Peter F. Haberbosch - Miami Beach Port, LLC (20
CA—a
`° ��` Office of the City Clerk
1700 Convention Center Drive
Miami Beach, FL 33139
305.673.7411
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 City Code Chapter 2, Article VII, Division 3, entitled "Lobbyists,"
for additional information.
Instructions: Please complete all sections of this form and submit the completed form,with the applicable fee, to the Office of the City
Clerk. If you need more space to complete an answer, use a separate sheet(s) of paper. If you have nothing to report in a particular
section, you must write "none" or "n/a" in that section. Any change to any information originally filed, or any additional City
Commissioner or personnel who are also sought to be lobbied shall require that the lobbyist file an amendment to the registration form.
The lobbyist has a continuing duty to supply information and amend the forms filed throughout the period that the lobbying occurs.
Separate registration forms shall be required for each principal represented on each specific issue.
I. LOBBYIST INFORMATION:
Haberbosch Peter Frank
NAME OF LOBBYIST (Last) (First) (Middle Name)
F+P Architects NY Inc. 300 W 57th Street New York NY 10019
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
212-641-9600 phaberbo@foasterandpartners.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Perez Jon P.
NAME OF PRINCIPAL (Last) (First) (Middle Name)
Miami Beach Port,LLC 315 S. Biscayne Blvd. ,Ste. 400 Miami FL 33131
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-533-0093 jpperez@relatedgroup.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided pursuant to City Code
Section 2-482(c):
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Jon P. Perez
• NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: Jorge Perez,Victor A. Bared,Victor B. Bared
III. ISSUE TO BE LOBBIED:
Describe with as much detail as is practical, including but not limited to a specific description where applicable of a pending request for
proposal ievelopn tont orpublichearing number. � �O � kC n4 U p. C J(WP
evelo menta royals. c,,r,rL 'ark 113 3� �r i"I
•
IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-482(a)(4), list the City Commissioner or City personnel sought to be lobbied,and whether the
lobbyist has entered into any contractual relationship(paid or unpaid)with said City Commissioner or City personnel from 12
months preceding such commencement of service with the City to the present date,stating the general nature of the subject
contractual relationship.
Full Name of Individual and Contractual Relationship(If yes,explain) YES NO
Title of Person to be Lobbied
Mayor X
Commission X
Historic Preservation Board 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.
List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an appearance of
impropriety: None
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a
contingency fee is prohibited pursuant to City Code Sec. 2-485.3):
I S(0.0( Hourly
The following five(5)questions MUST be answered:
1) Pursuant to City Code Section 2-488,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues":
_Yes x No: Are You lobbying 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 City Code Section 2-490, entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development
Issues":
_Yes x No: 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 City Code Section 2-482(h), any person (except those exempt from the definition of "lobbyist" as set forth in
Section 2-481) 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 city clerk as required by this section, but shall not be required to pay any registration fees.
_Yes ,No: Are you representing a not-for-profit corporation or entity without special compensation or
reimbursement?
4) Pursuant to City Code Section 2-481, the term "lobbyist" specifically excludes the following persons: Expert witnesses who
provide only scientific,technical or other specialized information or testimony in public meetings; any person who only appears
as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether direct,
indirect or contingent,to express support of or opposition to any item; and any person who only appears as a representative of
not-for-profit community based organization for the purpose of requesting a grant without special compensation or
reimbursement for the appearance.
Yes xNo: Are you providing only scientific, technical or other specialized information; appearing as a
representative of a neighborhood association without special compensation or reimbursement or
representing a not-for-profit based organization for the purpose of requesting a grant without
special compensation or reimbursement?
5) Pursuant to City Code Section 2-482(a)(4), a lobbyist who has within the past election cycle provided campaign consulting
services to an incumbent member of the City Commission shall disclose such particular service on his/her lobbyist registration
form and shall orally disclose such particular service before lobbying the City Commission at a public meeting.
_Yes gNo: Have you provided campaign consulting services to an incumbent member of the City Commission
within the past election cycle?If yes,please list the incumbent member(s)of the City Commission:
If yes,you must also orally disclose such particular service before lobbying the City Commission at a public meeting.
•
VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY_CLERK A
SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMP NSATION DURING THE REPORTING PERIOD.1
1
ilia �.
Signature of Lobb ist: .! k' Date 1 31 - 1 7
I do solemnly swear or affirm that all of the foregoing facts, statements, and disclosures in this form are true and correct,
and that I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Code,:nd all reporting requirements.
