Russell Galbut - Jefferson Brackin 666 -71s+ Sd--
RECEIVED
tV\ AM I B E `C H Office of the City Clerk JUN 2 3 2020
1700 Convention Center Drive
Miami Beach, FL 33139 CpM
305.673.7411 7F
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:
Galbut Russell
NAME OF LOBBYIST (Last) (First) (Middle Name)
Crescent Heights 2200 Biscayne Blvd. Miami Florida 33137
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 374-5700 rgalbut@crescentheights.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Brackin Jefferson
NAME OF PRINCIPAL (Last) (First) (Middle Name)
NoBe Creek, LLC 4770 Biscayne Blvd., Suite 170 Miami Florida 33137
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 514-0874 305-793-7662 jefferson@fwdxgroup.com
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):
• NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARY(if none,write N/A): Jefferson Brackin
• 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
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 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, realting to the property located at 666 71st Street,
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 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 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):
$ 0.00 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 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 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
within the past election cycle? If yes, please list the incumbent member(s)of the City Commission:
_Yes x 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 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: 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 9
Annual Registration fee: [ ]Yes[‘/]No Amount Paid$ 3-S 0 •CX�1CR# 17/ 6101 Date Paid 0 6' G3"20
Lobbyist Registration Form received and verified by: Jam
F:\CLER\VW_\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 COMPENSA ON DURIN THE REPORTING PERIOD.'
Signature of Lobbyist: ��s Date Ntor/t,CJr1�
U
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 "Lobbyists" of
the Miami Beach City Code and . I reporting -quirements.
Signature of Lobbyist: // �, Date 0(09(910-d--96
O
Signature of Principal: , i' ,,/ -1; Date 000 f °
VII. NOTARY SIGNA URE AND SEAL:
LOBBYIST: PRINCIPAL
State of Florida State of Florida
County of: Miami-Dade County of: Miami-Dade
Sworn to(or affirmed) d subscribed before me Sworn to(or affirmed) and subscribed before me
this,d0--- day of 7y.IAuQ.. 20.AI by this .-day of 1-CAL- 2q%C, by
Russell Galbut Jefferson Brackin
NAME OF LOBBYIST NAME OF PRINCIPAL
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FORM OF IDENTIFICATION FORM OF IDENTIFICATION
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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
M AM BEACH
City of Miami Beach, I/00 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 LOBBY! Russell Galbut
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 the Miami Beach City Code.
C
Sign.ture of Lobbyist Date
F.\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc
Page 5 of 5
Nobe Creek LLC is Owned by
GGJW LLC 50%
Brack-Tel Alton LLC 27.5%
Alton Bird LLC 22.5%
GGJW LLC is owned by
Alton M and J Investment LLC 100%
Alton M and J Investment LLC is owned by
Marisa Galbut LLLP 37.5%
Jenna Galbut LLLP 37.5%
R& R Family Grandchildren's Investment's Trust#1 25%
Marisa Galbut LLLP
Marisa Galbut 99%
Russell Galbut 1%
Jenna Galbut LLLP
Jenna Galbut 99%
Russell Galbut 1%
R& R Family Grandchildren's Investment's Trust#1
Beneficiaries:
Aiden Galbut Newman 20%
Becca Rose Garrett 20%
Emma Miriam Garrett 20%
Lucille Beth Menin 20%
Ellanor Rose Menin 20%
Brack-tel Alton LLC is owned by
Jefferson Brackin 36.35%
Donald Wayne Brackin 18.175%
Haydeh Shaida Brackin 18.175%
NKW-EBG Prop 1 27.3%
NKW-EBG Prop 1, LLC is owned by
NKW Properties Ltd 100%
NKW Properties LTD is owned by
Abraham A. Galbut and Nancy Galbut, his wife 33.3%
Eric Galbut and Sarit Galbut, his wife 33.3%
Daniel Galbut and Jillian Galbut, his wife 33.3%
Alton Bird LLC is owned by
Michael Bird 44.4%
Suzanne Bird 55.6%
Detail by Entity Name
Florida Limited Liability Company
NOBE CREEK LLC
Filing Infermation
Document Number L19000147338
FEI/EIN Number NONE
Date Filed 06/03/2019
State FL
Status ACTIVE
Principal Address
1561 WEST AVE
MIAMI BEACH, FL 33139
Mailing Address
4770 BISCAYNE BOULEVARD
Suite 1400
MIAMI, FL 33137
Changed: 05/15/2020
Registered Agent Name&Address
BRACKIN, JEFFERSON
1561 WEST AVE
MIAMI, FL 33139
Authorized Person(s)Detail
Name &Address
Title MGR
BRACKIN, JEFFFERSON
1561 WEST AVE
MIAMI, FL 33139
Title MGR
BIRD, MICHAEL
1561 WEST AVE
MIAMI BEACH, FL 33139
Annual Reports
No Annual Reports Filed
Document Images
06/03/2819--Fior ua Limited Liaaility View image in PDF format
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH
No. 426667
1111
0 Cash ❑Credit Card ❑Check# r $ 1 .?
20
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Payment Amount: 350 00
MCR426667
(THIS INFORMATION MUST BE COMPLETED) Office of Finance Director
By
Account Number: i.t�.1 !- `?' -7-
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Preparers Dept: �. EXT: