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Matthew Amster - 4354 Alton Homes, LLC L[35`1 � �� • rV lI AIV lI BFACH Office ofthe City aerk 7f!! SEP 25 PM 1: 12 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 a modification of any ordinance, resolution, action a decision of any commissioner; any action, decision, recommendation of the City Manager or any City board a committee;or any action,decision a recommendation of any City personnel during the time period of the entire dedsiai-making process on such action, dedsion a recommendation that foreseeably will be heard a reviewed by the City commission, a a Oty board or committee. The term specifically indudes the principal as well as any employee engaged in lobbying activities. The term `Lobbyists'has specific exdusiais.Please refer to City Code Chapter 2,Artide VII, Division 3, entitled'lobbyists,' for additional information. Instructions: Please complete all sections of this form and submit the completed fain,with the applcable fee, to the Office of the City Clerk If you need more space to complete an answer, use a separate Smells)of paper. If you have nothing to report in a particular section, you must write `hone' a "Na' in that section. Any change to any information originally filed, a any additional City Commissioner a personnel who are also sought b be lobbied shall require that the lobbyist file an amendment b the registration form. The lobbyist has a continuing duty to supply bfarmation and amend the fans Med throughout be period that the lobbying aeons. Separate registration forms shall be required for each principal represented on each specific issue. I. LOBBYIST INFORMATION: Amster Matthew NAME CF LOBBYIST (Last) (First) (Middle Name) Bercow Radell Fernandez & Larkin, PLLC 200 S. Biscayne Blvd, Suite 850, Miami, FL 33131 LOBBYISTUUSINESS NAME AND ADDRESS (Number end Street) (City) (State) (➢p Code) (305) 374-5300 ma mstera b rzoni nglaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: 4354 Alton Homes, LLC NAME CF PRINCIPAL (Last) (First) (Middle Name) 418 Meridian Avenue, Miami Beach, FL 33139 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (CO) (Stab) (Zp Code) (786)543-2356 do@urbanica.us 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 none,writs WA): Roberto Diego Colmenero, Manager • NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): Roberto Diego Colmenero - 50% Carlos Porchetto - 50% Page 1 of 5 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 4354 Alton Road. 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 Committee 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 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 Secfon 2-488,entitled Prohibited Campaign Contributions By Lobbyists On Procurement Issues': _Yes)jNo: Are you lobbvina on a Present or oendina 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 Conhibufons By Lobbyists On Real Estate Development Issues": _YesXNo: 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 a entity without special compensation a reimbursement fa the appearance,whether direct or indirect to express support of a opposition to any item,shall register vnth the city derk 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 representitive of a neighborhood assodation without compensation or reimbursement for the appearance,whether direct, indirect a 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 b- the purpose of requesting a grant without special ampersalon or reimbursement It.the appearance. _YesNo: Are you prodding only scientific, technical or other specialized information: appearing as a representaive of a neighborhood association without special compensation or reimbursement or representing a not-for-profit based organization for the purpose of requesting a want without special compensation or reinbursmnent? 5) Pursuant to City Code Section 2-491(1), no campaign consultant shall lobby the City Commission br a period of 12 months following the swearing in of any elected offidal(s)for whom the campaign consultant provided campaign consoling services within the past election cyde.See Section 2-491 fa more information. _Yes&No: Have you provided campaign consulting services to an incumbent member of tie City Commission within the past election cycle?If yes,please list the incumbent members)of the City Commission: Yes No: If yes, has it been less than 12 months since the elected officials)whom you provided campaign consulting services was sworn in? 6) Pursuant to City Code Section 2-482(aN4)a., a