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Khera Osbourne - Peter Lerperger ,t 2_25 RECEIVED RECEIVED MI AMI B EACH Office of the City Clerk JAN 15 2020 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: Osbourne Khera Amber NAME OF LOBBYIST (Last) (First) (Middle Name) Clemens Bruns Schaub Architect & Associates, P.A. 3383 Ocean Drive Vero Beach FL 32963 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 772-231 -1484 khera@cbsarchs.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Lerperger Peter NAME OF PRINCIPAL (Last) (First) (Middle Name) 2135 S Porpoise Point 900 Biscayne Blvd,Unit 4807 Miami FL 33132 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-310-5252 Peter@BaslerRealty.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant Ib City Code Section 2'482(6)(1)(5): A principal oEfiD,corporation, partnership,Cr other entity who appears l 5 p 15l5byi'st Cln]behalf of that entity,without special compensation CP reimbursement Map...-a aragyaitaig,indirect, contingent,fijonEgg amoteja?os.osition 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): • NAME OF CHIEF OFFICER,PARTNER, OR BENEFICIARY(if none,write N/A): g+`4f 4& (2°^. ri44.' • 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): 2135 S Porpoise Point is wholly owned by Drehbonsi GmbH 100% , which is wholly owned by Dr. Ferdinand Oliver Porsche 100% 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 and permitting approvals for unified property located at (former) 1225 and 1235 Lenox Ave., Miami Beach, now unified as 1225 Lenox Ave. 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 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): ; Khera Osbourne: $22/hr 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,equipmentor 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 informationor 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'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, has it been less than 12 months sinc- the elected officials) whom you provided campaig — consulting services was sworn ins. 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. _.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 XNo: If yes. were vo promised or did you receive economic consideration in exchange for campaig consulfinq seryicest TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [p Yes[ ]No Amount Paid$ l MCR# ,t C°'�. �S Date Paid 'd Lobbyist Registration Form received and verified by: Ifll !t �c.-i;4.u`it. F:\CLER\$ALL\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 TO.L BY..A STATEMENT SHALL BE.FILED EVEN IF THERE HAS.BEEN NO EXPENDITURE OR COMP SAT D . NG THE REPORTING PERIOD.' Signature of Lobbyist Date 01/10/2020 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 fami'ar with the provisio contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Cod•�'=0►. :,II reporting: req s';re :nts..� 01/10/2020 Signature of Lobbyist •09'( i ; ,�-�� Date Signature of Principal: Date VII. NOTARY SIGNATURE AND SEAL:. LOBBYIST: PRINCIPAL Florida State of State of Indian River County of: County of: Sworn to(or affirmed)and subscribed before me Sworn to(or affirmed)and subscribed before me this 10 day of January . 2020, byy. this_da of ,20_, by Khera Osbourne NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID Produced ID . FORM OF IDENTIFICATION FORM OF IDENTIFICATION X Personally Known _Personally Known e/Uh- Signature of Notary Public Signature of Notary Public Bonnie Coats Name of Notary, Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped tramdkaibmowalashishatababamdbisilio 'v'' BONNIE COATS ��t�,,�p.�b �;��5��to of Florida. t 1PlAg8m ofi`!►6G 303190 (NOTARY SEAL) F My Comm.Expires Feb 18,2023 ` Bonded through National Notary Assn: 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 4of5_ 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 -= provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and all repos requirements. Signature of Lobbyist: Date Signature of Principal: Date 01-1 0-2020 � r . VII. NOTARY SIGNATURE AND S ' L: LOBBYIST: PRINCIPAL State of State of Florida County of: County of: Miami-Dade Sworn to(or affirmed)and subscribed before me Sworn to(or affirmed)and subscribed before me this day of ,20 , by this day of January . 