Michael Larkin - Cueto Miami, LLC /�
�V
City of Miami Beach Office of the City Clerk
1700 Convention Center Dhve, Miami B8BCh, FL 33138
LOBBYIST REGISTRATION FORM
|
Lobbyist means all persons employed or retained, whether paid or not, by o principal who seeks m encourage the p0000ge, defeat or
modification of any ondinanoe, nauo|ut|on, action or decision of any commissioner; any aodon, doo|o|on, recommendation of the City
Manager orany city board or committee-, or any andon, decision or recommendation of any city personnel during the time period of the
andna decision-making pmoono on such action, decision or recommendation that foeoeeau|y 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^LohuNmto^has specific exclusions. Please refer to Ordinance o0U*-343e.
Larkin Michael W.
NAME OF LOBBYIST: (Last) (First) (M.1)
Bercow Radell&Fernandez, P.A., 200 S. Biscayne Blvd., # 850, Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
^
305-377-6231 305-377-6222 MLarking
Please notify this office if your contact.information changes:address,phone, or e-mail address.
� /. LOBBYIST msrmmsoBY:
NAME OF PRINCIPAL/CLIENT:
10 773 NW 581h Street, Unit 603 Dora/ Florida 33278
BUSINESS NAME AND ADDRESS(Number and Street) (City) (State) (Zip Code)
(305) 742-2142 oscal:2aastaudo.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: 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
/i.SPECUFUC LOBBY ISSUE:
Development Approvals and Permitting Issues, including, but not limited to Design Review Board, Planning Board, Board of
Adiustment and CitU Commission, if necessaru, relatina to the orooertu located at'l 759 BaU Road. Miami Beach, FL
Issue to be lobbied(Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code mnouon 2-482(a)(4)/no/uunumxomm/oomnw,o,nwmonna/sought to be mmmeu,and whether the lobbyist has entered
into ntrmctu / relationship (paid or unpaid) with said city commissioner or personnel from vo 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, DRB, HPB, BOA, City Commission, and Land Use None X
Development Committee, as necessary �None X
Pursuant onCity 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 m/vmm,/oo to an apnnanonoo of an impropriety,with any current city commissioner or city personnel who is
sought touu lobbied oo identified pn the lobbyist registration form filed.
Sec 2-482(g)Any Financial,Familial or Professional Relationship
Ivone
� ~��
_
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required): $475.00 per hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $475.00 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: Are you lobbying on a present or pending bid for goods.eauil2ment or services.or on a present or
pending award for goods,equipment 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
f9j 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 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 THE PRECEDING CALENDAR YEAR, A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
Signature of Lobbyist
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Beach City Code and all reporting requirements.
Signature of Lobbyist:
nature of Principal/Client:
LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID LProduced ID ��-- oCOo
' ^' Form of Identification Form of Identification
Personally known(Lobbyist) Personally known(Principal) LL.
SIGNATURE AND STAMP OF NOTARY: cc
�, S to of Florida, County of Miami-Dade State of Florida, County of Miami-Dade "':d'��.,,�
S orn t a d subscrib be re me Sworn and subscribed before me ��
_da 2013 This A day of Se , 2013
,7 y 4m►�
Signat re o Pu i dy—State of Florida Signature of Public Notary— �tate of Florida
Notar ation of signatur Notarization of Principal's s' nature
[Ar�RpqmStratonn fpp: [ I Yes Nn Ammint Paod MCR atp Paid 19,
TO BE COMPLETED Y CITY CLERK'S TAF rjY
Lobbyist Registration Form received and verified by: IF
Revised 04/27/2012
(AtN-of Miami Reach, 1700 Convention Center Drive, Miami Reach. FlorKla 33139,
CITY 0_1:1-'PK 0111ce
1�a1lae) 1:. (:iranado. Cily Clerk
g o N,
Tel: 105.673.7411 , FZIN: 305.673.7254
LOBBYIST NAME: Michael Larkin
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 Miami-Dade County Commission on Ethics and Public Trust.
Signature Date