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Jacqueline Touzet - David Edelstein MIAMI BEACH Bp)ei, 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. Touzet Jacaueline NAME OF LOBBYIST: (Last) (First) (M.I) Touzet Studio Design&Architecture, 65 NW 24 Street, Unit 108, Miami, FL 33127 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 789-2870 (305) 789-2872 iackie(J1ouzetstudio.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone, ore-mail address. I. LOBBYIST RETAINED BY: David Edelstein NAME OF PRINCIPAUCLIENT: South Beach TriStar 800, LLC, 510 Lincoln Road, Miami Beach FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (212)521-4488 (212)521-4489 c/o DEdestein(aitricap.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:See Attached • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II.SPECIFIC LOBBY ISSUE: Development Approvals and Permitting Issues, including, but not limited to the Historic Preservation Board, Design Review Board,Planning Board,Board of Adjustment,Land Use Development Committee, City Commission, and any City Workshops or Committees. if necessaru. relatina to the propertu located at 800 Lincoln Road. Miami Beach. Florida. Issue to be lobbied(Describe in detail): Ill.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 Staff for the Planning Department, Building Department, None. X Public Works and City administration, PB, HPB, BOA, None. X City Commission, and Mayor as necessary None. X Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,familial rof'professional relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner orcity p4onnel who is sought to be lobbied as identified on the lobbyist registration form filed. Sec 2-482(g)Any Financial,Familial or Professional Relationship G' Atone. r; -- None. None_ r- L C:\Users\clerhatl\AppData\LocaRMicrosoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required)$ 2's' /hie. V B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $ 2 35 f V9 it . (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 Iobbvina on a present or oendina bid for aoods.eauioment or services.or on a present or pending award for aoods.eauipment 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 lobbvina on a oendina application for a Development Aareement with the City or application for chance of zonina map desianation or chanae to the City's Future Land Use Man? 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 X No,: 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 BEACI{ FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO, EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD, nature of Lobbyist it/44y I do solemnly swear that all of the foregoing facts a true and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami Beach City Code -nd all reporting requirements. Signature of Lobbyist:•..All Al— / Ap Signature of Princip- lent:__----- -----r VI. LOBBYIST IDENTIFIC N: ,,,5 • r PRINCIPAL IDENTIFICATION: ?1,Produced �-"�^0;? ` Produced ID we ID Form of Identification %°� • ': F "" ' Form of Identification t •? J .E .1 h - :, { i _Personally known(Lobbyist) o a d ' Personally known(Principal) ,, , C;, Z VII. SIGNATURE AND STAMP OF NOTARY: H 3 e _ '"' �;; State of Florida,County of Miami-Dade 4b H cn m State of blonder,County of - ? Sworn to and subscribed before me T c ri T , Sworn an subscribed before/me ` This __ day of fie ,2015 ° a . �1r d y of•�°� �,r ,7 ,2015 n OD CP AIM i.i L // AL N O D' �- Si•'""- r Ii'—lotary State of Florida �i ature of Public N cry—State of Florida No .rizati•- • Lobbyist's signature Notarization of PC' cioal's,signature TO BE COMPLETED BY Cr CLERK'S STAFF ONLY Annual Registration fee: Yes No Amount Paid$ MCR# y Date Paid I g [ l [ l �� ���1 l � Lobbyist Registration Form received and verified by: GAS I M I AM I 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: Jacqueline Touzet 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, 2012, 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. 4� 111'L . ... 