James E. Rauh - Miami Cubano, LLC ISA -, ,
City of Mimi Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
L:)BByIST 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 c.,:. 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.
Rauh James E.
NAME OF LOBBYIST: (Last) (First) (M.I)
Terminello & Terminello, P.A 1111 Lincoln Road Miami Beach Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(786) 276 - 2343 (305) 448 - 5566 jrauh @terminello.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please 00t14 WS aft if ct inkrinablon changes address .ar 0-M110 address.
I. LOBBYIST RETAINED BY: •
Miami Cubano, LLC
NAME OF PRINCIPAUCLIENT: ..
Havana 1957 1446 Washingtc3 - , .Avenue Miami Beach Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
_ (305) 604 -9060 (305) 40 - 0544 dibv @msn.com
Ttt NUMlstK: VAA NUM Mbti-t. (optional) (=MAIL: (optional)
Fill out this section if principal is a Corporation, partnership or Trust [Section 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER. OP 9FNEFICIARY:
Jamil Dib, as Managing More -1: t:a of 0!h c, LLC, Managing Member of Miami Cubano, LLC
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: See Attached Exhibit
11.SPECIFfatnilitYStiei
Application for Variances to waive the 60 seat requirement at a restaurant in order to serve beer, wine and liquor and
_ to waive the distance requirement to sell or offer alcoholic beverages with 300 feet of a property used as a public school.
Issue to be lobbied (Describe in detail):
x ;
III 1 . t ;:° t ..< ! -42:, N' i '.-t t i & « g , T - ► .:, ... EP•
Pursuant to City Code Section 2- 482(a)(4) include the commissioner or personnel sought to be lobbied, and whether the lobbyist has entered
into any contractual relationship (paid or unpaid) vit : said city commissioner or personnel from 12 months preceding such person's
commencement of service with the city to the ,,as ,e::* cute, stating the general nature of the subject contractual relationship.
Sec 2- 482(a)(4) Full Name of Ina,vidual zric Contractual Relationship (Explain) YES NO
title of person to be lobaf'l.
City of Miami Beach Board of Adjustment None X
City of Miami Beach Planning Director /Staff None --i A
City of Miami Beach Mayor and Commiissioners None c ' � .• ;TIC
Pursuant to City Code Section 2- 482(g) very re .y :an & ell be required to state the extent of any business, financial, Writhe! oc.profas ional
relationship, or other relationship giving�rlse tcs .:iii atipea once of an impropriety, with any current city commissioner or tity pelsonneTRho is
sought to be lobbied as identified on the lobbyist registration form filed. -.�.-
Sec 2- 482(g) Any Financial, Familial ` or Professional Relationship C(.1 "'o
rn
T .. 0
None c" .l~'
rn -..I
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE: (Required)
$375.00 an hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION)• $375 . 00 an hour
(Required).
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 M 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 ":
❑ Yes id 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 JJ No: Are you representing a not - for - profit corporation or entity without special compensation or reimbursement. .
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28th 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.
Signatu of L. •byist
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 : = _ City Code and -11 reporting requirements.
Signature of Lobbyist: 9 Y
Signature of Principal /C =n :
VI. LOBBYIST IDENTIFICATION: PRINCIPA NTIFICATION:
❑ Produced ID op. N 31
Produced ID !�L �"L Di `��o_b�`�
Form of Identification Form of Identification S &5--1
001/49$ /ANN IaBni N+Il PoPuoB .404.0131°N., m � �
Personally known (Lobbyist) ❑ Personally known (Princ ipal ) ,,,
1402 9Z Pthi :S3EildX3 , i!ii . .
96 as # NOIS9# YV00 AY * A
VII. SIGNATURE AND STAMP OF NOIAR : •; o. �'•�• "` o? r W
.Jl J1EiYH NONMdHS ';�d xad
lorida, County of Mia Dade . State of Florida, County of Miami-Dade - ro
worn to an subscri�.._„: Sworn a d subscri•-d before me a •{ ,,� o
T day - 011 „-r of • n , , 2011
t 1-
* s
natur_ •f P ublic otary State of Flo i n_ .
9 Y — g Public Notary — State of Florida
Notari - tion of Lobbyist's signature • of Principal's signature
TO BE COMP TED BY CITY CLERK'S STAF ON
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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: 305.673.7411 , Fax: 305.673.7254
James E. Rauh, Esq.
LOBBYIST NAME:
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.
...as �i� 3 - 'f /"
Signature: I Date:
EXHIBIT "B"
DISCLOSURE OF INTEREST
MIAMI CUBANO, LLC
Name and Address % of Ownership
DIBA, LLC 45%
Jamil Dib 50%
10350 West Bay Harbor Drive
Unit 3G
Bay Harbor, Florida 33154
Jose Simon Jacobo 50%
2121 Pone De Leon Blvd.
Suite 1050
Coral Gables, Florida 33134
WR Diamond, LLC 45%
Jose Simon Jacobo 50%
2121 Pone De Leon Blvd.
Suite 1050
Coral Gables, Florida 33134
Jamil Dib 50%
10350 West Bay Harbor Drive
Unit 3G
Bay Harbor, Florida 33154
EDWARDO ARAOZ 10%
Edwardo Araoz
410 Espanola Way
Miami Beach, Flo ida 33139