•
Signature of Lobbyist: Date
Signature of Principal: Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of N y State of
County of: til County of:
Sworn for affirmed) and subscribed before me Sworn to(or affirmed) and subscribed before me
this 31 day of J q to v&4,v / , 20n by this_day of , 20_, by
P.1EOF LOB NAME OF PRINCIPAL
•
Produced ID o/(A:7 (ph(JL _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
Personally K own _Personally Known
Signature o N ay Public Signature of Notary Public
E ER LOWITZ
Name o q ,rb' In or Stamped Name of Notary, Typed, Printed or Stamped
Qualified in Westchester County
(NSPARIOgRANgres Fab.17.20.4,1 (NOTARY SEAL)
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [`,�]Yes[ ]No Amount Paid$ �So•0° MCR# `� i 3 y�( Date Paid a 2.- -1-/7
Lobbyist Registration Forth received and verified by: --fh'So" Sw-ea,.A^-zote
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 08-18-16 REG.doc Revised 08/18/2016
1 The term"lobbyist"specifically excludes the following persons:
Expert witnesses who provide only scientific, technical or other specialized information or testimony in public meetings; any person who
only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance, whether
direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of
not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for
the appearance.
4
VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A
SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.1
Signature of Lobbyist: Date
I do solemnly swear or affirm that all of the foregoing facts, statements, and disclosures in this form are true and correct,
and that I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Code and all reporting requirements.
Signature of Lobbyist: Date
Signature of Principal: �' Date 90'1
VII. NOTARY Sic ATURE AND SEAL:
LOBBYIST: PRINCIPAL (A
State of State of \J "I
County of: County of: X&V —
SL
Sworn to(or affirmed)and subscribed before me Sworn to(or affirmed)and subscribed before me
this day of , 20_, by this CO day of to(va(`-( , 20 f-by
ibv 2c) \ PC( C
NAME OF LOBBYIST NAME OF PRINCIPAL
Produced ID _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
_Personally Known "Personal) Known , yl
Signature of Notary Public Signature of Notary Public
pfk \\ J
Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped
.*""�e Notary Public State of Florida
(NOTARY SEAL) (NOTARY SEAL) :° a� Melissa Si ler
^ 4 My Commission FF 999659
'�
o.ir Expires 07/26/2020
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY;ry
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Date Paid
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 08-18-16 REG.doc Revised 08/18/2016
1 The term"lobbyist"specifically excludes the following persons:
Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings;any person who
only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance, whether
direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of
not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for
the appearance.
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado, City Clerk CityClerk@miamibeachfl.gov
Tel: 305.673.741 1, Fax: 305.673.7254
NAME OF LOBBYIST: Peter Frank Haberbosh
1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
Pursuant to City Code Section 2-485(d), the City Clerk shall notify any lobbyist (or
principal) who fails to file timely a Lobbyist Fee Expenditure and Compensation Statement
(Statement). In addition to any other penalties that may be imposed as provided in
Section 2-485.1, a fine of $50.00 a day shall be assessed for Statements 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.
I hereby acknowledge that on February 28 of each year, I shall submit to the City Clerk a
signed Statement under oath listing all lobbyist expenditures, as well as compensation
received, for the preceding calendar year with regard to the specific issue on which I have
been engaged to lobby.
2) LOBBYIST WITHDRAWAL
Once an issue I have registered to lobby has concluded or I am no longer lobbying on
that issue, I shall immediately file a Notice of Withdrawal with the Office of the City Clerk.
3) ANNUAL LOBBYIST REGISTRATION FEE
I understand annual registration of all lobbyists shall be required for each 12-month period
commencing October 1 of each year, and the fee for such annual registration shall be
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
Signa • - ►f Lobbyist Date
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 08-18-16 REG.doc
City of Miami Beach 12/3!/,q.
Lobbyist Fee Expenditure and Compensation Statement
City Code Section 2-485
Expenditure report for the period of: 01/01/2016 through 12/31/2016
A statement shall be filed even if there have been no expenditures or compensation during the reporting period.
This statement is to be signed, notarized and returned to the City of Miami Beach, City Clerk's Office, 1700 Convention Center
Drive, Miami Beach, FL 33139 by February 28th.A fine of$50.00 per day, per issue,shall be assessed for statements filed after
the due date. If you require any assistance, please contact this office at 305.673.7411 or at citvclerk@miamibeach.gov.
