Matthew Amster - Diva Estate, LLc 75Y co" Srne,r
MIAMI BEACH
Office of the City GP.rkIn n nn _3 �,u, 9: 02
1700 Convention Center Drive U �'
Miami Beath, FL 33139 -
305.673 7411
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed a retained,whether paid a not, by a pdncbal who seeks to encourage the passage,defeat or
modicetim of any ordinance, resolution, action a dedsion of any commissioner,any action, decision, remmmendatim of the City
Manama or any City board a committee;a any action,decision a recommendation of my City personnel during the time pmiod of he
entre derision-making process on such action, derision a recommendation that foreseeably will be heard a reviewed by the City
commission, a a Cly board or ammittee. Tice term spedicaly includes the principal as wet as any employee engaged it lobbying
activities.The term lobbyists'has speiic exclusions.Please refer to City Code Chapter 2,Made VII, Division 3,entitled lobbyists;
for addtiaal information.
Instruction: Please complete an sections of his form and submit the completed form,with the appicable lee,to the Office of the City
Clerk If you need more space to complete an answer, use a separate sheet(s)of papa. If you have nothing to repot M a particular
section, you must write Yoe' a We in that section. My change to any information aiginany Ned, a any additional Gy
Commissioner or personnel who are also sought to be lobbied shat require that the bbbytst Ne an amentnent to the registration but
The lobbyist has a conknang duty to supply nhrmatiai and amend the forms lied throughout the period that the lobbying was.
Separate registration forms shall be required for each Kindest represented on each specific issue.
I. LOBBYIST INFORMATION:
Amster Matthew
NAME OF LOBBYIST (Last) (First) (Mode Name)
Bercow Nadel! Fernandez& Larkin, PLLC 200 S. Biscayne Blvd, Suite 850, Miami, FL 33131
LOBBYIST BUSINESS NAME AND ADDRESS (Number end Steel) (OW) (Stan) (Bp Cods)
(305) 374-5300 mamsteratbrzoninglaw.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
Ii. PRINCIPAL INFORMATION:
Diva Estate, LLC
NAME Cr PRINCIPAL (Last) (First) (Middle Nemo)
3650 NW 82nd Avenue, Suite 401, Doral, FL 33166
PRINCIPAL BUSINESS NAME AND ADDRESS Number and Sten) (City) (Stile) (IV code)
1 (848)228-6135 maurizro@mluccarelli.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(if non,wits N/A):
Giacomo Bosse, Esq. - Authorized Representative
• NAME OF ALL PERSONS HOLDING,DU ECTLY OR MDIRECTLY,A 5%OR MORE OWNERSHP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST Wane wile WA): Faig Shikhalibayli -8.6%
Azad Huseynov - 20.6% ; Maurizio Luccarelli- 35.3% ;Valerio Derizzo-35.3%
Page 1 of 5 �J
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,invitation to bid, or public hearing number.
Development approvals and permitting issues for the property located at 754 84th Street.
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) YE8 NO
Tide of Person to be Lobbied
Planning staff, City Development Boards, None X
Land Use Development Commitee None X
and Commission 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.
List any Business, Financial, Familial or Professional Relationship, or other relabonship giving rise to an
appearance of impropriety(if none,write NIA):
None.
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION— Be Specific. (Note that a
contingency fee is prohibited pursuant to City Code Sec. 2-4853):
$490.00Mour
Page 2 of 5
The fallowing six(B)questions MUST be answered:
1) Pursuant to City Code Section 2-488 entitled'Prohibited Campaign Ca ri bufas By Lobbyists On Proaaement Issues':
_
Vera No: Al.you lobbvino on a present or sondem bid for Goods.emeonant or services a on a present or
pending award for goods,automate a service?
2) Pursuant lo City Code Sedan 2-490, wiled'Prohibited Campaign Conbiburms By Lobbyists On Real Estate Development
Issas':
YesXNo: An You lobbying on attending apoliabon fora Dewlcpment Alinement with the City or aeslicaban
for dramas of zoning map designation or champ to the City's Future Land Use Mao?
3) Pursuant to City Code Section 2-482(h), any person (except terse exempt Iran the defniticn of'lobbyist' as set forth in
Section 2-481)who only appears as a representative of a not-for-prof l carpaaton a entity without special compensation a
rebnbausemenl for the appearance,whether direct a kicked lo egress support of a apposition to my item,shall register with
the ay dei as lathed by his section,but shall not be required to pay any regisbaton fees.
_YesX No: Are you representing a no4-fainbt corporation or entity without special compensation a
reimbursement?
4) Pursuant to City Code Sedan 2-481, the lean 'lobbyist"specifically excludes he foaming persons: Expert witnesses who
proide only scienfti5 technical a other specialized information or testimony in pubic meetings;any person who orgy appears
as a representative of a neighborhood assodation without compesaion or reimbursement for the appearance,whether direct,
indirect a contingent,to express appal of a opposiion to any item;and any person who only appears as a representative of
not-fa-proit community based organization ra the pupae of requesting a grant without special compensation a
reimbursement fa the appearance.
_Ya&No: Are YOU providing onh sciable technical or other misdated infanition: .nesana as
7wresen ofa nMoodthinshgssodation without special amutia
n4
panor reimbunamept or
noresen*a • nol-for-obend oreadAtion for the purpose of requesting a want without
SWIGS caeDnffon or reiebunement?
