Neisen O. Kasdin - MB Mixed Use Investment, LLC CA/ X01 CeAr 14-0 k
RECEIVED
Ai\I AM I BEACH Office of the City Clerk OCT 16 2019
1700 Convention Center Drive
Miami Beach, FL 33139 CITY OF MIAMI BEACH
305.673.7411 OFFICE OF THE CITY CLERK
LOBBYIST REGISTRATION FORM
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:
Kasdin Neisen O.
NAME OF LOBBYIST (Last) (First) (Middle Name)
Akerman LLP 98 SE 7 Street, Suite 1100 Miami FL 33131
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-982-5629 neisen.kasdin@akerman.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Soffer Jackie
NAME OF PRINCIPAL (Last) (First) (Middle Name)
MB Mixed Use Investment, LLC 19950 W Country Club Dr.,Aventura FL 33180
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
933 S5� JnRuvn�i�<�c� \u \oJcK
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
Pursuant to City Code Section 2-482(h)(1)(a): A principal of any corporation, partnership, or other entity who appears as a lobbyist on behalf of that
entity,without special compensation or reimbursement for the appearance,whether direct,indirect,or contingent,to express support of or opposition to
an item shall register with the Clerk as required by this subsection but shall not be required to pay any registration fees.
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2-482(c): I
• NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARY(if none,write N/A): � ' •k-6 ,,il
• 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): 3
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.
Miami Beach Convention Center Hotel
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
City Commissioners X
Planning Department Staff 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):
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):
$855 hourly
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 XNo: Are you lobbying on a present or pending 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
Issues":
_Yes XNo: 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 or
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_XNo: 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 XNo: 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 provided campaign consulting services
within the past election cycle. See Section 2-491 for more information.
_Yes X 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: If yes, has it been less than 12 months since the elected official(s) whom you provided campaign
consulting services was sworn in?
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 lobbvino the City Commission at a public meeting.
_Yes XNo: 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: 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['$]No Amount Paid$ �,�"t.C� (
MCR# (< ! U Date Paid
Lobbyist Registration Form received and verified by: . SO4 50vttdvetik,
\ t.Li2\PALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 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 THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAGED • LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENSATI i ' r/` •ING THE REPORTING PERIOD.'
Signature of Lobbyist: / Date V;1S I
9
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 familial • h the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Code and a•
//:.
ing requirements.
Signature of Lobbyist: Date \,O S t('t
Signature of Principal: c..---- "---11...---------�" Date 1C t"5- el
0
VII. NOTARY SIGNATURE AND SEAL:
LOBBYI T + (n� PRINCIPAL
(n�
State of V� 1�+� State of -c,o
County of: '\\O `l\' 1Y "v" County of: N\lVNYvA\ •- "r\D L
Swop (or� affirmed) . •. s is. i.-' •efore me{ Swornlo(or affirmed)and subscribed before rie
this \ day of a, ,2011 by this I . 'day of 6 LA-0 �t� ,20L, by
\I \
0 . . P Shcn •VA\,\vzk.c) Q.,oyNv Vv4, i I\--ALll-I-Z.eJ c'tVe0
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produged ID __Produced ID
/ FORM OF IDENTIFICATION FORM OF IDENTIFICATION
� .Wtrsonally Known Personally Know
Signature of Notary Public ( Signature of Notary Public
Name of "1 + PE -DATA L �/,l� l e�^(�-i�
'Y,�; ' DIANA
r831 Name of Notary, Typed, Printed or Stamped
' �-° f EXPIRES:June 8,2023
?� 'p'' sanded Tnn,ferry Pubic Eva Viera
(NOTARY (NOTARe.x.. CommitGG917366
Y
-� f Expkee:Sept 30,2023
.'„t,.,110 Bonded ThN Aaron Notary
'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
MIAMI BEACH
City of Miami Beach, I1W Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E.Granado,City Clerk CityClerk@miamibeachfl.gov
Tel:305.673.741 1, Fax:305.673.7254
NAME OF LOBBYIST: Neisen Kasdin
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
7iiii\
$500.00 p nt to Section 2-482 of the Miami Beach City ode.