lobbyist who has within the past elecfon cyde provided campaign consulting services to an incumbent member of the City Commission(which lobbying acivity is not otherwise prohibited by Code section 2-491) shall disclose such particular service on his/her lobbyist registrafon form and shall salty disclose such particular service before Iobb iru the Citv Commission at a public meeting. _Yea No: Have you provided campaign consulting services to an incumbent member of the City Commission within the past Section cycle?If yes.please list the incumbent member(s)of the City Commission: _Yes,No: If yes, were you promised or did you receive economic consideration in exchange for campaign consulting services? TO BE COMPLETED BY CITY OLEFIN'S STAFF, ONLY LS- Lobbyist p- N Annual Retlsbaeon fee: [ IYes QQNo AmountPald$35°-Ce MCPS L4 13c1c4 Date Paid G9"L3!-Iq Lobbylet Radabatlon Form received end verified by: oil' F:\CLLR\SALL\aFORMS\LOBByliI FORMS\Lobbyist Registration Form Revised 01-01-18 REGdcc Reeleed 0t/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 LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENS D RING REPORTING PERIOD.-' ¢- Signature of Lobbyist: Date Y �U I do solemnly swear or affirm that all of the foregoing facts, statements, and disdosures in this fain 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 Beath City Code and all / requi nts. //,(� Signature of Lobbyist: Date 9/2r� Signature of Principal: Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of O //v-1 State of County of: I\/1 I I1W1 100dei County of: Swornie((or affirmedkan 4pbscribed before men Swan to(or affirmed)and subscribed before me this 7� day of ('• 2013 by this day of 20_,by 1'AQ 'eta Arn,R+e2. NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID _Produced ID FORM Cf IDENT1FICABON FORM Cf IDENTIFICAIICN X Personally ownicJ Personally Known Signature of Notary PublicblSignature of Notary Public OneCc1 It(A Mif0nO Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped Aro'ate Notary Public Stand Florida (NOTA•' F Vanessa Amamirano (NOTARY SEAL) p ; MyConminimFF 914995 ' ,FE Ex.ne 0&9111019 The term lobbyist spedficaly exdudes the following persons: Expert witnesses who provide only scientific,tedinical or other spedalized information a testimony in public meetings;any person who only appears as a representative of a neighborhood association Mthaul compensation or reimbursement fa Bre 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 a 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.'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: t���• /�I Date Signature of Principal (..��, Date q 124/ 1 i VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of State of Ft-0 z r D 4- County of: County of: ./14(4-m , — D4-P E. Sworn to(or affirmed) and subscribed before me SworJg�to (or affirA�e d subscribed before rrp�e this day of 20_, by this"-Iday of OarTh"rva 20(a, by 9J (331:N rtfl'&6o Coi-r%vd20 NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION _Personally Known /Personal! nown , a. Signature of Notary Public Signa u '�1Y ryyu 4y4-1- bo.J l_`4-tct 4_ Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped (NOTARY SEAL) (NOTARY SEAL) --- g,—- &Ev*ppN W COMMON/GO 217618 15,2022 1 . . a, • Wei ilvuMay PI cUnsaS11 ' 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 E EAAAC --I City of Miami Beach, 1700 Carcennan Censer Drive,Miami Beach, Florida 33139,www.miamibeadifl.gov Office of the City Clerk Rafael E. Granado, Cily Clerk CItyCIerkl@miamibeachfl.gov TS: 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 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. 6/ � ppAti Signature of Lobbyist Date FYLEM ALIAFORMSLClEYIST FORMS%mbyM Registration Form Revised gJn.,eREGSc Page 5 of 5 MBF J�I u City Hall m 1/00 Convention Centel Dr. o C `o Miami Beach , FL 33139 CD s N m (7" u 305-0 13-1420 A tlelcome r i N LL`o 9U/H7tl U0fi0 Adrian iyr1S12010 (0:1nIR - • N m 0 u MI SCEI I ANLOUS z en - O pt ptfan: MCP OPEN I ti (MCR) coo Reference L H0h121395 o r `u MCR OPEN (MOP) l U� "— 2016 Item: MCR Er 1 0 MUU CD — = 'O LJ o MLir OPEN [Hi.RJ /owl!!! rj - f Ei i3 O m C v o 00.00 v .-- wc'Et ii l•`. Subtotal /00.00 w ".. Total /00.00 '(i o.. CI. = - CHECK 700.00 mO • ._> o . O t (Math Nuo�teraoomz y w Chane due 0.00 .c x m .' •' = o Paid ny 13 4 AI IiiN HuMr i, it(' Vo Z r y m m O < P 7 E, II II III IIIII�NIPJ1111IVIIII1VIlI�IJIIIIII�ill��lpl a) g E . o m E ii- tp � `o w a '. LL i 7 LL N M 0 ` • 2 QZ L. a srrG ' tl1 r D 1 * c n G H Z 0 Thank yon for yaw payment OrCOMLR COPY