Kobi Karp S&S Properties •
el MIAMI BEACH
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 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.
Karp Kobi
NAME OF LOBBYIST: (Last) (First) (M.I)
Kobi Karp Architecture 2915 Biscayne Blvd, Suite 200 Miami Florida 33137
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zipr6ode
1 57 -1:1: 05 73- 766 kobikar. • k•bikar..com --
TELEPHONE NUMBER: FAX NUMBER: EMAIL: c- �•
Please notify this office if your contact information changes: address, phone, or e-mail address. 73 co 1
I. LOBBYIST RETAINED BY: N
m
S & S Properties; contact: Avraham Sibony, managing partner O
NAME OF PRINCIPAL /CLIENT: O
CT
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S & S Properties 12501 Coastal Highway Ocean City Maryland 21842
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(410) 250-8200 (410) 250-8274
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: Avraham Sibony, managing partner
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: Partners: Avraham Sibony (25 %); David Sibony (25 %); Prosper Sibony
(25 %); and Yaron Sibony (25 %).
II. SPECIFIC LOBBY ISSUE:
Development approvals for renovation and partial demolition of, and addition to the 1- and 2 -story buildings on the west side of 919 Collins Avenue
for a retail establishment
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2- 482(a)(4) include the commissioner of personnel sought to be lobbied, and whether the lobbyist
has entered into contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding
such person's commencement of service with the city to the present date, stating the general nature of the subject contractual
relationship.
Sec 2482(a)(4) Full Name of Individual and Contractual Relationship (Explain) YES NO
title of person to be lobbied
Planning Department Staff None X
Planning Board, HPB, BOA, City Commission* None X
Pursuant to City Code Section 2- 482(g) Every registrant shall be required to state the extent of any business, financial, familial or
professional relationship, or other relationship giving rise to an appearance of an impropriety, with any current city commissioner
or city personnel who is sought to be lobbied as identified on the lobbyist registration form filed.
Sec 2-482(g) Any Financial, Familial or Professional Relationship
None.
* Unless an issue is legislative in nature, HPB, BOA, Planning Board, and City Commission members are not lobbied outside of a public hearing setting. - ''
•
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR
OTHER)
A) LOBBYIST DISCLOSURE: (Required) $ (/� Doo
8) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION) : (Required): 3 P'Ot °CO f LO
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 ":
11 Far ► . • . . . A 1 • 1 1 - 4--1 . . -.1 . 1 a . • . 11 - 1 ! at .1= . . 1. . '
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 X No: Are you lobbying on a pending application for a Deve(goment Agreement with the City or application .
for change of zoning map designation oryhagge to the City's Future Land Use Mao?
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 enter witInut special
compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or posll:ton te5ny
Item, shall register with the derk as required by this section but, shall not be required to pay any registrafibn fat, rT1
D Yes X No: Are you representing a not-fot^yrofit corporation or entity without e ' co
Sg qa1 myensatio r co
reimbursement,
V. SIGNATURE UNDER OATH: O S rTi
ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGN STEM T
►.! . la _'Y!_ c i! ► ► a yl ; i 1 • > ; !1L.., s ►.
_ _ •_0111 •
MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A - SH • BE FILED EVEN IF THERE HAVE BEEN
NO EXPENDITURES OR COMPENSATION DURING TH :, =t1e1 1: ► •
ltr
�h
Signature of Lobbyist
I do solemnly swear that all of the foregoing facts are tru-. -rid corr- and that I have read or, am familiar with the
provisions contained in Section 2 -48,0V lami : - 1, qty Code and all reporting requirements.
