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David H. Nevel - 1100 West Properties, LLC,, ~' f gg K pnc~ z©~ $1 ~ ~. City of Miami Beach Office of the Gitym~Clerk ~'µ ~~~ ~~ c-~ ...~ 1700 Convention Center Drive, Miamit~~~c~h; F~L ~.3~1~92.~ ~, a ~~; LOBBYIST REGISTRATION FORIVI +1, ~ J I ~`. ~„ , `, ~ s_. i_ :%~- ~ 4/, 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 efi the City Manager or any city board or committee; or any action, decision or recommendation of any city personnel during the-tT"me p ri d of.the entire decision-making process on such action, decision or recommendation that foreseeably will be heard or reviewed be 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. Nevel David H. NAME OF LOBBYIST: (Last) (First) (M.I.) c/o David H. Nevel, P.A. 950 S. Pine Island Road, Suite A-150 Plantation, Florida 33324 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (954) 423-4348 (954) 727-8250 law@dnevel.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: LOBBYIST RETAINED BY: 1100 West Properties, LLC NAME OF PRINCIPAL/CLIENT: Mondrian South Beach c/o Morgans Hotel Group, 475 10~h Avenue New York, New York 10018 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) _ _(305) 674-4848 (786) 258-2870 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: Abraham Galbut, as President of 1100 West Holdings, LLC, Manager of 1100 West Properties, LLC IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See attached Disclosures of Interest. II. ~ SPECIFIC LOBBY ISSUE: Request for modifications to conditions of the Final Order, and any other Order, for a previously issued Design Review Approval for a new landscape plan for the entire site, as well as for alterations to the existing exterior elevations, including modifications to the windows, doors, and porte-cochere, and the construction of new 2-story cabanas at the rear of the site. Specifically, a proposal to modify the conditions of the Final Order, and any other Order, relating to the completion of the, public baywalk under DRB File No. 20181, for the property located at 1100 West Avenue, Miami Beach, Florida 33139. 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 said City personnel' commencement of service with the City to the present date, stating the general nature of the subject contractual. relation. A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship City of Miami Beach Design Review Board None City of Miami Beach Planning Director/Staff None City of Miami Beach Mayor/Commissioners None Cit of Miami Beach Cit Mana er/Asst. Cit Managers ~^, 7 None IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $275 per hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $275 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 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 lay 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 change of zoning map designation or change 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 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 6a. No: Are you representing snot-for-profit corporation or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH. LISTING LOBBYING EXPENDITURES. AS WELL AS COMPENSATION ENDAR YEAR. A PERIOD. Signature of Lobbyist -David H. Nevel REPORTIN 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 Mi mi B~co~and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: Abraham Galbut, as President of 1100 West Holdings, LLC, Manager of 1100 West Properties, LLC VI. w LOBBYIST IDENTIFICATION: ~z' ^ Produced ID Form of Identification [~ Personally khown (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Sworn to and subscribed before me This day of f(- , 20 SPRY pVe Ignature of.Public Notary - a e of Florida ?° •"'•.`'~ Cron of Lobbyist's signature P ~ * MY COMMISSION S DD 894459 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 , 2010 Signature of Public Notary -State of Florida Notarization of Principal's signature EXPIflES: Au ust 1 TO BE COMPLETED BY CITY CLERK'S USE ONLY Nl~TFOFR~\Or Ronde AP16~~~tion fee:.[ ]Yes [ ] No Amount Paid $ MCR # Date Lobbyist Registration Form ret:eived and verified by: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form 2010.doc Revised ~, ~^ ..~ ' iV. DtSC`L{~.I;RE OF TERM :'~iVD AMCUPJTS C:F L013cYIST COMPEPJSATION (i~!'~ :t_GSE 1!41HE p NER !-!n(~RLY! FLaT RITE OR OTHER).' - .. • A) L03B?'iST DISCLOSURE: (Required} $ Bj PRi~1CiPlal_ S DISCLOSURE (OF t_OBB'~'IST COMPi:=NS!~,TION): The folio.^ring i~fermatior; must.be answered: ` 1 j Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohihited Campaign Contribulions:E;' I_ubbyists• Or. F'rccur~;n:~nt. Issues": ` I-IYes iy~ Na: Are You lobbvinq on a present or pending bid for goods, eguipmeni° or services, or on a present or pendina award for goods eguipm~rt or sesvic~? ~) P_rsuant tc Miami Beach Giy. Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Pea! Estate >r~evFlopment Issues": Yes ;•~ tJo: 1~re you lobbvinq on a pending ap;.lication for a Development Agreernhnt with the City or a~ lp icati.on fir r!~an~±~ .