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Nicholas J. Rodriguez - Aria Mehrabi RECEIVED DocuSign Envelope ID:4A177362-4939-4392-9DD8-3736949E33D9 MAR 21 2023 Received CITY OF MIAMI BEACH MAR 2'1 20.23. MIAMI BEACH F+r ;s,� ITY CLERK Of�e of�he Clty Ch�rk 1700 Convention Center Drive CLERK OF THE Miami Beach, FL 33139 SPECIAL MAGISTRATE 305.673.7411 LOBBYIST REGISTRATION FORM 446r- Gilt Lobbyist means all persons employed or retained,whether paid or not, by a principal who seeks to encourage the pas e, 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: Rodriguez Nicholas - J. NAME OF LOBBYIST (Last) (First) (Middle Name) Bercow Radell Fernandez Larkin&Tapanes,PLLC 200 South Biscayne Blvd.,Ste. 300 Miami,Florida 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 374-5300 nrodriguez@brzoninglaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: 3 c e 19-t+c ) c Mehrabi Aria NAME OF PRINCIPAL (Last) (First) (Middle Name) North Beach Town Center Developments,LLC. 6988,6972,6964,6956,6948 Abbott Avenue, Miami, Fl 33141; 6957;6965 Ryon Avenue.Miami Beach, Florida 33141 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip (305)444-7770 aria@pacificstarcapital.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Rgalffiga{Lj Section 2-482(h)(1R9 Q principal a aii9,corporation,partnership,Cif C Gar" . "- m 0 lobbyist QCgfrrl compensation ?reimbursement f3nt=eta-.:bw.ju•�a. direct,indirect cg contingent lbG su.•ort Oa?o••osition j item shall register with the Glerk as required by this subsection but shall not be required in p y any r-•istration f 3 N LL 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): a . NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH w CORPORATION, PARTNERSHIP OR TRUST(if none,write N/A): Please see the attached. W Page 1 of 5 r n^^1,-,iSu19:g7.61E36.96DE-479E-9E4E-D47C3A1FBFFA Page 1 of 5 1D47C3A1FBFFA ,III 6'I III I DocuSign Envelope ID:4A177362-4939-4392-9DD8-3736949E33D9 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 • 6988,6972,6964,6956,6948 Abbott Avenue,Miami,Fl 33141; 6957;6965 Byron Avenue,Miami Beach Florida 33141 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. fV List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an appearance of impropriety(if none,write N/A): None L coL co u_ 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): $450 per hour M' Page 2 of 5 DocVerify ID:67AA3E36-96DE-479E-9E4E-D47C3A1FBFFA Page 2 of 5 2D47C3A1FBFFA 'III iP 'I III www.doaverify.com R31 brlR DocuSign Envelope ID:4A177362-4939-4392-9DD8-3736949E33D9 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 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: iil._Yes.XNo: 1f vi'esilhas7itibe""en71e'�tlf5TA12TmonthTncei ithTlectedrofficial(s)Zwhom you provided campaign 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 g 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. 0N _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: S —Yes XNo: If yes, were you promised or did you receive economic consideration in exchange for campaign consulting services, U Li; TO BE COMPLETED BY CITY CLERK'S STAFF ONLY w Annual Registration fee: [ ,]Yes[ ]No Amount Paid$ MCR# Date Paid 0 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 DocVerify cve co Dy �E36-96DE-479E-9E4E-D47C3A1 FBFFA Page 3 of 5 3D47C3AIFBFFA ,III 11111 IIII 111 DocuSign Envelope ID:4A177362-4939-4392-9DD8-3736949E33D9 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 COMP .N4314140N(DURING THE REPORTING PERIOD.' kiiyAkAritla Signature of Lobbyist: � O�aS `�' � �t'�0 � Date 03/03/2023 —D IAc515$449244t..... 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 C i lal{'r porting requirements. Signature of Lobbyist: MCIA,L9jrso u ne : � ° O Date 03/03/2023 u 1 Alibu`AS9444tl:...�.� r -- - Signature of Principal: Qha Ivlt.lA.ralai Date 03/03/2023 `•ab r ttlAtll tl 7l.b4b5..: . VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Florida State of Florida County of: -Miami-Dade County of: Miami-Dade 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❑ physical presence or IN online notarization, or 0 online notarization, . this day-of 03/03/2023 ,20_, by this_day of 03/03/202_3 ,20_, by Nicholas Rodriguez Aria MV hrabi NAME OF LOBBYIST NAME OF PRINCIPAL . Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION x Personally Kn rii "-' _Personally Kn - ___ N Signature of Notary Public Signature fNotar Public Diana Ramos iana amos cn Name of Notary,Typed, Printed or Stamped N Name of Notary,Typed, Printed or Stamped LL Mr6TA.RYtGAlI����� ��� �� Diana Ramos 4 Diana Ramos a / gommission#GG 308355 1 Commission#GG 308355 a Notary Public-State of Florida / Notary Public-State of Florida 1 o / Igy Commission'Expires Apr 10,2023 w 1 Th Igy Commission:Expires Apr 10,2023 persons: W. / 1 w .Expe vamamR?rs,-ziarn-weenn-rritTrerTratififIF Tantaff0 I or other specializCc`°:... — .....,.. ... "'any person who . 0 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 Mnot-for-profit:community based organization for the purpose of;requesting a grant without special compensation or.reimbursement for . the appearance. . Page4of5 DocVerify ID:67AA3E36-96DE-479E-9E4E-D47C3A1FBFFA Page 4 of 5 4D47C3A1FBFFA ,III � 'I III www.docverify.com' mar DocuSign Envelope ID:4A177362-4939-4392-9DD8-3736949E33D9 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:. Nicholas J. Rodriguez 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 l 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 LL $50.0.00 pursuant to Section 2-482 of the Miami.Beach City Code. LL LL DocuSigned by: o -id. ALS i. 4yi —(,Al4o txo .03/03/2023 D1A135D5430244CC... - Signature of Lobbyist Date F:\CLER1$ALL\aFORMS\LOBBYIST FORMS1Lobbyist Registration Form Revised 03-11-20 REG.doc Page 5 of 5. • DocVerify ID:'67AA3E36-96DE-479E-9E4E-D47C3A1FBFFA Page 5 of 5 5D47C3A1FBFFA 'III �P1I III. I www.docvedfy.com' . Page 6 of 8 DISCLOSURE OF INTEREST CORPORATION, PARTNERSHIP OR LIMITED LIABILITY COMPANY If the properly that is the subject,of the application is owned or leased by a corporation, partnership or limited liability company; list ALL of'the owners,shareholders, partners, managers and/or members,and the percentage of ownership held by each. If the'owners:consist of one or more corporations, partnerships, trusts, partnerships or other corporate entities,the applicant shall further disclose the identity of the individual(s) (natural persons) having the ultimate'ownership interest in the entity, North Beach Town Center Development, LLC(landlord) NAME OF CORPORATE ENTITY NAME AND ADDRESS %OF OWNERSHIP Aria,Metirabi,20,533 Biscayne Boulevard,#372 Miami,FL 33180 99.45 Tray Shadian„20533 Biscayne'Boulevard,#372 Miami,FL 33180 0 0 55 ) NAME OF CORPORATE ENTITY NAME AND ADDRESS' OF OWNERSHIP it } If there are'additiorial corporate owners, list such owners, including corporate name and the name,address and percentage of ownership of each additional owner, on a separate page. We.are corrimifted to providing excellent public service and safety to all who five,work,and ploy in our vibrant,tropical,hisioiic community. • A F docv'erify °CVEvo • Lobbyist Registration N. Beach Town Cntr NR executed.pdf •DocVerify ID: 67AA3E36-96DE-479E-9E4E-D47C3A1FBFFA Created: March 03, 2023 12:03:50 -8:00 • Pages: 5 Electronic Notary: Yes / State: FL • This document is a DocVerify VeriVaulted protected version of the document named above.It was created by a notary or on the behalf of a . -. notary,and it is also a DocVerify E-Sign document,which means this document was created for the purposes of Electronic Signatures and/or Electronic Notary.Tampered or altered documents can be easily verified and validated with the DocVerify veriCheck system. Go to www.docverifv.com at any time to verify or validate the authenticity and integrity of this or any other DocVerify VeriVaulted document. • E-Signature Summary ESignature Notary:Diana Ramos(dra) March 03,2023 12:06:09-8:00[31554D2E9490][74.220.90.117] • dramos@brzoninglaw.com III !I i • 1111111 IIIII 111111111111111111111'II 1111111'III 111111111111111'III'III • • DocVerlfy documents cannot be altered or tampered with in any way once they are protected by the DocVerify VeriVault System.Best viewed with Adobe Reader or Adobe Acrobat. All visible electronic signatures contained in this document are symbolic representations of the persons signature,and not intended to be an accurate depiction of the persons actual signature as defined by various Acts and/or Laws. DocVerify ID:67AA3E36-96DE-479E-9E4E-D4TC3AIFBFFA 'Generated Cover Pagel D47C3A1FBFFA ,III ''III www.docverify.com Os d 6 S k \\ ' 8 d .3 fi A "�3 S Miscellaneous Cash Receipt i r � ,431419' , CITY�OF MIAMI_BEA"Re- �.. a � .� '� No ��CashC7�Credrt Card �Check#`� , �i 20 ,`z Address1t � :ice`' r- ` For `°� ".Lgi;',.. ,\ t ds� � � ri� Rewua� °'avA air "'-" A u. 4 r ` �. f � � �4 Yp l V. \�AT1 g �b� f M -' • vg -\ .s z ° r ,;`-z . "s �U`MiscE Daneous` MMCR :2023 °�" w v stiff° °\te �� �` u s €��� �, e Val ., aV �, � �a �i• � & 1. 006010 0016 Ebani l"h. 03Y2112023 01:48PM � ' ' itikt: r� Payment Amount 350 00 -,-.t t' � ,x :' THIS INFORMATION MUST BE COMPLETED) % • office of Finance Director ?+ � \\\fib Account`number By - > ,a Prepares r � , Dept � .. EXT� _� .° 1 ��� �` e f'� k " ` a 4 +. *Sv. gig i �, v �, �Y # Y4 g >-? �6��� ,ivy v X - mod- qa s- 'P �,s ? 7 ,gr :1 k . ''144C144':;f:.-- ':',::IV:'Itr4::3,'',.'-cL?,''q: ','-;4WIC :;;;-", e*,:a334,,,,i," ,,4„-1-,4,4t,,,,,t4.41,,,,:.;:.,,,,,,,,,„ a�' d - 6 v s t. • ' \A r t \ :a "c o�3\ "aR w f:` �4,,,,,?,a �. , trF��• t�.• '�G�a< % • 'pp " y�y��,��y}���yy . :s3 -•`.,?1a• .; , .. .. 6V.S • V —I't1C.,V Welcome 006010-0015 ESN: T. 03/21/2023 01:48PM MISCELLANEOUS Reference 1: MCR_431419 NCR OPEN (NCR) 2023 Item: NCR 1 C 350.00 NCR OPEN (MCR) 350.00 350.00 350.00 350.00 Subtotal CHECK 350.00 Total Ch Number02002 ` Chance due 0.00 Paideck by: NORTH BEACH TOWN CENTER IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIiIIIIlllll W it�ry;�� t`-Ait rmrcvnvciuxuv�Lu w l .s..�+rfm . .. ] S" mm, ter . w nwom Marquez, David From: Nicholas 1Rodriguez-Caballero <nvodhguaz@Pbnooning|aw.conn> Sent: Tuesday,April 18' 2O23S:11 PM To: Marquez, David Cc: K4aido|yTeUeha Subject: AhaMehrabi North Beach Town Center Development LL[ Lobbyist Registration [THIS [ViESSAGE COMES FROM ANEhTER11AL EMAIL' USE CAUTION WHEN REPLYING AND OPENING LINKS DR ATTA[Hk8ENTSl David, The correct address for North Beach Town Center Development LL[ is40 E DIVIS[]N ST STE /\ O[)\/Ep| DE 19901 . The phone OUOOb8[ is 310-/180-5600. We authorize the Clerk's Offi[8 to make this change to the lobbyist registration. Thank you, Nick � hUichmUasJL Rodriguez-Caballero ������` BercowRadp|| Fernandez Larkin +Tapanes R4[)ELL 200S Biscayne Boulevard,Suite Miami, FL3319l FER0/\NDF7 S. ' ' ' � � � �4F{K|Nf | nmdriguez0)b�oning|awz b z om��wwrconing|awom 77\PANE8 0:(30S)37762341 F:(3O5)3770Z22 v[and BiographyZDN|NG.U\NoUSeANo LAW The information contained in this electronic message is privileged and confidential and is intended only for the use of the individual named above and others who have been specifically authorized to receive/t.n the recipient is not the intended recipient,you are hereby notified that any dissemination,distribution or duplication of the communication is strictly prohibited.If you have receivedthi, communication in error,or if any problems occur with transmission,please immediately notify us by telephone(305)374-5300.