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Eric Zichella - Park One of Florida 1101. Co l(.,,5 Are 1-1-16 C011605 / - Iv1AAA1 P E AC H , i City of Miami Beach Office of the City Clerk ZG I b AN:" —7 Pw; 19. 3 7 1700 Convention Center Drive, Miami Beach, FL 33139 w! i 'I i 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. Zichella Eric R NAME OF LOBBYIST: (Last) (First) (M.I) P3 Management, 2929 SW 3rd Ave, Suite 212, Miami, FL 33129 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone, ore-mall address. I. LOBBYIST RETAINED BY: 10800 Biscayne Boulevard Park One of Florida North Miami, FL 33161 NAME OF PRINCIPAUCLIENT: BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 891-0060 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: SCE • IDENTIFY ALL PERSONS HOLDING DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: 5 " �i---fr ,%4&fj ii SPECIFIC LOBBY ISSUE: t, t�CO-tt'� � in ale ParkirigIssues at ttie-SL-S-and-Redbury_ -- ` Issue to be lobbied(Describe in detail): In•CITY";AGENCIESIINDIVIDUALS 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 eneral 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 City Manager and Staff X Parking Department and Staff X Code Compliance Department 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 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $30,000 Flat Fee B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $30,000 Flat Fee (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 Iobbying_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 XNo: 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 XNo: 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. Sig ure of Lobbyist 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 Miaami ch City Code and all reporting requirements. Signature of Lobbyist: �� / Signature of Principal/Client Altai.. mwit. VI. LOBBYIST IDENTIFICATION: ( ,••5• 0 't,ti• PRINCIPAL IDENTIFICATION: I _l ii • ,i,„,,„G ��roduced ID T�L �� "� ( 60,E1 0� ` e Produced ID }! +$lb o t Q '-. Form of Identification ( Form of Identification ;��� _�� ' _Personally known(Lobbyist) 4 3 3 ' _Personally known(Principal) I ""7","`", I, z VII. SIGNATURE AND STAMP OF NOTARY4 H 3. R, I? _ f ° 3 ) State of Florida,County of Miami-Dade 4 % Fa H r ' State of Florida,County of Miami-Dade m « o l' Sw�o and ubscrib:= before me T a m Sworn arg subscribed before me • " I ^ f. This 1 1 201 1 W o m jigs day of MC ,201b a t+ ^N 1 o „ cn _ T.^ a N O _ 4 E Signa re of Public Notary—State of Florida °' Signatur- 4 Public Notary—State of Florida N a Notarization of Lobbyist's signature & " ' ` -© Notarization of Principal's signature 4 0 _2 °f _ to •TO BE COMPLETED BY CITY CLERK'S STAFF ONLY `���a Annual Registration fee: [ )Yes uni No Amount Paid$390. ° MCR tf Li()q 7 to"7 Date Paid 06-67-IL, Lobbyist Registration Form received and verified by - k C" CA-t.V4qa,e,G F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc Revised 01/22/2014 F:ICLERI$ALL1aFORMSILOBBYIST FORMS\Lobbyist Registration Form.doc A AI J IV'\ I A City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeochfl.gov CITY CLERK Office Rafael E.Granado, City Clerk CityClerk@miamibeachH.gov Tel:305.673.7411 ,Fax:305.673.7254 LOBBYIST NAME: Eric Zichella 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$50.00 a day shall be assessed for all Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal) to file the Statement or pay the assessed fines after notification. Any lobbyist, who fails to file the required