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Elinette Ruiz - MIA FL 2013 Holdings LLC F, u 1.1°0(ekik1)6 2015 .). City of Miami Beach Office of the City Clerk 1 '�' !_'�r `,i (.1i- 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. RUIZ ELINETTE NAME OF LOBBYIST: (Last) (First) (M:1) ARNSTEIN&LEHR LLP 200 S.Biscayne Boulevard,36th Floor Miami,FL 33131 • BUSINESS NAME AND ADDRESS (Number and Street) (City) (Slate) (Zip Code) 305-428-4544 305-374.-4744. eruiz @arnstein.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: MIA FL 2013 HOLDINGS LLC NAME OF PRINCIPAL/CLIENT: dip Willoughby Capital Holdings;LLC 10 Bank Street Suite 1220 White Plains,NY 10606 BUSINESS NAME AND ADDRESS' (Number:and Street) (City) (Slate) (Zip Code) 94- : TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional) Fill out this secttontf principal Is a Corporation,Partnership orTrusttSoction 2482(c)) . NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: 5eeakikkirla IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5t' OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: It.SPECIFIC LOBBY ISSUE: Assistance with permitting matters. "2-o Oce01A it— Issue to be lobbied(Describe In detail): III.CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: h commissioner or personnel sought to be lobbied,and whether the lobbyist has entered Section 2-482(a)(4)Include t o P to City Code Sect Pursuant o Y Into any contractual relationship (paid or unpaid)with said city commissioner or personnel from 12 months preceding such parson's commencement of service with the city to'the present date,stating the fieneral nature of the sublect.contractual relationship. Sec 2-482{a}( } 4 Full Name of Individual and Contractual Relationship(Explain) YES NO title of person to be lobbied ste Mariano V. Fernandez Joe Jimenez sof Pursuant to City dada Section 2.402(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.bo lobbied as Identified on the lobbyist registration form filed. Sec 2.482(g)Any Financial,Familial or ProfesstanaIiRelationship-_____ F:ICLERISALLIaFORMSILOBBYIST FORMSILobbyist Registration Form.doc IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER); A) LOBBYIST DISCLOSURE:(Required) Hourly 8) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION), Hourly (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 No Are you lobbvinn on a present or pending bidtfor goods,equulpment or services.or on a present or pending award for.ctooda,equipment or service? 2) Pursuant to Miami Beach City Code Section 2-490 Entitled Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues': x Yes_No: Are you lobbying on a pending application fora 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 *to Are VQU representiria a not-for-profit corporation Or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: ON FEBRUARY 28 OF EACH YEAR,EACH LOBBYIST SMALL SUBMIT TO THE CITY) LE-: A SIGNED STATEMENT UNDER. OATH, LISTING LOBBYING EXPENDITURES,AS WELL AS COMP ,S?TIONRECE4' y►i.4 THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR A STATEMENT SHALL 9.AF! ,,'• EY IF T P •AVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. r / � -: mature of Lobbyist ELI ETTE RUIZ I do solemnly swear that ail ;lorog•ing fa =a o and correct and that I have read or am familiar with the provisions contained G;�!�: cam_; ..: ;i'z reporting requirements. In Section 2-482 of tv Mf P 9 ,. r ,- + T Signature of Lobbyist, , _ w... ,..� Signature of Principal/Client: 1 R / i Se0(t,- i VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: _Produced ID, Produced ID Form of Identification Form of Identification X Personally known(Lobbyist) Personally known(Principal) VII. SIGNATURE AND SIAM FAI Yfotary Public State of Florida Blanca E.Fernandez (ate of Florida,County of Miami-Dada State of Florida,County of Miami-e,•74 � My Commission BE 205369 >,wom nd subscribed before m2015 Swor t subscribed before m- 4or�d� Expires 06/26/2016 ' s day of his( day of May ,,:t y ., Si ature of Public-Notary Slate of Piraeda !�i ' p 14,:,,,LI.,, Signature d[Publi rNotary-State of Florida 9 Notarization of Lobbylst's.signature d Notarization of Principal's signature TO BE GOMPL �U t�CLERfC'S S�T/�V `Ptit� �t AnnuafRoglstrat[on fee: ( es( )No Amount.Pald.S •� . l�1CR ` ( Date Paid f Lobbyist Registration Forth received and verified by: _1 F:\CL°_ft\.-ALf.f1F(1nM3\ o frY. O"FcF.r•:..