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Michael J. Marrero - Pierre Elmaleh f City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 1J112: 39 LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage !A pas's•age;►def�Apr-Fr l rr 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. Marrero Michael J. NAME OF LOBBYIST: (Last) (First) (M.1) Bercow Radell & Fernandez, PA 200 South Biscayne Blvd., Suite 850 Miami Florida 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 374-5300 (305) 377-6222 mmarrerona.brzoninglaw.coni TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address, phone, or e-mail address. I. LOBBYIST RETAINED BY: Pierre Elmaleh NAME OF PRINCIPAL/CLIENT: 8421 Crespi LLC 407 Lincoln Rd, Ste 9D Miami Beach FL 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 2-482(c)] • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: See Attached • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Attached II.SPECIFIC LOBBY ISSUE: Development Board Approvals for 8421 Crespi Boulevard, Miami Beach Issue to be lobbied(Describe in detail): Ill. 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 Planning Department and Building Department Staff None X PB, .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 Formrevised 5-30-2012.doc Signature of Principal/Client: NA VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ..%T. a Produced ID Produced ID Form of Identification •,.,t: Form of Identification 1z lu Mill 14 Personally known (Lobbyist) Personally known (Principal) Z at. VII. SIGNATURE AND STAMP OF NOTARY: so r State of Florida Count of Miami-Dade av S lorida, Count of Miami-Dade v st y o v � Sworscri ed before me 3 wor an ubscri�d before e This o ,299`3 ��� T s a tiof J U , 201 , ' g Sign rNization ota —State of Florida i t f Public Nota State of Florida g rY Nota signature o ariza io signature TO BE COMPLETED BY CITY CLERK'S STAFW MY , Annual Registration fee: [ ]Yes o Amount Pai $ 1xv MCR# Date Paid Lobbyist Registration Form recei ed and verified b y C:\Users\clerhatl\AppData\Local\Microsoft\Window \Tempora Internet Files\Con ent.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc I r I=.t s,r Revised 04/27/2012 City of Nli:ind 13civh� 1700 Convention Center Drive. Miami Beach. Horid.-I 33139. CITY (J_F1%1K Rakid 11'. (lrmmdo. City Clcrk CM I'd: 305.673.741 1 . Fax: 305.673.7254 LOBBYIST NAME: Michael J. Marrero 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 lobbyist, who fails to file the required Statement by April 30th, 2012, shall be automatically suspende from lobbying until all fines are paid, unless the fine has been appealed to the M* n I ad County Commission on Ethics and Public Trust. Signature: Date: C:\Users\clerhAtl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Forrnrevised 5-30-2012.doc o Y Ownership Breakdown Crespi, LLC Sunstone Brokers (50%) Rebond LLC (50%) Sunstone Brokers Pierre Elmaleh (100 %) Rebond LLC Michel Besnier (100%) v - - -' - - -� Miscellaneous Cash Receipt .CITY OF.MIAMI BEACH Cash 0'Credit Card check# $ 20 Received of A/1 _k C.-D Alf] Address For -pt- Ilya &V liq 'ra&,?gg 4�f (THIS INFORMATION-MUST BE-COMPLETED) Office of Finance Director. By r� : Account Number: =; 4/0 Pr® arer: '" Dept: t "7 EXT: P ,