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James E. Rauh - NOBU Associates (South Beach), LP I\/\ IAIV\1 City of MiarriliBeachu Office`of the City Clerk 1700 Convention Center rive,.Miarnii Beach, FL 33139 ZDD1 ®Cit �'►� �• o� LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained;,whetherlpaid 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. RAUH JAMES E. NAME OF LOBBYIST: (Last) (First) (M.I) 1224 WASHINGTON AVENUE, MIAMI BEACH, FLORIDA 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-602-8245 305-448-5566 JRAUH @TERMINELLO.COM TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes: address,phone, or email address. I. LOBBYIST RETAINED BY: NOBU ASSOCIATES (SOUTH BEACH) , L.P. NAME OF PRINCIPAL/CLIENT: NOBU ASSOCIATES (SOUTH BEACH) , L.P. 3 EAST 57TH STREET, 7TH FLOOR, NEW YORK, NY 10022 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (212) 757-5926 JOHNK @NOBURESTAURANTS .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:MEIR TEPER, DIRECTOR • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: SEE EXHIBIT "C" ii SPECIFIC:LOBBY-ISSU E CONDITIONAL USE PERMIT FOR A NEIGHBORHOOD IMPACT ESTABLISHMENT AT 4525 COLLINS AVENUE AND ANY LAND USE, DEVELOPMENT, ZONING, DESIGN,OR LICENSING ISSUES RELATED Issue to be lobbied(Describe in detail): TO THE SUBJECT PROPERTY. in 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 DIRECTOR AND STAFF X PLANNING BOARD X MAYOR AND COMMISSIONERS 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 NONE r I _I 41.1 �;.`'. I .I .1.l =- t nE 110Pi17 _ ... ,o rtu�, rs-> • - ee F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc ir r.� a y EXHIBIT"C" DISCLOSURE OF INTEREST NOBU ASSOCIATES(SOUTH BEACH),L.P. CITY OF MIAMI BEACH DEVELOPMENT REVIEW BOARD APPLICATION DISCLOSURE OF INTEREST 1. PARTNERSHIP/LIMITED PARTNERSHIP If the property which is the subject of the application is owned or leased by a PARTNERSHIP or LIMITED PARTNERSHIP, list the principals of the partnership, including general and limited partners. Where the partner(s) consist of another partnership(s), corporation(s), trust(s) or other similar entity, further disclosure shall be required which discloses the identity of the individual(s)(natural persons) having the ultimate ownership interest in the entity. Nobu Associates(South Beach), L.P. PARTNERSHIP or LIMITED PARTNERSHIP NAME %Name and Address /o of Ownership Nobu Associates(South Beach),L.P. • Robert De Niro 29.474% 1901 Collins Avenue Miami Beach,Florida 33139 Meir Teper 23.158% 1901 Collins Avenue Miami Beach,Florida 33139 Nobuyuki Matsuhisa 47.368% 1901 Collins Avenue Miami Beach,Florida 33139