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James E. Rauh / Phillippe Miami Sobe, LLC � '�� _'' ` City of Miami Beach Office of the City Clerk 170O Convention Center Drive, Miami Beach, FL 33139 � LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained, whether paid or not, by principal who maako to encourage the pa000ga, defeat or modification of any undinance, noan|udion, action or decision of any commissioner; any action, decioion, recommendation of the Qty Manager or any city board or committee; or any ooUon, decision or recommendation of any city personnel during the time period of the entinodecioion'making pmoeoo on such oction, decision or recommendation that fonaoeeab|ywill be heard or reviewed by the city commiooion, or city board or committee. The term specifically includes the principal as well as any employee engaged in lobbying activities. The term"Lmbbyimtm" has specific exclusions. Please refer to Ordinance 2004'3435. Rauh, ' James, E. NAME OF LOBBYIST: (Last) (First) (M.1) TernnineUo&Terrn|neUo' P./\.' 1111 Lincoln Road, 4th F{oor, 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 notily this office.if your contact information changes:-address phone,'ore-mail address.' ^' |. LOBBYIST RETAINED BY: Philippe Miami Sobe, LLC NAME OF PRINCIPAL/CLIENT: Philippe Miami Sobe,LLC 36 Ocean Drive, Miami Beach, Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 777- (305)674-0250 stratis@philippechow.com TELEPHONE NUMBER: FAX NUMBEP:(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: Stratis Morfogen, Managing Member IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CO&PORATION, PARTNERSHIP OR TRUST: See Attached 0FnC`,&�0.BB8�'xS808�{ Design i |for facade difi ti n to the property located at 30-40 Ocean Drive under ORB File No. 22914 Issue to be lobbied(Describe in detail): - ' : Pursuant to City Code Section include the commissioner sought ooue lobm*d,and whether the lobbyist into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such '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 Design Review Board None X Planning Director and Staff None X Commisioners and Mayor None X ^ Pursuant u,City Code Section 2-482(g)Everegistrant shall be required tu state the extent or any business,financial,m^mmu|"onprofessional relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner or city personnel who is sought toue lobbied uo identified on the lobbyist registration form filed. Sec 2-482(g)Any Financial,Familial or Professional Relationship C:\Uoano\c|arhoUV\ppDnto\Loco|\K8inmaof\Windown\Temponory Internet Fi|eoVConuant.OuUonk\83LGODOH\LobbyiotRegistration | Fonnnmioed5'3O'2O12.doc � »� IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $375.00 Per Hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $375.00 Per 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": _YesV_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 Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": _Yesv_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 Section 2-482(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. Yese No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: ON FEBRUARY 28 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 SHA FILE THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. Si obbyist C7 uret I do solemnly swear that all of the foregoi cts are true nwm correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Mia eac Ci Co and all reporting requirements. Signature of Lobbyist: Signature of Principal/Cli VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of Identification Form of Identification K3-NOTARY STEVEN 1~LEI ¢� personally known(Lobbyist) W551dN DDB16769 Personal) known(Principal) s:amt 21,zoi2 Y ( P ) NototY Ix Aeeoc.Co VII. SIGNATURE AND STAMP OF NOT State of Florida, County of Miami-Dade State of Florida, County of Miami-Dade Z orn x .an subscri o e me Sworn and subscribed before me s ay 12 This day of 12012 Signature — a of I ida Signature of Public Notary—State of Florida Notarizati n of Lobbyist's signature Notarization of Principal's signature TO BE CO ED BY CITY CLERIC' T N Y Annual Registration fee: ]Yes[ ]No_ Amount id$ MC # Date Paid Lobbyist Registration;Form received and verified C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc IV, DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $375.00 Per Hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $375.00 Per 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 /I'ssues _YesV No: Are you lobbying on a present or pending bid for snoods,equipment or services or on a present or pending award for goods,equipment or service? 2) Pursuant to Miami Beach City Code Section 2.490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues Yesi_No: Are you lobbying on a pending application for a Development Agreement with the City or application for channe of zonlnq map designation or change to the City's Future Land Use Map? 3) Pursuant to Miami Beach City Code Section 2-482(h)Any person(except those exempt from the definition of"lobbylst"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. Yes4o• Are you representing a not-for-profit corporation or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: ON FEBRUARY 28 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 SHA FILE THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD, Si V obbylst i do solemnly swear that all of the foregoi cts are true ct and that I have read or am familiar with the provisions contained in Section 2482 of the Mia eac Ci Co and all reporting requirements. Signature of Lobbyist:. Signature of Principal/ Ii - VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of Identification ," �� Farm Of identification BRAD STEVE NLEE'l TANYA SANTIAGO zpersonall known(Lobbyist) MY col�nsstax a onat6169�? �Personally known( iric�pa Y PUBLIC,STATE OA NEW YORK Y ( Y ) mim..Ate 2 r,20 U e: egistration No.OI SA6081699 �.Neady DiSmEt�.CO. Qualified in Ness County Vil. SIGNATURE AND STAMP OF NOT P=ARY Cession Expires November 10,20.j State of Florida,County of Miami-Dade State of Florida, County of Miami-Dade Sworn tQ anij subscri '(p le me Sworn andssubscribed before me This ay v 12 This g_ gay of ,2012 Signature a — a o%fTl da Signature o blic Notary—State of rida Notarizati n of Lobbyist's signature Notarizatio of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Date Paid Lobbyist Registration Form received and verified by: C:\Users\clerhatl\AppData\LocallMicrosoftlWindows\Temporary Internet Files\Content.Outlook183LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc F:\CLEI tistration Form.doc Revised 04/:27/2012 4 tv a City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov CITY CLERK Office Rafael E. Granado, City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.741 1 , Fax:305.673.7254 LOBBYIST NAME: James E. Rauh, Esquire understand that no later than February 28 of each blear, 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, or I am no longer lobbying on that issue or for that principal, I am required to immediately notify the City Clerk's Office of lobbyist withdrawal in writing. Pursuant to Section 2-485 (d), the City Clerk shall notify any lobbyist(or principal) who fails to timely file a Statement and in addition to any other penalties which may be Imposed as provided in Section 2-485.1, a fine of$50.00 a day shall be assessed for all Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal) to file the Statement or pay the assessed fines after notification. Any lobbyist, who fails to file the required Statement by April 30th, 2012, shall be automatically suspended from lobbying until all fines are paid, unless the fine has been appealed to the Miami-Dade County Commission on Ethics and Public Trust. 7 -- /b Si nat re: Date: C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc L EXHIBIT 66 A 99 DISCLOSURE OF INTEREST FOR PHILIPPE MIAMI SOBE, LLC Name % of Ownership Philippe Miami Sobe,LLC Steven Boxer 28.125% Stratis Morfogen 20.55% Kantor Restaurant Miami Sobe, LLC 20.55% Philippe Chau Chow(an individual 10.275% Stewart Rahr 6.5 % ISU Properties 5.0% Jessica Portnoff Trust 5.0% Marc Bell 4.0% Kantor Restaurant Miami Sobe,LLC Steve Kantor 100% ISU Properties Tom Wyler 100% Jessica Portnoff Trust Paul Portnoff 100% t