5) Pursuant to City Code Section 2-481(1), no campaign consultant shad lobby the City Cemmssion for a period of 12 months
following the swelling in of any elected ofdal(s)for whom the campaign=molten prodded campaign consoling services
within the past election cyde.See Sedion 2-491 for mese information.
_YesX No: Have You provided campaign consulting services loan incumbent acerber of M City Commission
within tlne essl Schon cyder If res.auris Mitt.nambwl aabada)of the City Conies m:
Ya XNo: If w. ha it ban less than 12 months abs M elected olicdalfs)whom you provided campaign
sosdtm services was swam in?
6) Pursuant to City Code Section 2-482(a(40, a lobbyist who has within the past election Lyda prodded campaign consulting
services ban incumbent member of the City Commission(which lobbying activity Is not otherwise prohibited by Code section
2-491) shall disclose such particular service on his/her lobbyist registration bin and shall orally disdose auai uariMar
service before fobbeno to Oty Commission ata Public meeting.
_Yes&No: Have Veil provided caesian consulting services to a nominal member of M City Commission
within the pat Scion glide?If yes.Meese list the incumbent mabar(s)of the City Commission:
YesX No: If as. wire you promised a dad au receive economic consideration in admen for ampdan
coarctate services?
TO BE CCMPLE1ED BY CITY CLERICS STAFF ONLY
Annual Ragesa
sttw: ( 'Yea No Pahl 4 .ANCRfi aI 1f1 ser Pda c2-7 c 5- I�
Lobbyist RsysfetlFarm verified by: _3/1-5.2/-) ✓.t t 'Lt
r\armseui\aF:fMS\toOOY11 FORMS\Lobbyist Reolstabon Form Revised 01-(11-10 REG.rloc Rifled 01/01/201S
Page 3 of 5
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� PERIOD.'
DURING THE REPORTING
N� �
Signature of Lobbyist: �y G t IS K+ t ...kgseJ 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. - _ - & • / Date21
/' c
Signature of Principal'. / Date K/'�7/�o
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL ll
State of State of TI Qi prp.
County of: County of: I At-Ai — A hic-
Sworn to(or affirmed) and subscribed before me Sworn to(or affirmed)and subscribed before me
this day of 20_, by this day of S.y—e_ 20a by
1 A 0-6 m7 �Se-r--
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
Personally Known V Person- /orwn c
Signature of Notary Public Signet. - of ICTr-ublic
V /1.,.c1A -P114KItILiA
Name of Notary.Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped
(NOTARY SEAL) (NOTARY SEAL) } rouu k-statA D. eNasln
n i nv'or s t ofnodda
Hy Co
Conmnn.Eps F b]S.b 25. 0 E`
F 1a22
Bonded through National Notary Assn.
The tens'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 appearancewhether
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.
Page 4 of 5
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. USTWG LOBBYING EXPENDITURES. AS WELL AS COMPENSATION
RECEIVED. FOR THE PRECEDING CALENDAR YEAR WITH REGARD TOTHE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL gf] FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENSATI! 1r RW TING PERIOD.
Signature of Lobbyist: 1� Date 6/2-7/8"
/Z8"
7
I do solemnly swear a that at ailof the foregoing lacks,statements, and disclosures in(hin is faare hue and correct,
m
and that I have read a ant with the provisions contained in Chapter 2, Art VII, Division 3, entitled'Lobbyists' of
the Miami Beath City Code and all ants.
Signature of Lobbyist: Date t/l27/1(9
Signature of Principal: Dee, cx )0,AS M2P1 Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of til QY]dO State of
county of M I CI DO de County of:
Swan to(a affirmed)and subscribed before maw Sworn n(a affirmed)and subscribed before me
this Z4 day of „1nC 2011,,),by this day of 20_,by
M c+i-iew Am si e
NAME OF LOBBYIST NAME OF PRINCIPAL
Produced ID _Produced ID
FORM OF IDENTIFICATCN FORM OF IDENTIFICATION
Pers Krn'm _Personally Known
'(Ifrt��
Signature of Notary Pubic Signature of Notary Public
UI SSG AV C1MITono
Name of Notary,Typed, Printed a Stamped Name of Notary, Typed, Printed a Stamped
,00%,.. Notary Public Slate of Florida
(NOTA' • - Vanessa Ntamirata (NOTARY SEAL)
pon
ce
EMCnoem0& 1io0F1F9 914375
1 The term lobbyist'specifically excludes he Maaing persons:
Expert Witnesses who provide only sdentific,tactical or Weer spedafized information a testimony in public meetings;any person who
ally appears as a representative of a neighbahood assodation vititwt compensation a reimbursement for the appearance,whether
direct indirect a contingent to express support of or opposition to any item;and any person who aiy appears as a representative of
nib-fa-profit community based organization For he purpose of requesting a grant vdhwt spedal compensation or reimbursement for
the appearance.
Page 4 of 5
/vi\il"w'v I BEACH
City of Miami Made 1700 Ca venticn Cala Drive,Miami Beach,Florida 33139,www.miamibeadil.gw
Offke of the Cily Clerk
Wool E.Gronado,Ciy Clerk CilyClerk@rniornibeachfl.gw
Tel: 305.673.7411,Fax:305.673.7254
NAME OF LOBBYIST: Matthew Amster
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 30^ 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. ?
Signature of Lobbyist Date
F1CLEMNLLVFOIMSLr69Y16l FCRYISLmEyNPay4irim FvmhNwO o14:11.10REGoc
Page 5 of 5
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