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Ralph Choeff- RHP Properties, Inc. nr.-r)V rt) MIAMI BEACH Office oftie City Clerk -3 A' 9: 02 1700 Cawentiah Center Drive Miami Beach,FL 33139 305.6737411 . . ,-. "_ . . LOBBYIST REGISTRATION FORM Lobbyist means all persons employed a retained,whether paid a not,by a principal vim seeks to enm+age the passage,defeat a mediation of any ordinance, resalutiah, action a decision of any commissioner;any action, declaim, recommendation of the City Manager a any City board a committee;a any action,derision a recommendation of any City personnel during the time period of the entire decision-mating process an such action, deddon a reammendafah that foreseeably wi be heard a reviewed by toe City c mmissim, a a City board or committee. The term speed catty includes the principal as well as any employee engaged in lobbying activities.The term 'Lobbyists-has speedo exclusions.Please refer to City Code Chaps 2,!vide VII,Division 3,entitled lobbyists,' for additional information. Instructions: Please complete at sedans of tB bra and summit tie completed bum,with the appiSle fee,to the Office of the City Clerk If you need more space to amplete an answer, use a separate alheel(s)of paper. If you have noting to report ii a particular sedan, you must write Ione' a We in foal sedan. My change to any information originally Ned, or any additional City Commissioner a perscmel who we also sought to be lobbied shat require that the lobbyist ilo an amendment b tie regstaim form. The lobbyist has a anisting duty to supply bfamaim and amend the farms Ned throughout the period that the lobbying occurs. Separate registration bans shall be required for each principal represented m each specific issue. I. LOBBYIST INFORMATION: Choeff Ralph NAME Of LOBBYIST (Lest) (First) (Middle Name) Choeff Levy Fischman 8425 Biscayne Blvd, Suite 201, Miami, FL 33138 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Steel) (City) (Stab) (Lp Code) (305) 434-8338 rchoeff@clfarchitects.com LCBBYISTBUSINESS TELEPHONE NUMBER CELLULAR 1ELE PHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: 2122 Bay Avenue, LLC do RHP Properties, Inc. NAME OF PRINOPAL (Last) (first) (Middle Name) 32100 Northwestern Highway, Farmington Hills, Ml 48334 PRINCIPAL BLISI NESS NAME NC ADDRESS (Number and Street) (ChM (State) (Zp Cade) (248)626-0737 x 302 rpartrich@rhp-properties.com PRINCIPAL BUSINESS 1ELEPHONE NUMBER CELLULAR 1ELEPHONE 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(frons,writs NW): Ross H. Partrich, Manager • NAME OF ALL PERSONS HOLONMG,DPECTLY OR MDIRECTLY,A 5%OR MORE OWNERSHP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(if none,writs N/A): Ross H. Partrich, Trustee - 100% Page loFS Ott I 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 2122 Bay Avenue. 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 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 relationship giving rise to an appearance of impropriety (if none,write N/A): 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): Page 2 of 5 The Mowing six(6)questions MUST be answered: 1) Pursuant to City Code Section 2-488,entitled Prohibited Campaign Cantrtutirxa By Lobbyists On Procurement Issues': _YesXNo: Are you lobbying on a present or oendina bid for coot eciSment or services or on a present or peeing award for goods.eauiDmat or service? 2) Pursuant to City Code Section 2-490, entitled Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": _YeXNo: Are you lobbv8m on a Dentna application for a Development Mrrmentwith the City or application for done of zoning map daignalion or change to the CiMs Fusin Land Use Map? 3) Pursuant to City Code Section 2-482(4 any person (except those exempt Wan the definition of lobbyist- as set kith in Sectio 2-481)who sly appears as a representative of a not-for-profit corporation a entity without special compensation a reimbursement for the appearance,whether direct a indirect to express support of a opposition to my Item,shall register with the city derk as rewired by this sectio,but shall not be required k pay any registration fees. _YesX_Ho: pro you recrnanina a not-for-profit corporation or entity without medal compensation or reimbursement? 4) Pursuant to ay Code Sector 2-481, the term lobbyist specifically exdudes the following persons: Exert vAmesses who provide only scientific,tailrace]a other specialized inkrmatiah or testimony in public meetings;any person who only appears as a representative of a neighborhood association without compensation or reimbursement kr the appearance,whether direct, indirect a contingent,to express swat of Or tpensi on to any item;and any person who only appears as a representative of not-for-prom community based organization for the purpose of requesting a grant without sppedal compensation a reimbursement for the appnma:e. _YnXNo: An you providing' only stannic. 'ethnical or other spedalimd information: appearing as • ramaerrtiiw of a neighborhood psodatin without special compensation or reimbursement or representing a not-for-oroat based organization for the emcee of requesting a grant without spacial mmpa nation Or nimbunseneent? 5) Pursuant to City Code Section 2-491(1), no campaign consultant Wut lobby the City Commission for a period of 12 months following the swearing N of any elected official(s)for whom the campaign msWlant prcwided campaign consulting services within the past ekctim cyde.See Solidi 2-491 for more intonation. YnXNo: Have you provided campaign consulting novices ton incumbent mnber of tie Cie Commission within the pot election cycle?Ifni.Please Hsi'he incumbent members)of the City Commission: _Ye.ZCNo: If yea. has it ben Nes than 12 months since tae elected official(s)whom you provided ampaian cornering services was imam in? 6) Pursuant lo City Code Section 2-4620)(4)a., a lobbyist who has within she past election cycle provided campaign consulting services to an incumbent member of the City Commission(whidh lobbying activity is not otherwise prohibited by Cole section 2-491) shed disclose sudh partadar service on ht Aber lobbyist regiaat ion form and shall oily disclose such Particular service before obbvni the City Canmi83in at a odic meting. _YnXNo: Have you provided campaign consulting services ton Secpmhant member of the City Commission within the oast Section cycle?Ifyes.please fiS the incumbent mmbeda)of the City Commission: YesX No: If w. were you promised or did you receive economic cansidergeon N exchange for campaign ;emulate services? 10 BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ rear No Amount Paid `350' C-NCR# -I I11 Sti Data Paid 0 7'05" I<J Lobbyist Rsdsftion Form=dyed and swilled by: ASC,J ;T t✓r\e+.t(._ \MLR\SALL\aFC*WSW 98OYLP ronMs\Lobbyist Reaistrabon Form Rinsed of-o,-tSRIG floc RMmed01/01/2018 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 BBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENSATION RI G THE REPORTING PERIOD.1- Signature of Lobbyist: C Date 4 1241 It L1 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 fami wir• the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code an. all rc.orting r-quirements. Signature of Lobbyist: . it,' Date 6 I V. I I$ Signature of Principal. S X -XI ate VII. NOTARY SIGNATURE AND SEAL: LOBBYIST:� PRINCIPAL State of I C X\C(l.l/? - ,I� State of County of: NAA ICI`s I risk, County of: SworgqtQ(or affirmed and subscribed before m@ _ Sworn to(or affirmed) and subscribed before me this /-() day of Q\A 1l-C, 2Oj by this_day of 20_, by -Zn? cv %f NAME OF LO BVIST�" ,� NAME OF PRINCIPAL K Produced ID L Y \ Y IA(fncei Produced ID F RM OF IDENTIFICATION FORM OF IDENTIFICATION Personal) nown _Personally Known ino Si nature of Notary Public Signature of Notary Public • Name of Notary,Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped ,.r Notary Pubic slab of Florida (NOT" -Y° ) Vanessa Nlamlran (NOTARY SEAL) VMy Cnmmiasian F91°4375 MG",, E�iroe O81112019 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. 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. 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.'- C Signature of Lobbyist: aPP �viI a,1 12� _ 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: CS"Pe prey*: I - Date Signature of Principal: Date LO/41116 VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of State of 'llr-h lcJa n County of: County of 7.."'a k)c.nc1 Sworn to(or affirmed)and subscribed before me Sworn to(or affirmned and subscribed before me this day of 20_, by this 2.7 day of June_ 2018 by �. -Mitt rt✓rch_ NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION _Personally Known X Perso II • � _ opi. Signature of Notary Public Signature of Notary Public Name of Notary, Typed, Printed or Stamped Nam- • '14KYd ¢c gIlackdlrinLe@a@r 'tamped MY Cammiurw of Oakland OCW g In the County off �� 22,2020 (NOTARY SEAL) (NOTARY • 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 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. Page 4 of 5 MIAMI BEACH City a Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeochA.gov Office of the City Clerk Rafael E. Granada,City Clerk CityClerk@miomibeachfl.gov Tel: 305.673.741 1, Fax: 305.673.7254 NAME OF LOBBYIST: Ralph Choeff 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 I r pursuant to Section 2-482 of the Miami Beach City Code. I V 1111914- l ? Signature .f Lobbyi Date F\CLER\SBuaFORMSIOBBY ST FORMsrnbbynn Registration Fmn Revised owl-,e REG aoc Page 5 of 5 > K2 `! 1m ° E. ■ ! : \ :\% ` ( ] E c m # I ( § §- 7 a § c < ~ \ \ CD /± CD - § \ / � ( ta §xi 'a y \ } \ 5 \f \ } 0 \ a z - \ § \ i co 2 / \ \ 0 / - \ \