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Jose Boschetti - Miami Beach Port, LLC / &o /\A I AiV\I ® EACRECEIVED ® Office of the City Clerk 1700 Convention Center Drive JUN -5 2019 Miami Beach, FL 33139 305.673.7411 CITY OF MIAMI BEACH LOBBYIST REGISTRATION FORM OFFICE OF THE CITY CLERK Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat or modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendation of the City Manager or any City board or committee; or any action, decision or recommendation of any City personnel during the time period of the entire decision-making process on such action, decision or recommendation that foreseeably will be heard or reviewed by the City commission, or a City board or committee. The term specifically includes the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to City Code Chapter 2, Article VII, Division 3, entitled"Lobbyists," for additional information. Instructions: Please complete all sections of this form and submit the completed form,with the applicable fee, to the Office of the City Clerk. If you need more space to complete an answer, use a separate sheet(s) of paper. If you have nothing to report in a particular section, you must write "none" or "n/a" in that section. Any change to any information originally filed, or any additional City Commissioner or personnel who are also sought to be lobbied shall require that the lobbyist file an amendment to the registration form. The lobbyist has a continuing duty to supply information and amend the forms filed throughout the period that the lobbying occurs. Separate registration forms shall be required for each principal represented on each specific issue. I. LOBBYIST INFORMATION: Boschetti Jose NAME OF LOBBYIST (Last) (First) (Middle Name) '(Yl i am kCR er r.I`PoY 31S rsp n e a� 13 .� i As-) LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (C y) ( tate) (Zip Code) 3313 l 305-461-7272 jboschetti@bfgrouplIc.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Zosehei-k 30c, .-e NAME OF PRINCIPAL (Last) (First) (Middle Name) Miami Beach Port, LLC 315 S Biscayne Blvd Miami FL 33131 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-533-0093 PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS RIMEgtliCAZ Can Section 2-482(h)M ): ail i.-I Clcorporation, partnership,Cl?• n0111Vc=appears tf3@ a lobbyist LTA]l ?tha Zdati,dlaCga special compensation CP rei •ursement forfi ..1•Ittiar a direct,indirect,(]?contingent,to ex.ressRSHAV(la?o••osition f .n.lnamajErMgmaki the(cpm re*uired Elv/tab subsectionLER shall not Exii • •Qif,• yeff figm 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,write N/A): Please see attached. • 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): Please see attached. Page 1 of 5 r_, III. ISSUE TO BE LOBBIED: Describe with as much detail as is practical, including but not limited to a specificdescription where applicable of a pending request for proposal, invitation to bid, or public hearing number. Development approvals and permitting issues for property located at 120 Macarthur Causeway. 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 generalnature of thesubject contractual relationship. Full Name of Individual and Contractual Relationship (If yes, explain) YES NO Title of Person to be Lobbied Members of City Administration and Members City Staff X Members of Planning Board (PB) , Design Review X Board (DRB) and Board.of Adjustment (BOA) X City Commission and Mayor 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): N/A 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): Lobbyist is Principle of Miami Beach Port LLC Page2of5 • The following six(6)questions MUST be answered: 1) Pursuant to City Code Section 2-488,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues": DYesINo: Are You lobbying ona present or pendiing.