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Matthew Barnes - 3500 Hotel, LLC ,. ,o . _ .. 1 ® (/ V I V e1AP1/1,v 5 i j'AP-j, , , . \ v g r: 1 '‘r t i/..--\/\/\j i,,,,. - ...;f.,��;, .. J x 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 foreseeabiy 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. Barnes Matthew ii NAME OF LOBBYIST: (Last) (First) (M.I) Akerrnan, LLP 1 SE 3rd AVE,25th Fl Miami FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305.374.5095 matthew.barnes @akerman.com is TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact Information changes:address,phone, or e-mall address. 1. LOBBYIST RETAINED BY: 3500 Hotel, LLC NAME OF PRiNCIPAUCLIENT: 3201 Collins Ave Miami Beach FL 33140 BUSINESS NAME AND ADDRESS (Number and Street) (City) (Slate) (Zip Code) 305.535.3009 TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional) Fill out this section If principal Is&Corporation,Partnership or Trust(Section 2-482(c)] C • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: Se � �eAk evwx, • IDENTIFY ALL PERSONS HOLDING,DIRECTLY,QR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: SCE Pn tnGl a v' o • • • ii SPECIFIC LOBBY ISSUE _ to expand the existing size of the terrace of The Claridge Hotel e) 7U v CUL�/y /lig.- Issue to be lobbied(Describe In detail): • ► ; :;Ill CITY: GENCIES/INDVI[)UALS TO:BE:LOBBiED: Pursuant to City Codo 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 Board of Adjustments None • 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 flied. is Sec 2-482i9)Any Financial,Familial or Professional Relationship T _ None 4 7 F:iCLERI$ALLIaFORMSILOBBYIST FORMSILobbylst Registration Form.doc c— —oq /o$/aa il:So • . 0 ' . . • • IV. DISCLOSURE.OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) . Hourly B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): i (REQUIRED). $225 nn 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 Fffio: 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 gNo: 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'lo: 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 FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. Signal f Lobby I do solemnly swear that all of'the.foregoing facts are true and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Miam' :-ach Ca-Code -nd all reporting requirements. Signature of Lobbyist: . _/ _,_:I - 'off ~• ANNET GONZALEZ - ?° �� Signature of Principal/Client 111 11 - 0 .. . ��A. Notary Public•State of Florida N',�° • 3 My Comm.Expires Nov 26,2016 t� a r. VI. LOBBYIST IDENTIFIC' r!. '. PRINCIPAL IDENTIFI A1' 0�` ,- Commission#EE 854046 M r BUSLAINEY'M.SAINZ -.-.may -4 --o--W-.4:14--Ne.�.--0,-m--1u-- Produced ID f*:' "* MY COMMISSION#EE 155210 Produced ID Form• ''It,3'I XI-'IRES:December 21,2015 L "' deg Thru Notary Public Underwriters i Form of Identification... Personally known(Lobb:yist) ' Personally known(Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida,County of Miami-Dade State of Florida,County of Miami-Dade • Swo d subscri•-.b •�. Ve lf� Sworn and subscribed before me y-46...'7,1/1,-4 Q T Is _da Thie ,` 'l day of�r °i<_rea ` 201` 01"frilri ‘167 �rr rl e�� Pub,�,tary State of Florida ' Signature of Public Nbtar,'` S •,".,f lorida otarizat on of Lo•byist's signature Notarization of Princl•a's si•'f:.0 eel TO BE COMPLET D CITY CLERK'S STAFF ONLY 3 1. Annual Registration;fee: [ ]Yes[ ].No .Amount Paid$ '00 MCR# 3Y7"7F Date Paid I Lobbyist Registration Form received and verified by i_,,r`Li:u:;,h(_l,\tri=oit+l 11.OI.Uitui ri:onMA1.olihby[ut/1tunuo'Iti;IiIi.1, ioti i=orn•,,cioc Revised 01/22/2014 F:ICLERI$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc • • jr1 /‘ \ +I P1:.I �' City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.rniamibeachfl.gov