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Monika H. Entin - Ari Pearl 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. Entin Monika H. NAME OF LOBBYIST: (Last) (First) (M.I) Bercow Radell&Fernandez, P.A., 200 S. Biscayne Blvd., # 850, Miami, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-377-6237 305-377-6222 MEntinnaBRZoninaLaw.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: Ari Pearl NAME OF PRINCIPAUCLIENT: Miami Beach Resort Owner, LLC, 404 Fifth Avenue, 61h Floor, New York NY 10018 BUSINESS NAME AND ADDRESS(Number and Street) (City) (State) (Zip Code) (305) 747-6408 ari pearl(dgmail 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: AriPearl • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See the attached. II.SPECIFIC LOBBY ISSUE: Development Approvals and Permitting Issues, including, but not limited to Historic Preservation Board, Planning Board, Board of Adjustment, Land Use Development Committee, and City Commission, if necessary, relating to the property located at 4833 Collins Avenue Miami Beach Florida. Issue to be lobbied(Describe in detail): III. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2482(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 I NO title of person to be lobbied Planning Department and Building Department Staff None PB, HPB, BOA, City Commission, and Land Use None Development Committee, as necessary 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- T+-. I one nrie .--r'---•—>_— _ �. _r X .__�,. I - 1. f - ��. - r x y. y � F 'rte 4- ,fi K T b _ it 1 �" K 1 f. 4 r ` _ ! k •.i F � �j�71 # g i �F� itli y Y M.iscellane+�us Cash Recei t z p r �c F_ 66`f¢ Fj p } s tI - ■/� R p °C Y OF MIAMf ACIH _ r 13 Cash 5 0 Credit.Card ,]Check.# �L pn J � t y R®celved _ - y i s �I $"�' .' -t.- .6 - _ - yr._ice`- 3''• • }S;F _ r . ,. 4THIS'iNFORMA'TION-MUST SE COMPL.ETED) - Office of F6riance-pii'ector, tv Account Numlide Pre P` arer: : � p i , • y i