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Steven J Wernick - 224 Sofi, LLC r 1\,171,1/01 CVO M I AM I B E AçH !�Z fay -� ��� �6 rp \ O' 6 City of Miami Beach Office of the City Clerk ' �• 1700 Convention Center Drive, Miami Beach, FL 33139 S� L./ a- 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. Wemick Steven J. NAME OF LOBBYIST: (Last) (First) (M.I) Akerman LLP One SE Third Ave,25th Floor Miami FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305.374.5600 305.374.5095 steven.wemick @akerman.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: Joseph R.Furst NAME OF PRINCIPAUCLIENT: 224 Sofi,LLC 570 NE 57th St. Miami FL 33137 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) joefurst @gmail.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: Joseph R. Furst • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSI•JIP INTEREST IN SUCH CORPORATION, a, PARTNERSHIP OR TRUST: �- - A4< E1) f. II.SPECIFIC LOBBY ISSUE: 3r--44-M4E'NO Dx RL e°�o L- ""47E �ES ILi ��0�5-. Proposed conversion of historic structure(residential and medical office)to restaurant. ika 22.4 2. - Issue to be lobbied(Describe in detail): lll.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 Members of the development review boards and staff X City Commission X 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 None J I l r.tl 1 i,113 LS :B Ha 01 J30£10' CI r l I . i e7 L F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc • 1 II lb 1 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) ,g c ' 4401),02..1,/5 hourly B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED).$385 hourly 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 pNo: 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 Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": _Yes p 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 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. Yes17No: 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 FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. c 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 Cit Code and all reporting requirements. Signature of Lobbyist: .A -./1j. 7 Signature of Principal/Client: , VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of Identification Form of Identification • Personally known(Lobbyist) /Personally known(Principal) ) VII. SIGNATURE AND STAMP OF N N. • .- ` •'e,Y pv,'. BLISLAINEY M.SAINZ State of Florida,County of Miami-Dade � . += MY COMMISSION#EE 155210 ; ate of Florida, County of Miami-Dade y - ii" •,: EXPIRES.December 21,2015 . Sworn to subscribed be •• - e ••�. a�� � �:� Bonded Thru Notary Public Undervrriters orn a subscri•-• •- ore me is da pi ,,2„ ' �A6�t�� is k d. of` t'J '� — Mi.,,Mia..111%. ■-' A r _ „„alik. A 40:lgna ure o P iblic Notary– = ate of lori4a u-re tf u•i•r ot• sate of Florida Notarization of Lobbyist's ' • re otarization of Princi•.I' ignature TO BE COMPLETED BY CITY CLERK'S STAFF O LY L l/ /✓2 Annual Registration fee: [ ]Yes[]No Amount Paid$ 3�o — MCR# ,3 Date Paid I Lobbyist Registration Form received and verified by: . F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc d Revised 11/18/2013 P P,,'.,,, SL!tilA!t1EY M.SAINZ F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc _*; �� ;.. my;:�?MM;510N#EE 155210 . ? ...�`:ac EXPINES:December 21,2015 1,;,'�: ' Boner's rim Notary Public Underwriters MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov CITY CLERK Office Rafael E. Granado, City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.7411 ,Fax:305.673.7254 LOBBYIST NAME: Steven J. Wernick 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 30, 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. /2_//0.aig Signature Date F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc • :. -. . 7 . .. • -.:.'....:;14.11 . [1.. "U > . , a 0.. c _.'..''-i:::',1 r-- it . k n, f. Z LM 111 --1 ---- \4-' -- - g _..::-. 