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Michael J. Marrero -Fontainebleau 1 M I BE AC!*n lr � City of Miami Beach Office of the City Clerk �D � 6 � - 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. Marrero Michael J. NAME OF LOBBYIST: (Last) (First) (M.I) Bercow Radell & Fernandez, PA 200 South Biscayne Blvd., Suite 850 Florida 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 374-5300 (305)377-6222 mmarrero&k zoninglaw.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone, or e-mail address. I. LOBBYIST RETAINED BY: NAME OF PRINCIPAUCLIENT: Fontainebleau Miami Beach Hotel 4441 Collins Avenue Miami Beach Florida 33140 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional) rq .s- Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(c)] / C ; M • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: PO • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN- IJCF�&ORPORATION, PARTNERSHIP OR TRUST: ` ILSPECIFIC LOBBY ISSUE: ® �•~ t � _ Development Board Approvals for Fontainebleau Miami Beach Hotel -4360 Collis Avenue, Miami Beach, Ptorida 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 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 / i,in:q C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc r IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $445 per hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED). $445 per hour 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 lobbying on a uresent or oendina bid for goods,eauigment or services. or on a present or pending award for goods,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 lobbying on a pending application for a Development Agreement with the City or application fa change of zoning map designation or change to the Cit)es 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 No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: QN FEBRUARY 28 QF EACH YEAR, EACH LQBBYIST SHALL SUBMIT TO THE CIIY CLERK A SIGNED STAT�MEbjj UNDER EM THE ER9CE12ING CALENDAR YEAR, A STATEMENT HALL BE FILED EVgN IF THEISE H5-%E EXPENDITURES OR -n r� - Signature Aflobbyijv co I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with therprAs ons contained in Section 2-482 of the Miami Beach City nd e i require s. ^^}__; �J 1 CD Signature of Lobbyist: c� Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: s Produced ID Produced ID Form of Identification Form of Identification .0 o 2i Cn S Personally known(Lobbyist) W V _L Personally known(Principal) M ¢o cn¢v e � 2 NO„8 —1SQ tn 2 VII. SIGNATURE AND STAMP OF NOTARY: ile E4 e oc'c �.ag amEo ¢ X ® 9q. �3 8 State of Florida, County of Miami-Dade m State of Florida, County of Miami-Dade Sworn to nd subscrib d,b for me z 15. ,E Sworn and subscrirtj),ru_&ir!!4,d before me This o'� day o {- ,2014 This I day of 2014 'x= Signature o ublic otary—State of Florida �`'• Signature of Public Notary—State of Florida Notarizatio of Lobbyist's signature Notarization 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\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 MIAM, 11BEACri City of Miami Beach, 1700 Convention Center Drive, Miarni Beach, Florida 33139, www.iniamlbeachfl.gov CITY CLERK Office Rafael E. Granado, City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.7411 , 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 suspended from lobbying until all fines are paid, unless the fine has been appealed to the i-Dad County Commission on Ethics and Public Trust. . Signature: Date: C7. M 1- . r— ca �. yyam� 6•! ( N) C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc LL J J a Qj N ' w 0 L- E o � uj tA 0 M 0.RT ht tV Q E o N Q, Q "' E a as :3 L to -j � asW �► .,� ° o to C .w 'C m ..1 N t^rj w a cu N oz w C Q� J '!2 .0 rn tlE Vol C 0 :3 N U c o z "° Lu CL wn w- M Y- 4 t M Lj- u 1 T L�O Q7 N C Z �r W C O moww' S p 17 Q N Q C N (N fo tv) w a1 fa Ci p a i C fL3 Lf- a r wrfl p O E �.t .