Michael Larkin/Yossi Lipkin/EDY Inc.~ M I AM I ~ EAR ~-1 ~~'-~ c~'"'`~~
City of Miami Beach OfFce 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 board or committee. The term specifically includes tf~e principal as well as any employee engaged
in lobbying activities. The term °Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Larkin Michael W.
NAME OF LOBBYIST: (Last) (First) (M.I)
Bercow, Radell & Fernandez P.A. 200 South Biscayne Blvd., Suite 850 Miami, Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 377-6231 (305) 377-6222 mlarkin@brzoninglaw.wm
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Yossi Lipkin
NAME OF PRINCIPAL/CLIENT:
EDY, Inc. 1051 Washington Avenue Miami Beach, Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)332-2940
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: Yossi Lipkin, Elijah Levy, Doron Malinasky
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: Yossi Lipkin, Elijah Levy, Doron Malinasky
II. SPECIFIC LOBBY ISSUE:
Extension of Time for Temporary Parking Located at 1155 Collins Avenue
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED: C~ o
A) Full Name of Individual/Title ..% .~
B) Any Financial, Familial or Professional Rel~itions~
;-
Planning Dept., BOA, HPB, Planning Board, City Commission * None ~'_ fV
CA
ti; "z7
=,~ ,~
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*Unless an Issue is legislative in nature, HPB, BOA, Planning Board, and City Commission members are not lobbied outside of a public hearing setting.
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
rugT RsiTEOR OTHER
A) LOBBYIST DISCLOSURE: (Required) $ 375.00 per hour
B) PRINCIPAL'S DISCLOSURE (OF L088YI57 COMPENSATION): (Required). $ 375.00 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 X No: Are you lobbying on a present or nding_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 290 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
^Yes X No' Are you lobbving on a nding application for a Development Agreement wiiih the Ciify or
Sgplication for chance of zoning map designation or change to the Citv's Future Land Use
Ma°?
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 X No• Are you representing anot-for-profit connoration or entity without special compensation
or reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~ 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. C~ \/ V
Signature of bbyist VV
I do solemnly swear that all of the foregoing facts are true and rnrrect 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: li
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
E
Personally known (Lobbyist)
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I. SIG TORE AND STAMP OF NOTARY:
~' fate of Flor a, Cou f is '-Dade
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ignature f Public Notary -State of Flori a
otari tion of Lobbyist's signature
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
1~7 Personally known (Principa wog a~wag,~etoNew~o~~ E96(?~B6E (LOb)
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5££LOLOQ # NOlSSIWWOO 1.W :,~ ~,
State of Florida, County of Mia - 1VPl ~ XI°13~ '~aa;~~.
Swom and subscribed before me
This _~day of oc~Qo~rr , 20 0~1
c~
Signature of Public Notary -State of Florida
Notarization of Principal's signature
J FOR CLERK'S USE ONLY v
Annual Registration fee: [ ]Yes [ ] No Amount Paid / J " MCR # ~~ / 0 Date Paid
~y ~
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel: 305.673.7411 ,Fax: 305.673.7254
LOBBYIST NAME: ~ l ~q ~ ~ !.~ ~ ~ n
I understand that no later than October 1st 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 of lobbyist withdrawal in writing.
~~
Signature:
Date:
F.tCL.~I~2lLO~B"'fISTiLobby'sst F~egistratic~n Farm 32748.dac