~?f zoning map design:~tion o; chanae to the City<'s Future Land U~;e fJla 3) rursuar?t 'ic. '•:~~arr;: Beach: City Code 2-484 (h) Any perso^ (except t~:cse exempi. `rom the d;:fini~:o=7 of "lobbyist' _~s set. forth i.n Section 2-~81 above) who only appears as a.representative of anot-for-profit corporation or entity without special co^~pensation or rea~~~burseme"t.fer the appeat~~^ce: =:vhether di,ect,'cr inc;irect, to express s.~ ~~er.: of or opposition. to any item, shah register with the c~er!<. as required by this spcj'on but, -^.haii•not be req,~=`•~U to pay ar~y registration tees. ~,'es ~ N~: A,re_Lo~_r^presentin~f, not-fcr~profit corporation or entity ~.•ithout Spf~.s.~l r.ompensatian or reimbucsemrnt. - V. SIGNATURE UNDER BATH: STATEMENT UNDER OATH. LINING. LOBBYING EXPENDITURES AS WELL AS COMFEPJSATION RECEIVED, IN THE.ClTY OF MlAiilll BEACH FOR.THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED E!!EN IIF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING Ti1E REr'CRTING FEF..IOD. -- - _. . S-g;,aturs of I-ohb;;~iCt - ?.~?vid H. t;svel -- --.. ! do solemn'.y~ s~.vear `hat all of the forecoing farts are true am correct and the, hGve read or.ar:~~ famiEar with the previsions or-itainec~ in .Section 2-482 afthe Miami Beach City CodF and ail repartin requirements. Siy~ature of Lobbyist: Signature of PrincipailClient; A raham ialbut, as President.of 1100 VJest Holdings, LLC, Manacer of i 10;:'ti~Jest Properties, LLC VI. LOBBYIST iD~NTIFICATIOPi: r'RIP!GIPAL 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 ~, 2010 Signature of I'ublfc Notary -State of Florida. _ Notarization of Lo!~byist's signature Cj Produced ID Form of identification ~Nllllllltll/ Personally known (Principal) State of F a, County of Miami-D Swor ~~ sub ?f0ore Thi~~/I1ldaY~ ! ~0~ n n ~ Si~idti]re of Pdblic Notary -State of Flo Notarization- of Principal's signatur~;~ ...... i ~~`~~\\\\Q~\NA M. q~~F ~~~i •~MISSION' : y ~~~ ~V~~oper ly, ~,o~ .'~po 0~9~,~ *• NcP• ~•o •*~ ~~ ~ ltDD 830791 : t- ~nulll~``` TO BE COPAPLETE;J BY CITY CLERi<'S LSE ONL'r Annual Registration fee: (~'es { j No Amount Paid $_ i MC ~ ,~,_Date Paid ~ ~ ~~~ Lobbyist Registration F r7 received and verfied by: a' ~~tt:~ "_ ' ~ ^_l~ ~:\~LER1SALi_\aF~ RPdS`,LOEBYIST FORMS1Lobbyist Registration Form 2010.doc Rey,==isod Q5/~:5/2010 'City,.. of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.pov . CITY CLERK office CityClerk(a~miamibeachfl.gov TeL 305.673.7411, Fax: 305.673.7254 ` Acknowledgement `of fines/suspension from lobbying for failure to , ° comply with City of Miami Beach lobbying. Laws LOBBYIST NAME: David H. Nevel - I ,understand that. no later than ,October 1st of each. year, lobbyists subject to lobbyist. ' registration requirements. shall submit to the city clerk a signed statement under oath listing all ° -lobbying-expenditures, as well as compensation received, for the ,preceding calendar year with. . <regard to the specificissue on which the lobbyist has been engaged to lobby. A statement shall be -filed even if there have:been no expenditures or compensation during the .reporting period. - - The statement•'sha!! list, in'detail; each expenditure by category, including food and beverage, entertainment, ;research,.. corrt-munication, media advertising, publications, travel, lodging and' special events.. ' - Failure to timely file the expenditure and fee disclosure report wilt result in a fine of $50.00 per day. Any lobbyist who :fails to file `the required expenditure report by ` December 1, shall automatidally be suspended from lobbying until all fines are paid, unless the, fine has ,been appealed: fo the Miami-Dade CountyCommission on Ethics and - '_ Public Trust. In the event a lobbyist fails to either file the report and/or pay the assessed fines, the Clerkshall notify he Miami Dade County Commission on Ethics and Public Trust. In addition, once an issue I..;have ,registered to lobby, on has been resolved, l am required to ` irnmediatel~the City Clerk's Office for lobbyist withdrawal in writing., - Signature: David H. Newel Da e: . ., _ - ~ ' MORGANS GROUP, L`LC • Morgans Hotel Group Co. •" 475 10th Avenue ' . New York, -New York 10:018 Residual Hotel Interest LLC • c/o Northstar Reality Finarice Corp. , r 399. Park Avenue, l 8th Floor - . . New York,.New York 10022 • ' MORGANS HOTEL GROUP CO. Morgans Hotel Group Co~ s~a.publicly held corporation. SANCTUARY WEST AVENI7E, LLC Sanctuary West Holdings, LLC {Sole Owner of Sanctuary West Avenue, LLC) , • 4770 Biscayne Blvd., Suite 400 . Miami, Florida 33137 SANCTUARY WEST HOLIDINGS. LLC • Sanctuary West Management; LLC 4770~Bscayne Blvd., Sute'4'00 • Miami, Florida 33137 Gladys Brownstein ~ •. ~~~~~ ~ • ,# _ - • Honey Waldman ~ ' SANCTUARY WEST MANAGEM " ENT. LLC Abraham Galbut & Nancy K. Galbut; -his wife " - .. 4770 Biscayne Blvd., Suite 400 Miami, Florida 33137 . ' " ~ ~ Keith. Menin c/o 4770 Biscayne Blvd., Suite 400 ' Miami, Florida 33137 Daniel Galbut :.~ .: ' ' c/o 4770 Biscayne Blvd ,..Suite 400_; , Miami, Florida 33137 •,. 2 ~- , ~,• 97.1% 2.9% (See attached flow. chart) 100% 95% 2.5% 2.S% 24% 17% 13%