Signature of Lobbyist:
X Signature of PrincipalfClient:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: 11
Produced ID 1 Produced ID ) \ Vt7 L.. t ! J
Form of Identification Form of Identification
4 , Personally know, i VANA coHEot Ft() ) Personally known (Principal)
public - State t 9 2p1
s • a 282
', , t;ot Notary Assn. 1
s. State of Florida, , • .' 1-1,1 to h y' t 10 C' , State of Maryland. County of Worcester
uh
Swam to and sub-. ,, ,1 t Sworn nbscribed before m - - - - - - - -
This • T " day` , ?1+ �`�' ' ► A s a i Is a ''` day of [?Jr 2/ met - , _
CHARLAN 5. THOMAS
• _ k �, ,� C .; Notary ublic
- � PdBN g 'r:'` less L ��� Worces County
Signature of Public' I / r 1 ~ "°"' �-
r „ Signature of Public Notary - Stat) of Na Ian maryland
Notarization of Lo • _ Notarization of Principal's siqp t ry omssion Expires Jun 27, 2014
FOR CLERK'S USE ONLY 09D
Annual obb ' e
Re SrD 1) gisbation fee: [ ] Yes [ ] No Amount Paid — NCR � � �o e r - d
Lobbyist Registration Form received and verified by S/ • En tered : _ . _ # •
i •�
, Revise! 1/11/7011
I
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR
OTHER)
A) LOBBYIST DISCLOSURE: (Required) $ OD, O' p C
ig+ / J__
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $ 24 , 000 F(Q`
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, eauioment or service?
2) Pursuant to Miami Beach City Code 2 -490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues ":
DYes 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 definitioir f "Itgbyist" as set
forth in Section 2 -481 above) who only appears as a representative of a not- for - profit corporation or eritity Mt hout p ecial
compensation or reimbursement for the appearance, whether direct, or indirect, to express support of6r oPPM�siti o any
item, shall register with the clerk as required by this section but, shall not be required to pay any regiOtiorTa iees.
r "
❑ Yes X No: Are you representing a not-for-profit corporation or entity without special comoensaien off'
reimbursement. cn 3,
JC
V. SIGNATURE UNDER OATH:n O
— r1
ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIC;NEDATEMENT
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 tru nd correct and that I have read or am familiar with the
provisions contained in Section 2 -482 of the Miami Bea ity Code and all reporting requirements.
Signature of Lobbyist:
X Signature of Principal /Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: /
i Produced ID )ProducedID �) Q\ Gar! J
Form of Identification Form of Identification
Personally known (Lobbyist) X Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami -Dade State of Maryland, County of Worcester r
Sworn to and subscribed before me Sworn nc� subscribed before me► — — — — -- -- — — -- - — —
This day of , 20 This n day ofrYlaha�k, 4 .I CHARLAN S. THOMAS
-‹ - / 6� ril.; - - County
Notary Pc
Worcester Count y
Signature of Public Notary — State of Florida Signature of Public Notary — Stag of a land Maryland
Notarization of Lobbyist's signature Notarization of Principal's si G Expires Jun 27, 2014
FO LE K'S USE ONLYJO ' -Y n //
Annual Registration fee: [ ] Yes [ ] No Amount Paid MCR #5 30 )?7 Date Paid
Lobbyist Registration Form received and verified by: Entered By: / -
`P ( 7.4w* Revised 1/11/2011
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Retitle 33139, wikommlarnibeachfigav
CITY CLERK Office CityClarlAniareleachfLgov
Tel: 305.673.7411 , Pax: 305,673.7254
• •
LOBBYIST NAME:
1 understand that no later than February 28th of each year, 1 must file-the following
form, pursuant to Section 2 of the Miami Beach City Code, with, the City Clerk's
Office for all active lobbying issues.
ne
1) Lobbyist Expenditure and Conoensatio.n Form xs. m
rr
.. •Ti
Failure to file these forms on a timely basis will result in my norm being transmitte ta —
Miami-Dade County Commission on Ethics and far code violation evaluotion,
In addition, once an issue 1 have registered to lobby on has been resolved, I am reTtilsk
to immediately notify the City Clerk's Office of lobbyist withdrawal in writing.
t 2.0i1
Signature: Date:
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