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James Rauh - Sobe Hotel Miami Beach, LLP � �! v/ � ^ 0� City of Miami Beach Office of the City Clerk 1700 Convention Center [)Mve' 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 poonoge, defeat or modification of any onuinonce, reoo|udon, action or decision of any commissioner; any acuion, decio|on, 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 ocdon, decision or recommendation that fnnaoeeob|ywill be heard or reviewed by the city cumm|oo|on, or city board or committee. The oonn specifically includes the principal as well as any employee engaged in lobbying activities. The term"Louuy|oom" has specific exclusions. Please refer to Ordinance oU04'343m. Rauh James E. NAME OF LOBBYIST: (Last) (First) (M.1) To,mineUn&TmnnmoUo.P.& 1111 Lincoln Road,#4O0 Miami Beach Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) | (305)276'2343 (305)448'5588 ]nauh@to,minoUu.00m TELEPHONE FAX NUMBER:' � Please notify this office jf your contact information changes:address,phone, mr e-mail address. � � |. LOBBYIST RETAINED BY: Sob Hotel Miami Beach, UlP NAME OF PRINCIPAUCLIENT: 8obe Hotel Miami Beach, LLLP 1778 Collins Ave. Miami Beach Florida 33138 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (312)240'12U0 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: Bob Heyat • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Attached Exhibit | .S ECIF �� LOBBY ISSUE: C��hGa�u,'Appropriateness,and any other land use and zoning issues relating to the property located at 1776 Collins Avenue, Miami Beach, Florida 33130. Issue to be lobbied(Describe in detail): III.CITY AGENCU ES/IN DUVUDUALS TO BE LOBBIED: punowont 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 vy,00nm commencement of service with the city to the present date,stating the eneral 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 City of Miami Beach Historic Preservation Board None X City Manager and Staff None X Planning Director and Staff None X Pursuantto City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,Ifimili"professional relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner�r_-city 11trsonnel who is sought to be lobbied as identified on the lobbyist registration form filed. Sec 2-482(g)Any Financial,Familial or Professional Relationship None Aft IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $375-hourly B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $375-hourly (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 ®No: Are you lobbying on a present or pending bid for goods equipment or services,or on a present or pending award for goods,equipment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": ❑Yes ® No: Are you lobbying on a pending application for a Development Agreement with the City or application for change of zoning map designation or change to the City's Future Land Use Map? 3) Pursuant to Miami Beach City Code 2-484(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 ®No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement. . V. SIGNATURE UNDER OATH: ON FEBRUARY 28th 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 FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. ( j Signatur f bbyist I do solemnly swear that all of the foregoing facts are true nd orrect and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami Be ity Code and all re o ' g requirements. Signature of Lobbyist: Signature of Principal/Clie VI. LOBBYIST ID TIFICATION: PRINCIPAL IDENTIFICATION: I ❑ Produced ID Produced ID F-C X;jerl Cic& e, Form of Identification Form of Identification Personally known(Lobbyist) ❑ Personally known(Principal) VII. SIGNATURE AND STAMP OF NOTARY: Count of Miami-Dado`�`�o�� IpPIBACMEH(OV State of Florida,County of Miami-Dade State of Florida, Y � MY COMMISSION#FF 145626 Sworn tta d subscribed before me V* Sworn subscribed before me This da of u usT , 2(�j � EXPIRES:July 28,218 This y AUGUST ,20��'�� lFOF F�� Bonded Thru Budget Notary Services IAN�AACHEIKOV ?�' ..'��,* MY COMMISSION#FF 145626 Signature of Pu is No — a e of Florida Signature of Public Notary—State of Flori l `oe EXPIRES:July 26, Notarization of Lobbyist's signature Notarization of Principal's signature ""lOFF�� BondedllvuBudg� Y TO BE COMPLETED BX CITY CLERK'S T Y Annual Registration fee: [ ]Yes[ ]No Amount Paid f2 tZ MCR# Date aid Lobbyist Registration Form received and verified by: ' F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc p Revised 1/11/2011 P. .. . ..< ........ ,; . ., City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov CITY CLERK Office CityClerk @miamibeachfl.gov Tel: 305.673.741 1 , Fax: 305.673.7254 LOBBYIST NAME: James E.Rauh, Esq. I understand that no later than February 28th ®f 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, I am required to immediately notify the City Clerk's Office of lobbyist withdrawal in writing. Sign ure: Date: EXHIBIT "B" DISCLOSURE OF INTEREST 3. PARTNERSHIP/LIMITED PARTNERSHIP If the property which is the subject of the application is owned or leased by a PARTNERSHIP or LIMITED PARTNERSHIP, list the principals of the partnership, including general and limited partners. Where the partner(s) consist of another partnership(s), corporation(s), trust(s) or other similar entity, further disclosure shall be required which discloses the identity of the individual(s) (natural persons) having the ultimate ownership interest in the entity.* Sobe Hotel Miami Beach, LLLP PARTNERSHIP or LIMITED PARTNERSHIP NAME NAME AND ADDRESS %OF STOCK SOBE HOTEL MIAMI BEACH, LLLP SOBE HOTEL MIAMI BEACH GP, LLC (General Partner) 1776 Collins Avenue Miami Beach, FL 33139 LEVY FAIRFAX II LLC 33.87% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 LATIN AMERICAN ENERGY CONSULTANTS,LLC 6.8102% 3835 Carole Court Miami, FL 33133 LFP RESTAURANT HOLDINGS, LLC 4.2223% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 SABA INVESTMENT PARTNERS LLC,SERIES 11 4.2223% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 SABA INVESTMENT PARTNERS LLC,SERIES 12 4.2223% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 SABA INVESTMENT PARTNERS LLC, SERIES 13 4.2223% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 SABA INVESTMENT PARTNERS LLC, SERIES 14 4.2223% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 HEYAT HOSPITALITY 4.2223% 1776 Collins Avenue Miami Beach,FL 33139 ANDREW SHASHA 4.2223% 9 Highgate Road Riverside,CT 06878 COHEN-SOBE LLC 4.2223% 50 South Pointe Drive Miami Beach, FL 33139 HCCG LLC 4.2223% 3167 Via Abitare Coconut Grove,FL 33133 DENIS B. PIERCE REVOCABLE TRUST 4.2223% 1231 Oak Avenue Evanston, IL 60202 ELIANA TEUBAL 4.2223% 9 Highgate Road Riverside,CT 06878 SPECTOR FAMILY DYNASTY TRUST 4.2223% 1776 Collins Avenue Miami Beach, FL 33139 JLT SOUTH BEACH LLP 4.2223% 9 Highgate Road Riverside,CT 06878 STEVE ELIAS 1.2667% 7431 SW 56 Court Miami,FL 33143 ALI FAYAZI 1.0134% 2253 Cascadia Court St.Augustine,FL 32093 NASRA GROUP LLC 0.8444% 1776 Collins Avenue Miami Beach,FL 33139 SOHRAB FOROUHAR 0.8444% 555 NE 34 Street #2405 Miami, FL 33137 HANSJOERC MAISSEN 0.4222% 2920 West Trade Avenue Coconut Grove, FL 33133 SOBE HOTEL MIAMI BEACH GP, LLC LEVY FAIRFAX II LLC 31.8584% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 LATIN AMERICAN ENERGY CONSULTANTS,LLC 6.3717% 3835 Carole Court Miami,FL 33133 LFP RESTAURANT HOLDINGS, LLC 3.9823% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 SABA INVESTMENT PARTNERS LLC, SERIES 11 3.9823% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 SABA INVESTMENT PARTNERS LLC,SERIES 12 3.9823% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 SABA INVESTMENT PARTNERS LLC, SERIES 13 3.9823% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 SABA INVESTMENT PARTNERS LLC, SERIES 14 3.9823% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 HEYAT HOSPITALITY 13.9823% 1776 Collins Avenue Miami Beach, FL 33139 ANDREW SHASHA 3.9823% 9 Highgate Road Riverside,CT 06878 COHEN-SOBE LLC 3.9823% 50 South Pointe Drive Miami Beach, FL 33139 HCCG LLC 3.9823% 3167 Via Abitare Coconut Grove, FL 33133 DENIS B. PIERCE REVOCABLE TRUST 3.9823% 1231 Oak Avenue Evanston, IL 60202 ELIANA TEUBAL 3.9823% 9 Highgate Road Riverside,CT 06878 SPECTOR FAMILY DYNASTY TRUST 3.9823% 1776 Collins Avenue Miami Beach, FL 33139 JLT SOUTH BEACH LLP 3.9823% 9 Highgate Road Riverside,CT 06878 LEVY FAIRFAX II,LLC LEVY FAMILY PARTNERS,LLC 95.99045% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 LAWRENCE F. LEVY 4.00955% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 LFP RESTAURANT