Nicholas Barshel - Daytonia Bay, LLC Q1�
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City of Miami Beach Office of the City Clerk ,a
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.
BARSHEL NICHOLAS
NAME OF LOBBYIST: (Last) (First) (M.I)
AKERMAN LLP ONE SE 3 AVENUE MIAMI FLORIDA 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-952-5538 305-374-5095 nicholas.barshel @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:
DAYTONIA BAY, LLC
NAME OF PRINCIPAL/CLIENT:
12000 BISCAYNE BOULEVARD SUITE 704 MIAMI FL 33181
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: Xavier Capdevielle
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: EJ I c. AvQ T�,g BJ Z Mie C /1 IP 07 z w
Il.SPECIFIC LOBBY ISSUE: l
Approval for new home
Issue to be lobbied(Describe in detail):
Ill.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 precedinuuch 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 rt
Planning Department X
City Commission Members X
City Administration 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
Se, cc44ae1 wt en i—
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
(61
'743 PoJ
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)
$235.00 Hourly
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
(REQUIRED).$235.00 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 x 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 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 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.
Yes x No: 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 T. R AVE• r •N NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
Zd/
Signature. Lobbyist t=-3
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provision contained
in Section 2-482 of the Miami Beach City Code and.-.. so '-g requi,cents.
Signature of Lobbyist: /A0(..4(
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: .•
Produced ID o o Produced ID
Form of Identification W Form of Identification
d
V Personally known(Lobbyist) o Perso - y ow. •rincipal)
CO
VII. SIGNATURE AND STAMP OF NOTARY: ° o CC 4
X
State of Florida,County of Miami-Dade "-' State of Florida,Co my of Miami-Dade
Sworn to and subscribed efore me do, - -,•• •: • - e me
This _ da of ,,201 5 am..v . ao� h 0 �lyQ 1 ;; .7ie� ' ,'2015
•
'• -= MY COMMISSION le FFI09613
/ °y 1'P� EXPIRES: , •29 2018
Signature of Pu Ir► Notary—Sta = of Florida * * Mtg-PIP M"Ti:I'►.'rWi ' Florida
Notarization o obbyist's s' ture Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Date Paid
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc Revised 01/22/2014
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
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Camm, Patrick
From: nicholas.barshel @akerman.com
Sent: Tuesday, March 10, 2015 9:05 AM
To: Camm, Patrick
Subject: Lobbyist Registration - Barshel
Patrick,
Please see below response for my DAYTONIA BAY, LLC registration:
Sec 2-482(g) Any Financial, Familial or Professional Relationship:
No relationship and not applicable.
Thanks,
Nicholas J. Barshel
Akerman LLP I One Southeast Third Avenue I Suite 2500 I Miami, FL 33131-1714
Dir: 305.982.5538 I Main: 305.374.5600 I Fax: 305.374.5095
nicholas.barshelPakerman.com
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