Statement by April 30th of each year, shall be automatically suspended from lobbying until all fines are paid, unless the fine has been appealed to the Miami-Dade County Commission on Ethics and Public Trust. May 20, 2016 Signature: Date: • F:ICLERI$ALL1aFORMS\LOBBYIST FORMSILobbyist Registration Form.doc . Detail by Entity Name Page 1 of 4 11,1 ■ FLORIDA DEPARTMENT OF STATE DIVISION OF CORPORATIONS 5unbz • Detail by Entity Name Florida Limited Liability Company PARK ONE OF FLORIDA, LLC Filing Information Document Number L99000008742 FEI/EIN Number 65-0966917 Date Filed 12/13/1999 State FL Status ACTIVE Last Event LC AMENDMENT Event Date Filed 04/30/2015 Event Effective Date 05/01/2015 Principal Address 12000 BISCAYNE BLVD STE 707 MIAMI, FL 33181 Changed: 02/19/2016 Mailing Address 12000 BISCAYNE BLVD STE 707 MIAMI, FL 33181 Changed: 02/19/2016 Registered Agent Name & Address ROSENTHAL, ALEX 2115 N. COMMERCE PARKWAY WESTON, FL 33326 Name Changed: 08/18/2004 Address Changed: 08/18/2004 Authorized Person(s) Detail Name &Address Title MGR LANIER PARKING HOLDINGS, INC 233 PEACHTREE STREET NE STE 260C http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 6/7/2016 . Detail by Entity Name Page 2 of 4 TLANTA, GA 30303 itle AUTHORIZED REPRESENTATIVE BREDEMEYER, FRED 10800 BISCAYNE BLVD STE 950 MIAMI, FL 33161 nnual Resorts Report Year Filed Date 2014 01/09/2014 2015 01/12/2015 2016 02/19/2016 Document Ima•es 02/19/2016 -- ANNUAL REPORT View image in PDF format 04/30/2015 -- LC Amendment View image in PDF format 01/12/2015 --ANNUAL REPORT View image in PDF format 12/10/2014 -- AMENDED ANNUAL REPORT View image in PDF format 01/09/2014 --ANNUAL REPORT View image in PDF format 01/16/2013 --ANNUAL REPORT View image in PDF format 05/11/2012 --ANNUAL REPORT View image in PDF format 01/06/2012 --ANNUAL REPORT View image in PDF format 01/26/2011 --ANNUAL REPORT View image in PDF format 03/02/2010 --ANNUAL REPORT View image in PDF format 01/08/2009--ANNUAL REPORT View image in PDF format 04/11/2008 --ANNUAL REPORT View image in PDF format 03/30/2007 -- ANNUAL REPORT View image in PDF format 05/01/2006 --ANNUAL REPORT View image in PDF format 04/22/2005 -- ANNUAL REPORT View image in PDF format 08/18/2004 -- Reg. Agent Change View image in PDF format 03/22/2004 --ANNUAL REPORT View image in PDF format 01/09/2003 -- LIMITED LIABILITY CORPORATION View image in PDF format 09/18/2002 --ANNUAL REPORT View image in PDF format 01/29/2001 --ANNUAL REPORT View image in PDF format 12/28/2000 -- Merger View image in PDF format 11/06/2000 -- REINSTATEMENT View image in PDF format 12/23/1999 -- Merger View image in PDF format 12/13/1999 -- Florida Limited Liabilites View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetai l?inquirytype=Entity... 6/7/2016 Miscellaneous Cash Receipt • r. CITY OF MIAMI BEACH 409967 No. .. 5 [-_i Cash 0 Credit Card Check# OG- f 07 20 t 6 Received of C.. •r—; 7-1 Cll C I IC` Address . 31;.1 5W jr.a, A-4 5k ag l ci i4 6z- 33 '2 For / ' 1SLe.k. • (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director '_ _ _ By I Account Number I{- bOOo 3 69`i L14i-c,0— 3 01• 365 •00.0 0.O>- °� , -,;-5©A. c AI-v,�}` ?1� Dept: C-(� EXT: '� Preparers . a .1 • i co cn 1 Q 0 0 O 10 i C7 0 1 O O t O __.•Os: C,J i M CEO) i 0 �$ L — I i CT C L N I. 1 I i4 c. y c+� ,_ ; I I s co CU 4-- 01 a) a) ° z a I 0 U U W i W U C O = - _ = •-- 0) [ O +-' OZ L Z � I t C O LLI U '-' O W a) O O O Z W � o CC-.)O O Cr) _ 9 $ Y _ C?L r.— = o- di cO i o � z � +`a wc� a -0 Cn i-- U U cc/ Ci •