� 4-j r4 > .rte.+ � f�' G row OU M Z U 0 w cc Y ` S.7RIC7'1-Y.PR0,f"RA 'T_AR1;_PRtrV4TE,41VD COA1rfI,DGNTIA.L INj'POR/IIATIOIV NfJT FOR YW.RTh'ER DIRS"TXIB U7'.10/y OR DISCL OSUR ' MIAMI INVESTMENT ASSOCIATES,LLC PRE•C.OSWG STRUCTURE CHART OCTOBER 2013 Suffer Ownership Group Jeffrey Soffer:70.9773% J"a.cquelyn Soffer: 22.6137% Brooke Soffer: 5.068 1%a Barbara Ballante: 0.1.136% Mario Rombie:0_.2273% The 2012 Gilt Trust For Descendants of Jeffrey M.Soffer: 1.0000% 100% MB Resort Investment Associates, LLC (Del.) (Manager Managed) jcffrey Soffer-Manager;President, Secretary,Treesurer Jacquelyn Soffer-Manager,VicePres DL'ooke,Soffer-Manager,Vice Pres sole member and 100% managing member Miami Investment Associates I-Ioldeo,LLC sole member and 100% managing member Miami Investment Associates,LLC (Del.) President and Treasurer-Jeffrey Soffer Secretazy-Mario Romine 48.999999% Member Interest Fontainebleau Miami JV,LLC (Del.) STRICTLYPROPRLEZARY PId WA TE ANV C011r.�1DE T1AL WT,0RffA Tj0N NOT FOR FUR R DISTRIBUTI.0A7 OR DISCLOSURE MIAMI INVESTMENT ASSOCIATES,LLC PROPOSED POST-CLOSING STRUCTURE CHART'- DECENMER G,2013 Soffer w O nership Group *After giving effect to the FBIW feffi-ey Soffer:70-9773% A cquisition LLC;purchase of the 50%.TV Jacquelyn Soffer:22.6137% Member Interest from Tstithmar and the Drooke Soffer: 5.0681% Third Amended and Restated Limited Barbara Ballante: 0.1136% Liability Company Agreement of Mario Rom.ine: 0.2273% Fontainebleau Miami TV,LLC The 2012 Gift Trust For Descendants of Jeffrey M. Soffer: 1.0000% 100% MB Resort Investment Associates, LLC (Del.) (Manager Managed) Jeffrey Soffer-Manager,President; =• Secretary,Treasurer y JacqucIyn Soffer-Manager,Vice Pres Brooke Soffer-Manager,Vice Pres sole member and 100% managing member Miami h vestment Associates Iloldco,LLC (Del.) sole member and 100% managing member Miami Investment Associates,LLC (Del.) President and Treasurer-Jeffrey Soffer Secretary-Mario Romine 49% Member Interest Fontainebleau Miami YV,LLC (Del.) L i SJr R 6....R L X .R-da®Pala I TAR L,PR A.9 L'.A I)[..0®.,['�C.. _iNT.f 4L I Yd'OR wd1•A T 10W 1 BM;ACU181;i:'ION LLC PROPOSED POST-CLOSING STRUCTURE, CHART* DECEMBER 6,2013 Soffer Ownership Group "After giving effect to the FB W Jeffrey Soffer:68.9773% Acquisition LLC purchase of the 50%N Jacquelyn Soffer:24.9546% Member interest from Istithmar and the Brooke Soffer: 5.0681% Third Amended and Restated Limited The 2012 Gift Trust For Descendants of Liability Company Agreement of Fontainebleau Miami J!,LLC Jeffrey M.Soffer: 1.0000% �- -. ..�._._......_ _.�._,_� 100% -� FBIW Investment Associates, LLC (Tel.) (Manager Managed) Jeffrey Soffer-Managcr,President, Secretary,Treasurer r Jacquelyn Soffer-Manager,Vice Pres, Asst,Sect_,Asst'treasurer Brooke Wftr-Manager,Vice Pres sole member and 100% managing member FRIW Acquisition Holdco,LLC sole member and 100% managing member I FBIW Acquisition LLC(Del.) President and Treasurer-Jeffrey Soffer Secretary-Mario Romine 50% Member Interest Fontainebleau Miami N,LLC (Del.) LC� Z W-to J J � � p cc,:d CO-. o Gam 4E tea � Q O u }°COQ u. v1 Cd u.. t.! J u on N 4Q. c m i 71 rts u V � e is �j aaii U' E n o c °-X=' ZE a, m la E J ae� Ln 0 �. C a b Aj >' E u N 0 ® 0 3 .�.a U. a u E � u �~ c�u �," oo �'D� co q 9u •N J N O IA U T � U+.J Q Cl Q E tn °C Q in er U. d) 0ai VI vo p U M.E �.. QJ C > 4-1 n J o �- � a � ro a G R7 .�.. uEQ' aCi� �!I a, :o a OlJ� ci® Dn O`fF C n—j QL to Ln a CL C 0 E N CL L $ .7 J