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Emily K. Balter - Sukkah Miami Beach Acqisitions, LLC. 1--1000 CoAtclis lie, CITYFiEtEIVFD OF�,7;�l;'v11 LA/\AI BEi\ H OfficeoftheCityClerk SES' IC 20201700 Convention Center Drive Miami Beach, FL 33139e /�CN 305.673.7411 OFFICE C 1V 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: Baiter Emily K. NAME OF LOBBYIST (Last) (First) (Middle Name) Bercow Radell Fernandez Larkin&Tapanes,PLLC 200 S. Biscayne Blvd.,Ste. 850 Miami,Florida 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)374-5300 ebalter@brzoninglaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Rosenberg Todd NAME OF PRINCIPAL (Last) (First) (Middle Name) Sukkah Miami Beach Acquisitions,LLCc/o Pebb Capital LLC,7900 Glades Road, #260,Boca Raton,FL 33434 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (561)961-1862 PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS RigiNEMDffirMiD,&52221:182 ( ) 1)a arincp. 070"47(5.94,4.0.001% ea e. i0)Cri e ljl t)aop.arsMEI mobyis?a IiCtfth:, f i ono q l c0 o.,satio3Kgia for t apps ,ance di •c mdir-c C(?co ti g-n',l e ore s �abzlrttGGCCI o o•osi of¶� Zg Fi o1 (Egja63maui-d7 Ln13 o m o li IIJ 1 r-bui d(5 oa EVIEr.tvationiN2a 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): • 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 Exhibit A-Disclosure of Interest 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,relating to the property located at 4000 Collins Ave 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): $250.00 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 x—No: 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. _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 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 x No: flj'dx3, h"ro "u •riovl 6 t-d cam o al a onsui nl sem/Aces s s or t 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: )' es, o • you promased o di a ;on recei„e economi considerat("n in exc auge for amp '71 cons I no sets cress? TO BE COMPLETED BY CITY CLERK'S STAFF ONLY /� 9 1 Annual Registration [i fee: ];Yes.[Y];No, AmountPaidl$ 1 MCR:# Vi� L, 7 A0 Date.Paid' 07-1-7 K.0 Lobbyist,Registration,Form received;and verified by:. 1 S '•i� C 6,1.amtm L zb 0,.0.:SALOB YSSa 4 r r r ;\:.t'.byts:R:.;istrwt:ion rnrm Rojit'a:S (S7-20 ..`i G.doc Revisedl09/'2012018i 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.1 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 "Lobbyists" of the Miami Beach City Code and all reporting requirements. Signature of Lobbyist: - Date Signature of Principal: Date 9115 I o VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Florida State of f IOf I d County of: Miami-Dade County of: PoAnn ( o(CLI Sworn to(or affirmed)and subscribed before me Sworn to(or affirmed)and subscribed before me this day of ,2020,by this day of SR.4341.44./../- ,2020 by Emily Baiter Todd Rosenberg NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION X Personally Known Personally Known Signature of Notary Public Signature of Notary Public r3 r4 Sut Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped ., ti►s��G; BRYAN SIEGEL (NOTARY SEAL) (NOTARY SEAL) i. ,,, :.z MY COMMISSION#GG 190063 • ;"�q��.gi EXPIRES:April 29,2022 Aft" Bonded ilw Notary Public Undenrtil¢ro 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 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.1 Signature of Lobbyist: 1 - 04 0 ,(1./ P, Date g 1 ]5 b°3-D 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 -nd all resorting requirements. q Signature of Lobbyist: , , A .L ' Date IS �o. Signature of Principal / Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Florida State of County of: Miami-Dade County of: Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of 0 physical presence by means of 0 physical presence or 0 online notarizat' , • or 0 online notarization, this l'G day of T O ° M1/411.a 2030, by this_day of ,20_, by Emily Baiter NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION l/Person lly Kn�' Of _Personally Known - rl ignature Not •4 bli Signature of Notary Public cl,Au HOSdlOW-e2— Name o Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped CSAR Veidy Moptesino Perez (NOTARY SEAL) Q NOTARY PUBLIC (NOTARY SEAL) ��1`_�, f,STATE OF FLORIDA + '14 :Commit GG0655411 ' 1%�e Expires 1/24/2021 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 MIAMI BEACH 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: 305.673.741 1, Fax: 305.673.7254 NAME OF LOBBYIST: Emily Baiter 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 $500.00 pursuant to Section 2-482 of