John Paul Oliver - DRB File 20181 el 1'•
MIAMI BEACH p
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City of Miami Beach Office of the City Clerk RFn ' k ' , >=
Convention Center Drive, Miami Beach, FL 3313
1700 Co �
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NOY ~ 1 PH 3:49
LOBBYIST REGISTRATION FORM
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Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the page { "deteq f'' (,
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 the principal as well as any employee engaged in
lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004 -3435.
NAME OF LOBBYIST: (Last) (First) (M.I.)
t; gotbkf-A 31 29.
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
,3 o - 67y - 31. 010)v 00∎L„ S' aki ,
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
1100 West Properties, LLC
NAME OF PRINCIPAUCLIENT:
Mondrian South Beach c/o Morgans Hotel Group, 475 10`" 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 baywaik 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. ;AK.)
l
A) Full Name of Individual/Title B) Any Financial, Familial or Professiona Relatio
City of Miami Beach Design Review Board None / ! �Z
City of Miami Beach Planning Director /Staff None tl :� kkl
City of Miami Beach Mayor /Commissioners None
City of Miami Beach City Manager /Asst. City Managers None E -R
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $0. No compensation for lobbying.
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). $0. No 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 ":
nYes 17) 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 ":
flYes 1 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 a not - 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.
fi¥es 171 No: Are you representing a not - for - profit corporation 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 D RING THE REPORTING
PERIOD. t
Sign f
I do solemnly swear that all of the foregoing factsre true d cor t and that I have read or am familiar with the
provisions contained in Section 2 .82 .f the Miami each Cit Code and all reporting requirements.
Signature of Lobbyist: .11L- \
Signature of Principal /Client:
Abra' -m Galbut, as President of 1100 West Holdings, LLC, Manager of 1100 West
Properties, LLC
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
[( Produced ID 14 - 1 O23b ❑ Produced ID
Form of Identification Form of Identification
❑ Personally known (Lobbyist) ❑ Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami -Dade State of Florida, County of Miami -Dade
Sworn to and subscribed before me Sworn to and subscribed before me
This 2`'[ da of fi 010 This _ day of , 2010
Signature of ' ublic Notary — State o Floridip'DS CA (AZ 2- Signature of Public Notary — State of Florida
Notarization o`f..obbyist's signature Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S USE ONL Y /
Annual Registration fee: e s [ ] No Amount Paid $ le Cd --- MCR # 'j0 Jl 7 Date Paid f/ I ` P
Lobbyist Registration Form received and verified : b
Y 9 Y
F: \CLER \$ALL \aFORMS \LOBBYIST FORMS \Lobbyist Registration Form 2010.doc -4444" Revised 05/25/2010
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $0. No compensation for lobbying.
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). $0. No 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 iYes 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 ":
DYes 6a 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 a not- 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.
fYes fRI No: Are you representing a not - for - profit corporation 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.
Signature of Lobbyist
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: /+, I/ , , 1 fJ J 1i1i
A!a - am Galbut, as Pre i.ent of 1100 est Holdin:s, LC, Manager of 1100 West
Properties, LLC
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
❑ Produced ID ❑ Produced ID ``�,� tt11tt(u
Form of Identification Form of Identificati % Nlo■• AL ` fii,,�
•
❑ Pe known (Lobbyist) . Personally known (Principal) I . cp�,�t tg 4g �• . : y
VII. SIGNATURE AND STAMP OF NOTARY: s* : of"' *
`
State of Florida, County of Miami -Dade State of FI• 'da, County of Miami - Dade%- 00$3 �
Sworn to and subscribed before me Swor t• -r . su '. f .. -fore me y y .•`e�
This day of , 2010 Thi *.:a., " - y of 7 V / ./ ' 010 + frA t• �
7 A lly
Signature of Public Notary — State of Florida Sign.' P o 'u. is tar — State of Florida
Notarization of Lobbyist' signature • - rization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S USE ONLY
Annual Registration fee: [ Yes [ ] No Amount Paid $ g 5 0 _ MCR # ip 7/75 Date Paid r 1' / 1 i D
Lobbyist Registration Form received and verified by:
F:\CLER \$ALL \aFORMS \LOBBYIST FORMS \Lobbyist Registration Form 2010.doc O' . Revised 05/25/2010
CA i
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: ° �' t
I understand that no later than February 28th of each year, I must file the following
form, 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 and Compensation 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.
10/ /i
Signa 're: Date:
•,
CITY OF MIAMI BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
1100 WEST PROPERTIES, LLC
1100 West Holdings, LLC 100%
(Sole Member of 1100 West Properties, LLC)
475 10th Avenue
c/o Morgans Hotel Group
New York, New York 10018
1100 WEST HOLDINGS, LLC
1100 West Holdings II, LLC 100%
(Sole Member of 1100 West Holdings, LLC) •
475 10th Avenue
cio Morgans Hotel Group
New York, New York 10018
1100 WEST :HOLDINGS II, LLC
Mondrian Miami Investment, LLC 50%
475 10 Avenue
c/o Morgans Group, LLC
New York, New York 10018
Sanctuary West Avenue, LLC 50%
do Hudson Capital
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
MONDRIAN MIAMI INVESTMENT, LLC
Morgans Group, LLC 100%
475 10th Avenue
New \fork, New York 10018
MORGANS GROUP, LLC
Morgans Hotel Group Co. 97.1 %
475 10 Avenue
New York, New York 10018
Residual Hotel Interest LLC 2.9% (See
c/o Northstar Reality Finance Corp. attached flow
399 Park Avenue, 18 Floor chart)
New York, New York 10022
MORGANS HOTEL GROUP CO.
Morgans Hotel Group Co. is a publicly held corporation.
SANCTUARY WEST AVENUE, LLC
Sanctuary West Holdings, LLC 100%
(Sole Owner of Sanctuary West Avenue, LLC)
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 24%
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Keith Menin 17%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Daniel Galbut 13%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
2
Seth Frolich & Kimberly Frohlich, his wife 7%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33 137
Robert N. Galbut and Rita Galbut, his wife 7%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
David Galbut and Gita Galbut, his wife 7%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Joan Brent 5 %'o
•
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 3.3137
SEAM Holdings, LLC 20%
c/o 2200 Biscayne Blvd.
Miami, Florida 33137
•
SEAM HOLDINGS, LLC
Sonny Kahn 25%
c/o 2200 .Biscayne Blvd.
Miami, Florida 33137
Erica Kahn 25%
c/o 2200 Biscayne Blvd.
Miami, Florida 33137
A.braharn Hayun 25%
c/o 2200 Biscayne Blvd.
Miami, Florida 33137
Mordi Biiton 25%
c/o 2200 Biscayne .Blvd.
Miami, Florida 33137
3
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