Michael Larkin/TGNC Develop.LOBBYIST REGISTRATION PORE
(City of Mim~i Bem~h, Gitv Code Chap~r2,~'DIv~lon 3, Section 2,48'1)
W. 9/02
(M.I.) DATE CRJALIFIED Aa LCI~BYIb~T
Fladdn :~q131
($~ate] ('Zip Code)
EMNL:
I. LOBBYIST RETNNIED BY:
.... TGNC Devek~ment. LLC
NAME OF PRINCIPAL/CLIENT:
BUSINESS ADORES&: (Number and S~-eet)
_f'~-f~__~ 874.~60~
T~,.EPI-IO~s~ NIJ~E~
~N~ck New York
(city) ($~e) (Zip
FAX NUMBER; (Op~onal)
Fill cut this sm=tiaa If IIItn¢lpml
? NAME OF CHIEF OFFICER, PARTNER OF BENEFICIARY: 8ge ExNblt A
LIgT ALL PIERSON~ HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST
IN 8UGH CORPORATION, PARTNERSHIP OR TRUST: See Exhibit A
II. IIi~CgFIO LOBBY ISSUE:
Issue to be labbled (Deeolbe In detail):
HI, CITY AGENCIF..B/INDIVIDUALB TO BE LOBBIED:
A) Full Name ef Ifldlvldm~Vl'~
doqle Gomez
Mem,/Lamms None
IV. DISCLOSURE OF TER~8,4~ID &MOuN'r~J OF lOBBYIST CQMPEN~,ATRJON (DISCLOSE WHETHER
HOURL ¥, FLA 7' ~A 'rE OR OTHER):
A) LOBBY18T DISCLOSURE; _, Hourly (e*250.00'~
B) PRINCIPAL'80I~CLO~uRE (OF LOiaBYIEaT COMPEN~TION):
HOUlf~ ¢$250.00)
V. .~KINATUR! UNDER OAl1-1:
ON OCTOBER '1~ OF EACH YEAR, EACH LOBBYI~T aHALL SUBMIT TO THE GTPf CLERK A SIGNED
STATEMENT UNDER OATH, LL'illNG LOBBYING EXPENDITURE~ IN THE CITY OF MIAMI BEACH FOR THE
PRF..~EDII~KI CALENDAR YEAR.
I cio solemnly Swear that all of the foregoing raets are true and correct and that I have read or am
familiar with t~e provisions contained in &etOn 2-482 of the Miami Beach City Code as
amended, and all reporting requirementa. ~
Signature of Lobbyist:~"'"---.~ ~,\\ ~ . ~
VI, LOBBYIST IDENTIFICATION:
[] ~r Produced ID
Form of Identification
ViI.~Rm ),ND STAUP OF NOTARY OR DEpLrw GI. ERK:
State of Florida, County of Miami-Dade
and su~r~ril~d before me
Thia~--~"~clay of ~,~/~0~
Signature of Publio Notary- 8ta;a of Rorida
Print, stamp or type name of Notary Public
FOR CLERK'8 UaE ONLY
Re~;ab-ation: ~I...ACCEP m eD [ ]
If r~leted, Mite
Registration fee pall: ~1, 'Yea [ ] No
Cm~h I~ Che~ MCR #
DATA ENTRY' DATE:
· 2o02 EN'rERED BY:
Flml: Ray,ion - 0~.17-02
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATRION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: Hourtv ($250.00'1
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIEST COMPENSATION):
Hourly ($250.00)
V. SIGNATURE UNDER OATH:
ON OCTOBER tm' OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE
PRESEDING CALENDAR YEAR.
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 as
amended, and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
[] ~: Produced ID
Form of Identification
State of Florida, County of Miami-Dade
Swom to and subscribed before me
This C~ day of ~'~¢~ I, 2002.
'~r~= Personally Known
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
Signatur~-~l dState of~ ori a
Print, stamp or type name of Notary Public
FOR CLERK'S USE ONLY
Registration: ~[-'ACCEPTED []REJECTED DATE: ~L' ( ~ (- 0~"]'~
If rejected, state reason:
Registration fee paid: ~ Yes [ ] No ~_p.-.-//,~ ,~--~_
~[] (~ash-[~ Check ~ MCR # 7% U^'I ~/
DATA ENTRY DATE: ENTERED BY:
1 First Revision - 05-17-02
EXHIBIT A
DISCLOSURE OF INTEREST INFORMATION
Lots 2 and 4 and east 25.5 feet of Lot 6: TGNC Development, LLC:
Irrevocable Trust for the Benefit of David Craig Brodsky,
Jeffrey Holden Brodsky, Jessica Brodsky Miller, Lee Jared Brodsky.
Each of the beneficiaries holds an equal share in the trust.
Muriel Brodsky is the guardian of the trust.
26 Harbor Park Drive, Port Washington, NY 11050
Paul Anton, 60 Cutter Mill Road, Suite 308, Great Neck, NY 11201
GSB Holdings Corp. (100% owned by Steven A. Boughner)
60 Cutter Mill Road, Suite 308, Great Neck, NY 11201
Michael Groothius
60 Cutter Mill Road, Suite 308, Great Neck, NY 11201
50%
16.667%
16.667%
16.665%
Lots 1 and 3: POP Development, LLC:
Irrevocable Trust for the Benefit of David Craig Brodsky,
Jeffrey Holden Brodsky, Jessica Brodsky Miller, Lee Jared Brodsky.
Each of the beneficiaries holds an equal share in the trust.
Muriel Brodsky is the guardian of the trust.
26 Harbor Park Drive, Port Washington, NY 11050
Paul Anton
60 Cutter Mill Road, Suite 308, Great Neck, NY 11201
GSB Holdings Corp. (100% owned by Steven A. Boughner)
60 Cutter Mill Road, Suite 308, Great Neck, NY 11201
50%
16.667%
16.667%
Michael Groothius
60 Cutter Mill Road, Suite 308, Great Neck, NY 11202 16.665%
Lot 8 and west 50 feet of Lot 6: Just Around the Corner, LLC
Paul Anton
60 Cutter Mill Road, Suite 308, Great Neck, New York 11201 19.5%
Michael Groothius
60 Cutter Mill Road, Suite 308, Great Neck, NY 11202 26.5%
Lee Lazenus
60 Cutter Mill Road, Suite 308, Great Neck, NY 11202 9.5%
Dean Fierro
60 Cutter Mill Road, Suite 308, Great Neck, NY 11202 2.5%
Michael Meyers
60 Cutter Mill Road, Suite 308, Great Neck, NY 11202 2.0%
South Beach Garage, LLC
26 Harbor Place Drive, Port Washington, NY 11050
40%
(Ownership Breakdown of South Beach Garage, LLC)
Hugh Freund
26 Harbor Park Drive, Port Washington, NY 11050
3.0%
Irrevocable Trust FBO David Craig Brodsky (beneficiary)
26 Harbor Park Drive, Port Washington, NY 11050
5.625%
Irrevocable Trust FBO Jeffrey Holden Brodsky (beneficiary)
26 Harbor Park Drive, Port Washington, NY 11050
5.625%
Irrevocable Trust FBO Jessica Heather Brodsky Miller (beneficiary)
26 Harbor Park Drive, Port Washington, NY 11050 5.625%
Irrevocable Trust FBO Lee Jared Brodsky (beneficiary)
26 Harbor Park Drive, Port Washington, NY 11050
5.625%
(Each of the beneficiaries holds an equal share in the trust. Muriel Brodsky is the
guardian of the trust.)
Barnett Brown
P.O. Box 987, East Hampton, NY 11937
1.0%
Gerald Angowitz
37 Fieldstone Lane, Oyster Bay, NY 11771
2.5%
David Gershen
26 Harbor Park Drive, Port Washington, NY 11050
Adam Caslow
Old House Lane, Sands Point, NY 11050
Emily Caslow
26 Harbor Park Drive, Port Washington, NY 11050
Gerald Shapiro
26 Harbor Park Drive, Port Washington, NY 11050
Joel Mair
83 Winthrop Road, Plainview, NY 11803
Edward Miller
7 Sunset Lane, Garden City, NY 11530
0.5%
1.25%
1.25%
4.0%
1.5%
2.5%