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James E. Rauh - ARRP Miami IV LLC 15-7s kti-on Rscka MIAMI BEACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 2016 , : I (� LOBBYIST REGISTRATION FORM "I ' r 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. • RAUH JAMES E. NAME OF LOBBYIST: (Last) (First) (M.I) GREENSPOON MARDER, P.A. 1601 WASHINGTON AVENUE, SUITE 300,MIAMI BEACH, FLORIDA 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-602-8245 JAMES RATTH( MLAW C'OM TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone, or e-mail address. I. LOBBYIST RETAINED BY: ARRP MTAMT TV LIP NAME OF PRINCIPAL/CLIENT: ARRP MTAMT TV T.T.0 220 BISCAYNE BOULEVARD, MIAMI, FLORIDA 33137 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 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: DAVID B. SMITH, MANAGER • IDENTIFY ALL PERSONS HOLDING DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: SEE EXHIBIT "B" II.SPECIFIC LOBBY ISSUE: ANY AND ALL LAND USE,DEVELOPMENT,LEGISLATIVE.,-ZONING-,.AND—LICENS.URE_ISSUES RELATING TO THR PROPERTY T,OCATFIn AT l 7 5 AON ROAD. MTAMT BRACH. FLORIDA "3 3119/ Issue to be lobbied(Describe in detail): III.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/PARKING DIRECTOR AND STAFF X DESIGN REVIEW 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 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc -, 1 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $"195/HOUR B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED). $3 9 5/HOUR 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 Iobbvinq 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. YesXNo: 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 : ED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. Signatur- . Lob- ist 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 Miami Be...: - , Code and all reporting requirements. de Signature of Lobbyist: _ • Signature of Principal/Client: �`.�A.A- VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Produced ID — Produced ID t; Form of Identification y Form of Identification •-a SqD� • IPersonally known(Lobbyist) "'�� ✓ Personally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: 1 if State of Florida, County of Miami-Dade = x o 1 State of Florida,County of Miami-Dade Sworn to and subscribed before me z °- ' • 0 Sworn and subscr'•z:,,, This I!i day of Jun ,201 b a d T E i This �. ` Say of /`-�1`.2).•,( 01 OA11A911A6UTAA I _ PtiDlla•Slate if FlotiOat J\ktiO IAA () i °g Com, , ithelV. • ,•:y COMMIISlOR#FT 198111 Signature of Public Notary–State of Florida Sign turf Public • •ry–State• .<�''• Comm.Expire.Mar 18,2019 Notarization of Lobbyist's signature $ m _ Notarizati n of Principal's signatUrd;� �� Y • TO BE COMPLET BY CITY CLERK'S S AFF ONLY Annual Registration fee: [ ]Yes[1 No Amount Paid$ ;52u.Gai MCR# Date Paid OL-t'" (6 Lobbyist Registration Form receive verified by: '1 f (0- F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc Revised 01/22/2014 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc • MAMBEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov CITY CLERK Office Rafael E. Granado, City Clerk CiyClerk @miamibeachfl.gov Tel: 305.673.741 1 , Fax:305.673.7254 LOBBYIST NAME: JAMES E. RAUH 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 appeale• • the Miami-Dade County Commission on Ethics and Public Trust. mr• & l - 20 / 40 Signat Date: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc EXHIBIT "B" DISCLOSURE OF INTEREST 1. CORPORATION If the property which is the subject of the application is owned or leased by a CORPORATION, list ALL of the stockholders, and the percentage of stock owned by each. Where the stockholders consist of another corporation(s), trustee(s), partnership(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.* ARRP Miami IV, LLC CORPORATION NAME NAME AND ADDRESS % OF STOCK ARRP Miami IV, LLC KGM Equities 2, LLC 97.5% 2200 Biscayne Boulevard Miami, Florida 33137 Beach R Holdings, LLC 2.5% 655 W Irving Park Road Suite 208 Chicago, IL 60613 KGM Equities 2, LLC Bruce A. Menin 2004 Irrevocable Trust 10% 2200 Biscayne Boulevard Miami, FL 33137 Russell W. Galbut 2004 Irrevocable Trust 45% 2200 Biscayne Boulevard Miami, FL 33137 Sonny Kahn 2004 Irrevocable Trust 45% 2200 Biscayne Boulevard Miami, FL 33137 Beach R Holdings, LLC Tomer Bitton 100% 655 West Irving Park Road, Suite 208 Chicago, IL 60613 26418304v1 26562847v1 Bruce A. Menin 2004 Irrevocable Trust Maxwell Logan Menin 33.33333333333333% 71 Town Line Road Wainscott,New York 11975 Mason Brice Menin 33.33333333333333% 71 Town Line Road Wainscott, New York 11975 Lucas Andrew Menin 33.33333333333333% 71 Town Line Road Wainscott, New York 11975 Russell W. Galbut 2004 Irrevocable Trust Marisa Anne Galbut 50% 5225 Collins Ave, PH8 Miami Beach, FL 33140 Jenna Beth Galbut 50% 5225 Collins Ave, PH8 Miami Beach, FL 33140 Sonny Kahn 2004 Irrevocable Trust Elliott E. Kahn 20% 5940 N. Bay Road Miami Beach, FL 33140 Joshua E. Kahn 20% 5940 N. Bay Road Miami Beach, FL 33140 Naomi R. Kahn 20% 5940 N. Bay Road Miami Beach, FL 33140 Rachel H. Kahn 20% 5940 N. Bay Road Miami Beach, FL 33140 Avigail Kahn 20% 5940 N. Bay Road Miami Beach, FL 33140 26418304v1 26562847v1 L Miscellaneous Cash Receipt CITY OF MIAMI BEACH 409954 - • No. • - Cash DCredit Card z!!! heck# I $ _17) 20 / City of miangiallired of Cif-t" ) /VC(dee'''. / Miscellaneous-MCR-2016 of.) Afr ei F7t r7 000149-007-6sArits.s. 06;1E27016 011164"PA ' - - y MCR OPENF'd. I Payment Amount: 350.00 ' .; MCR )ca. (_ Cr. I (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director ' By • Account Number: 07=1)- 3 -'I SI,0D-tt) r) Preparer: C r c? fir/2 1,,EtZ .---,6 -7 Dept: (' 1 4-". 1 r , EXT: . • , 1 1 ( • ••z•-; • • •