Jeffrey S. Bass - M.C.M. Corp. (d/b/a Marseilles Hotel) `t\•
Co11�n5 e
•
AAIAMI. BEAcH
RECEIVED
Office of the City Clerk
1700 ConventionC:enter Drive
Miami Beach; FL 33139
JUL 6 :2019..
305.673.7411
• CH
LOBBYIST REGISTRN ATIOFORM . . .. . .C
OFFFICEOOF�THE�CITY I BECELE K
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 decisionoaking process on such action, decision or recommendation that foreseeablywill 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 specificexclusions. Please refer to City Code Chapter 2,Article VII, Division 3,:entitled:"Lobbyists," •
for additional:information.
Instructions: Please complete all sections of thisform 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. !f you,have nothing to report:in a particular
section,..youmust write "hone" 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:
•. Bass : Jeffrey S.
NAME OF LOBBYIST (Last) . (First): ; : '(Middle Name) .
Shubin & Bass PA::. 46 SW:1st Street, Suite 300 Miami FL 33130.
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) , " (City) ' (State)' .(Zip Code) '
. • 305-381-6060 N/A jbass@shubinbass.com
LOBBYIST BUSINESS TELEPHONE:NUMBER :CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
• andell
Lloyd
;NAME OF PRINCIPAL (Last) : (First); I;. ;. (Middle Name)
•
:.. M.C.M. Corp. (d/b/a Marseilles Hotel) 1741 Collins Avenue Miami Beach FL 33139:..
PRINCIPAL BUSINESS NAME AND ADDRESS : (Number and Street) . : (City) : (State)
(Zip Code)
H. 305-381-6060' :• N/A : management@marseilleshotel.corn
PRINCIPAL BUSINESS.TELEPHONE NUMBER. ��� CELLULAR TELEPHONE NUMBER.- , EMAIL ADDRESS"
'BD(ft ••- Section 2-482(h)(1i)(a):`A principal COPT corporation, partnership,CP CRT- ca C ii'J EaMEID E a lobbyist CHI IX CQ(
-ntity,tal=special compensation Cp = o o -of p{nllpFr® Ixirinr�arte- au&indirect,CP contingent,COC�{•Lp4@ !•• Oar o e•osition(lo
-^,.flii �uilOi i the @tap ro•wired LIVI - o I iidiffi filo Lb -o •tk]I I`7Qln 7 -o . o {ta ,
If the principal is:a Corporation, Partnership or Trust; the following. information MUST be provided
pursuant to City Code Section 2-482(c): •
Lloyd Mandell
• NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARY(if none,Write N/A):
• NAME OF ALL PERSONS HOLDING;DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST none,write N/A):
Lloyd Mandell (50%);.Enrique Chediak Jr. (50%)
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.
Land use approvals and related legislation impacting the real property commonly referred to as the Marseilles Hotel
located at 1741 Collins Avenue Miami Beach, FL 33139 including but not limited to:
-proposed legislation providing exceptions to height limitations in the RM-3 zoning district for towers up to 200 feet; and
-any redevelopment applications which may subsequently result from the passage of the above referenced proposed
legislation.
Providing services as land use counsel.
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
Mayor Dan Gelber N/A
Commissioner Micky Steinberg N/A
Commissioner Mark Samuelian N/A 1
Commissioner Michael Gongora N/A
Commissioner Joy Malakoff N/A
Please also see additional sheet attached.
•
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):
$715/Hour (Providing services as an attorney.)
Page 2 of 5
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":
Yes✓No: Are you lobbying on a present or pending bid for goods, equipment or services, or on a present or
• pending award forgoods,equipment or service?
'2) Pursuant to City Code Section 2-490, entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development
Issues":
Yes ✓No: 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 or entity without special compensation'br
reimbursement for the appearance;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.
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 specializedinformation or testimony in public Meetings; any person who onlyy 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 /No: Are you:providing only scientific, technical orother 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 provided'canipaign consulting services
within the past election cycle. See Section 2491 for more information.
Yes✓No: Have you provided campaign consulting services to an incumbent member of the City Commission
within the:Past election cycle?Ifyes,please list the incumbent member(s)of the City Commission:• .
•
Yes No: If yes has it ibeen less s than 1l2Amonthsilsinc theselectediofficial(s) whomiyougpromde pai4n
consulting services was sworn ml
: 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 publicmeeting.