the Miami Beach City Code. 91 15 1 -0jt) gnatu-e of . b s Date F:ICLERI$ALLIaFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc Page 5 of 5 CLASS A MEMBER ORG CHART Alm&Traci Todd Rosenberg Farah Horowitz Weserstein 100.00% 100.000% 100.000% 866,031.52 273,016.44 188,578.36 I Todd Rosenberg 2016 Trust Farah Horowitz 2016 Trust Alen&Traci Waserstejn ' Trust 100.003% 100.000% 100% 273,016.44 188,57836 866,03152 PCH PBILLC PCH Chelsea LLC Jeffrey Rosenberg IAN HOROWITZ CARLOS JIMENEZ Tom Duncan Shane Hlllsley Vin cent Buordcontl 48.500% 33.500% 1.000% 15.000% 2000% 273,016.44 188,57836 5,62930 84,438.07 11,258.41 57.143% 37.143% 5,714% 173,206.30 112,584.10 17,320.63 DHC Continental,LLC Pebb Capital Holdings LLC ATW Family LP Alan and Trad Wasserstein Alan Gardner Steve Wasserstein Marta Wasserstein Daniel Foadman (Florida LLC) (Delaware LLC) 35.000% 65.000% 100,000% 18.000% 12.000% 15,000% 50.000% 5.000% 303,11103 562,920.49 866,03152 155,88630 103,923.78 129,904.73 433,015.13 43,301.58 1 DHN COC Management,LLC WASSSukkah,LLC Barbara Rosenberg Barbara Rosenberg (DelawareLLC) (Delaware LLC) 50.000% 50.000% 100.0000% 100.0000% 866,03152 866,03152 2,040,539.14 2,040,589.14 1 1 COC Management,LLC Barbara Rosenberg Barbara Rosenberg Sukkah 4000 Collins Investors LLC (Delaware LLC) Jeffrey Rosenberg 2016 Trust II 2016 Trust Barbara Rosenberg (Delaware LLC) EIN:47-4252869 SIN:45-5154691 16.333% 15.0985% 19.2487% 19.2487% 21.8965% 8.1692% 1,732,063.04 1,600,61901 2,040,589.14 2,040,58914 2,321,287.16 866,031.52 CUSS A MEMBER CUSS 0 LIMITED MEMBERS (MANAGING/OPERATING MEMBER) COC Project Holdings,LLC (Delaware LLC) 63.2523% 10,601,179.01 Class A Member Page 3 COC Project Holdings,LLC Class C Members (Delaware LLC) See page 3 for detail See page 4 for detail 63.25% 36.75% 10,601,179.01 6,158,820.99 Class A Member ( Class C Members PEBB ENTERPRISES, LLC. (Florida LLC) EI N:59-1476555 100% CURRENT VALUE 16,760,000.00 Continental Mezz Holdings,LLC (Delaware LLC) Sukkah.Miami Beach Acquisitions,LLC (Delaware LLC) 100%LLC Sub aquires condo Units and all future units. CLASS A MEMBER ORG CHART Alm&Traci Todd Rosenberg Farah Horowitz Waserstein 100.00% 100.000% 100.000% 866,031.52 273,016.44 188,578.36 Todd Rosenberg 2016 Trust Farah Horowitz 2016 Trust Alan&Traci Wasastoin Trust 100.000% 100.000% - 100% - 273,016.44 188,578.36 866,03152 PCH PBI LLC PCH Chelsea LLC Jeffrey Rosenberg IAN HOROWITZ CARLOSJIMENEZ To,,,Duncan Shane Risley Vincent Buoniconti 48.50096 33.500% 1.000% 15.000% 2.000% 273,016.44 188,578.36 5,629.20 84,433.07 11,258.41 57.143% 37.143% 5.714% 173,206.30 112,584.10 17,320.63 DHC Continental,LLC Pebb Capltal Holdings LLC ATW Family LP Alan and Traci Wasserstein Alen Gardner Steve Wasserstein Marta Wasserstein Daniel Foodmen (Florida LLC) (Delaware LLC) 35.000% 65,000% 100.000% 18.000% 12.000% 15.000% 50.000% 5.000% 303,111.03 562,920.49 866,03152 155,886.30 103,923.78 129,904.73 433,015.13 43,301.58 DHPI COC Management,ILC WASS Sukkah,LLC Barbara Rosenberg Barbara Rosenberg - (Delaware LLC) (D9laware LLC) 50.000% 50.000% 100.0000% 100.000046 866,03152 866,031.52 2,040,589.14 2,040,589.14 COC Management,LLC Barbara Rosenberg Barbara Rosenberg Sukkah 4000 Collins Investors LLC (DelawareLLC) Jeffrey Rosenberg 2016 Trust 11 2016 TrustI Barbara Rosenberg (Delaware LLC) EIN:47.4252869 BIN:45-5154691 16.338% 15.0985% 19.2487% 19.2487% 21.8965% 8.1692% 1,732,063.04 1,600,619.01 2,040589.14 2,040,589.14 2,321,287.16 866,031.52 CIASSA MEMBER CLASS B 1JMSSEDMEMBERS (MANAGING/OPERATING MEMBER) COC Project Holdings,ILC (Delaware LLC) 63.2528% 10,601,179.01 Gass A Member • Page 3 )r§ |;| )|} |§( il4 l§§ f§§ r J§§ `| |§ |-• ! | _ ` !�E |! �! ---r— /,, ) |,. !., | ° . 0 W i 10 [ ., 4 !§ , ,,, §( �•, !! �;� !!} • ;| §� !d 5�A s` is l�` 1` ;`` ! ! d — — ! ! 1Yi§| i§§ \� \ 2!| §<" !!} \§K !■; !r§ .1 1| ' ! !. !�- |` !} '2 - - r 1, .! ! }E . a /} 1 | ) } [] —r — - gts g | U | �■ \ _ -1- —7— --7— I § §§ --8 \ , i !) § 1; 01 111 —/ §| a g ! 54 )|\—I! |§ , I ■y ■ | |! |�=!§;= §4 yi\ |g{ |g § |g 11 |( al '- — § 1 `1 08 1}9§1g Jg a\hg ( ! '� |R:�!/ \ §/& R §§Nf§ | |§ || §) / . ! n \|) {i|§ • Miscellaneous cash Receipt , MIAMI BEACH „u„ :CITY OF No„ 4263u !, -I- ! • !, !„ „ 0csh . En credit Card C:1co(,ck# 20 „ k ,Rivedof mt,R 20;2.T. )C46':> ' MI' ‘Lr3 1 Miscell@ne°u§,1 !7":3 ' i!'!!!! \ (:)- !'” • !! 1.-10-t-tV 11 )!. ,!! :-,F8FR OPEN(MGR) " ')"".‘" , 1 t!, "! 'F,2\rn I Payment Amount: - • 0 ,s 4261A0t (THIS INFORMATION MUST B Office t FInancebIrector By ' LI -=. Account Number. I • •'-•••\• -!* - : Preparer Dept