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Berg Malcolm - Green Comet, Inc. i 39V (9°)9jAl ILA 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. Malcolm Berg NAME OF LOBBYIST: (Last) (First) (M.I) EOA 340 Minorca Avenue, Ste 7 Coral Gables 33134 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-444-0990 mbeeoagroup.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notlly this office If your contact information changes: address, phone, or e address. I. LOBBYIST RETAINED BY: Green Comet, LLC NAME OF PRINCIPAL/CUENT: 119 Washington Avenue Miami Beach FLORIDA 33139 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 2482 (c)] • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Alessandro Ferretti • IDENTIFY ALL PERSONS HOLDING DIRECTLY OR INDIRECTLY, A 5% OR MORE CNIMERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Attached ILSPECIFIC LOBBY ISSUE: HPB, BOA and Building Permit Issues 3-Tyr rl Je_ . l''t I¢d1( 4 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 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 Historic Preservation Board, Board of Adjustment Planning and Zoning department City Departments V 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 tons filed. Sec 2482(g) Any Financial, Familial or Proflessional Relationship 3 J31.3_10 SM313 Jl110 6S :6 WV et 'fir i iui C13A133IJ IV. OISOLOSURN OF WRNS MD MEOW= OF LOBBYIST CONiP A710M WNITMBR HOURLY, PLAY RAM OR aLOOSIOTO ■13 0/01tl 0 ((01 L.. vh, pciws 6 Tr 6iv 8) PllIIICPAL'B oiaCLOStIRE t!c LO■sYtsT OOl r►Tlo14 .6)) fl ( tl OA 41 ( - 1/` - ^ PN S A f 10 NJ The following bloomed= must bs araap+.d: 1) Purerrantto &Iwni Beech Oily Cade Seaton SOB Edited 'P hibited Campaign Contributions By Low On Procurement Issued: IMIIIMISIONOLIMEIERWSZNE ■ 2) Pumuertt Mimi Beads City code 2490 Entitled 'Prehib led Campaign Contibutione By Lobbytat On Real Estate Devolopment Meuse: 'L: 'I{'.. - :.:L:1:' i1:.l• .. ..[I 1':'.i._.1 _. ":1 " -I... . d ' I . t. 3) Pwarrertt to Mend Beech City Code 2484 (h) Any person (mampt those rose ptnem the clal101on of lobbyist* as set forts In Seaton 2.481 above) who only appears as a represenbitive of a notiorprolit ompot.9on or unity vilhout aped compensation or rnbur.em.nt tOr the appsararwe, whether d or indirect to wen support of or apposition to any Item, ahaa register sit the clerk as required by this motion but shell not be requied to pey any tegletralon fees. ■ V. $KINA1URE MOM OA1N: al;; at:.. "� 1 ' T7. ■ — T•:[r•: ?', <i: a ;,_ , t /chi I. Z•'1rr - ._h, z.,. i.1r.-7. •1 ifil . .rIi1;a ,l ' ='ii I - _'`Fir -�T. i _ :J • _��: -, i'.11 1� - • 1. ' ., -rl ". T: :iii:.° I,i- .� li:.1.. 1..., 111141 SIgenhas ka■ngr I do so swear that a l l . , ,. • < . hob are tare and comsat snd flat I have or am fender v1O i the provisions contained it Sedan 2-4R2 tithe Ward - i •. Code ard all mores requirements. Signatunr of Lobbyist r tilipabas , of � VL LOBBYIST ISENTIFICATlO* PRINCIPAL IDENIIPICATIOIt 0 Produced ID 11Rroduced ID { Form of Identiketlon Foam of of IdendlloeSon S � V . SIONATINIEAND STAMP OF NOTARY: ewra • Ftsdds. C o u n t y of wand s , .: A' • AMU • : . I : - . ' of ��.uu arse �f► .4 arnd me . r epo Lore Or i. I i 201 its: = TE day • T b • , 1 • 'c. ; COMM' so t "zco ��t . • l,„„. swam 1A �� : . ON DD�0926B Et � 7 i L .elf.✓.. _ )l . - _ * .. , Si 1 a Pi' . -, • ttEXPIRES: JULY2D 20 ;�, - ; _StsleofFlodde `t?:: >' " .. - > '` : ,- "II d '� 2013 d E . a ., ";,,, _ ' d wx TONIQoolLBTEDBY STAFP ouLY Annual linptdtaeanOw t ` 'Yee( J. /imamPaidtl NCR' OaiePald 7 �//, nctgRUAtiVRINtesU.ateVIST F mood se 4IOS f R . IV. DISCLOSURE OF TERNS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE (Required) 1-16 t'Sve 690-t 14 B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). The following information must be answered: 1) Pursuant in Miami Beach City Code Section 2.488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues" ►� i. •. .0 Ic `i t •:� _ ' L. -1 _ �. .