Matthew Amster - 530 Lincoln Owner, LLC --
MIAMI BEACH
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.
Amster Matthew
NAME OF LOBBYIST: (Last) (First) (M.I)
Bercow Radell &Fernandez, PA 200 S. Biscayne Blvd, Suite 850, Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305 P) 377-6236 (305)377-6222 mamster@brzoninglaw.com
O "NUMs€ Z1NUMBER:' .
Please notify this office if your contact information changes:address,phone, or e-mail address.
I. LOBBYIST RETAINED BY:
530 Lincoln Owner. LLC—David Edelstein, Manager
NAME OF PRINCIPAUCLIENT:
Same 590 Madison Avenue, 21St Floor, New York NY 10022
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(212) 521-4488 (212)521-4489
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: David Edelstein,Manager and Authorized Signatory
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST: David Edelstein—60%;Jackie Mansfield—20%;Robert Futterman—20%.
II.SPECIFIC LOBBY SSUE:
Development approvals and permitting issues for 530 Lincoln Road
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
Staff of Planning Department,Building Department and Public Works None
Department
B,HPB,BOA,City Commission,as necessary None
i i 17
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(8)Any Financial,Familial or Professional Relationship
None
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A
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE:(Required)$400 1hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $4001hour
(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 Are you lobbv_g an a present or nending bid for gooy A.eauloment or services or on-a present or gentling
award for goods.eguigment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled°Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
Yes X No* Are you lobbying on a pending ag,gli&atinn for a Development Agreement with the City or Moullcation for
c,hangs of ionino man desinnation or change to the Citv's Future Land Use Man?
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 X Ng; you renresenting a not for gro£lt corporation or entity wittigul 1122.2181_eomuensation 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 LQBJJYINQ�EXPENDITURE3 AS WELL AS COMPENSATION RECEI ED. IN THE CITY OF MIAMI BEACH
= THE PRECEDING CALENDAR Y9AR- A STATE HALL BE FILED EVEN IF THERE HAVE BEEN NO
FXPENDIjWjE§M
Signature of Lob yist
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 reportin ements.
Signature of Lobbyist:
Signature of Principal/Client:
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VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: < D
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Produced ID
Form of Identification :� ';) �- orm of Identification o a ° °0 a
Personally known Lobbylst) ° Personally know Princlpal)VII. ° i
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SIGNATURE AND STAMP OF NOTARY: M
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State of Florida,County of Miami-Dade o
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Sworn to subscribed befpre me ' rn a Sworn a subscribed fore me C4 o °°
This (O� day of o Gfob�,2014 0 Fn v is ay of �' u^,-2014 a
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Signature of Public Notary-St to of aorida ? N C) Signature of KbUIN ary-State of Florida 'C
Notarization of Lob yist's_si ature o N z Notarization of Princ_inal's,signature
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TO BE COM LE D ' I CLERK'S STA OIL 0
Annual Registration fee: f I Yes LyNo Amount Paid kMCR# -3 Date Paid
Lobbyist Registration Form received and verified by:
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M IseeIlaneous Cash Receipt CL.• ._P; L tL 4TQ'rT f � yF
CITY OF MIAMI BEACH
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