HOLDINGS, LLC LEVY FAMILY PARTNERS,LLC 100% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 SABA INVESTMENT PARTNERS LLC, SERIES 11 LEVY FAMILY PARTNERS,LLC 100% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 SABA INVESTMENT PARTNERS LLC, SERIES 12 LEVY FAMILY PARTNERS, LLC 100% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 SABA INVESTMENT PARTNERS LLC, SERIES 13 LEVY FAMILY PARTNERS, LLC 100% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 SABA INVESTMENT PARTNERS LLC,SERIES 14 LEVY FAMILY PARTNERS, LLC 100% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 LEVY FAMILY PARTNERS, LLC LFL HOLDINGS, INC. 1% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 LEVY FAMILY 1997 SPECIAL TRUST 5% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 LAWRENCE F. LEVY 2003 FAMILY TRUST 20% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 LEVY FAMILY 1997 SPECIAL TRUST NO.2 34% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 ARI LEVY 2012 IRREVOCABLE TRUST 10% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 ANDREW FLORSHEIM 2012 IRREVOCABLE TRUST 10% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 ROBERT FLORSHEIM 2012 IRREVOCABLE TRUST 10% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 STEVEN FLORSHEIM 2012 IRREVOCABLE TRUST 5% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 FLORSHEIM LFP GIFT TRUST 5% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 LFL HOLDINGS, INC. Lawrence F.Levy 100% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 LEVY FAMILY 1997 SPECIAL TRUST Ari Levy 25% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 Steven Florsheim 25% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 Andrew Florsheim 25% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 Robert Florsheim 25% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 LAWRENCE F.LEVY 2003 FAMILY TRUST Ari Levy 25% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 Steven Florsheim 25% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 Andrew Florsheim 25% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 Robert Florsheim 25% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 LEVY FAMILY 1997 SPECIAL TRUST NO.2 AN Levy 25% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 Steven Florsheim 25% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 Andrew Florsheim 25% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 Robert Florsheim 25% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 ARI LEVY 2012 IRREVOCABLE TRUST Ari Levy 100% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 ANDREW FLORSHEIM 2012 IRREVOCABLE TRUST Andrew Florsheim 100% 444 N. Michigan Avenue Suite 3500 Chicago, IL 60611 ROBERT FLORSHEIM 2012 IRREVOCABLE TRUST Robert Florsheim 100% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 STEVEN FLORSHEIM 2012 IRREVOCABLE TRUST Steven Florsheim 100% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 FLORSHEIM LFP GIFT TRUST Riley Florsheim 162/3% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 Kaden Florsheim 16 2/3% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 Bodie Florsheim 16 2/3% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 Logan Florsheim 16 2/3% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 Saige Florsheim 16 2/3% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 Griffin Florsheim 162/3% 444 N.Michigan Avenue Suite 3500 Chicago, IL 60611 LATIN AMERICAN ENERGY CONSULTANTS, LLC Mateo Lvoff 100% 3835 Carole Court Miami,FL 33133 HEYAT HOSPITALITY GROUP Bob Heyat 100% 1776 Collins Avenue Miami Beach, FL 33139 COHEN SOBE LLC Bert Cohen 100% 50 South Pointe Drive Miami Beach, FL 33139 HCCG LLC Harvey Cohen 40% 3167 Via Abitare Coconut Grove, FL 33133 Carlos Gamboa 60% 3167 Via Abitare Coconut Grove,FL 33133 DENIS B. PIERCE REVOCABLE TRUST Denis Pierce 100% 1231 Oak Avenue Evanston, IL 60202 SPECTOR FAMILY DYNASTY TRUST Gerry Spector 100% 1776 Collins Avenue Miami Beach, FL 33139 JLT SOUTH BEACH LLP Jessica Shasha 33'/3% 9 Highgate Road Riverside,CT 06878 Lucas Shasha 331/3% 9 Highgate Road Riverside,CT 06878 Homas Shasha 33'/3% 9 Highgate Road Riverside,CT 06878 NASRA GROUP LLC Sami Nasimiha 100% 1776 Collins Avenue Miami Beach,FL 33139 i - - CD 6112� Ix . a yc _ Lu- a ([S a L ` 0 .2 co 10 0 0 •� V � '� - Q LL i