Simon Ferro - Jorge Baduell 29,0; , 11 v 141)-7 i
MIAM!BEACH RF
City of Miami Beach Office of the City Clerk 201 APR -I.
1700 Convention Center Drive, Miami Beach, FL 33139, C �' 0 9
LERN•S OFFICE
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,
FERRO SIMON
NAME OF LOBBYIST: (Last) (First) (M.I)
Genovese, Joblove & Battista- 100 S.E. 2 St.. 44th Fl.. Miami. Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 913-6687 (305) 428 -8816 sferro(a,gib- law.com
TELEPHONE NUMBER: FAX NUMBER EMAIL:
J�i�lae, nod& this olWce 1?your contact. lnfamatlolf OR sr ad Ss4..Phl or1-mat/ address:
1. LOBBYIST RETAINED BY:
'e e
NAME OF PRINCiPAUCLIEN
PLAYA DE ORO LLC 751 Meridian Ave., #7, Miami Beach, Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 397 -8334 Reservationsna.751Meridian.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: JORGE BADUELL
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: JORGE BADUELL, JUAN CARLOS PELAEZ, REYNALDO BUROZ
u• _a. � '
Appeal of zoning violations CE11004176 and CE11003914 and Code Violation CE11003967
Issue to be lobbied (Describe in detail):
Pursuant to City Code Section 2-4112(a)(4) include the cmnnissioner or personnel sought to be lobbied, and whether the lobbyist has entered
into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such
g person's
commencement of service with tlw city*, the present date, stating the general nature of the subject contractual relationship.
Sec 2482(a)(4) Full Name of lndhridual and Contractual Relationship (Explain) YES NO
title of person to be lobbied
N/A N/A
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f( 0 pi P i 4..
t �
P r tClty � 2 � 2 (g) EvKy regiablant shall red 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
N/A
f -
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE: 5350.00 per hour
` )) PRINCIPALS DISCLOSURE (OF LOBBYIST COMPENSATION): S350.00 per hour
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2 Entitled 'Prohibited Campaign Contributions By Lobbyists On Procurement
Issues':
Q Yes ® 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':
j] Yes ® No; Are you lobbying on a pending application for a Development Agreement with the City or application for
change of zoning map designation or chance to the Cltv's Future Land Use Map?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of 'bbbyist" 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 IN 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 COMPENSATI • N RECEIVED. IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED � " N HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD. r
Signature of L• • •
1 do solemnly swear that all of the foregoing facts are true and co - - • - read or am familiar with the provisions contained
in Section 2-482 of the Miami Beach City Code and all reporting - • • ireme .
Signature of Lobbyist: At _ •
Signature of Principal/Client: <�7� -
VI. LOBBYIST IDENTIFICATI • N: PRINCIPAL IDENTIFICATION:
❑ Produced ID rt pLd3V3 (/z66(1 ��3t
Produced
Form of Identification Form of Identification
Personally known (Lobbyist) ❑ Personally k • • ..� Princi • I)
VU. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami -DDade CARLOS A ORTIZ
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OMMISSION # DD 836371 � /r � � �� 2
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Signature of Pudic "•";-:: Signatu— Notary_ of F " •a
Notarization of L • • • .s signature Notarization of I. 1' signature
TO BE COMPLETED BY CRY CLERK'S STAFF ONLY
. Annual Paid . • . • Registration tea: [ J Ye s'[ j Ib . � Aunt; Paid: MCR.t ...: • :..:. , Qste.Pirlid ",•
Lobbyist Registration Form received and verified*: . ` • .
F: KLFR1sALL1aFORNSILOse isT FORNS■LobbYist Arms*. . ! /
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M 1 A 1 EACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office CityClerkOmiamibeachflgov
Tel: 305.673.741 1 , Fax: 305.673.7254
LOBBYIST NAME: SIMON FERRO
I understand that no later than February 28th of each year, !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.
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Signatur . Dat