2020, by Peter Lerperger NAME OF LOBBYIST NAME OF PRINCIPS _Produced ID _Prod -ed ID FORM OF IDENTIFICATION FORM �, _Personally Known X P-rsonally Kn n / , Signature of Notary Public Sig ature of No(Mr Public Ja -s Ba ' Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or `amped (NOTARY SEAL) (NOTARY SEAL) 61.0n."etc Notary Public State of Florida James Basilic) j My Commission or 095338 1 The term"lobbyist"specifically excludes the following persons: �o"fid" Expires 05113r1o21 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. Page4of5 .. , , . 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 CityClerk@miamibeachfl.gov Tel:305.673.7411, Fax:305.673.7254 NAME OF LOBBYIST: Khera Osbourne 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 p ant to . on 2-482 of the Miami Beach City Code. i1111 i allW 01/10/2020 ,•n. ure of Lobbyist Date F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc Page5of5 Salvatore, Jason From: - Mercy.Arce@hklaw.com Sent: Wednesday,January 15, 2020 5:33 PM To: Salvatore,Jason Subject: RE: 2135 S Porpoise Point Inc - Miami Beach Lobbyist Registrations. THIS Ia �.SS.w. _ CO- ES FROM AN EXTERNAL EMAIL - USE CAUTION WHEN REPLYING AND OPEN E.,;(:; LINKS OR ATTACHMENTSI Hi Jason, I apologize for the confusion. Please list Horvath Guenther. • Thank you, Mercy Arce I Holland&Knight Land Use Planner Holland & Knight LLP 701 Brickell Avenue, Suite 3300 I Miami, Florida 33131 Phone 305.349.2178 I Fax 305.789.7799 mercy.arce@hklaw.com I www.hklaw.com From:Salvatore,Jason<JasonSalvatore@miamibeachfl.gov> Sent:Wednesday,January 15, 2020 3:52 PM To:Arce, Mercy S (MIA-X22178)<Mercy.Arce@hklaw.com> Subject: RE: 2135 S Porpoise Point Inc_- Miami Beach Lobbyist Registrations [External email] Hi Mercy, Do you know who is the top person in charge of the company? If the 2"d question is completed,then the 1st question cannot be N/A. Thank you, r 'A \A . ' s .. Jason Salvatore - Office Associate III Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305-673-7411 www.miamibeachfl.gov We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. From: Mercy.Arce@hklaw.com <Mercy.Arce@hklaw.com> Sent:Wednesday,January 15, 2020 3:40 PM 1 To:Salvatore,Jason<JasonSalvatore@miamibeachfl.gov> Subject: 2135 S Porpoise Point Inc-Miami Beach Lobbyist Registrations THIS MESSAGE COMES F 'O3 AN EXTERNAL EMAIL - USE CAUTIONI1N WHEN :=P ' 1N. AND OPENING LINKS OR ATTACHMENTS I Hi Jason, Please revise the attached forms to state N/A under the Name of Chief Officer, Partner or Beneficiary. Please let me know if you need me to stop by in person to make the revision. Thank you, Mercy Arce I Holland&Knight Land Use Planner Holland & Knight LLP 701 Brickell Avenue, Suite 3300 I Miami, Florida 33131 Phone 305.349.2178 I Fax 305.789.7799 mercy.arce@hklaw.com www.hklaw.com NOTE: This e-mail is from a law firm, Holland&Knight LLP("H&K"), and is intended solely for the use of the individual(s)to whom it is addressed. If you believe you received this e-mail in error, please notify the sender immediately,delete the e-mail from your computer and do not copy or disclose it to anyone else. If you are not an existing client of H&K, do not construe anything in this e-mail to make you a client unless it contains a specific statement to that effect and do not disclose anything to H&K in reply that you expect it to hold in confidence. If you properly received this e-mail as a client,co-counsel or retained expert of H&K, you should maintain its contents in confidence in order to preserve the attorney-client or work product privilege that may be available to protect confidentiality. 2 #� ...gym_..-...-...�.-..._.�..._..,,,.�.._....�. �.-.z .....—,..,--�.�......,.-.,..,,, r^v,+c.: .... ,— .. � .. . Miscellaneous Cash Receipt CITY OF MIAMI BEACH N 0 0 Cash I Credit Card 'tTJ Check# $ 100 . �. k °1 20 Radolved of 4 i� i. `. 0 ~ J�, 4 f--• i'- Miscellaneous-MCR-2020 -> � f r 2 ) Ft CR OPEN(MCR) . I t , . S W / L r{1 :1/ Air �- Pament Amount: 1,700.00 r ;K r • i MCR425180 n (THIS INFORMATION MUST BE COMPLETED);. Office of Finance Director By Account Number: ; f ( r : ` t r', 1 .r� �� t Preparers Dept: % .3: E)(Ti-11 Li k zl