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Kent Harrison Robbins - Dr. Stephen Soloway VD / Ci//' 25 /wC, MIAiV\. 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. Robbins Kent Harrison NAME OF LOBBYIST: (Last) (First) (M.I) 1224 Washington Avenue Miami Beach Florida 33141 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 532-0500 (305) 531-0150 khr @khrlawoffices.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone, ore-mail address. I. LOBBYIST RETAINED BY: Dr. Stephen Soloway NAME OF PRINCIPAL/CLIENT: 101 20th Street Unit 3701 Miami, Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) _ rJ' (305) 532-0500 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: N/A • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: N/A G_, II.SPECIFIC LOBBY ISSUE: Legal Representation of Dr.Stephen Soloway,Owner of Unit 3701 at the Setai Resort&Residences Condominium Association, concerning impacts to the Setai related to HPB File No.7515,the development project at 1901 Collins Avenue("The Shore Club") Issue to be lobbied(Describe in detail): nl.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 •sneral nature of the subject contractual relationship. Sec 2-482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES NO title of .erson to be lobbied Planning Board None Land Use Board None Planning Staff one Mayor ...a 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 City Agencies/Individuals To Be Lobbied: • City anaae s Office None x City Attorney's Office None x Historic Preservation Board None X W.J3 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $495.00/per hour(Payment by Setai Resort&Residences Condominum Association. Inc.,A Florida Non Profit Corporation) B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (Required).$495.00/per hour(Payment by Setai Resort&Residences Condominum Association, Inc.,A Florida Non Profit Corporation) 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 IX 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 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": ❑Yes IN 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 2-484(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 N No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement . V. SIGNATURE UNDER OATH: ON FEBRUARY 28th OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES,AS WELL AS C• PENSATION REC- ' •, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT S- •L =E FILED EN I -AVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. / / Sig .ture of Lobbyis I do solemnly swear that all of th- fore.•ing .cts - - e and re,t - ; that I have read or am familiar with the provisions contained in Section 2-482 of the Miami B-a h f ity C.%e - ) ., reportin. r-' i,- ents. Signature of Lobbyist: _� k.� / m • cn Signature of Principal/Client: Via+ ,.-,a VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Z n 5 S Qv—wO mN o cN ❑ Produced ID - Produced ID z --.• Form of Identification z s 1 Form of Identification W_04..,„,— Q2 ���Eo Personally known(Lobbyist) o-w Personally known(Principal) 0.---E , 0 0 v�g�; a E zO2 VII. SIGNATURE AND STAMP OF NOTARY: MI '(...),>..2 N �i�r cb Cuµ ,D 6' State of Florida, County of Miami-Dade ,�,,,,,v State of.Eleier; unty of Miecai.Dade z Sworn • . d subscribe before me f .��1.�? Sworn an• subscrib=d before me _ _ This lf_ d-y of , 2015 _, � �� = This III. .., gi; I.- ,2015 4 L A• "HI.1��, � NON& Signature'� N ota , —Sta 'of Florida Signature of Pub' • = • —State of•F4e NIG jaZ Notariza - • obbvis 's signature Notarization of Principal's signature TO BE COMPLETED BY CITY CLERK'S ST FF ONLY I� Annual Registration fee: [ ]Yes[ No Amount Paid$ MCR Date Paid I-. ) Lobbyist Registration Form received and verified by: F:\CLER\$ALL\ai=ORMS\LOBBYIST FORMS\Lobbyist Annual Registration form.doc Revised 1/11/2011 I th, iii IA AAli EACH i v ‘i ,--4,, v ,i 10, , 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: Kem kfa«<JO/N po CGc 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 of each year, shall be , automati ally suspended from lobbying until all fines are paid, unless the fine has been appeale to the ami-I . County Commission on Ethics and Public Trust. ( i i , i i' I , lb 3 ,v Sig I ature: ate: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc ,. li4;1 City of Miami Beach-Florida Finance Department 1 City Hall 1510313-2 04/13/2015 BR1 T134 Mon Apr13,2015 02:24PM Trans#2-2 2 $350.00 MCRCLERK - MCR-City Clerk * MCR#: 403436 1 ITEM(S): TOTAL: $350.00 Check (009185). PAID $350.00 Have a nice day! Miscellaneous Cash Receipt .a: CITY OF MIAMI BEACH z No. 4i. r Q Cash O Credit Card Check# tOj- D 20r' ) Received of k/:.0.-1.4 7- -`f I}'10,1 k -& j 1 Address ic4cd { •.P b r •!/ ft, 2 3 ' 51' For ;_' e 4 4 1 Licit,/ 1,p ,r) Dr IL. •s •� di) , . 3 7'i =.5c- ..-; ( 4 cc,' / /e-1- J + /90, (7zell 1 (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director ,• .,; By Account Number Oi 00 6 Pre parer Ci>a Dept: 64 EXT: The Law Offices of Kent Harrison Robbins May 11, 2015 By Hand Delivery By Email to rgranadomiamibeachfl.gov Rafael E. Granado Clerk of the City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 3139 Re: Supplement adding Historic Preservation Board File No. 7539 to Kent Harrison Robbins' Lobbyist Registration for Dr. Stephen Soloway concerning the property located at 1901 Collins Avenue, which property is subject to Historic Preservation Board File No. 7539 and is within 375 ft. of the Setai Resort & Residences Condominium. Dear Mr. Granado: I am the registered lobbyist for Dr. Stephen Soloway, Owner of Unit 3701 at the Setai Resort & Residences Condominium concerning the above referenced subject property and related HPB files, please see the April 13, 2015 Lobbyist Registration form related to Historic Preservation Board File No. 7515, attached hereto. Please supplement Mr. Robbins' lobbyist registration as follows: • Section II - Specific Lobby Issue; Please add "Legal representation of Setai Resort & Residences Condominium Association, Inc. concerning Historic Preservation Board File No. 7539 and all other related land use matters." Thank you for your prompt attention and courtesy in this matter. Sincere , 114_ Kent Harrison Rob ins Enclosure 1224 Washington Avenue Miami Beach FL 33139-4614 305 532 0500 Fax 305 531 0150 info @khrlawoffices.com khrlawoffices.com Offices—Miami Beach FL I Montreal QC I San Juan PR