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Ralph Choeff - Andrew Lessman MIAMI BEACH Miami Beach Office of the City City of M y 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. Choeff Ralph NAME OF LOBBYIST: (Last) (First) (M.1) Choeff+ Levy P.A. 8425 Biscayne Boulevard, Suite 201 Miami FL 33138 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 434-8338 x 111 rchoeff(cDchoefflevy.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact in changes: address, phone, or e-mail address. I. LOBBYIST RETAINED BY: Andrew Lessman NAME OF PRINCIPAUCLIENT: AML Investment IX LLC 430 Parkson Road Henderson NV 89011 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 702-567-3922 amlO7amlhome.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:Andrew Lessman IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Andrew Lessman II.SPECIFIC LOBBY ISSUE: Development Board aonrovals for 835 E Di lido Drive Issue to be lobbied(Describe in detail): Ili. 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 2-482(a)(4) Full Name of Individual and Contractual Relationship(Explain) YES NO title of person to be lobbied lanning Department and Building Department Staff None X B, HPB, BOA, City Commission, as necessary* 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 identified on the lobbyist registration form filed. Sec 2-482(g)Any Financial, Familial or Professional Relationship C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration S 7/ 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) B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): no wirlotj � (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 X No: Are you lobbvina on a present or Dendina bid for aoods eaui meet or CPNIceC or on a present or pending award for aoods eauipment or service? 2) Pursuant to Miami Beach City Code Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": _Yes X No: Are you lobbvina on a pendina application for a Development Aareement with the City or application &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. Yes X No7 Are you represen ina 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 LISTING L0138YING EXPENDITURES, AS WELL AS ATION RECEIVED, IN THE CITY OF MIAMI BEACH E PRECEDING E YE E D E E HAVE BEEN FEXPENDITURES OR COMPENSATION DURING TH D S, r of L b ist I do solemnly swear that all of th rego' facts are true and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami ac Ci de rting requirements. Signature of Lobbyist: Signature of Principal/Client: VI. /BB IST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ed ID FC . b2t✓ Produced ID Form of Identification ��\�.op�1 ,¢. Form of Identification _Personally known (Lobbyist) �y ��� �,` Personally known (Principal) \yP0 J�\�6 4Q40'd VII. SIGNATURE AND STAMP OF NOTARY: Q �' 14rI< State of Florida, County of Miami-Dade 4 State of Rerida, County of Mia+ ►+-Bade '�,Auc Sworn and subscribed before me 4Notaization d subscribed ore me Q _ day of 2012 s , This day of FlA✓Ll� 2013 l� yf;;;;,• z Public tary—State of Florida Sig ure o ublic Notary—State of Flnri a N of Lobbyist's signature Nota ization of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAFF O Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Z Date P4 d o J Lobbyist Registration Form received and verified by: C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc r F:\CLE istration Form.doc Revised 04/27/2012 NA I rb"' ,E A C City of Miami 13cach, 1700 Convention Center Drive, Miami Beach. Florida 33139. www.miamibeachll.gov CI"fY CLF.RK Office Rafael G. Granado, City Clerk CityClerkCi),mi,,tmibeachtl.gov Tel: 305.673.7411 , Fax: 305.673.7254 LOBBYIST NAME: Ralph Choeff I understand that no later than February 28 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, 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 lobby1 , who fails to file the required Statement by April 30th, 2012, shall be Zap mat' ly suspended from lobbying until all fines are paid, unless the fine hasIbe7eii,- the iami-Dade County Commission on Ethics and Public Trust. at Date: C:\Users\clerhatlWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc I 1 1 3 ra MI Salvatore, Jason Tarr From: Ralph Choeff)<rchoeff @clfarchitects.com> Sent: Thursday, August 18, 2016 12:06 PM To: Salvatore, Jason Cc: CLF Architects Subject: Ralph Choeff lobbyist letter received Attachments: Ralph Choeff Lobbyist.pdf Dear Jason, In your letter dated 7/29/2016 you ask what compensation was received or will be received for the following projects: 1. 114 3rd Dilido Terrace Principal: Florian Depenthal Cindy Melk 2. 835 E. Dilido Drive Principal: AML Investment IX LLC / Andrew Lessman 3. 721 E. Dilido Drive Principal: Peter R. Kassabov I have and will not receive any compensation for these projects in regards to lobbying. Thanks, Ralph Choeff Principal CHOEFF LEVY FISCHMAN A R C H I T E C T U R E + D E S U G N 8425 Biscayne Blvd.Suite 201 Miami, FL 33138 (t)305.434.8338,Ext. 111 (f)305.892.5292 rchoelf©clfarchitects.com www.cl farchitects.com 1