�_t.1 t. � • y�. _s� _I �n:e�it- '� --= pit_.... .. r.t _ I e_ -alit • award for goods. esulelment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled 'Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues ": Yes ® No: Are you lobbvina on a aendina application for a Develoe mentAareement with the City or application for •a • il>, ii__ u•u tit: _ ,_,, L ,,: % - _ • ..e v 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. I Y e s - • - _ t ' .i , ..11i _• Lt. • i. =.i • . •■ Litn.:..1.: _. ......, a ...IL_A 1 _ • ►s it • iu: it _ . V. SIGNATURE UNDER OATH: • II • -- a _ .: .11 ` 1. e • _ .: 1_ t _ .t _ D OATH. LISTING LOBBYING EXPENDITURES. AS WELL AS COMPEN= ILL ; CEIVED. IN THE CITY OF MIAMI BEACH Foil COMPENSATION DURIN THE REPORTING PERIOD. ' Signature of Lobbyist I do solemnly swear that all of • ... • •'ng facts are true and correct and that I have or am familiar with the in Section 2-482 of the Miami B = I • Code and all reporting requirements. t contained Signature of Lobbyist Signature of PrincipalClent VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ❑ Produced ID a Produced ID Form of Identification Form of Identification Personally known (Lobbyist) ❑ Personally known (Principal) VU. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami -Dade h r JULIET ROME of Florid qn County of Miami - Dade 2011 Sworn to = • subscri • me ,� 1 4 NOTARY PUBL rs and su bscribed before rrre Thi �Y r y • c ALM 2011 IF , � �� STATE OF FLORIDA •r2 re of Public .Lary — State of Florida' ' re aT Public Notary — State of Florida N • •: ob lion of Lbvlst's signature Eagles an of Prindoet's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ] Yes I ] No Amount Paid $ MCR # Date Paid Lobbyist Registration Form received and verified by: F ACLER\SALL\aFORMS \LOBBYIST FORMS ILobbyist Annual Registration Fortn.doe Revised 1/11/2011 y - c ADDENDUM The property which is subject of the application is owned by GREEN COMET, L.L.C., a Limited liability company existing under the laws of the State of Florida, 350 Ocean Drive, Miami Beach, FL 33139 Managed by Alessandro Ferretti, 300 South Pointe Dr., Miami Beach FL 33139 Diego Ferreyra, 350 Ocean Drive, Miami Beach FL 33139 Mateo Salinas, 350 Ocean Drive, Miami Beach FL 33139 Members of Green Comet LLC are: GREEN COMET H, LLC., a Limited liability company existing under the laws of the State of Florida, 350 Ocean Drive, Miami Beach, FL 33139 46.67% whose partners are - Ferfour Inc., a Florida corporation 20.39% of GCI I = 9.51% of GC 350 Ocean Drive, Miami Beach, FL 33139 President, Secretary, Treasurer Alessandro Ferretti Owned by: Alessandro Ferretti, 300 South Pointe Dr., Miami Beach -Aquire USA Inc., a Florida corporation 38.47% of GCII = 17.95% of GC 350 Ocean Drive, Miami Beach, FL 33139 President, Secretary, Treasurer Roberto Bianchi Owned by: Aquisitia S.p.a., an Italian Company Via Ansperto 10, Milano -Italy Ultimate ownership interest Roberto Bianchi Via Ansperto 10, Milano -Italy - Dryshore Inc., a Florida corporation 25.01% of GCII — 11.67% of GC 350 Ocean Drive, Miami Beach, FL 33139 President Andrea Secco; Secretary, Treasurer Lorenzo Secco Owned by: Andrea Secco and Lorenzo Secco Via Guizzetti 73, Dosson di Caster, Treviso, Italy - Prospecto International Inc., a Florida corporation 16.13% of GC11= 732% of GC 119 Washington avenue Suite 101, Miami Beach, FL 33139 President Renato 'tangent Secretary Daniel Goldstein; Treasurer Fulvio Tettamanti Owned by Lifin S.A., a Luxembourg Company 8 Rue Dicks, L1417 Luxembourg Ultimate ownership interest Renato Rengoni Via Guardini 75, Trento , Italy and ETSA HOLDINGS 1, L.L.C., a Limited liability company existing under the laws of the State of Florida, 350 Ocean Drive, Miami Beach, FL 33139 53.33% whose beneficiary owners are: Diego Ferreyra, 350 Ocean Drive, Miami Beach FL 33139 26.67% of GC Mateo Salinas, 350 Ocean Drive, Miami Beach FL 33139 26.67% of GC k we . .. irk i'vf\i/V\A ' BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachll.gov CITY CLERK Office CityClerk@miomibeachfl.gov Tel: 305473.7411 , Fax: 305.673.7254 LOBBYIST NAME: Malcolm Berg I understand that no later than February 48th of each yr, 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. A I , Al 115 I ( I Signature: Date: v KLa,t Gcjnn P›-e -y i s p 1 0 , - -1 I - 1 I • JULIET ROMERO EQ4 NOTARY PUBUC 1*- STATE OF FLORIDA stat . v 4 Comm# DD0914448 t Expires 12/4/2013