Michael Larkin - Ferrado Lido, LLC •
Lio is le4...6 A.„„,,,
MIAMI BEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 331139Jf.; 30 I N 1: l 5
LOBBYIST REGISTRATION FORM G i L _ i i i
j ::
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.
Larkin Michael
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)
305-377-6231 305-377-6222 MLarkinaBRZoninaLaw.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:
Jose Tena, Vice President
NAME OF PRINCIPAL/CLIENT:
Ferrado Lido, LLC 20411 SW Birch Street, Suite 360 Newport Beach Calif. 92660
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(949) 474-9884 c/o meredithlake(a?ferrado-us.corn
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,
PARTNFRSHIP OR TRI 1ST• -
II.SPECIFIC LOBBY ISSUE:
cDevelopment Approvals and Permifffin Issues including, but not limited to the Design Review Board, Planning Board, Board of
Adjustment, Land Use any City Workshops or Committees, if necessary,
relatina to the propertu located at(40 Island Avenue_,Miami Beach,Flonda
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
Nona
IV P
None -
C:\Users\clerhatl\AppData\Local\Microsoft\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)$550.00 per hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $550.00 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 X Jo: Are you lobbvina on a present or Dendina bid for aoods.eauipment 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 Dendina 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 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 reoresentina 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 BEACF{
EQE THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.r /
•
Signature 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 Miami Beach City Code and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
•
_Produced ID _Produced ID
Form of Identification Form of Identification /%4,ii
5• '4%��,` Personally known(Lobbyist) '. Personally known(Principal)
D�,• ; ) SIGNATURE AND STAMP OF NOTARY:
•
�•,,,,,,,••� ' C/
3 Z Stat of Florida,County of Miami-Dade State of Florida,County of Miami-Dade'Co
`_: o 3 d Swan to and subscribed before a Sworn and subscribed before me
4 g 3 Thies day of �•ll 1Q, 2016 This % _day of Ct ,2016 l z
4 1- 3 7713 ir /A�
g �'ture .' ' ilk Notary —State of Florida ignature of Public Notary—State of Florida I-2 R'
2k eD ca
of izati}0 • Lobbyist's signature Notarization of Principal's signature
V. > 1 TO BE COMPLETED BY CITY CLERK'S STAFF ONLY 0:9° Litt
- Nn Amnunt Paid$ gSO MCP it Date Paid 0 'I ' 1WNN
m ca Lob -st Registration Form received and verified by A 1y' S Lu �_
MIAMI 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: Michael Larkin -
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.
e7\Y X114
Signature: Date:
•
C:\Users\clerhatlWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc
7
CITY OF MIAMI BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
1. CORPORATION, PARTNERSHIP, OR LIMITED LIABILITY COMPANY
If the property that is the subject of the application is owned or leased by a corporation, partnership, or limited
liability company, list ALL of the owners, shareholders, partners, managers, and/or members, and the percentage
of ownership held by each. If the owners consist of one or more corporations, partnerships, trusts, partnerships,
or other corporate entities, the applicant shall further disclose the identity of the individual(s) (natural persons)
having the ultimate ownership interest in the entity.*
Ferrado Lido, LLC -20411 SW Birch Street, Suite 360, Newport Beach, Calif 92660
NAME OF CORPORATE ENTITY
NAME AND ADDRESS % OF OWNERSHIP
Ferrado Inmuebles SL 100%
Plaza Maria Pita 17
La Coruna 15001 Spain
Ferrado Inmuebles SL- c/o Plaza Maria Pita 17, La Coruna 15001 Spain
NAME OF CORPORATE ENTITY
NAME AND ADDRESS %OF OWNERSHIP
Rosp Comma SL 100%
Plaza Maria Pita 17
La Coruna 15001 Spain
Rosp Corruna SL-Plaza Maria Pita 17, La Coruna 15001 Spain
NAME OF CORPORATE ENTITY
NAME AND ADDRESS %OF OWNERSHIP
Sandra Ortega Mera 89.24%
Plaza Maria Pita 17
La Coruna 15001 Spain
Marcos Ortega Mera 10.76%
Plaza Maria Pita 17
La Coruna 15001 Spain
IF THERE ARE ADDITIONAL CORPORATE OWNERS, LIST ALL SUCH OWNERS, INCLUNG CORPORATE NAMES
AND THE NAME, ADDRESS, AND PERCENTAGE OF OWNERSHIP OF EACH ADDITIONAL OWNER, ON A SEPARATE
PAGE.
NOTE:Notarized signature required on page 9
FILE NO.
"
„
Miscellaneous Cash.Receipt ...
CITY OF MIAMI BEACH • "
. :No 411948
• . .
. • , .
' •: '...! '• • ." O Cash 0 Credit Card- 12 Cheak# - --) ' ,
' :;: ,..:' I • - ,
er1 O5 20 -
- -
_ ..,
City of ryliariRedlitiVed Of PA I i,\I t.A i 1 L,kc-Lii , CO CO r, 6,- .,1 i,f■ I`,t?'-)41,- C.,':"Vi 7 0 1 --7_
--N
MiscellaneouAdd2St6q..) '.--1) 0,e-,..,_c,,,,, 4o 0.; )4/1, ,;v„„ C L )3 I , ( 7O or
000512-0039 Irma-Ro.. 09/08/2016 19:444M' I , , ., of-rt.:.‘rcf. ,„ ik.A1A,...y, (2:L.
MCR OPEN For -:-) i 53"t t 3 C 'i° 1 5/'"c jivc
i
-:, _,'
Payment Amount: 1,050.00
411948
,,.
. _
(THIS INFORMATION MUST BE COMPLETED) Office of Finance Director ..;.;
. .
By.
_
. 4. 7 1 ,
'-."';-.'': ''. ' Account Number: 0 1 i -• 00 0 0 . -3(,, ci ci(-I ti • CC' - 5 0 --) - -, t-,-.2-) - -`is C' • Cil'.) )`''' '''
, , L
Preparer ---.3P--4-.)-0.19 - '1"\-t-\-//'''--7-(-- ". ' - Dept: EXT: ---it-I ii ;.
-; • ,
.::. , .. , ..;, ...::. :.,. . ....;,. :,-. ,..,,,.:.,..;,:, ,:-.,. ,,::-..,„rlr'i, :L;',., . Z- ..,:1,. .%+,,. ,,,..,:,,7 ...,;;+: ,..:p;',,.--: - ,... t- : .
c•--....'..- .._, ,__ : ,_.,.,
----:
,•-• ,..7...' C-... cp C.-, ti r, '.; : 1'',
,_..r) .
-- ,--. 7 .• ...—. i. .f.:::
I.■
= Cr, '---; 1 1 --.- 5;.1 .- \SI ,• :.)
5 =
: 1.3
rn...
'13 ''.. -Z." ._.._, -:=-,.
— -.1•4 a_.
_,
----.. '_=.
4- ''--- .^..7) '' ,--) =-- --- -,-,....- z.::_- ■,..0 -....-:
CC.- ..... .4...,". :'-. '...7.) r...:2 cn ,---. .... '',. .■.- ,--
--" L--; .--- = ■-'7 ;7;7,-. ] 92i.: !..-. .“-:. ' ZI = =
_
.— -
C-7 — ...: :----, C..'"; -• r.L: CZ a) --,.-.:c — - :hid c=
:. :4 .
" ,...._
.....
= Z "...
! ..., i-1.3 = •--- C-_:' 'C' ..-Y 7---,
-I-, Q Q.; _C72
- '....-1 C.) C•-•_ - ,r....../' = C,,' /.- -...4, 111 .= 1
/4-, 77 11
..= .i•-, 1..:-: r_:, M /.- Ai
..7.-:• x r...:..- •:_---
•