CITY CLERK Office Rafael E. Granada,City Clerk CityClerk @miamlbeachfl.gov Tel:305.673.7411 ,Fax:305.673.7254 LOBBYIST NAME: Matthew Barnes 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$50.00 a day shall be assessed for all Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist (or principal) to file the Statement or pay the assessed fines after notification. Any lobbyist, who fails to file the required Statement by April 30th of each year, shall be automatically suspended from lobbying until all fines are paid, unless the fine has been appealed to the Miami-Dade County Commission on Ethics and Public(Trust. 9 A41 Si ature: Date: li ii ii F:ICLERI$ALLIaFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc • Prieto, Silvia From: Prieto, Silvia Sent: Friday, September 05, 2014 9:28 AM To: 'matthew.barnes @akerman.com' Cc: Martinez; Maria; Hatfield, Liliam Subject: Lobbyist Registration • Dear Mr. Barnes, We are in receipt of your Lobbyist Registration on 3500 Hotel LLC, however,the$350.00 only coves the issue,we need $500 to apply to the annual registration fee. Please issue a check in the amount of$500 to the City of Miami Beach, in order for us to conclude the processing of your Lobbyist application. Thank you, MIAMI BEACH Silvia Prieto,Administrative Aide I CITY CLERK'S OFFICE 1700 Convention Center Drive,Miami Beach, FL 33139 Phone: 305-673-7000 ext.6269/ Fax: 305-673-7254 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. 1 i Ai -Dr City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeachfl.gov City Clerk's Office Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only . ANNUAL LOBBYIST REGISTRATION FORM Name: VA J kW\€W '13or fQs Business Name: V-ery-nn Address: I c-G 3 'J Q -E 1 OQr Office Telephone Number: 3C9 Cellular Telephone Number: Email Address: \ k ,\N • 9TY \ S \ryYun.(,JY \ - If more than one lobbyist, please list: 1) 2) 3) 4) 5) 6) 7) Submit this form to the Office of the City Clerk, along with a check for $500 for each lobbyist. Please make the check(s) payable to the City of Miami Beach. For City Clerk's Office Use Only MCR#: 60 v Amount paid: F/ Date paid: / a f Processed by: -�, i Date: . F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx • • g m •- ,mss a C e 9 2 n n 1 K z z- o s � : ;3 '�, ;,'(r_rr-.-,---"--.:i-...„,--__-.,._--..-_.-'-: 8 _ n._:=._._,-, '..,,.,.:,-z,-;7:,,..,----,- :,..)....._,-1_:,-‘.--,---,-_:,--:---^ ( X77 .. - ..\Vc W_-,---- ' - •-•-._ 1 _=rte- "0� r ti C C?. \. t®_ : E c a = �'- off. ._ _. w A" ,7 t f: eon - t�a f` 171 �. • r , „ • . . I . 1 . . _ - o 0 -i -,, i5 t3/4.." 1 i cNI 0 e '' •), c • • N.ea t. c • , ILI :I .....-L (71. In ' .., L"--•-• ‘`-' ,.4. ail"-::= l •„, ...e. : __. C.: -K-4, ------ ,_, • 0 ,..., ,... ...... r....1 , .'1 .,. . :.:-'..' .-. >1 ..._......c.... - I ----■ 7.. ..,„.• '-....„..• 1 7N, .-- _,....— ,....s. .; -,..•-.t —, C)t•I") --....,.,;! -.:-:.• ,...,1:.) .., . : • , .,.. --.• 7- CO .. . . , • •.1 T..."-• rt..) \.P4 N. Fa .r I * .,,,C) .0 vira CD -c VII - ..... . . -...4 t,-;-7. •_ 1 - - , 0 ..0 X ,.... 0 0 .1 -a U a) < 0 ..ct c .... t.l . . 0 E .-, .... to 0 u. = 11. •c Nill z Z .. u) Ts (1) 0 co 0 -' 0 . 0 • > 0 7a- .,„1— X o a iii 2 PM 0 6 12 0 ce 1 < ..:.