1-,.. ----:, t.... . -, x = .-:.,.1 : . it ... c.-,......., ...., \,..., , . , ci. . . i . ...,co 41.— V\ ' • • 73 . -.-1 ' el, "--t. I ,f-N, )37 0 - --.--1 L I::.. ,'*.,,,„.., s.-4„,., -} •:tip . . i... li:_i , „:...,..1., c . --,... _ -„\.1.%% , \_..,,' = , ' / [rt1 _ ,off --i _1. --i ' i:-.' CI .... ,, .0, riit — . .. ..--•i----\ - O _ - = - . :- ''_' m • 1 s- ! h� _ _ ;1. -.1 • All Persons holding, directly or indirectly, a 5% or more ownership interest in such Corporation, Partnership or Trust: JRF Sofi Holdings, LLC- Joseph R. Furst, MGRM- 25% Big Big Sofi, LLC- Doug Levine, MGRM- 50% Building Bloxs, LLC- Paul Lardi- 25% I . {30028388;1} Prieto, Silvia From: blislainey.sainz @akerman.com Sent: Wednesday, December 10, 2014 1:41 PM To: Prieto, Silvia Subject: RE: 224 Sofi, LLC- Update to Lobbyist Registration Attachments: Untitled.pdf Silvia: Please see attached. Let me know if that will suffice. The information you requested is on the third page of the scan. Best, Blis M. Sainz Blislainey M. Sainz Legal Administrative Assistant to Juan Carlos Bermudez, Esq., Steven J. Wernick, Esq., and Marissa Amuial, Esq. Akerman LLP I One Southeast Third Avenue 1 25th Floor I Miami, FL 33131 Dir: 305.679.54171 Main: 305.374.5600 1 Fax: 305.374.5095 blislainey.sainz©akerman.corn From: Prieto, Silvia [mailto:SilviaPrieto@ miamibeachfl.gov] Sent: Wednesday, December 10, 2014 11:36 AM To: Sainz, Blislainey(LAA-Mia) Cc: LaRosa, Clara; Hatfield, Liliam Subject: RE: 224 Sofi, LLC- Update to Lobbyist Registration Dear Blislainey The Issue on "224 2nd St.Joseph R. Furst/224 Sofi, LLC has been amended to add Alcohol Beverage Restrictions, as per your memo. Please see attached, it is already entered in our database, it will appears on the Lobbyist Log as soon as the report for this week gets updated. Could you please enter the names of the persons holding, directly or indirectly, a 5%or more ownership interest in such Corporation, Partnership or Trust. The City Clerk is now paying special attention to the above information. Thank you so much, 4111101 01.11.11.1010011110 - a_sr;s•r f� Silvia Prieto,Administrative Aide I 1 CITY CLERKS OFFICE 1700 Convention Center Drive, Miami Beach, FL 33139 Phone: 305-673-7000 ext.6269/ Fax:305-673-7254 www.miamibeachfl.qov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant,tropical,historic community. From: blislainey.sainz@akerman.com [mailto:blislainey.sainz @akerman.com] Sent: Wednesday, December 10, 2014 9:58 AM To: Prieto, Silvia Subject: 224 Sofi, LLC- Update to Lobbyist Registration Hi Silvia: This is a follow up to our telephone conversation. I need for you to please help me with amending one of our lobbyist registrations. The principal is Joseph R. Furst/224 Sofi, LLC. In addition to the issues that currently appear on the lobbyist registration,Steve is now lobbying the City Commission on Alcohol Beverage Restrictions. Steve is scheduled to appear before the Land Use Committee later today so I just wanted to make sure that this updated today.As always, thank you for all of your help! Best, Blis M. Sainz Blislainey M.Sainz Legal Administrative Assistant to Juan Carlos Bermudez, Esq.,. Steven J. Wernick, Esq., and Marissa Amuial, Esq. Akerman LLP I One Southeast Third Avenue I 25th Floor I Miami, FL 33131 Dir: 305.679.5417I Main: 305.374.5600 I Fax: 305.374.5095 blislainey.sainzPakerman.com CONFIDENTIALITY NOTE:The information contained in this transmission may be privileged and confidential,and is intended only for the use of the individual or entity named above.If the reader of this message is not the intended recipient,you are hereby notified that any dissemination,distribution or copying of this communication is strictly prohibited.If you have received this transmission in error,please immediately reply to the sender that you have received this communication in error and then delete it.Thank you. 2