Jorge Sergio Kuperman - JSK Architectural Group 64cL,D kV&
tr 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 tho 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. Tho term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004 - 3435.
KUPERMAN, JORGE SERGIO
NAME OF LOBBYIST (Last) (First) (MI)
JSK ARCHITECTURAL GROUP 137 GIRALDA AV. CORAL GABLES FL 33134
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305 -448 -1986 775 -206 -2139 INFORMATION @JSKARCHITECTURALGROUP.COM
TELEPHONE NUMBER: FAX NUMBER: EMAIL.
Please notify this office if your contact information changes: address, phone, or e address.
I. LOBBYIST RETAINED BY:
GRANDIOISO MANAGEMENT, LLC
NAME OF PRINCIPAL/CLIENT
1415 EUCLID AV MIAMI BEACH, FL. 3 3134
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
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 DANIEL DAVIDSON, Manager
• IDENTIFY ALL PERSONS HOLDING. DIRECTLY OR INDIRECTLY. A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION.
PARTNERSHIP OR TRUST
',SPECIFIC LOBBY ISSUE: APPEARANCE BEFORE HPB FOR PROPERTY DESIGNATION TO BE IN
DATABASE OF HISTORICAL PROPERTIES AT ►Atv � .'" -i -t � 4 `/ / •
Issue to be lobbied (Describe in detail):
` +C/
III. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED: PLANNING DEPARTMENT
Pursuant to City Code Section 2-482(aX4) 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 general nature of the subject contractual relationship.
Sec 2482(0)(4) Full Name of individual and Contractual Relationship (Explain) YES NO
title of person to be lobbied
SEVERAL STAFF MEMBERS OF PLANNING DEPARTMENT AND
HPB BOARD MEMBERS DURING PRESENTATIONS XX
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(q) Any Financial, Familial or Professional Relationship
. NONE
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IV DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY FLAT RATE OR
OTHER):
A; LC35Y ST :::■CLOSt :F,E. tRoquued)
F•.A: PRJFh;,b_c' AL O: :(.KAR.C..I: 1. Ait� ?T1-. %:TJRA:., rit'-tV :CtS
13; PRINC °A._ S D;SC_CSLRE tOF _OSBY ST COMPENSA - ICV)
( Rebuked }- _------ - 7. L NeN �Rx:UM FOR c F :1 ^_ r :•L�tiAL ScI'_CBb ,.
The following Information must be answered:
PJrSJan! to Miami Beach C,:y Code Sec+ or; 2 -488 Entitled 'Prohib ted Campaign Contnajaons By Lobbyists On Procurement
Issues
Yes A No: Aro you lobbying,9n a present or pending bid for goods, eQulomont or services, or on a present or pending
award for 000ds. equipment or service?
2) PJrsJan: to Miami 3eacn City Codc 2 - >_ntit co 'Proh oiled Campaign Contributions By Lopbvisrs On Real Estate
Duveiopment tss.,cs
Yes x No; Are you )obbyine on a Pending_ application for a DovoloPmont Agreement with the City or application for
change of zoning map designation or change to the City's Future Land Use Map?
3) ?JrsJant to Miami 3eacn City Code 2 (h) Any person !except. !nose exempt from the definition or obbyist as set fo in
Section 2-48 above;. wno only appears as a representative o` a rot•'or- prof.t corporation or entity mtnOJt special
compensation or re.mbursenrenr 'or the appearance. wnetner direct or -nojrect. to oxpress s4Ppurt of or opposition to any
item. sh:ail 'egister w.th the C:crk as rep.nred oy tnis sect.Cn DJ! sna ! not be recuire7 to pay any registration 'Lies_
Yes_ �' N.p.;_A[o.1ou representing a nqt- for•prpfit corporation or eptitY.wJ b,ut special_contoonsation or roimbur,su itltlt•
V_ SIGNATURE UNDER OATH:
• . . . • •: - .1 :u • ■ • I ,. ■ .•
QATH LJSI1NO LOBBYING EXPENDITSIREL. AS.- YIF. L, LASSLQb ".�.EN.+SATION_SEMY_ED..IN THE C(TY Q tAM 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•,na:u•• of LoDags'
1 du SO emh y swear that at o' racts arc- true and correct and tna *. I h. •:e read or am'ami jar wIn the provisions contained
in Sector, 2 -482 of the Miami Bea_ct- C+ty'C53 and at reporting requirements
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Signa•ure of Lottiyist: _---._Y...y.__ -,—
Signature of Principal :Cheat.
VI. LOBBYIST IDENTIFICATION PRINCIPAL IDENTIFICATION•
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;sign ) • ' PJoij Not^ Sla t.! Florida Signal. r Pub lc Notary ' t is of Florida
Not ion of Lobb -t's Si. aturo Notariz n of Principal's s : nature
_ `, s0 TO BE COMPLET 13.y CITY CLERKsF ONLY Date P , a .7 /! / ///
Annual Registration f e • m ( ) Yes I ) No Amount Paid b �MCR • 2
Loboy'st Registration For toms /ea and verified by �/
'
/ 0 Revised 1/11/2011
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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
LOBBYIST NAME: I a 4 4 -
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.
Sign• Date: