Monika Entin - Shep Equities, LLC O ���5 �-
MIAMIBEACH B EAcH
City of Miami Beach Office of the City Clerk '
1700 Convention Center Drive, Miami Se`achjrFL 334391: 0
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.
Entin Monika
NAME OF LOBBYIST: (Last) (First) (M.I)
Bercow Radell&Fernandez, PLLC, 200 South Biscayne Boulevard, Suite 850, Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-377-6237 305-377-6222 MEntin(aBRZoninaLaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes:address,phone, or e-mail address.
I. LOBBYIST RETAINED BY:
Andrew Fischer
NAME OF PRINCIPAUCLIENT:
Shep Equities, LLC 220 23rd Street Miami Beach FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
afischer827(anmail.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 D INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
- 635'PARTNERSHIP OR TRUST: S
II.SPECIFIC LOBBY ISSUE:
Dopment-Approvals-and Permitting Issue., including, but not limited to the Historic Preservation Board, Design Review
Board 4Plarir ing Board,—Board of Ad ustment, Land Use Development Committee, City Commission, and any City Workshops or
Committees, if necessaru. relatina to the provertu located at 220-23ra'-Street—MiamiBeach,—Florida. r7
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
DRB, 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 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.
None.
None.
C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration ill
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)$425.00 per hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $425.00 per hour
(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 lobbying on a present or pendina bid for aoods.eauioment or services.or on a present or pending
Award for goods.eauioment 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 pending application for a Development Agreement with the City or application for
chanae of zonina map desianation or chanae to the City's Future Land Use Mao?
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 representina 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,
EQg ■_ ' :_ _B ■ __►PG: _ : _ 1 _11,4■11 III__ - —1 — —► ■_:— • _ — --4 L •
EXPENDITURES OR • ►i _■ i • ► p ►. ._ _ • ;. _I'_-,:_•
41
Signature of Lobbyist
I do solemnly swear that all of the for-going facts are true and correct and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Beac• City Code and all r-•o ing requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIP L IDENTIFICATION:
d` ti0 p'� Gi/ i V"J / C
Produced ID `� °"• 'p. Produced ID L
Form of Identification $ ,rjEll"� Form of Identification . ��
4 °° co ,- F, I
Personally known(Lobbyist) cZ Personally known(Principal) co N T
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VII. SIGNATURE AND STAMP OF NOTARY: '_ B § W a a 6
- m ti (7) d •a
State of Florida, County of Miami-Dade g State of Florida, County of Miami-Dade w . W a
Sworn to and subscribed before me ' , a f_ " °
�,� Si Sworn and subscribe• befor-.me N � E
N /
This say of T m Thik. da .f Led r ,201 - o E
4 AP
aMl&.,A. 44—bt— ' .Signa re of'1.-441„.,Notary—State of Florida , ' 2 a I Signature of Public Nit. —State of Florida `\c'. "°%:
' °° Notariza on of Principal's signature Y. '?r J_I�i1`_ k,
Notarization o obbvist's signature �� .- g �;_ _
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY s ',4%%,, �P,,� 1
Annual Registration fee: [ ]Yes[ No Amount Paid - P 1 r 0 1 Date Paid ifil - • .
Lobbyist Registration Form received and verified by: A,`.. ►°'L' M� t__∎
• .1
I
M I AM I BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.rniamibeachtl.gov
CITY CLERK Office
Rafael E. Granado, City Clerk CityClerk @miamibeachfl.gov
Tel: 305.673.7411 , Fax: 305.673.7254
LOBBYIST NAME: Monika Entin
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 the Miami- ade County Commission on Ethics and Public Trust.
Sign.. 're: °— Date:
C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc
Detail by Entity Name Page 1 of 3
FLORIDA DEPARTMENT OP STATE 4111ift., :1 ' II
DIVISION OF C0RP0RArI0NS 1 , I
Detail by Entity Name
Foreign Limited Liability Company
SHEP EQUITIES LLC
Filing Information
Document Number M01000000567
FEI/EIN Number 65-1083209
Date Filed 03/14/2001
State DE
Status ACTIVE
Last Event CANCEL ADM DISS/REV
Event Date Filed 04/13/2007
Event Effective Date NONE
Principal Address
220 23RD STREET
MIAMI BEACH, FL 33139
Changed: 07/30/2008
Mailing Address
C/O BLACKSTONE
800 WASHINGTON AVE.
MIAMI BEACH, FL 33139
Changed: 01/19/2010
Registered Agent Name &Address
FISCHER, ANDREW
C/O BLACKSTONE
800 WASHINGTON AVE.
MIAMI BEACH, FL 33139
Name Changed: 02/21/2012
Address Changed: 01/19/2010
Authorized Person(s) Detail
Name &Address
Title MGRM
ASTAFUROVA, SVETLANA
7980 BISCAYNE POINT CIRCLE
MIAMI BEACH, FL 33141
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 4/28/2016
Detail by Entity Name Page 2 of 3
itle MGRM
FISCHER, ANDREW
800 WASHINGTON AVENUE, SUITE 112
MIAMI BEACH, FL 33139
nnual Resorts
Report Year Filed Date
2014 04/16/2014
2015 03/25/2015
2016 02/29/2016
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 4/28/2016
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