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 Contributions By Lobbyists On Real Estate Development 'spies": Ye . ,.o: Are you lobbying on a pending application for a Development Agreement with the City or application for changeof zoningmap designation or changeto 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.asa representative of a not-for-profit corporation or entity without special compensation or reimbursement for theappearance,whether direct or indirect to express support of or opposition to any item,shall register with the city clerk as required by this section;but shall not be required to pay any registration fees. Ut(es ZZ o: 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 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. Yes lo: - Are you providing only scientific, technical or other specialized information; appearing as a representative of a neighborhood association without special compensation-or reimbursement or representing'a not-for-profit.based organization for .the purpose- of..requesting a grant without special compensation 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 swearing in of any elected official(s)for whom the campaign consultant providedcampaign consulting services within the past election cycle.See Section 2-491 for more information. U YesjNo: Have you provided campaign consulting services to an incumbent member of the City Commission within the past election cycle?If yes Iease list the incumbent member(s)of the City Commission: ElYesNo. If yes, has it been less than 1,2 months since the elected officials) whom you provided campaign consulting services was sworn m?I 6) Pursuant to City Code Section 2-482(a)(4)a., a lobbyist who has within the past election cycle provided campaign consulting services to an 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 form and:shall orally disclose such particular service before lobbying the City Commission at a public meeting. D YesQNo: Have you provided campaign consulting services to an incumbent member of the.City Commission within the past election cycle?If yes, please list the incumbent member(s)of the City Commission: QYes f No: If yes, were you promised or did you receive economic consideration in exchange for campaign consulting services, TO BE COMPLETED BY.CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes f No Amount Paid$ MCR# Date Paid Lobbyist Registration Form received and verified by: \ItkJ.'J 7/4-LAA t' i~:WIER\SAL[yaPO tM51LOFIr3YIST FORMS‘Lobbyist Registration Form Revised 09-20-15 Rr G.doc Revised 09/20/2018 Page3of5 VI. .' SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YE • - EACH.LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK.A SIGNED STATEMENT UN I R 0 ‘ ,. LISTING LOBBYING :EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, FOR THE PR 7 DIN a LENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN E i ` LOBBY A STATEMENT SHALL•BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR.COMP= - • 0 ¶i URI = THE REPORTING PERIOD.' f l/ g Signature of Lobbyist: �:) I. Date lv/ ! 7 I do solemnly swear or affir • �•f t e foregoing facts, statements, and disclosures in this form are'true and correct, and.that I have. read or' am . lith the p. visions contained in:Chapter 2, Art VII, Division 3,:entitled '`Lobbyists°-of the Miami Beach City Code a • lith requirements. i / Signature of Lobbyist: I � �%/ Date /, �� if Signature of Principal: 46 ("O5frY1S't Date VII: NOTARY SIGNATURE AND SEAL:. - tobAr(S7 LOBBYIST:. . PRINCIPAL Florida State Florida. State of. . tate of Miami-DadeMiami-Dade. County of: County of: Sworn to (or affirmed)and subscribed before me Sworn to(or affirmed)and subscribed before me.: this I .R. . day of Dec'ernh_e r • 2013 by this_day of , 20_, by Jose Fosche ++ I NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID Produced ID FORM OF IDENTIFICATION FORM.OF IDENTIFICATION Pers - now _Personally Known e Signatu oft Public Signature of Notary Public Jennlft r Du ran Name of Notary,Typed, Printed or Stamped . Name of Notary, Typed, Printed or Stamped .a.%i7,84, JENNIFER DURAN • r P �., (NOTARY S` 1°41---t ° Notary Public-State of Florida (NOTARY SEAL) Commission#FF 936025 E. 'o;?� 0,1" My Comm.Expires Mar 6,2020 Bonded through National Notary Assn. ) 1 The term'lobbyist"specifically excludes the followingrvpersons: Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings,anyperson 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 4of5 . . MIAMI BFB City of Miami Beach; 1/00 Convention Center Drive,Miami Beach,Florida:33139,:www:miamibeachfl.gov Office of the City Clerk Rafael.E Granado;City Clerk CityClerk@miamibeachfl.gov Tel:305:673:7411, Fax 305:673:7254. NAME OF LOBBYIST: J 0 S 1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT Pursuant to City Code Section 2485(d), the City Clerk shallnotifyany 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 30thof 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 lobbyingon that issue, I shall immediately file a Notice of Withdrawal with the Office of the City Clerk. : 3) ANNU . L LOBBYIST REGISTRATION FEE I unde and annual registration of all lobbyists shall be required for each 12-month period co mm: ing October 1 of each year, and the fee for such annual registration shall be $'40.0I •ur/-ant to Section 2-482 of the Miami Beach City Code. r Sig natu : 4�• •yist Date F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc i Page5of.5 Disclosure of Interest for Miami Beach Port, LLC Miami Beach Port, LLC, a Florida limited liability company, is 100%owned by MICO, LLC, a Florida limited liability company MICO, LLC is 50% owned by PRH Terminal Island, LLC, a Florida limited liability company, and 50% owned by BCH Terminal Island, LLC, a Florida limited liability company • PRH Terminal Island, LLC is 97.5% owned by PRH Investments, LLC, a Florida limited liability company, and 2.5%owned by Carlos Rosso Revocable Trust o PRH Investments, LLC, a Florida limited liability company, is wholly owned by PRH Related Holdings, LLC ■ PRH Related Holdings, LLC, a Florida limited liability company, is wholly owned by Perez Ross Holdings, LLC • Perez Ross Holdings, LLC, is 75%owned by Jorge M Perez Holding Ltd., and 25%owned by Related NY Holdings, LLC o Jorge M Perez Holdings, Ltd is 68% owned by Jorge M. Perez, 15%owned by Jorge M Perez 2012 Family Trust, 15% owned by Jorge M Perez 2002 Family Trust, 1% owned by Related Florida Inc., and 1%owned by JMP Holdings GP, LLC • Jorge M Perez 2012 Family Trust • Jon Paul Perez and Nicholas Alexander Perez are the beneficiaries • Jorge M Perez 2002 Family Trust • Jon Paul Perez,Nicholas Alexander Perez, Christina Anne Perez and Felipe Manuel Perez are the beneficiaries • Related Florida Inc. • Wholly owned by Jorge M. Perez • JMP Holdings GP, LLC • Wholly owned by Jorge:M. Perez o Related NY Holdings, LLC, a Florida limited liability company, is 99.99%owned by The Related Companies, L.P., and .01%owned by RCMP, Inc. • The Related Realty Group, Inc., a Delaware corporation, is the sole general partner of The Related Companies, L.P., a New York limited partnership. • The Related Realty Group, Inc. is wholly owned by Stephen M. Ross ■ RCMP, Inc., a Delaware corporation, is wholly owned by The Related Companies, L.P. • The Related Realty Group, Inc., a Delaware corporation, is the sole general partner of The Related Companies, .L.P., a New York limited partnership. o The Related Realty Group, Inc. is wholly owned by Stephen M. Ross o Carlos Rosso Revocable Trust ■ Carlos Rosso is the sole beneficiary during his lifetime • BCH Terminal Island, LLC, a Florida limited liability company, is 67% owned by BeachCo Holdings, LLC, and 33%owned by NLI Holdings, LLC o BeachCo Holdings,LLC, a Florida limited liability company, is wholly owned by Victor A. Bared o NLI Holdings, LLC, a Florida limited liability company, is 25% owned by Jose Boschetti and Silvia Boschetti, as Tenants by the Entirety, 24.25% owned by Luis Boschetti and Lina Boschetti, as Tenants by the Entirety, 23.50% owned by Jose R. Boschetti, as trustee of the Jose R. Boschetti Declaration of Children's Irrevocable Trust dated March 30, 2009, 24.25% owned by Luis R. Boschetti as trustee of the Luis R. Boschetti Declaration of Children's Irrevocable Trust dated March 4, 2009, and 3% owned by Mariannie Boschetti and Juan S. Cordovez, as Tenants by the Entirety. • Jose R. Boschetti Declaration of Children's Irrevocable Trust dated March 30, 2009 • Jose Boschetti, Jr. and Maurice Boschetti are the beneficiaries • Luis R. Boschetti Declaration of Children's Irrevocable Trust dated March 4, 2009 • Luis E. Boschetti is the sole beneficiary 2 #49307275_yl