O c l
Signature of Lobbyist Date
F\CLER\$ALL\aFORMS\LOBBYIST FORMS1Lobbyist Registration Form Revised 09-20.18 REG.doc
Page 5 of 5
EXHIBIT B
Principal Address: %I8 mixt")USE I\V'E1I'sII:v'I',LLC
2665 South Bayshore Drive,Suite 1020
Coconut Grove,FL 33133
PEDRO A MARTIN DAVID P MARTIN Principal Address:
2665 South Bayshore Drive,Suite 1020
Coconut Grove,FL 33133
.� _.
MB MIXED USE INVESTMENT Principal Address:
HOLDINGS MEMBER OWNER, 2665 South Bayshore Drive,Suite 1020
LLC Coconut Grove,FL 33133
I1)U%
MB MIXED USE INVESTMENT Principal Address:
HOLDINGS MEMBER PARENT, 2665 South Bayshore Drive,Suite 1020
LLC Coconut Grove,FL 33133
I
•
MB MIXED USE INVESTMENT TB MBCC HOTEL
HOLDINGS MEMBER,LLC INVESTMENT,LLC
Principal Address:
2665 South Bayshore Drive,Suite 1020 -- Principal Address:
Coconut Grove,FL 33133 50% 19950 West Country Club Drive,10th Floor
MD MIXED USE INVESTMENT Aventura,FL 33180
Principal Address: HOLDDIG1,LLC
2665 South Bayshore Drive,Suite 1020
Coconut Grove,FL 33133
100%
1
Principal Address: !ADMIXED US[INVRSTEATENT,LLC
2665 South Bayshore Drive,Suite 1020
Coconut Grove,FL 33133
PRINCIPALS OF TURNBERRY MEMOIR OF MB MIXED USE INVESTMENT HOLDINGS.Lic
Principal Address: Principal Address:
19950 West Country Club Drive,10th Floor 19950 West Country Club Drive,10th Floor
Aventura,FL 33180 Aventura,FL 33180
rat gael in Members'
Softer
Rock
Soffer
408 Manner
10%Manager
}
IB MBCCl10TEL INVESTF.ILN1 LIC MB MIXED USE INVESTMENT
FL-GJ6/lA) HOLDINGS MEMBER,LIC
Prinnpol Andres:. Principal Address:
19950 West Country Club Drive.1001 2665 South Bayshore Drive,Suite 1019
Flnnr Coconut Grove,FL 33133
50%Member 50%Member
MB MIRED USE INVESTMENT HOLDINGS,LLC
(FL-5/30/18)
Principal Address:
2665 South Bayshore Drive,Suite 1020
Coconut Grove,FL 33133
LIMITED POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS that Jacquelyn Soffer, has made,
constituted and appointed, and by these presents does make, constitute, and appoint
Mario Romine as its agent and in its name, place, and stead to execute and deliver that
certain Miami Beach Lobbyist Registration Form dated October 15, 2019. Jacquelyn
Soffer gives and grants unto Mario Romine power and authority to do and perform all and
every act and thing whatsoever necessary, required or in connection with the foregoing.
�4j a
IN WITNESS WHEREOF, I have hereunto set my hand and seal the �1� day of
, 2019.
Signed, sealed and delivered
in the presence of:
416
\�1/Ill Tess
St?. ►"\v C-1k 72--IY\O By: A
Printed Name Jacquet, Soffer
STATE OF C.- 1N )
COUNTY OF
jrregoing instrument was acknowledged before me this I l5� _ day of
-e.�- - , 2019, by Jacquelyn Soffer -_ who is personally known to
me or-who-predaeed-the-fell wing identification
tl ►' Eva Vera
•n Comm.tGG917866
z« •
, " Expires:Sept. 30,2023Notary l
N • - Public, Sta e of -►' �A✓'r
T,t,t' ' Bonded Thru Aaron Notary r- (,/,
Printed Name
My commission expires:
q . z ' '
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH
No. 424867
0 Cash ❑Credit Card cp Check# ;
20
Maz
eceived of `.
Miscellaneous- Mc K-2U2U
00A EW11 1nrirQndo in c7nrtn+ r .
MC9PEN(MCR)
Payment Amount: 350.00
MCR424867
(THIS INFORMATION MUST BE COMPLETED) Office of Finance Director
By
Account Number: ? 1! 4 C)' ; . -7)( Li Lig CP. 3 cfl
Preparers f
DePt: <. EXT:
3