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Matthew Amster - RHP Properties, Inc. 021,0r !..<.- nrnrlvrn MIAMI BEACH Office ofthe City Clork n a _3 IT D: 02 1700 Convention Center Drive nolo, --- Miami Beads, FL 33139 305.673.7411 • ._ - LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained,whether pad a not,by a principal who seeks to encourage the passage, defeat or moditiration of any ordinance, resolution, actino decision of any ammiseioner; any action, derision, recommendation of the City Manager or any City board or committee;or any action,derision or rea.nmendefar of arty City personnel during the time period of the entire decision-rnaMng process on sudi action, derision or recanmerdabon that foreseeably wil be heard a reviewed by the City commission, or a aty board or committee. The term spedialy includes the principal as well as any employee engaged it lobbying activities.The term lobbyists-has spedic exclusions.Please refer to City Code Chapter 2,Artide VII, Division 3,entitled lobbyists,' far additional intimation. Instructions: Please compete all sections of this fan and submit the completed form,with he Rapti cable tee,to the Office of the City Clerk If you need more space to compete an answer, use a separate s iee4s)of papa.If you have nothing lo report in a particular section, you must write 'babe' or Na' in that seecfac My charge to any information originally fled, a any additional City Commissioner a personnel who we also sought to be lobbied shall require that the lobbyist Be an amendment to the registration form. The lobbyist has a continuing duty to supply information and amend he fans Bed throughout he period ISI the lobbying occurs. Separate registration forms shall be recurred for each principal represented m each spedic issue. I. LOBBYIST INFORMATION: Amster Matthew NAME OF LOBBYIST (Last) (First) Made Name) Bercow Radell Fernandez& Larkin, PLLC 200 S. Biscayne Blvd, Suite 850, Miami, FL 33131 LOBBYIST BUSINESS NAME AND ADDRESS (rumba and Street) (CRY) (Stab) (Zp Code) (305)374-5300 mamster@brzoninglaw.com LOBBYISTBUSINESS T EL PHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: 2122 Bay Avenue, LLC do RHP Properties, Inc. NAME CF PRINCIPAL (Last) (First) (Made Name) 32100 Northwestern Highway, Farmington Hills, MI 48334 PRINCIPAL BUSINESS NAME NC ADDRESS (Number and Street) (Cay) (Stab) (Zp Case) (248)626-0737 x 302 rpartrich©rhp-properties.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 CHEF OFFICER,PARTNER OR BENEFICIARY(Hdnaw,write N/A): Ross H. Partrich, Manager - NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A S%OR MORE OBMERSHIP INTERESTS'SUCH CORPORATION,PARTNERSHIP OR TRUST Of none,write N/A): Ross H. Partrich, Trustee- 100% Page 1 of 5 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(aX4), 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 Pelson 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 b 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. 2-485.3): $490.00/Hour Page 2 of 5 The following six(8)questions MUST be answered: 1) Pursuant to City Code Section 2-488,mated'Prohibited Campaign Contributions By Lobbyists On Proaiment Issues": _YesX No: M you lobbvina an a present or catlins bid for goods eaubment or services or one present or pending'award for goods.equipment or service? 2) Pursuant to City Code Section 2-490,en tied Prohibited Campaign Conbibuaons By Lobbyists On Real Estate Development Issues': _ Yes Mao: Eire you lobbying one Renate application for Development ARreementw+h the Cir or application for dares of zoning map designation or chance to the City's Future Land Use Map? 3) Pursuant b Cly Code Section 2-482(4 any person (except those exempt from Bre definition of lobbyist as set fat In Secicn 2-481)who only appears as a representative of a not-for-profit aapasaon or endy without special compensation or reimbursement for the appearance,whether did a indirect to eimress support of or opposition to my item,shall register with the ply dale as mitered by his secim,but shag not be required to pay any registatian fees. _YesX_No: Are you reoresml is a not-for-prat corporation or entity without special compensation or reimbursement? 4) Pursuant to City Code Section 2-481, tie tam 9obbyir specifically excludes he following persons: Expert witnesses who provide only scientific technical a other specialized nfamaton or lesbmary in public meetings;any person who only appears as a representative of a neighborhood association without aanpensatim or reimbursement for the appearance,whether direct, indirect or mningent,to express agpart of a opposition to any item;and sty person who only appears as a representative of not-for-profit community based aganizeton kr the purpose of requestig a grant without special compensation a reimbursement tar the appearance. _Yes)jNo: An you Provldina only sdantific tachnicpl a other specialized intonation: roaming a reerenn48va of a ala association without special ccmpareation a reimbursement or h renresenm a not-for-hwollit sed organization for Si. mnoese of requesting a want without apodal c mpemution or reimbursement? 