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James Rauh - SOBE Hotel Miami Beach, LLLP J Qp 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. Rauh James NAME OF LOBBYIST: (Last) (First) (M.I) Terminello & Terminello, P.A. 1224 Washington Avenue, Miami Beach, FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-602-8245 jrauh @terminello.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: SOBE Hotel Miami Beach, LLLP NAME OF PRINCIPAL/CLIENT: SOBE Hotel Miami Beach, LLLP 1776 Collins Avenue Miami Beach, FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 954-989-3306 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 Exhibit "B" °.SPECIFIC LOBBY ISSUE: Appeal from administrative decisions of the Planning Director, pending legislation regarding Alcoholic Issue to be lobbied(Describe in detail): Beverage Establishments, and any and all other land use,zoning,and development III.CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: matters relating to 1776 Collins Avenue 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 Director and Staff None X Planning Board and Board of Adjustment None X Mayor and City Commissioners and City Manager None 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 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc 71-ZTN \ v IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $375/Hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $375/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 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_XNo: 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 XNo: 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 D EN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. __ i_. -- Signature of L.•byis I do solemnly swear that all of the foregoing facts are true and c• re .nd that I have read or am familiar with the provisions contained in Section 2-482 of the Miami :-. •ity Code and all reporting requirements. Signature of Lobbyist: _/' Signature of Princi al/Cli: ' VI. LOBBYIST IDE TIFICATION: PRINCIPAL IDENTIFICATION: Produced ID __Produced ID N 3 Q fl 'Q 4 2- 11 -3 0 5 "0 Form of Identification Form of Identification personally known(Lobbyist) �_.._Av._ ■ . .._■ Personally known PriR,L, ADRIENNE GRANDOLFO 01'• •ADRIENNE GRANDOLFO I? Notary Public-State of Florida VII. SIGNATURE AND STAMP OF •, ..`''iv't+ Notary Public-State of Florida r,t• COMMIS/0On#!FF 192864 • Commission#�FF 192864 =,,��. My Comm.Expires Jan 26.201 o State of Florida, County of Miami-Dade IA ,r My Comm.Expires Jan 26,20f9•� e of Florida, Coun of'ith `tail through National Not . Sworn to and subscribed before me �'' �.. y irn and subscrib d ','• - _ - Sorbed through National Notary Asst. T is 03 day of mirth., ,201 13 day of r ,2011 - 3] ' ' 1 , - lufv:ohAi livtavilitio Signature of Public Nota —State of Florida Signature of Public Notary—State of Florida Notarization of Lobbyist's signature Notarization of Principal's signature TO BE COMPLETED BYTY CLERK'S STAFF ONLY jl(.o Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# ;LfVi1(pL Date Paid IC Lobbyist Registration Form received and verified by: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Regi ration Form.doc Revised 01/22/2014 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc Mt o 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: James E. Rauh 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 11 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 of each year, shall be automatically suspended from lobbying until all fines are paid, unless the fine has been appealed to r,-,, ','iami-Dade County Commission on Ethics and Public Trust. ALAarti Signature: Date: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc 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 16 2/3% 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 16 2/3% 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 1/3% 9 Highgate Road Riverside, CT 06878 Lucas Shasha 33 1/3% 9 Highgate Road Riverside,CT 06878 Homas Shasha 33 1/3% 9 Highgate Road Riverside, CT 06878 NASRA GROUP LLC Sami Nasimiha 100% 1776 Collins Avenue Miami Beach,FL 33139 CITY HALL CASHIER OFFI r: ` m "titrj�, 1700 CONVENTION CNTR DR = Y MIAMI BEACH, FL 33139 r`y=.. 03/16/2015 16:41:49 Merchant ID: 000000005148978 - `.. Terminal ID: 02013135 275202450886 CREDIT CARD VISA SALE CARD# )00000000000(5682 City of Miami Beach-Florida INVOICE 0015 Finance Department Batch#: 001491 . Approval Code: 016106 I 1 City Hall Entry Method: Swiped 1507513-1 03/16/2015 BR1 T121 Mode: Online Mon Mar16,2015 04:42PM Trans#33-33 33 $350.00 MCRCLERK - MCR-City Clerk Tax Amount: X0,00 * hlCR#: 402764 SALE AMOUNT $350,00 1 ITEM(S): TOTAL: $350.00 Credit Car PAID $350.00 Have a nice day! CUSTOMER COPY - . . - - _- .. .%;,i a'' I f °,,.: O 4,.t., `0 Odi 121 f A Miscellaneous Cash Receipt t-Si i :i, , �:h :40:;":764 !..3,730„p0. - -. :: . CITY OF MIAMI BEACH ' ::: - ' ' -- •' .---,:''' :':' : '.;-402764::..., -i. . V No. '. . ": :-''' ' -: ( 0i ' :: : 0 Cash C7i6redit Card 0 Check I ce.:. 20 of j fie/ ,, .4+ -s L ` 4., {?,i i.ei '�;it t� 4 i ' y Received o ,. 1 _ t Address —a-4441— 2 1/ t 1,-e r . -/u -- . J (i C -2 ,For —( . Ai ', 1 ,,. I, g ,, i . .c .4,,t, ( . . ., -13 A in e c-1 IA,-i i th 6r) lasigri l'A -7)(-Y- rc Pi 60 ku I I k...> If . 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