10 6 , 15 �:�`!. �' Date: dr C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc 1 DLA DRAFT 5/8/15 Org Chart for the Owner of 800 Lincoln Road, Miami Beach, Florida c HAUSINVEST, German open-ended real estate fund J I COMMERZ REAL INV ES TMENTGES ELLS'CHAFT, acting as the investment company and for the account of hausInvest (Fund) SOUTH BEACH T ' STAR 800 LLC (DE LLC) FEE OWNER i 1 C_______PROPERTY (Fee Simple) ti i; EXHIBIT jl g EAS11100564710.1 1 WRITTEN CONSENT OF THE SOLE MEMBER OF SOUTH BEACH TRISTAR 800 LLC Date: May 8,2015 The undersigned,COMMERZ REAL INVESTMENTGESELLSCHAFT MBH,being the sole member(the"Member")of SOUTH BEACH TRISTAR 800 LLC,a Delaware limited liability company(the"Company"),does hereby consent to and adopt the following resolutions as of May 8,2015: A. WHEREAS,the Company owns that certain real property and improvements located at 800-810 Lincoln Road,Miami Beach,Florida(the"Property"); B. WHEREAS,Lincoln Arts ERFR LLC,a Delaware limited liability company("Agent")is in the business of asset managing and operating properties; C. WHEREAS,the Company and Agent entered into that certain Asset Management Agreement,dated October 21,2014,pursuant to which Agent manages and operates the Property on behalf of the Company;and D. WHEREAS,the Member considers it to be in the best interests of the Company to renovate the Property and to execute and deliver all agreements and documents and to perform all actions described in,contemplated by or referred to in that City of Miami Beach Planning Department,Standard Application Form for a Development Review Board Hearing(the"Application"). NOW,THEREFORE,BE IT HEREBY RESOLVED,that it is in the best interests of the Company to renovate the Property and deliver the Application; RESOLVED,that any duly appointed officer of Agent(each,an"Authorized Signatory") is each,acting singly,fully authorized and directed to execute the Agreement and deliver all agreements and documents and to cause the Company to perform all actions described in,contemplated by or referred to in the Application; RESOLVED,that each Authorized Signatory shall be authorized to make any and all additions to,deletions from,changes in,or amendments to the Application and any and all of the agreements,documents and instruments described in,contemplated by or referred to in the foregoing resolutions or the Application,and to execute,deliver and record any and all such other agreements,documents and instruments, and to do or cause to be done any and all acts and things,as such Authorized Signatory shall deem necessary,appropriate or desirable,in the best interests of Company,to carry out and effect fully the intents and purposes of the foregoing resolutions and the actions consented to herein,such necessity or desirability to be evidenced conclusively by the execution thereof with such additions,deletions,changes,amendments, executions,deliveries and taking of such actions; RESOLVED,that the actions of each Authorized Signatory in executing and delivering any and all related documents to which Company is a party,and any and all ancillary agreements EASTU 00567624.1 EXHIBIT 1.1 or documents deemed by such Authorized Signatory as necessary,appropriate or desirable,in the best interests of the Company,to effect the transactions contemplated thereby, are hereby authorized,ratified,consented to,confirmed and approved in all respects by the Company and Member as the acts and deeds of the Company and shall be conclusively deemed to be such limited liability company acts and deeds for all purposes;and RESOLVED,that any and all of the acts of the officers,employees,attorneys, accountants or agents of the Company,in connection with the transactions described in, contemplated by or referred to in the foregoing resolutions,whether heretofore or hereafter done or performed,which are in conformity with the intents and purposes of such resolutions,be and the same are hereby ratified,confirmed,consented to and approved in all respects by the Company as the acts and deeds of the Company and shall be conclusively deemed to be such limited liability company acts and deeds for all purposes. [The Remainder of this Page is Intentionally Left Blank] EAST100567624.1 IN WITNESS WHEREOF,this Written Consent of the sole member of South Beach Tristar 800 LLC is executed and delivered as of the date first written above. COMMERZ REAL INVESTMENTGESELLSCHAFT MBH By: 10. / l/ N,,1 e:Martin Hopi- itle:Authorized •ignatory EAST!00567624.1 WRITTEN CONSENT OF THE SOLE MEMBER OF SOUTH BEACH TRISTAR 800 LLC Date: May 8,2015 The undersigned,COMMERZ REAL INVESTMENTGESELLSCHAFT MBH,being the sole member(the"Member")of SOUTH BEACH TRISTAR 800 LLC,a Delaware limited liability company(the"Company"),does hereby consent to and adopt the following resolutions as of May 8,2015: A. WHEREAS,the Company owns that certain real property and improvements located at 800-810 Lincoln Road,Miami Beach,Florida(the"Property"); B. WHEREAS,Lincoln Arts ERFR LLC,a Delaware limited liability company("Agent")is in the business of asset managing and operating properties; C. WHEREAS,the Company and Agent entered into that certain Asset Management Agreement,dated October 21,2014,pursuant to which Agent manages and operates the Property on behalf of the Company;and D. WHEREAS,the Member considers it to be in the best interests of the Company to renovate the Property and to execute and deliver all agreements and documents and to perform all actions described in,contemplated by or referred to in that City of Miami Beach Planning Department,Standard Application Form for a Development Review Board Hearing(the"Application"). NOW,THEREFORE, BE IT HEREBY RESOLVED, that it is in the best interests of the Company to renovate the Property and deliver the Application; RESOLVED,that any duly appointed officer of Agent(each,an"Authorized Signatory") is each,acting singly,fully authorized and directed to execute the Agreement and deliver all agreements and documents and to cause the Company to perform all actions described in,contemplated by or referred to in the Application; RESOLVED,that each Authorized Signatory shall be authorized to make any and all additions to,deletions from,changes in,or amendments to the Application and any and all of the agreements,documents and instruments described in,contemplated by or referred to in the foregoing resolutions or the Application,and to execute,deliver and record any and all such other agreements,documents and instruments,and to do or cause to be done any and all acts and things,as such Authorized Signatory shall deem necessary,appropriate or desirable,in the best interests of Company,to carry out and effect fully the intents and purposes of the foregoing resolutions and the actions consented to herein,such necessity or desirability to be evidenced conclusively by the execution thereof with such additions,deletions,changes,amendments, executions,deliveries and taking of such actions; RESOLVED,that the actions of each Authorized Signatory in executing and delivering any and all related documents to which Company is a party,and any and all ancillary agreements EAS71100567624.1 • t or documents deemed by such Authorized Signatory as necessary,appropriate or desirable,in the best interests of the Company,to effect the transactions contemplated thereby,are hereby authorized,ratified,consented to,confirmed and approved in all respects by the Company and Member as the acts and deeds of the Company and shall be conclusively deemed to be such limited liability company acts and deeds for all purposes;and RESOLVED,that any and all of the acts of the officers,employees,attorneys, accountants or agents of the Company,in connection with the transactions described in, contemplated by or referred to in the foregoing resolutions,whether heretofore or hereafter done or performed,which are in conformity with the intents and purposes of such resolutions,be and the same are hereby ratified,confirmed,consented to and approved in all respects by the Company as the acts and deeds of the Company and shall be conclusively deemed to be such limited liability company acts and deeds for all purposes. [The Remainder of this Page is Intentionally Left Blank] EAST 100567624.1 IN WITNESS WHEREOF,this Written Consent of the solemember of South Beach Tristar 800 LLC is executed and delivered as of the date first written above. COMMERZ REAL INVESTMENTGESELLSCHAFT MBH By e:Gerry Dietel Title:Manager • EAST+100567624.1 { (1.61 City of Miami Beach-Florida Finance Department 1 City Hall 1527920-1 10/06/2015 BR1 T131 Tue Oct06,2015 01 :39PM Trans#48-48 48 $850.00 MCRCLERK - MCR-City Clerk * MCR#: 408024 1 ITEM(S): TOTAL: $850.00 Check (007678) PAID $500.00 Check (000106) PAID $350.00 Have a nice day! Miscellaneous Cash Receipt - . - ,z_ - «_, : i.. tkA CITY OF MIAMI BEACH C , 4;tt:3:24 -K45rt• :0 No. 76 - -?b500 , � 1 0 Cash 0 Credit Card Check $ FS 0 - /0 /(,, 20 Received of /Oil j L I L C Address i For � C '�= :�� ��`u '.�i' 'Lt-,: � _ ;,�l1 / b,_. p,�` • (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director { By Account Number: t 1:= ��._._ t: : Y l Preparers "c_'- Dept: