Michael Marrero 5th and Jefff LLC/Jeffrey Schottenstein i
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Cit of Miami Beach Office of the City Clerk J
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 the principal as well as any employee engaged
/n lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004 -3435.
Marrero Michael 1
NAME OF LOBBYIST: (Last) (First) (M.I)
Bercow, Radell & Fernandez, P.A. 200 S. Biscayne Blvd., Suite 850 Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 377 -6238 (305) 377 -6222 mmarrero(abrzoninglaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
5 and Jeff LLC / Jeffrey Schottenstein
NAME OF PRINCIPAL/CLIENT:
,
800 Brickell Avenue, Suite 1111 .
Miami FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 371 -2824
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: 0 tional
(P )
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2 -482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Jeffrey Schottenstein
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: See Exhibit B
II. SPECIFIC LOBBY ISSUE:
Historic preservation approvals for property at 830 5 Street
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual /Title - B) Any Financial, Familial or Professional Relationship
rofessional Relationship
Planning Department Staff, HPB, and City Commission*
None
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* Unless an issue is legislative in nature, HPB, BOA, Planning lanning Board, and City Commission
tY 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,
FLAT RATE OR OTHER): .
A) LOBBYIST DISCLOSURE: (Required) $ 350.00 per hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $ 350.00 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 pending bid for goods, equipment or services, or on a
present or pending award for goods guipment or service?
2) Pursuant to Miami Beach City Code 2 -490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues ":
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❑Yes X 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..
❑ Yes X 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.
S ig a ure o 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
porting
requirements. ■
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Signature of Lobbyist: i f
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Signature of Principal /Client. ,/ f ___—■ ■
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$ VI. LOBBYIST IDENTIFICATION: PRINCIPAL ID 1
S IDENTIFICATION: 1 �, , , .
❑ Produced ID ❑ Produced ID = , , ;�
Form of Identification Form of Identification ``'
EN X Personally known (Lobbyist) ❑ Personally known (Principal) Z
VII �
. SIGNATURE AND STAMP OF NOTARY: ' ,
as
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State of Florida, County of Miami -Dade
,
. 4 tY State of Florida, County of Miami -Dade
- Sworn to - nd subscribed before me Sworn and subscri bed bef r- . -_.
N This .: � - . �
i . , L � i . I 1 This day • '10%!C.''1;ji 0 L -
Signat �. � � � r ota '� to of � lorida 4. /4 — , .041/4
Signature of ubli - of Florida
Notar ation obbyist's signature Notarizati • n of P f' ipai's � sg i nature
FOR CLERK'S USE ONLY
Annual Registration fee: [ ] Yes [ ] No Amount Paid '52 MCR # ,264--) L 1 t� Date P.'s � i Sr
Lobbyist Registration Form received and verified by: Entered By: ��
F: \CLER \$ALL \MARIA -M \Lobbyist \LOBBYIST fORM 05.doc } y • J'-' -
Revised 12/08/04
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office CityClerk @miamibeachfl.gov
Tel: 305.673.741 1 , Fax: 305.673.7254
d II* LOBBYIST NAME: a rr-er J
1 understand that no later than February 28th of each year, I foliowing ry y must fi le .the
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
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Failure to file these forms on a timely basis will result in i y n my name . transmitted to the
Miami -Dade County Commission on Ethics and for code violation evaluation.
In addition, once an issue I haver
registered to lobby on has been resolved, 1 am required
• to immediately notify the City Clerk's Office of lobbyist withdrawal in writing.
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Signature: Date:
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