Lobbyist Pedro Haberbosh
Principal Newgard Development
Issue 120/140 MacArthur Causeway
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: Hourly
CATEGORIES OF EXPENDITURES
Food and Beverage: -0-
Entertainment: -0-
Research: -0-
Communication: -0-
Media Advertising: -0-
Publications: -0-
Travel: -0-
Lodging: -0-
Special Events: -0-
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
X DATE REPRESENTATION ENDED: July 2016
OATH
State of Florida,
County of Miami-Dade
I,the undersigned lobbyist do hereby depose under oath and affirm that the information 9 isclosed herein and any attachment
hereto are true and correct.
Lobbyist Signature
SI NATURE AND STAMP OF NOTARY: JULIE LANGER LOWITZ
Notary Public,State of New York I
Produced ID
No.02L06319296 Ad
in Westchester CountyA
Form of Identification Cornmission Expires Feb.17,20 Signature .f Public ota - -State of Florida
_Personally known Sworn •�nd sub '= -d before me
This N day of, 10N/1. ,20 11
\ack\,,,ALL\ak)-cmI,, Lc)bm,, i)t': >,i 1,-,L , ,t r, ,,
•
•
Jackson, Pamela (MIA - X27466)
From: Pedro Haberbosch <phaberbo@FosterandPartners.com>
Sent: Sunday, February 05, 2017 7:00 PM
To: Tola Rebello
Cc: Michelle Guthrie; Slavens, Tracy R (MIA - X27642); Jackson, Pamela (MIA - X27466)
Subject: RE: Haberbosch Miami Beach Lobbyist Registration
Tola
The hourly rate to be confirmed is USD 510+travel related expenses.
Pamela Jackson at HKLaw will be able to assist with the planning matter related question; we wish to make sure that this
information is vetted by Tracy Slavens.The project site address presumably is "120 MacArthur Causeway, Miami Beach,
FL 33139", and the planning matter as stated in the relevant formal zoning change application documents?
HKLaw is also best placed to follow up on the comments by Mr Salvatore regarding the Principal's signature and
notarization?
Many thanks, and do keep me posted.
Rgds
Pedro Haberbosch
Partner
Foster+Partners
300W 57th Street
New York,NY 10019
T+1 212 641 9600
M +1 917 941 9916
phaberbo@fosterandpartners.com
From:Tola Rebello
Sent: Friday, February 03, 2017 2:08 PM
To: Pedro Haberbosch<phaberbo@FosterandPartners.com>
Cc: Michelle Guthrie<mguthrie@FosterandPartners.com>
Subject: Haberbosch Miami Beach Lobbyist Registration
Hi Pedro
As discussed, the registration could not be processed due to some missing information. Please see below email from
Jason Salvatore he's with the City of Miami Office Clerk.
I have attached a scan of the application for your reference. We don't need to complete a new application, we just need to
respond back with our answers to his questions.
Thanks
Tola
1
Oyetola Robello
Site Office Manager
Foster + Partners
300W 57th Street
New York. NY 10919
1 : +1 212 641 9606
F +1 212 641 9627
trebello(a�fosterandpartners.com
www.fosterandpartners.com
From: Salvatore,Jason [mailto:JasonSalvatore@miamibeachfl.gov]
Sent: Friday, February 03, 2017 1:59 PM rrh`x
To:Tola Rebello <trebello@fosterandpartners.com> M��p,a tiro
Subject: Haberbosch Miami Beach Lobbyist Registration [2C 0.
Good afternoon Tola, AND P6 KM: N�
In regards to Mr. Haberbosch' istration, we will need more detail regarding the specific lobby issue. Currently, only
"Development approvals" 's listed. This is too general of a term. Is there an address or project that is associated with
the development approvals? Also, will there be permitting issues discussed?
Secondly, we will need the hourly rate of compensation. 4'5iO.ct
These items can be emailed and I can attach it to the registration.
Lastly, the Principal (listed as Jon P. Perez from Miami Beach Port, LLC) needs to sign the registration and also have it
notarized. Since he appears to be based locally, he can simply sign the form and have it notarized here in our office in
order to expedite the registration process. Let me know if your office would like to proceed in that direction.
Thank you,
,f
Jason Salvatore
Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-673-7411 www.miamibeachfl.gov
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical,
historic community.
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