—Yes✓No: 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:'
•
Yes No: f yes were you promised or did you receive economic cons de ation':in•exch na ge for campaign
consulting senrices�? : :
To:BE.COMPLETED BY CITY CLERK'S STAFF ONLY.. ...::
Annual Registration fee: [ ]Yes[h]No. Amount Paid$ ,- 0•c U MCR# LI I) 5 Date Paid 01•
Lobbyist Registration Form'received and verified
F:.NCLcR\$ALL\aFORMS\L08BYIST FORMS\Lobbyist Registration Form,Revisedl 09-20-18 REG.doc Revised.09/20/2018
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 TH- •E DING CAL •AR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS B' N ENG• ED T• •BBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE • COMPE •ATI• • DU= • . REPORTING PERIOD.1
Signature of Loi •gist: Date J at 071 o2Criq
I do solemnly swear or affirm that all of the forego'• -c tatements, and disclosures in this form are true and correct,
and that I have read or am familiar with the isio ontained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City C.• - • all repo•' • requ' - ents. �.f
7
Signature of Lobbyi- Ai . Date (1 It & �"J 9
Signature gf"Piir clipal: Jill kZ p,f�� rDate7 1/(1)& 9 0^1. OC?
MVP"I
VII. NOTARY SIGNATURE AND SEAL: .
LOBBYIST: PRINCIPAL
State of f7oA/I)iq State of c /12/- A
County of: //(Viii/ " /ADE County of: fl/,/h,-Lk4 t E
Sworn to (or affirmed) and subscribed before me SwornI9(or affirmed) and subscribed before me
this o2 y day of f v ,204 by this,24 •day of 7.44 f , 20 ! by
Jeffrey S. Bass Lloyd Mandell
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID Produced ID
iPer
FORM OF IDENTIFICATION / FORM OF IDENTIFICATION
•
onallyKnowncoi 1' Personal) Known
Y p
id/t4Cu Y /
Sig ure of Not4Signature of Nor ublic ...
Em'L) -L'.. VftV&H AN 7/17".#/a t - Air/✓n4 nVef S9
Name of Nothry, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped
EMILY E VAUGHAN •Vwd• PATRICIA*RIVADENEIRA
(NOTARY `�'�: (NOTARY SEAL) 61, Notary
3 Public•State of Florida
, ": MY COMMISSION#FF996103 • •� •= Commtsilon,I FF 901956
ta• 1.•'r
�4if, EXPIRES May 25,2020 .o; My Comm.Eyl -Aug29,2019
(407)390-0163 F(orWallotaryService.cam '; .. iin �, Sondedthrougtfl ionalMlv *aan.
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
MIAMIBEACH
City:of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
: Rafael E.Granado,City Clerk
CitXClerk@miamibea.chfl;gov
Tel 305.673.7411, Fax:305673.7254
NAME OF LOBBYIST: Jeffrey S. Bass s. :
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. TheCity 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 filethe 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 regist..•• of all lobbyists shall be required for each 12-month period
Nm 'fencing Octobe o, -ach:year, and the fee for such annual:registration shall be .
$500.:10 pursuan.,,i S -'ion 2-482 of the Miami Beach City Code.
Liv/ 029 6209
Signa O! 'of:Lobbyist Date : /
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc
Page 5 of 5 .
ADDITIONAL RESPONSES TO:
IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Full Name of Individual and Contractual Relationship
Title of Person to be Lobbied (If yes, explain) YES NO
Commissioner Rickey Arriola N/A X
Commissioner John Elizabeth Aleman N/A X
City Manager,Jimmy L. Morales N/A X
Planning Director, Thomas Mooney N/A X
[ i
t Miscellaneous Cash Receipt I
1
CITY OF MIAMI BEACH i
[
1 ,:r
No. 424325
i
1:1 Cash in Credit Card Check# --JO (;k----, $ „35C..)- 00 '
C) 7 (1'-''1/4 20 I ct J,
1
Rived of
Miscellaneous-MGR-2019
-,I— — nt-Nnit 1 S-- , Plir ,t .i,_ -552Q) 1) 1 1
L. FacR OPEN(MCR) 1 i fc:.) ' )7714 1 ( )/f4,, 44, .,
[ Payment Amount: 350.00 - 1
1
MCR424325
1 I
,
(THIS INFORMATION MUST BE COMPLETED) Office of Finance Director 1
1
BY
! Account Number: C`); J' c4/00.0 36ci LP-ill- co 30'7, ,3 .6 ' cio c.::0
[
1
=',, ( ,, EXT:
Preparer: ----)K,:s c,-, t) ci I,k—.IS OC” Dept:
f 4