5) Pursuant to City Code Section 2-491(1), no campaign consultant shall lobby the City Commission for a period of 12 months following the aweaig in of any elected Mdel(s)for wham the campaign consultant provided campaign consoling services within the past election vide.See Section 2-491 for more information. _YesX No: Have vw Provided campaign consulting'services to an incumbent member of Si.Qty Commission within the pat dean circle?Ifwe.Please list the incumbent memberts)of the City Commission: _Yes Kilo: If we her it been less her 12 monM sine the elecled oilcloth)whom you provided ceapaim constdhie since'was Main in? 6) Pursuant to City Code Section 2-482(44).., a lobbyist who has witch the past election vide provided campaign consoling services to an incumbent member of the City Commission(which lobbying activity is not otherwise prohibited by Code section 2-491) shall disclose such pentads service on hisher lobbyist registration tam aid shag orally dsdose such Particular service before bbtMrs the OW Commission at a public meeting. _Yed_No: Nm You provided cermsimr consulting servicM to an incumbent member of Si.City Commission within the pest Scion cycle?If yes,please list the incumbent memberla)of he City Commission: YesX No: If i.e. were you pram sed a ad you receive economic consideration in eschnea for campaign consulting services? TO BE COMPLETED BY CITY CLERKS STAFF- ONLY Annual Replsftonfee: ( )YAmountQI No Amount Paid$3✓e. Ce NCR it at 1)9 DatsPddC cS'1 Lobbyist Rpetratbn Form reSandl ved veiled by: `� oN) F\QfR\yALL\CIF(RMS\LOBBYIST HWMS\t cbbp.Yt Registration FormRmsd 01-0118 REG.six ReSW 01/01/2018 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. USING 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 COMPENSATE DURUM TH ORTING PERIOD? Signature of Lobbyist: Date o'1 (y 27//4 I do solemnly swear or affirm that all of the foregoing facts, statements, and disdowres cr this Fain are true and correct, and that I have read or am familiar with i • provisions contained in Chapter 2, M.VII, Division 3, entitled of the Miami Beach City Code and all • / i. g requi :nts. / Signature of Lobbyist: � � �i (/'Date 2 7/g Signature of Principal: l L A 0, Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: / PRINCIPAL Stated nOY 1Ga Stated County of: M I CM I frride County of: Sworn Mix afrvmed)t�ndd subscribed before mpg Swam to(or affirmed)and subscribed before me this 2=F day of tA,I1 1C: 2016 by this_day of 20_,by • .ati I / NAME • LOe: NAME OF PRINCIPAL _Produced ID Proamed ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION X Perim Known _Personally Known -Signalise of Notary is Signature of Notary Public Onecsci A Ito n'1 lrano Name of Notary.Typed, Printed or Stamped Name of Notary, Typed, Printed a Stamped (NOTA VanesaNicstaanFbdda (NOTARY SEAL) NOTA' Notary oaesaa Pl State oro Vow/ MypereM912F914"5 ' The term lobbyist spedficaly excludes the following persons: Expert witnesses who provide only sdenibc,ledmiral or other specialized idomnabon a testimony in public meetings;any person who Sy appears as a representable of a neighborhood assodatim without compensation a reimbursement for the appearance,whether area induced or contingent to express support of or opposition to any item;and any person who any appears as a representative of nor-fa-profil community based organization fa the purpose of requesting a grant without special canpensabon or reenhtasement ix 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 .1COMPENSATIONEDURING THE REPORTINGREORPERIOD.1 Signature of Lobbyist: tC Re \Aa As 35asqu.-1 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: - j Date (P /Z1/ I6 VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of State of Olc-hi4Ar` County of: County of: neck-la-el Sworn to(or affirmed) and subscribed before me Sworn to(or affirmed)and subscribed before me this day of 20 , by this 221 �dday of 'J'.tin e_ 20A, by r TiosC -H • 'IGrtcld--) NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION Personally Known )< Pers7r5rfroWn Signature of Notary Public S ture11o'' b4 FALrn1LHJ_ (_k6Ic-I.oS Name of Notary, Typed, Printed or Stamped Neag Ah' Prin ed or Stamped cl Ichlaw My Comm sopty cf res Aar. AC in "Fires Apr. (NOTARY SEAL) t 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 whi only appears as a representative of a neighborhood association without compensation or reimbursement for the appearcnrx, 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 V,A. B EAC H City of Mioai Beady 1700 anemia-1 Celia Drive,Miami Beath,Florida 33139,wwwmiambeadil.gar Office of Sly Clerk Rafael E.Granada,city Clark CilyClerk@aliamibeachl.gav Td: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 br 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. � 07A? Signature of obbyist Date F WLEMFLLYFaa/SL®eYISTFORMaa•Ey41MaVLmYm Fmn WL+wO 01a1-1e,¢ebe Page 5 of5 9 > „ > PD 03 -1 zI3& ° 3 El 1W z z 3 O [ 1 z -°1,.� 3 0 D -.. a 3 0 m m. n - m' El CO J O n j -. z a __ T C1 d C • m S7' yi J) --4 g T 3 A Es N _ 0 m a n CD 3 y e- 0 '0 m -' r- X' v vL _ P a S r . T i^` a 1 J O ` (A Z S 7O n A m N m m �` L1 03 �„J e N V CO -, J v - IIO _ ^ V1 oo C