\I c;l;!j`.1f,t Asinuo'ilf.N i'I'^ttnr,Form.k c Revised 01/ 2/2014 At CR,Ct O 1 t2cL. F:ICLERISALL1aFORMSILOBBYIST FORMS1Lobbyist Registration Form.doc JULIEK NOCNUERG NOTARY PUR UC-STTATE OF NEW YORK No. 01H05052132 Qualified In Nassau County ( My Commission Expires Novemt ►20. -_ City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miomibeoch11.90v CITY CLERK Office Rafael E.Granada, City Clerk Tel:305.673.741 1 ,Fox:305.673,7254 CityClerkCmiamibeachfl.gov LOBBYIST NAME: ELINETTE RUIZ I understand that no later than February 28 of each year, I must file pursuant to Section 2-485 of the Miami Beach City Code, with the City Cle°rk�wing form, all active lobbying issues. Y s Office for 1) LOBBYIST EXPENDITURE AND COMPENSATION FORM Failure to file these forms on a timely basis will result in my name being the Miami-Dade County Commission on Ethics and for code on iolati ng transmitted to evaluation. In addition, once an issue I have registered to lobby on has bee longer lobbying on that issue or for that principal, I am r n resolved, or I am no the City Clerk's Office of lobbyist withdrawal in writing, equired to immediately notify Pursuant to Section 2-485 (d), the City Clerk shall notify any lob fails to timely file a Statement and in addition � y byist(or principal) who imposed as provided in Section 2-485,1, a fine of°50 p other penalties which may be - Statement(s) filed after the due date. The City Clerk a day shall be assessed for all County Commission on.Ethics and Public Trust of he failure of notify lob the Miami-Dade to file the Statement or pay the assessed fines after notification. lobbyist (or principal) Any lobbyist, who falls to file the required Statement automatically suspended from lobbying until all fines ay April 30th of each year, shall be appealed to the Miami-Dade Co re paid, unless the fine has been ;� f ommission on Ethics and Public Trust. . May 13, 2015 Signature: Date: F.\CLER\SALL1aFORMS1O13BYIST FORMS\Lobbyisi Registration Form.doc IVIscelaneous Cash Receipt ,200.00 a CITY OF MIAMI BEACH ❑ Cash ❑Credit Card Check.# $. Ct. ft-7-2 20 i Received of t 1 'ia44' (,n' q (3 14 1@ , Q s Address C7O C, 64$.1 c c', "i•cc n1 For Aç47'c vt.te ?e4+1t1 \ am. 't S �e . -- . --- I l(fsoua f,e�c _& C (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director //-° `'li'6( Account Number: F Drrr :°:: (_ y(ler EXT: 7YI C '2_. � ��y __.-. ._,. .,...•t3 �.,I...;.r.,�.,,.::i�-..tis.,�, r.., �. Z C7 -x- w C7 w `< Z mA{f? 3WJ- 5 w 3 *k — w NJ r+ C-) 0 -- N`< O`C CD -1 O C!) O 0 CO Z O 3 C) CD -- O - w CD O —I — OC CTI w = n Q CD N �_ -s J w CO C31 — r+ a CD •C r— C7 O CD CD _ -- 2Ji N r-1- w i--i C7 -- O r C) O£9 I [s m CD C31 • EA NJ JO 0 T� O T 3 co O N O 70 O - I —1 — ° OO 3w -i - O CD W C7 CO `< -P C-) CD • • Camm, Patrick From: Johnson,Theresa F. <tfjohnson @arnstein.com> Sent: Wednesday, May 13, 2015 4:00 PM To: Camm, Patrick Subject: MIA FL Holdings LLC In accordance with your request for the information in Section 2-482 (c), please use the following: Elisia B. Abrams General Counsel Willoughby Capital Holdings, LLC 10 Bank Street, Suite 1220 White Plains, NY 10606 914-787-7857 phone The property address is:120 Ocean Drive trit iems. Legal Assistant to Miguel Diaz de la Portilla, Esq. and Elinette Ruiz, Esq. ARNSTEIN 86 LEHR LLP www.arnstein.com 200 South Biscayne Boulevard Suite 3600 Miami, Florida 33131-2395 Phone: 305.428.4622 Fax: 305.374.4744 tfjohnson @arnstein.com Accomplished lawyers who understand your goals. Offices in Illinois, Florida, and Wisconsin 1 2-0 O Ce.K\ N- Salvatore, Jason From: Portuondo, Lesley C. <Icportuondo @arnstein.com> y, August Au ust 15 Sent: 15, 2016 12:53 PM To: Salvatore,Jason Cc: Diaz de la Portilla, Miguel; Ruiz, Elinette; Quezada, Ramon Subject: City of Miami Beach Update of Lobbyist Registration Information for Miguel Diaz de la Portilla and Elinette Ruiz Dear Mr. Salvatore: Pursuant to our telephone call this afternoon,the hourly rates are as follows: Miguel Diaz de la Portilla -$500.00 per hour Elinette Ruiz-$275.00 per hour Upon receipt of the Withdrawal Form, we will fill out, notarize and return to you as soon as possible. If there's anything else need, please do not hesitate to call me. Thanks. ,geeky ggitt149/2d43- Legal Assistant to Miguel Diaz de la Portilla, Esq. and Elinette Ruiz, Esq. ARNSTEIN & LEHR LLP www.arnstein.com 200 South Biscayne Boulevard Suite 3600 Miami, Florida 33131-2395 Phone: 305.428.4622 Fax: 305.675.6410 Icportuondo @arnstein.com Accomplished lawyers who understand your goals. Offices in Illinois, Florida, and Wisconsin From: "Salvatore,Jason" <JasonSalvatore @miamibeachfl.Rov> Date:August 15, 2016 at 10:26:20 AM EDT To: Undisclosed recipients:; Subject: City of Miami Beach Update of Lobbyist Registration Information Good morning, On August 3, a letter was mailed to your business address of record requesting updated compensation amounts for certain issues that you have registered to lobby on with the City of Miami Beach. Our office has yet to receive a response to the letter. Please be advised that this information is a requirement of your registration and as such, if the information is not received then you will be suspended from lobbying the City until your registration is updated. Please respond by August 19, 2016 to avoid a suspension status. If you have not received the letter, please respond and advise so we can provide you with a copy via email. The information can either be provided by a letter mailed to our office or by email. Miami Beach City Code Sec. 2-482(a)(6) states the following must be disclosed: The terms and amount of compensation to be paid by each principal to the lobbyist with regard to the specific issue on which the lobbyist has been engaged to lobby. Thank you, Jason Salvatore Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7411 www.miamibeachfl.gov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. 2