or a city band or committee. The term specifically includes the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exoluslons. Please refer to Ordinance 20048435. Pfigenmayer Dennis NAME OF LOBBYIST: (Last) (First) (M.I,) Mondrian South Beach 1100 West Avenue Miami Beach FL 33138 gUSIN1=SS NAME AND ADDRESS (Number and Street) {City) (State) (Zip Coda) .. (813a.46B-~40~F0) NIA pet®.Pfizenmayer(~mor+AanshotelOroup.com i i ii ni,unw.n i ii .u TELEPHONE NUMBER: FAX NUMBER: EMAIL: LOBBYIST RETAINED BY: 1100 West Properties, LLC NAME OF PRINCIPAVCLIENT: clo Morgans Notel Group 475 10"' Avenue New York N.Y. 10018 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State} (Zap Code) (305-) 6744848 NIA agalbut+~hudcap.com TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: {Optional) Fill out this section if principal is a Corporation, Partnership ar Trust [8ection 2482 (c)j NAME OF CHIEF OFFICER, pAI27NER, QR BEN!~FICIARY: ~ IDENTIFY ALL PERSONS HOLDING, DIRECTLY CR INDIRECTLY, A 5°Yo OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Exhibit "A" attached. r: rv c~ =~ o ~v II. SPECIFIC L086Y ISSUE: r~ ~ '~ Miami Beach Marine Authori Board ~, ty Approval for Wavs Runners ~ ; a Issua to be lobbied (Describe in detail}: ~, ,~ ;,.~. -~- c III. CITY AGENCIESlINt71'VIbUALS TQ BE LOBBIED: (Pursuant to City Code Section 2-482(g~incl0cte a statement of the extent of any business, financial, familial, professional or other relationship, givin ise,~ci an ~-" appearance of an impropriety, with any City personnel sought to be lobbied; further, pursuant to City Cocec~ 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 IndlvlduaUTitle 8 An Flnanclal, Familial or Professional Relatlonshl City of Miami Beach Alanning Board None City of Miami Beach Mayor/Commissioners Nona City of Miami Beach Committees None MfAa4C8 3371805 i PAGE 2f~"RGVD AT 31~l2009 3;2,29 PM (Eastern Standard Timej ~ SVR;FA)<SERVERl8"DNIS:7i'20"GSID:"DURATION (mm~ss);o1~4 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) Employee - No extra compensation for lobbying B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Employee - 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": f-lYes 6a 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 "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": I-lYes 6a 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 snot-for-profit corporation or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: ON OCTOBER 18~ 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 COMPENSATION DURING THE REPORTING PERIOD. F Signat a of Lobbyist a is P nmayer 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 IJuiami Bergh Code and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: Abraham AI. Galbut, Presi West Properties, LLC VI. LOBBYIST IDENTIFICATION: ^ Produced ID ~ (.~ NOTARIF JiBpti90RIDA ,,,,~",',, Linda Christian ® Personall~• ~~ #1}13651416 '',. ,,,.•'` Ex fires; MAR. 23 201 ~ VII. SIGNATiklii~syf~tr~~dlMl~6~u~a'/>~l(: State of ` ~ ,County of ~ f ~'H'1 / ~ Sworn fo and subscribed before me This day of 2009 i u of Public Notary -State of Florida Notarization of Lobbyist's signature E of 1100 West Holdings, LLC, Manager of 1100 PRINCIPAL IDENTIFICATION: ^ Produced ID Form of Identification ^ Personally known (Principal) 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 Principal's signature TO BE COMPLETE Y CITY CLERK'S Y `" ~ Annual Registration fee: [ ]Yes [ ] No Amount Paid $ ~ M R # S Date Paid Lobbyist Registration Form received and verified by: F:\CLER\LOBBYISTLobbyist Registration Form 32708.doc ., ~7 Revised 03/27/2008 MIADOCS 3371805 1 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A} LOBBYIST DISCLOSURE: (Required} Employee - No extra compensation for lobbying B) PRINCIPAL'S DISCLOSURE {OF LOBBYIST COMPENSATION): (Required). Employee - No extra compensation for lobbying 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 lobbvfng on a present or pending bid for goods, eauipme~tt or services. or on a present or pending award for Goods equipment oL service? 