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Michael Larkin - Miami Beach Marina Associates LTD REGE-I\ ® • • MIAMI: EA• Office of the City Cleric 2024 Ee 6/1 • • 1700 Convention Center Drive M1Ahat i3VL R Miami Beach, FL 33139 C1-(�( OF.�y,; (,1Td • 305.673/411 OFFxce 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 acCNities:.The term•"Lobbyists"has specific exclusions. Please refer to City Code Chapter 2, Article VII, Division 3, entitled-"Lobbyists," foradditionafinformation` • 'Instructions: Please complete all sections of this formand 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 filek 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 prindpal represented on each specific issue. . I. LOBBYIST INFORMATION: • • Larkin Michael • W. NAME OF LOBBYIST (Last) • (First) (Middle Name) • • Bercow Radell•Fernandez Larkin&Tapanes,PLLC 200.S. Biscayne Blvd., Suite 850 Miami,.Florida 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) - (City) - (State) • • (Zip Code) (305) 374-5300 • mlarkin©brzoninglaw.com • LOBBYIST BUSINESS TELEPHONE NUMBER • CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II, PRINCIPAL INFORMATION: Redman Brian NAME OF PRINCIPAL (Last) (First) (Middle Name) .Miami Beach Marina Associates LTD 17330 Preston Road, Suite 220A' . Dallas TX 75252 _PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) dfiller@suntex.com PRINCIPAL BUSINESS-TELEPHONE NUMBER . CELLULAR TELEPHONE.NUMBER • EMAIL ADDRESS m ursuant Bode Section 2-482(h)(1)(a):- principal dag.corporation, partnership,Cr CRT QtiiiiVVAD appears C )0 lobbyist ca behalfic ntity,without special compensation CF reimbursement Ej'il'J- i�azxRi.incx,whether direct indirect C7'contingent to C£5302§1 su000rtCC2C7 ition( 1I em did reoister with there 0 ister with the.g2a0areoe iredltrghb subsection but shall 01:211QreouiredD 'JD 7reoistration6 , • • 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): 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): See Attached. • Pagel 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. Lease amendment and extensionand related matters regarding 300-344AIton Road, Miami Beach, Florida 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 Staff for the Planning&Building Department None X Public Works&City Administration, PB, HPB, BOA .None X DRB,City Commission, and Mayoras 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 professionalrelationship, 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 asidentified on the lobbyist registrationform 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. (Notethat a contingency fee is prohibited pursuant.to City Code Sec. 2-485.3): $675:00 per hour 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 r.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 youlobbyingon 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: Yesx.No: 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 withinthe past election cycle?If yes, please list the incumbent member(s)of the City Commission: • Yes xNo:. If yes, has it been less than 12 months since the elected official(s)whom you provided campaign c n ultinT ces was sworn in'?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 formandshall orallyy disclose such particular service before lobbying the City.Commission at a public meeting. _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 xNo: f yes, were you promised or did you receive economic consideration in exchange for campaign onsulting services. TO BE COMPLETED BY CITY CLERK'S STAFF ONLY p Annual Registration fee: [ ]Yes[/]No Amount Paid$ ' � ' (c. MCR# ? 