-, . -.i • . .. , 1 L., . . .,, Akerman- Biography - Matthew A. Barnes Page 1 of 1 Akerman Matthew A. Barnes Urban Planner * One Southeast Third Avenue 25th Floor • Miami,FL 33131 Tel: 305.374.5600 Fax: 305.374.5095 IP matthew.barnes @akerman.com h' r Practice Matthew Barnes has been a practicing urban planner in Real Estate South Florida for the past 10 years. He has assisted public and private sector clients with assessment and Representative Clients solutions of a variety of urban planning problems CJM Communities including site plan/master plan development, Southeast Properties community redevelopment planning,due diligence Boca Raton Community Hospital research, land use litigation research,fiscal impact Falcone Group analysis, market research,visual impact analysis, land Sunrise Senior Living development regulations, and comprehensive planning. Tri-Rail City of Lauderhill Lauderdale-By-The-Sea CCcrnmunit'j Involvement City of Coral Gables • Boynton Beach Planning and Development Board, Member(2007-present) Education M.S.,University of North • Urban Land Institute,Curtis Program Statewide Carolina at Chapel Hill,2002; Transportation Initiative"Connecting Florida" (2008- Master of Urban and Regional Planning present) B.S.,Kansas State University, • Boynton Beach Community Alliance,voting member 1998;Geography (2009) Bar Admissions • Palm Beach Metropolitan Planning Organization *Not admitted to the practice of law Citizens Advisory Committee, Member(2008- present) • Urban Land Institute, Member • American Institute of Certified Planners, Member • American Planning Association, Member http://www.akerman.com/bios/bio.asp?id=1147&name=Barnes 6/8/2015 Camm, Patrick From: Camm, Patrick Sent: Monday,June 08, 2015 9:24 AM To: 'matthew.barnes @akerman.com' Subject: Lobbyist Information Attachments: Matthew Barnes.pdf Good morning Sir, The attached "2014" lobbyist registration form is missing information; I need the information for the two lines highlighted in yellow on the first page. There is no need to resubmit the form, an email with the information will suffice. * I am auditing all lobbyist files that I come across, if any information from 2014—to current date is missing, I am contacting the lobbyist to update the missing information. Regards, • Patrick Camm,Administrative Aide I OFFICE OF THE CITY CLERK 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7411/Fax: 305-673-7254/ 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. 1 Camm, Patrick From: matthew.barnes @akerman.com Sent: Wednesday,June 10, 2015 7:21 AM To: Camm, Patrick Subject: RE: Lobbyist Information Good morning Patrick, Leonard Blavatnik is the 100% beneficiary for that principal. He can be listed under both bullets. Thank you. Matthew A. Barnes Principal Planner,AICP Akerman LLP I One Southeast Third Avenue I Suite 2500 I Miami, FL 33131-1714 Dir: 305.755.5825 I Main: 305.374.5600 I Fax: 305.374.5095 matthew.barnes@akerman.com CONFIDENTIALITY NOTE:The information contained in this transmission may be privileged and confidential,and is intended only for the use of the individual or entity named above.If the reader of this message is not the intended recipient,you are hereby notified that any dissemination,distribution or copying of this communication is strictly prohibited.If you have received this transmission in error,please immediately reply to the sender that you have received this communication in error and then delete it.Thank you. From: Camm, Patrick [PatrickCamm @miamibeachfl.gov] Sent: Monday, June 08, 2015 9:24 AM To: Barnes, Matthew(Cnslt-Mia) Subject: Lobbyist Information Good morning Sir, The attached"2014" lobbyist registration form is missing information; I need the information for the two lines highlighted in yellow on the first page. There is no need to resubmit the form, an email with the information will suffice. * I am auditing all lobbyist files that I come across, if any information from 2014—to current date is missing, I am contacting the lobbyist to update the missing information. Regards, moo • ,.fir. . ► Patrick Camm,Administrative Aide I 1 OFFICE OF THE CITY CLERK 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7411/Fax: 305-673-7254/ 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