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James E. Rauh - Kaine Parking 125, LLC (2) • g t ,„%ri Q H rfi 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. 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 )rauh @terminello.com TELEPHONE NUMBER FAX NUMBER EMAIL. Please notify this office if your contact information changes: address, phone, or e-mail address. LOBBYIST RETAINED BY: Kaine Parking 125, LLC NAME OF PRINCIPAL /CLIENT. Kaine Parking 125, LLC 170 N.E. 29the Street Miami Florida 33137 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 572 -9899 Larrythe law@hotmail. 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 Lawrence Kaine, as Managing Member of Kaine Parking, LLC. • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST See Attached Exhibit "B" Ii.SPECIFIC LOBBY ISSUE: Please See Attached Exhibit "A" 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 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 person's commencement of service with the city to the present date, stating the eneral nature of the subject contractual relationship. Sec 2- 482(a)(4) Full Name of Individual and Contractual Relationship (Explain) YES NO title of person to be lobbied City of Miami Beach Board of Adjustment None X City of Miami Beach Planning Director /Staff None X City of Miami Beach Mayor and Commissioners 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 icll; ntified on the lobbyist registration form filed. Sec 2- 482(g) Any Finantill,+.1i0il4 l t erfessigr ,[ Relationship r 1 {Q3ione Cld ; 03 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $7,500 Flat Fee B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION) $7,500 Flat Fee (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 ILY No: Are you Iobbyinq 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 Vi 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, wt ether 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 IB 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. L.,-tit -f _ Strut 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 B-ach City Code- , aad ) all reporting requirements Signature of Lobbyist. 4. Cv -- -- eilMMAL r -- Signature of Principal /Clie 1,1 1� L ■.. VI. LOBBYIST IDENTIFICATION: �PRIN IDENTIFICATION: ❑ Produced ID LsVProduced ID / • • - ) `� �•—�! ^ � Form of Identification Form of Identificatio Personally known (Lobbyist) ❑ Personally known (Principal) �\Y, \� �rtttllllll /q // � � LIAN BFq i���i� V VII. SIGNATURE AND STA • ' , 1) STEVEN FLEET � � • y �pMMlg s � GC f �-±. • _ MY COMMISSION # OD616769 g pni 29 �' A. State of Florida, County of Miami . �' - ! EXPIRES: august 21, 2012 State of Florida, County of Mia d , e �g ;-o �� F Notary D illoWht Assoc. Co. a Sworn to nd subscribed before - i.eaa3a+oTAer Sworn an• ubscn.e. before le, : .� 5 , r �. , This , 4 ; of ' �1z O ' This day of " $ 0 9 ' . R i t 4 ti i . �' : r 1 _/ �� >l P n of Lobbyist's signature lorida Notarization of Principal's signature e lorid. % `(TgTE OFD e Notarization g 1ltt +tse TO BE COMPLETkD CITY CLERK'S ppp /� , ;� 1 7�� + A / nnual Registration fee: [ ] Yes [ ] No Amount Paid $ MCR #Y� % Date Paid Lobbyist Registration Form received and verified by: / / F'yi L kv:RALL\aFORMS \LOBBYIST FORMS\ Lobbyist Annual Registration Form.do Revised 1 /11 /2011 CA ) 4 i ho c ° \ A I Ai I B Pt .' '_ City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Honda 33139, www miamibeachfi gov CITY CLERK Office CityClerk @miamibeachfl.gov Tel: 305. 673.741 1 , 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. 411W A 011111L 5- 73 - Signilij Date: 1 EXHIBIT "A" SPECIFIC LOBBY ISSUE File No. 3511: Kaine Parking 125, LLC, 125 -151 Collins Avenue — The applicant is requesting a variance to waive the minimum required interior side yard at the north and south of the property to build the edge of the parking, a variance to waive the minimum required two -way drive width, a variance to waive the minimum required two -way interior drive isle width, a variance to waive the required parking space length, a variance to waive the required parking space width in order to expand and redesign the existing at -grade permanent parking lot. EXHIBIT "B" DISCLOSURE OF INTEREST KAINE PARKING 125, LLC Name and Address % of Ownership KAINE PARKING 125, LLC Lawrence Kaine 50% 170 NE 29 Street Miami Florida 33137 Patricia Kaine 50% 170 NE 29 Street Miami Florida 33137