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James E. Rauh - Carnevale, Inc.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. Rauh James E. NAME OF LOBBYIST: (Last) (First) (M.I.) c/o Terminello &Terminello P.A. 1111 Lincoln Road Miami Beach, FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) _(786) 276-2343 (305) 673-5505 jrauh _terminello.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: ~ ~ ~ ~ °~ _ ° :~ I. LOBBYIST RETAINED BY: c-~ c Tt Carnevale, Inc. ~ r- r'r" ~ , ~ %~-~ r.~ ...y_r NAME OF PRINCIPAUCLIENT: -_._ Carnevale 607. Lincoln Road Miami Beach _ FL vi 33139,--, -gyp 3t: .~. NESS NAME AND ADDRESS (Number 305) 673-3333 ~_ .(305)673-3: TELEPHONE NUMBER: '~ "FAX N (City) ER: (Optional) (State) (Zip did0121 @aol.com ~-, EMAIL: (Optional)`T ~ fQ~+~~ 4~Y N N Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] • NAME OF CHIEF OFFICER, PARTNER,. OR BENEFICIARY: Piero Filpi as President of Carnevale, Inc. • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Piero Filpi - 100% SPECIFIC LOBBY ISSUE: Application for modification of Variance granted under Board of Adjustment File No. 2771 to waive the minimum 60 seat requirement required to serve., bee_ r;::wine and liquor at the restaurant located at 607 Lincoln Road. The applicant is requesting the conditions of .the .Variance Order be modified, including the removal of condition number (4), in order to allow for the sale of the:;restaurant and transfer of all licenses and approvals. 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 IndividuaUTitle B An Financial, Familial or Professional Relationshi City of Miami Beach Board of Adjustment . , None City of Miami Beach Planning Director/Staff None Ci of Miami Beach Ma or/Commissioners None IV n1cM nm roe ne TG~~~r w urn ~~-.~~.~~~ .+~ ~ ~Rma rlnv ~amvun ~ s yr LUIiliY15T GvMPENSATION (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 lobbvinq on a present or pending bid for goods equipment or services or on a present or Dendina 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 Citv or application for chance of zoning map designation or change to the City's Future Land Use Man? 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 requirgd.to pay any registration fees. ^Yes ba No: Are you representing a 'riot-for-profit corporation or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: PERIOD. I do solemnly swear that all of the foreg provisions contained in Section 2-48 Signature of Lobbyi Signature of Principal/Client: Piero Fil VI. LOBBYIST IDENTIFICATION: Sig oing facts are true an~ Miam' each City pi, as Pr~~ Ce1h -James Rauh ~ect and that I have read or am familiar with the and all reporting requirements. Inc. PRINCIPAL IDENTIFICATION: ^ Produced ID ^ Produced ID Form of Identification Form of Identification ~o ,° ~ ~ Personally known (Lobbyist) ~ Personally known (Principal) o m ~°!~ ~ °o ~ VJ ~ ~ N VII. ~ SIGNATURE AND STAMP OF NOTARY: _s t .a o .~~ q, State of Florida, County of Miami-Dade State of Florida, ounty Miami-Dade a ~ e r Sworn to and sub~ribed before me Sworn to ands scribe before me ~ ~U ~ This day of J c1n e , 2010 ~ This day ~ ~ , 2010 z°~~u~ ~`~"~, o Signature Publ' Notary- ate of Florida: Notarizat n of Lobb fist's ' nature ~ignatur o. Public otary-State of Florida N ' ~ ~`' 4Y g otariz ion of Principal s signature , s TO BE COMPLETED BY CITY CLERK'S USE ONLY Annual Registration fee: [ ]Yes [ ] No Amount Paid $ Lobbyist Registration Form received and, verified by: MCR # Date Paid F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobb 'st Re istration Form 2010.doc Revised 05/25/2010 ,+ ~. r F"~., ~+~ ~~ E J. HOWARD *. .: ' MY COMMISSION M DD 5t3~ ~' ..~,~ "r~~ R~S.~ tember 15, 2010 n~ m MIAMIBEACH City of Miami Beach, 1700 Convention Center. Drive, Miami Beach, Florida 33139, www.miambeachfl,gov CITY CLERK office CityClerk(a~miamibeachfl.pov 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: James E. R~tali~ `'~ I understand that no .later: than October 1st of each vear, 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 specific issue 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 shall list, in detail,; each expenditure by category, including food and beverage, entertainment, research, communication, media advertising, publications, travel, lodging and special events. Failure to timely file the expenditure and fee disclosure report will result in a fine of $50.00 per day. Any lobbyist who fails to file the required expenditure report by December 1, shall automatically be suspended from lobbying until all fines are paid, unless the fine has been appealed. to the Miami-Dade County Commission on Ethics and Public Trust. In the event a lobfyist fails to either file the report and/or pay the assessed fines, the Clerk shall notify the Miami.Dade County Commission on Ethics and Public Trust. In addition, once an issue I have registered to lobby on has been resolved, I am required to immediately notify the City Clerk'g Office for lobbyist withdrawal in writing. ,6 _ 3 -ate ra Date: