James E. Rauh/ 1080 Alton Road~ n ,~. _ r~
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City of Miami Beach Office of the City Clerk C
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.
Rauh James E.
.NAME OF LOBBYIST: (Last) (First) (M.L)
c/o Terminello &Terminello, P.A. 1111 Lincoln Road Miami Beach, FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
X786) 276-2343 (305) 673-5505 jrauh@terminello.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
1080 Alton Road, LLC
NAME OF PRINCIPAUCLIENT:
8 Oz. Burger Bar 1080 Alton Road Miami Beach Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(786) 375-7079 (305) 397-8246 eric.fried@yahoo.com
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Eric Fried
IDENTIFY ALL PERSONS HOLDING, DIRECTLY CR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
See attached.
SPECIFIC LOBBY ISSUE:
Modification of Modification Order for Variance under File No. 2891 for the property at 1050-1080 Alton Road.
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 Individual/Title B) An Financial, Familial or Professional Relationship
City of Miami Beach Board of Adjustment None
City of Miami Beach Planning Staff None
City of Miami Beach Mayor/Commissioners None
City of Miami Beach Committees None
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MIADOCS 3142023 1
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $375 per hour.
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). $375 per hour.
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 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":
^Yes 6a No: Are you lobbvinq on a pending application for a Development Agreement with the City 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 snot-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.
V. SIGNATURE UNDER OATH:
ON OCTOBER 18t 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.
of Lobbvist -James E. Rauh
I do solemnly swear that all of the fore
provisions contained in Section 2-4 of the
Signature of Lobbyist:
correct and that I have read or am familiar with the
Code and all reporting requirements.
Signature of Principal/Client:
Eric F
Road, LLC
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
® Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
Jordan, LLC on behalf of 1080 Alton
PRINCIPAL IDENTIFICATION:
Produced ID F~pQi /~R A~• ~. ~ c tir ttr
Form of Identification
^ Personally known (Principal)
State of Florida, County of Miami-Dade State of Florida, County of Miamj~f•••.••.••••,^•,•^,••,••••••••„••„„
S n to and subscribe "tYLftff ""'•°°••'••••••^•^•••••~^~ Sworn to and subscribed befor~me ELIZABETH ALVARFl
~L~IBETH ALVAREZ n~u!,~'~
i y of ~ ~§~= • ~~ DD062g905 ~ Th' day of V L , 200 sa4~rr,Y ~ • Cam ~DD0629905
•_ ~
Expires 213/'1011 ~° Flortde NofaryAsen., hoc
Sign a of Public otal'~ ~gf ~rynss~•, tnc ~ gn re of Pub i Notary - State• •^•••^^^•••^^^•••••^••••~_
c• ~ • ^ unu••uu•s^®xa
Notarization of Lobb~t's signature Notarization of Principal's signa ure
y~/ TO BE COMPLETED BY ITY CLERK'S SE O Y
Annual Registration fee: [ ]Yes [ ] No Amount Paid $ MCR # $ D Paid
Lobbyist Registration Form received and verified by: -.
F:\CLER\LOBBYIS11Lobbvist Registration Form 32708.doc ~ ~~ Revised 03/27/20 8
MIADOCS 3142023 1
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK office CitvClerkCa~miamibeachfl.gov
Tel: 305.673.7411, Fax: 305.673.7254
LOBBYIST NAME:
James E. Rauh
I understand that no later than October 1°S of each year, 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.
U ~ ! ~d~
Sig ure: ames E. Rauh Date.
MIADOCS 3142023 1
CITY OF MIAMI BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
1. LIMITED LIABILITY COMPANY
If the property which is the subject of an application is owned or leased by a CORPORATION, list the
principal stockholders and the percentage of stock owned by each. Where the principal officers or
stockholders consist of another corporation(s), trustee(s), partnership(s) or other similar entity, further
disclosure shall be required which discloses the identity of the individual(s) (natural persons) having the
ultimate ownership interest in the entity.*
1080 ALTON ROAD LLC
LIMITED LIABILITY COMPANY NAME
NAME, ADDRESS, AND OFFICE
OF MEMBERSHIP INTEREST
ERIC JORDAN, LLC
1000 WEST AVENUE, # 618
MIAMI BEACH, FLORIDA 33139
MANAGER
100%
IF THERE ARE ADDITIONAL CORPORATIONS, LIST OTHERS, /NCLUD/NG CORP.
NAME(S) AND EACH IND/VIDUAL'S NAME, ADDRESS, OFFICE AND PERCENTAGE OF
STOCK, ON A SEPARATE PAGE,
Last page must be signed and notarized
Page A-5(3)
CITY OF MIAMI BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
1. LIMITED LIABILITY COMPANY
If the property which is the subject of an application is owned or leased by a CORPORATION, list the
principal stockholders and the percentage of stock owned by each. Where the principal officers or
-stockholders consist of another corporation(s), trustee(s), partnership(s) or other similar entity, further
disclosure shall be required which discloses the identity of the individual(s) (natural persons) having the
ultimate ownership interest in the entity.*
ERIC JORDAN LLC
LIMITED LIABILITY COMPANY NAME
NAME, ADDRESS, AND OFFICE % OF MEMBERSHIP INTEREST
ERIC J. FRIED
1000 WEST AVENUE, #618
MIAMI BEACH, FLORIDA 33139
MANAGING MEMBER
100%
IF THERE ARE ADDITIONAL CORPORATIONS, LIST OTHERS, INCLUDING CORP.
NAME(S) AND EACH INDIVIDUAL'S NAME, ADDRESS, OFFICE AND PERCENTAGE OF
STOCif, ON A SEPARATE PAGE,
Last page must be signed and notarized
Page A-5(4)