Roberto "Bobby" Behar - G3120 Collins, LLC 3 2 cot(,i5 ,.
1V\I At "\I BE IC \ 192020
Office of the City Clerk ��`
• 1700 Convention.Center DriveX00
Miami Beach, FL 33139 . ®F MIP'- GIA CHER
305.673.7411 '
OFFtC�.n4 �
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by a principalwho 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 orcommittee;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"hasspecific 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 soughtto be lobbied shall require that the lobbyist file an amendment to the registration form.
The lobbyist has a.continuing duty to supply information and amendthe 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:
Behar Roberto "Bobby"
NAME OF LOBBYIST . (Last) (First) (Middle Name)
Bercow Radell Fernandez Larkin&Tapanes,PLLC 200 South Biscayne.Blvd.,Suite 850 Miami,FL 33131
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street). (City) (State) (Zip Code)
(305) 374-5300 rbehar@brzoninglaw.com
LOBBYIST BUSINESS TELEPHONE NUMBER .CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
NAME OF PRINCIPAL (Last) (First) (Middle Name)
G3120 Collins,LLC 3120 Collins Avenue Miami Beach Florida 33140
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
+44(0)20-7432-7372
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
lb @V atb Q3 2-482(h)(1)(a):.GJ. ' 1..Ischaft.thib partnership,a?=,G5114ydin Ylsl• Y11 1'Ma lobbyist a(b,��Qz C S £-
aglin without special compensation 7t •n - t for�Yle1l'InIP1. dQindirect �'cOntiingent m-
(io
I (1Oo.•osition
dkEIE I the m re.uired g&subsection wag]R 3 •u �Q� c
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): Matthew Berhinig
• 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.
Page 1 of 5
`'Ii
III. ISSUE TO BE LOBBIED:
Describe with asmuch 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 Approvals&Planning Issues,including but not limited to the Historic Preservation Board,
Design Review Board;Planning Board,Board of Adjustment,Land Use Development, City Commission,
and any City Workshops or Committees,if necessary,relating to the property located at 3120 Collins
Avenue in 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 Sr City Administration,PB,HPB,BOA None X
DRB, City Commission; and Mayor as 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 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 lobbyistregistration form_filed.
List any Business, Financial, Familial or Professional Relationship, or other relationship giving riseto a_n
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):
$215.00 per hour
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":
_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 toany 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 specialcompensation 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 campaignconsultant 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:
... ' AINS tao -s..s,1 . « py �,96. :ir"�v-' .f, 1rP'S.,s.-.:a�IRo e'g,p,"r ,w --sPv�: '„„"._•:
_Yes x No 'If yes, hates it6eenlessthan`ti12m nths since the elected'official(s) whom you`Iprovided campaign
,consulting services was:swam ins
6) Pursuant to City Code Section 2-482(a)(4)a., a lobbyistwho has within the past election cycle provided campaign consulting
services to an incumbent member of the City Commission (which lobbying activity is not otherwiseprohibited.by Code section
2-491) shall disclosesuch particular service on his/herlobbyist 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:
• I"fe:–.44_., z p iY'., K+ c..., '- ^orr i+�t�tda' .4,V1TP--t e,"4. •+ a.-"PO A-'it ' Y4
Yes XNo: Byes,'-were you promisedVorAdid yo cerv'e_economic_consideration''in exchange for campaig
consulting^services~.
TO BE.COMPLETED BY CITY.CLERK'S STAFF eONLY
Annual Registration fee: [ ]Yes[�y]No Amount Paid$ a '"'� MCR# �.•J Date Paid •
Lobbyist Registration Form received and verified by:
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.LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENS TION,DURING THE R ORTING PERIOD.'
•
Signature of Lobbyist: �-- Date• - t jo
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/withthe provisions contained in Chapter 2', Art. VII,'Division 3,entitled "Lobbyists" of
the Miami Beach City Code and 'rep 'rtin re• ire nts.
Signature of Lobbyist: �� Date g I (2' 12-0
Signature of Principal: Date v 2,f t 3 2412-0
•
•
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIAL
State of Lv R-t 3)P State of f Le02-t D i
County of: E1 . P'M I D A7 G County of: .!'Lt Ptt-1 ► "D fl3)"E
Sworn to(or affirmed)and subscribed before me Sworn to(or affirmed)and subscribed before me
this d3- ..day ofba.o '-`/ ,20 by this / clay-of E U pity ,20.29by
•
Roberto "Bobo_ y"Behar rt yarT-rte B I 4.11 6
NAME-OF LOBBYIST NAME F PRINCIPAL
_Produced ID _ _Produced ID DLi14B(oS2 5" O-01.g-1/4440‘ .0
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
•
X Personally Known _Personally Known
'Signature of Notary Public Signature Of Notary Public U Ll
S-r D C ooJZp Z. aft t GT f 1A D. Gen Z flc Z
Name of Notary, Typed, Printed or Stamped . • • Name of Notary,Typed, Printed or Stamped
•
opm PLS Notary Public State of Florida
- .(NOTARY SEAL) r° Cristina.Diana Gonzalez • (NOTARY SEAL)
z
My Commission GG 176710 VPr P% Notary Public State of Florida
4gF tio�_ Expires 03/23/2022 ?o Cristina Diana Gonzalez
4 My Commission GG 176710
a no° Expires 03123/2022 •
•
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
MIAMIIEACH
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: Roberto"Bobby" Behar
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 pursuant to/Section 2'-,482 of pe Miami Beach City Code.
ifiC._7/) tit/ \ )d-r-
Signature ofJLobbyist Date I
F:\CLER'.SALL1aF0RMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc
Page 5 of 5
Ownership of G3120 Collins LLC S.H.
Key Yeung Remaining 31.12%LP
=Lira = Brn¢hWonIslands 1001 investors each hold<20% Queensgate.
UBO Investments it GP LLP Sole Investor+
_England UgaFM _ Queensgate tr°aa.uni
11.11 UCarry LP oueensgate
Investments a an/GP LLP
SA Fusion GP LLP
(English LLP) (English LLP)
GP GP ./GP
\. Precise Result, 6888%
24.03% InvestmentsQueensgate
Queensgate Fusion Co- - Limited IP Queensgate investments Investments
Invest LP Fund11 LP II AIV LP•
R�d�r,tx•xan r.nw�.l+i0 - it dat9��rir.w..ura1 12.98% xe+>v mredbd ,nw"
ChtermealPInvo,ptrnts - 87.02% .
Note:Remaining 75.97%LP 100% Management Gmnnl
Investors each hold<20%.There
Is no natural beneficial owner
with more than 10%. Queensgate Fusion Queensgate Fusion
Holdco 1S.6 l"I Holdco 2S.6 r.l
79.41% ' 1 20.59%
Queensgate Generator.S.a r.I
1100%
0.31)0 tolllns
PuFnt Limited
100%
C 11JQ(nl1in5
Ilukhnge Inc
1 100%
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MBF
City Hall
1700 Convention Center Dr.
Miami Beach , FL 33139
305-673-7420
Welcome
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CHECK 1,050.00
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