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Michael W. Larkin - Sofi Partners, LLC 4 Am I BEAc H a l�l 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. Larkin Michael W. NAME OF LOBBYIST: (Last) (First) (M.I) Bercow Radell&Fernandez, PLLC 200 South Biscayne Boulevard, # 850, Miami FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-377-6231 305-377-6222 MLarkin(a l3RZoninaLaw.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone,or e-mail address.c) 0 I. LOBBYIST RETAINED BY: cr' Son Partners. LLC NAME OF PRINCIPAUCLIENT: -- �-, i. Sofi Partners, LLC 1111 Lincoln Road, Suite 400 Miami Beach FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) "' 305-229-6554 TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional) �~ Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(c)] Cwt • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY:See attached. • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II.SPECIFIC LOBBY ISSUE: Development Approvals and Permitting Issues, including, but not limited to Design Review Board, Board of Adjustment, Planning Board, Land Use Development Committee, and City Commission, if necessary, relating to the property located at 426 Euclid Avenue. Miami Beach,Florida. 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 Planning, Building and Public Works staff None. X PB, DRB, BOA, City Commission, and Land Use None. X Development Committee, as necessary 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. None. None. C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration CAAJ Formrevised 5-30-2012.doc "s; ,8 (1.)° IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required)$525.00/hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $525.00/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 XNo: Are you lobbying on a present or pendina bid for goods.equipment or services.or on a present or pending Award for aoods.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 XNo: Are you lobbying on a pending application for a Development Agreement with the City or application for _ chanae of zonina map desianation or chanae 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.)CNo: Are you representina 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. Ij ATH. LISTING LOBBYING EXPENDITURES. AS WELL AS COMPENSATION RECEIVED. IN THE CITY OF MIAMI BEAC Cnn ' Q" r_ : -! ►. ► ∎ : - :_ _ _ t_■ . al__ —— _,._ S _ ._1. i.:_:..— al — ———1. ►:t EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIODS Signature of chhvist I do solemnly swear that all rego. facts are true and correct and-tTTat i nave 'eau... .a:i i; _ ._v.",the provisions contained in Section 2-482 of the Mi mi Bea v C de aft eporti requirements. Signature of Lohh.iet. C.,.e./ A_ j Signature of Principal/Client:\ 4 VI. LOBBYIST IDENTIF .,,� PRINCIPAL IDENTIFICATION: 41/ Produced ID �o1 c Produced ID .PG i t (-Li 55-4-Zy3g7880, Form of Identification Form of Identification /Personally known(Lobbyist) o k Personally kno I) a Florida A a.3 ;: `i Cdr F i$1077 VII. SIGNATURE AND STAMP OF NOTARY: tg / _ ; My Comm.Eltpltes Feb_$,2018 m 1., s .4 1.. ki Assn. rn State of Florida, County of Miami-Dade `n a State of Florida,Co nt si Sworn to -nd subscri ed before me ; " Sworn end subscribed before me Thi da o f ,2015 t° Th• 2V\ day of o ,201501 n06v o Di-ecc'Cc l riev uvo di , , Sr. ture of Public eta %State of Florida Sign ur Public Notary—State of Florida N• arization of Jobbvist's signature Not rization of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ J Yes[ o Amount Paid$ ...• 1 MI MCR it of Date Paid la/6-- Lobbyist Registration Form receiv and verified by: .I : e 1 - 1,,9(( MIAMI BEACH 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: Michael W. 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 $50.00 a day shall be assessed for all Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist (or principal) to file the Statement or pay the assessed fines after notification. Any lobbyist, who fails to file the required Statement by April 30th, 2012, shall be autom tically suspended from lobbying until all fines are paid, unless the fine has b pp alec4o t Miami-Dade County Commission on Ethics and Public Trust. 319 11S pignat re: Date: , C:\Users\clerhatl\AppDat-a\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Form revised 5-30-2012.doc EXHIBIT A DISCLOSURE OF INTEREST for Sofi Partners, LLC Sofi Partners, LLC 1111 Lincoln Rd SUITE 400 Miami Beach, FL 33139 Roberto Diego Colmenero, Managing Member 50% 50% Roberto Diego Colmenero Carlos Mariano Porchetto 3470 E Coast Ave,Unit 1401 601 NE 36 St,Unit 2201 Miami, FL 33137 Miami, FL 33137 . _....„..7.,,,,,,,,,,,.,,.::1:?ii,:,.....-.- -,,,..ii:!..1:::...r,......,--.,•-.,:i., ,14.4.,„.„....i.4„,,,,,..i,in.:u.:(,;-,,P,-C,..i..:•.,,:,.-::::;,-.,..% ,::::-..:-=:,',',,, .,:y-:':,:i.!:::,...-_,-.1,,.;,,,,zi. ` ^ ' , , ,,,,",-,;::,;:ii,-^,Y7,,,:,','''•";,';:.$';O:F.:.t;,1-.7.7'"-' ',.;.,-;,,'eiT1.4-f.45,i'l..,';',:',.',"'4.:".".1:!^%,'`,:,^..-.6'',.'`-—2.41:74„..;_:,....--A.''.'-:-.'''-'-'i _..,...,..9-,;.:''': ::'-f,'!,.. .!::.:::?'..-,,,,I;;.ii-4'51;.4...'.F.,:;'-;::,-,,,,:''::',--ii.:."' .,1.-'i-‘--'r..-k,r51-:7' .i4ri`',.:;-:;i1,:':;',;.',1,,;;;.;,-4--:::$'!:_';,:24..iP:!--24t;;;',,;::C.';:ik''!:X.f -',i -.';'-'4.$111. „, , .....--..„,,,,,,....!,,, t...--:;.*:'...7,!...'!''.•::::..,-;.:::: :,:::::::.:::•2„_ ::"'..;-.2,g--:.L:=.,...:iiteeeip!,.-:•_:1-:•;;,:s;',.....-..,,;k.::::.-, ii• -,:i.;:::,,,,:sT,'";,,,-,,:-:-..;,,..;.:,.;-,i'i,:_•,7--•y;.;,--::,..:..,;-,:p.-.,.:,,;',-,..-ip,;;,.. .-:.:_.:‘,-,:.-..:,:_.g,n- -,rti-:!..,;',..*0--..-0-_,-,f!... :-•.-,,--.1::;:..,..:...•;;'•:rj71. 12-.:,:,':;,,,':;,,.,','::•;,'.:,,:'''',.-?-i..f:c,-Y1.1-'''::::::ernr...y,,,,,,,.::,-..,,f,,,..!:,,..,,.:....;,=::-:,- -,_;;;:-,.,,,,:::::.:,,,..::.,:.:,,,...,-.:,,:-:,:,::,,:::,,..,„„,„:.,,,:,...„.,,,,,....,,,,,,,„:,,..„.„;,-,,,.,,,,., ,..,-,,IA::;,:...: .:-..,,,,. r,„,,,,..,..---,..,,,,,,,,A-.4::'?:',_■--''.,.-,,,.:.:';,.:::t:,-::;.;;;;'..-:_„'..'..:::. 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