Monika H. Entin - Cueto Miami, LLC ^
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Ci ty of Miami Beach Cffi0a of the City Clerk \ /
� 1700 Convention Center Drive, Miami B88oh, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by o principal who seeks to encourage the peaoogo, defeat or
modification of any ondinenco, eoo|ution, action or decision of any commissioner-, any eodon, deoioion, recommendation of the City
Manager or any city board or committee-, or any acuon, decision or recommendation of any city personnel during the time period of the
entire decision-making process on such acu|un, decision or recommendation that h,naoeeau|v will be heard or nsv|evw»u by the
city commission, or city board or committee. The momn specifically includes the principal as well as any employee engaged in
lobbying activities. The term^LobbNmto^has specific exclusions. Please refer to Ordinance 2U04'343m.
NAME OF LOBBYIST: (Last) (First) (M.1)
Bercow Radell&Fernandez, P.A., 200 S. Biscayne Blml
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-377-6237 305-377-6222 MEntinaBRZonin!gLaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes:address,phone, or e-mail address.
1. LOBBYIST msnwmsoBY:
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NAME", ,"=.P"^`^.=.`.
Cueto Miami, LLC 10773 NW 581h Street, Unit 683 Dorad Florida 33
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: Vidal Bada Vazquez-55%and Alejandra Bada Vazquez 45%
IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: See Attached
x.SPECUFUC LOBBY ISSUE:
Development Approvals and Permitting Issues, including, but not limited to Design Review Board, Planning Board, Board of
AdjUstment and Citu Commission, if necessaru, relating to the yrovertu located at 1759 Bau Road, Miami Beach, FL
Issue to be lobbied(Describe in detail):
iii. CITY AG ENCKES/UN DUVUDUALS 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 I
Planning Department and Building Department Staff None X
PB, DRB, HPB, BOA, City Commission, and Land Use None X
Development Committee, as necessary None X
Pursuant mo City Code Section x-400(g)Every registrant shall uw required to state the extent m any business,financial,familial ovprofessional
relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner or city personnel who is
sought mue lobbied ao identified on the lobbyist registration form filed.
Sec 2-482(g)Any Financial,Familial or Professional Relationship ;1 -i-7i 19 --il
Mone
ti
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required): $330.00 per hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $330.00 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":
_Yes_X No: ALP you lobbying on a present or pending bid for good s.eauipment 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: ArQyou lobbying on a pending application for a Develooment Agreement with the City or application
for change of zoning map desianation 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 o: 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
EM JHg PREQEQIbIQ CALEN12AR YEAR, A STAIE I_S+hktt7-�� FILED EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR
Signature of Lo yi
I do solemnly swear that all of the foregoing facts ar a and correct a at I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Beach City Code a all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
LOBBYIST IDENTIFICATION: P INCIPAL IDENTIFICATION:
CO
Produced ID Produced ID ° J
Form of Identification Form of Identification �
s
v rn g Personally known(Lobbyist) Personally known(Principal)
w SIGNATURE AND-STAMP OF NOTARY:
of Florida,County of Miami-Dade State of Florida, County of Miami-Dade
° rn d subscribed before me Sworn and subscribed before me
!Thi ay of 2013 This\'9 day of bet 2013
ure lic tary—State of Florida Signature of Public No ry—State of Florida
No arizatio Lob®signature Notarization of signature
F-Anniial RPO-Oratman fee- Yes E—V-/,-,
TO BE COMPLETE CITY CLERK'S STA.FFF 2 b MCR
Lobbyist Registration Form received and verified by: (/ , J
Revised 04/27/20
C ih-(11,111aIIIi Beach, 1700 Convention Center Drive. N41-aml Beach, Florida 33139,
CITY CIAAK 011"Ice,
Rajliel L Granado. Clerk A
Tel: 305.673.7411 . Fax: 305.673.7254
LOBBYIST NAME: Monika Entin
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 SUM- from lobbying until all fines are paid, unless the fine has been
appealed to e Miami-Da"eunty Commission on Ethics and Public Trust.
V Date
Signatur e