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Michael Larkin - Rene Gonzalez Architect • MIAMI G AC , ,a�Ml City of Miami Beach Office of the City Clerk C ,, 3i `r� 1700 Convention Center Drive, Miami•Beach, FL 33139 }6: LOBBYIST REGISTRATION FORM -F;- �. • Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the assa e, cleat or Y P P Y P P 9 P ��,.`9 s, • 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 NAME OF LOBBYIST: (Last) (First) (M.I) • Bercow Radell&Fernandez 200 S. Biscayne Blvd Miami FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)377-6231 .- (305)377-6222 mlarkin @brzoninglaw.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: . Rene Gonzalez Architect - NAME OF PRINCIPAL/CLIENT: 670 NE 50th Terrace Miami FL 33137-3023 BUSINESS NAME AND ADDRESS - (Number and Street) (City) (State) (Zip Code) (305)762-5895 (305)762-5893 Rene @renegonzalezarchitect.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: /0 0 /� I d l V; ct i gUie( • IDENTIFY ALL PERSONS HOLDING,DIR OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: QDpnZ� (QZ ii SPECIFIC LOBBY ISSUE: Development approvals and permitting issues for the property located at 7 Farrey Lane Issue to be lobbied(Describe in detail): 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 Staff, Building Staff, Development Boards 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 N/A • • F\CL ER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc x t IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): . A) LOBBYIST DISCLOSURE:(Required) $5 ourly •>0 See 'it..e.C,..G1'I�eX►-e_ B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED). $0 (N/A) <-3, ' c a% . ;.) /S -' The following-information must be answered: `>. " a. 1) Pursuant to Miami Beach City Code Section 2-488 Entitled"Prohibited Campaign Contributions By Lobbyists On Pro e kl cement �° Issues": - ' ' ! 4.i '.>.. #M4 d \i A 441 ,eA t‘ A 17-1 A rt vs k r--\ v '1„I II) City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov ���. is _ CITY CLERK Office Rafael E. Granado, City Clerk CityClerk @miamibeachf:ggov Tel:305.673.741 1 ,Fax: 305.673.7254 'J 4' o , Michael Larkin LOBBYIST NAME: ,�} I understand that no later than February 28 of each year, I must file the following form, pursuant to Section 2-48.5 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 of each year, 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. 3 a3 A� Signature: • D te: .. . • F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration.Form.doc . Miscellaneous Cash.Receipt ? � r,,.a �,.Y 1, f :z�' ,'�h pY,O 1- :::4 CITY OF M IAMi BEACH ; Ft r ah . CI Cash 0 Credit Card Check# 772 $ ll -c ti- Z 20 3)L Received of T./P�l .10P +eri ' .1 P)r ov A i S G-t i� 2c( 4-1c�n {G c (�: (��r'1 td 1 i 4-1( at .� Address i. S 5, ,Cc v c /' ) ) t 11 tG /-t; F I- " I :f'-e I14i e For La r C; / T cJ ck e (THIS INFORMATION MUST BE COMPLETED) ' Office of Finance Director By "Account Number: 611 ZOO Uci q941 .. — ,: --.,' , Pr®..�:arer: . 04°T%C. Dept: C4f (/e t EXT. 7c1-11 :, /y� � -. - -I - -,- -ri l D CU 3" a Cr, C m F-4 3 Co O 3 ,--1- CD Cl‘ ---1 C7{1} CO CD Cu 'C rn 27:7 OD 3 CO -•• 3 Cu 3 CS1 CL N ri- C) O "� ^- O - O'.0 CD -t+ _3 O GO - N J • O - -A S T 0 3 C) ----J -- O O•- Cu CD • CD --1 _N N G "0 DJ O -; 3O- J Cu Q - • Cu ....--' -{ 0000O1N rt " !- () O\ _ D •- -• N CD w 1-4 rrl •- O rt C) ( ' -.,_.. .. :-.--:.. :.] 0.63 ,r1 O -• 3 -68. C.n -o C.J O 1 3 O CS1 Z7 0 cs'_: c. --I --• � c C-)o c u --1 r, ` 73 C C 1 3 CI; •- N . - - C7 CD Camm, Patrick From: Justin Karr <jkarr @brzoninglaw.com> Sent: Wednesday, March 25, 2015 2:39 PM To: Camm, Patrick Subject: Michael Larkin lobbyist registration -7 Farrey Ln Attachments: SKMBT_C36015032512320.pdf Hi Patrick, Following our conversation earlier, I am writing concerning the attached Lobbyist Registration Form for Michael Larkin. The registration form was submitted yesterday on behalf of our client Mr. Rene Gonzalez and concerns lobbying for entitlements for Mr.Gonzalez's property located at 7 Farrey Lane. On page 2 of the form,the lobbyist compensation incorrectly states that Michael Larkin will be compensated $525 per hour,when in fact, his services will be pro bono and without compensation. I am confirming that you indicated it is not necessary to resubmit the application, but that this email will supplement the registration and rectify the error. Thanks again for your help, JUSTIN KARR, ESQ. Bercow Radell & Fernandez 200 South Biscayne Boulevard,Suite 850 Miami, FL 33131 305.377.6225 I Office 305.377.6222 I Fax jkarr @brzoninglaw.com war c.F?COW RADr-LL iSt FERNANDEZ ( t * (.. I it L 1 .1 Pk t 1 N 11rt.'rite r4 *At t ``*, www.brzonin•law.com 1