2) Pursuant to Miami Seach City Code 2-490 Entitled "Prohit~ited Campaign Contributions By Lobbyists On Real Estate Development Issues": ^Yes ®No: Are you lobbying on a pending application for a Development Agreement with the Clty 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 sappears 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 corporation or entity without special compensation or reimbursement. F Signature of Lobbyist Peter Pfizenmayer 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: sham AI. Galbut, West Properties, LLC Vl. LOBBYIST IDENTIFICATION: E Holdings, LLC, Manager of 1100 PRINCIPAL IDENTIFICATION: ^ Produced ID Form of Identification ® Personally known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: State of County of Sworn to and subscribed before me This _ day of , 2009 Signature of Public Notary -State of Florida Notarization of Lobbyist's signature ^ Produced IO Form of Identification ,,, /'~ 1 ®/ Personally known {Principal) ~~~~ ~~~,; C ~_~~~ c , ~ State of Florida, County of Miami-Dade 0 o bscribed before me Gi' :v cn •• This-day of 2009 ~ ~ ^ c:° ` '. c:. ~• Si natur of Pu c a Stat of 9 ry r~ ~-' C t;; -. " ~' " ~ _ w .-: r. $ otariz~t Prin ipal's signature ~' ^" ~ ~'' -,~~ o~~ TO BE COMPLETED BY CITY CLERF:'S USE ONLY Annuai Registration fee: [ ]Yes [ ] No Amount Paid S MCR ;R• S Date Pald Lobbyist Registration Form received and verified by: F:\CLERILOBBYIST~Lobbyist Registration Form 32708.doc Revised D3/27/2008 MIADOCS 3371805 1 V. SIGNATURE UNDER OATH: Mar. 5. 2009 11:49AM m MIAMIBEACH Cltyof Mlsmi Basch, 1700 Convanticn C6nt9r Drlve, Mlaml B®aah, Flnrlda 381,i9,~mis beaohfl,aov CITY CLERK office 7e1: 3x5.673,7411, Fax: 306.673.7254 No. 0605 P. 4 CkyC le rkd~dm ism IBascMl. qov LOBBYIST NAME: D'p-~ h i S ~~~ Z eq vn u.(~ e ~, I understand that no {star than ~,~jg,5cer ~'a wear, t must file the foliovvrng fomis, pursuant to Section 2-486 pf the MEami Baacll City Cods, W<th the City Clerk's aftiCe for all active lobt~ying issuers. 1) Lobbyist Expenditure Form 2) ajsplpsure Form Failure to file these forma on a timely basis will result in my name t:,sing transmitted to the Miami-Dada County Commission an Ethics and forcada violation evaluation. In addition, once en lasue I have reQlsterQd to Igbby pn has been ret#tliVed, I am required to immediately notHy the City Clark's Office far lobbyist withdrawal in writing. . .~ i gture: MIAOOC9 3$719051 3 ~ o ate: PAGE 419' RCYq AT 319!1909 3;52,29 PM (Eastern Standard Time' SYR;FAXSERYERl8" DNIS,7729" GSIQ.' DURATION (mm~ss),01~44 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`h 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`I' Avenue f]ow chart) New York, New York 10018 MORGANS HOTEL GROUP CO. Morgans Hotel Group Co. is a publicly held corporation MIADQC.'S 2884089 I 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 Mersin 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, his wife 10% c/o 4770 Biscayne Blvd., Suite 400 Miami, Florida 33137 David Galbut and Geta Galbut, leis 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 Nun~~ors zas~oa~~ i A N y.. ~ D -~ .D C o r~.. ~~ ~ 1 m a ~ ~ _ A] ~ ~ ~ ~ w C~ t~ m ~ 0 0 ~ m _~ mod ° ._ am ~ ~m o y c r" co ~ Z f7 ~ n ~ . 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