2-s`. Date Paid zs Ly_ 2 Lobbyist Registration Form received and verified by: 5e.1 .S logL 1 m F:\CLER\$ALL\dFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc Revised 09/2012018 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 COMPENSATION DURING THE REPORTING PERIOD.' Signature of Lobbyist Date . ��/ � Ido solemnly swear or affirm that all of the foregoing facts,statements, and disclosures inthis 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. o/8-0 20. Signature of Lobbyist: v Date a � Signature of Principal: Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of ,t1IX �0( , G ( State of . . l 1 County of: W\\(i Wl% Ct C County of: Sworn to(or affirme0 apd subscribed before me Sworn to(or affirmed)and subscribed before me this ,9f day of rUGI rv3 1.2010 by. this_day of ,20_, by aClnOce I . Lar k4'n NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID A Produced ID FORM OF IDE FICATION FORM OF IDENTIFICATION " Personally Know‘i, _Personally Known Signature of Notary Pub s Signature of Notary Public rvioi 'e rn o S Name of Notary, Typed, Printed or Stamped Name of Notary., Typed, Punted or Stamped ta.v.ip DIANA RAMOS ,� MY COMMISSION#GG 308355. (NOTARY.S � -'�: „� :*e (NOTARY SEAL) Q`: EXPIRES:April 10,2023 '•.FCF P�t•' Bonded TIVU Notes/Pubic!Mamba . ' The term `'lobbyist specifically excludes the following persons: Expert witnesses who provideonly 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 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 "Lobbyist? of the Miami Beach City Code and all reporting requirements. Signature of Lobbyist Date Signature of Principal: ..... Z...•• ow•"'""".'"" '-'' Date --/,7b oe- VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL s tate of State of OM AA cm County of County of: 1\1\\ am I va01-& Sworn to(or affirmed) and subscribed before me Swo9040,(or affinvia_d), .and subscribed before me this day of ,20_,by this Wday of T e-oruali ..201), IDY ' Michael W. Larkin S)) Val litArl NAME OF LOBBYIST NAMZOF PRINCIPAL Produced ID Produced ID driva 1 Cilt , - FORM OF IDENTIFICATION FORM • -ICATION X Personally Known Personally Known signature of Notary Public Signature of Notary.PublI 1?"1 artZli Name of Notary,Typed, Printed or Stamped Name of Notary, Typed,Printed or Stamped (NOTARY SEAL) (NOTARY Wiite.;:it., DIANA RAMOS = • oh • z MY COMMISSIM#GG 30835S :*. •-' :*: s....*...;.„—:11 EXPIRES:April 10,2023 ‘.14:13,5t:-.. Bonded Thar Notary Public Undermiters 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 nelson 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, I MU 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: Michael W.Larkin 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 dayshall 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 Statementor paythe assessed fines after notification. Any lobbyist, who fails to file .the required Statement by April 301h 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 shallsubmit 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 specificissue 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. .' gp u-/7 ogo Signature of Lobbyist Date FACLERISALL1aFORMSILOBVIST FORNIStobbyist Registration Form Revised 03-20-18REG.doc - - Page 5 of 5 Disclosure of Interest Information Principal: Miami Beach Marina Associates, Ltd., 17330 Preston Road, Suite 220A, Dallas, TX 75252 Name of Chief Officer, Partner or Beneficiary: SMI Miami Beach GP, LLC as general partner. Name of All Persons Holding, Directly or Indirectly, a 5% or more ownership interest in Miami Beach Marina Associates. Ltd.: 1. SMI Miami Beach GP, LLC (.5% direct) 2. Miami Beach Propco Holding JV, LLC (99.5% direct) 3. Suntex Marina Investors LLC (indirect greater than 5%) 4. Centaurus Capital, LP (indirect greater than 5%) 5. WRA-Realti Heat(S) LLC (indirect greater than 5%) 6. WRA-Wave Investors LLC (indirect greater than 5%) Miscellaneous Cash Receipt CITY OF MIAMI BEACH No. 425729 ❑ Cash. El Credit Card Check# $ ` ) -i'' /�J� 20 I R ivedof ,! °►i, ; ; ; L<%1' s n Miscellaneous-murc-202u r l*- 1t • 1 Ii_/ �' t_.1 .0 � } . .� r ,AC°_1. v. j..�- 3-• FMCR OPEN(MGR), .; �,, , ~ 7 Do t f '9 4- P Payment Amount: 35-0 OU MCR425729 (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director By Account Number: � ° 54, :)t' 3 CI I< u _ .13 , / (— Properly: A-f-"\ Dept: EXT: . . '..