Maefield Holdings, LLC
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
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 dty board or committee; or any action, decision or recommendation of any
city personnel defined in any manner in this section, 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 dty board or
committee. The tenn specifically indudes the principal as well as any employee engaged in lobbying activities. The term
~LobbylstsW has specific exclusions. Please refer to Ordinance 2004-3435.
NAME OF LOBBYIST:
Larkin
(Last)
Michael
(First)
(M.I.) DATE QUALIFIED AS LOBBYIST
200 S. Biscavne Boulevard. Suite 850
BUSINESS ADDRESS: (Number and Street)
Miami
(City)
Florida
(State)
33131
(Zip Code)
305-374-5300
TELEPHONE NUMBER:
305-377-6222
FAX NUMBER:
EMAIL:
I. LOBBYIST RETAINED BY:
Maefield Holdinas. LLC
NAME OF PRINCIPAUCLlENT:
1526 BlueiavWav
BUSINESS ADDRESS: (Number and Street)
Los Anaeles
(City)
California
(State)
90069
(Zip Code)
310-360-7712
TELEPHONE NUMBER:
310-360-7711
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section If principal Is a Corporation, Partnership, or Trust [Section 2-482 (c)]
? NAME OF CHIEF OFFICER, PARTNER OF BENEFICIARY: Mark Siffin
? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST
IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Desian Review Board ADDroval
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of IndlvldualfTItle B) Relationship
Joroe Gomez, Director None
William Carev None
Thomas Moonev None
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $300.00
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $300.00
j! Yes~'~ y~n~~ e ~-D~~~~ ~r entity without sDeclal comDensatlon or
I reimbursement. Pursuant to Ordinance No. 2004-3435.
1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach Citv Code Chaoter 2. Article VII. Division S
Thereof Entitled "Camoalan Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaian Contributions Bv Lobbvists On Procurement Issues":
i!!! Y-~ VNO: Are ~ou 10bbYI~ on ~:~::n~ c:.:n:~n~ bl~c:r Goods. eGUIDment or services. or on a Dresent
~ or oendlnD award for Good,. eGUIDmeD!; or service?
2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach Citv Code Chaoter 2. Article VII Division 5
thereof Entitled "Camoaian Rnance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaian Contributions Bv Lobbvists On Real Estate Develooment Issues":
!l1!Yes ~o: Are YOU lobbyinG on a DendinG aDDllcation for a DeyeloDment AGreement with the City or
aDDlicatlon for chanGe of zoninG maD desiGnation or chanGe to the City's Future Land Use MaD?
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTlNG LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED,
IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED
EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
~~./~
Signattir of Lobbyist
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or
am familiar with the provisions contained in Section 2-482 of the Miami Beach City Code and all
reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI.
D Produced ID
~duced ID !/Jr/tdflQ /Jrv. (-,C--
Form of Identification
Form of Identification
~ersonallY known (Lobbyist)
D Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to al),.d subscribed before me
This \~ ~dayof ~--' 20.Q..'-\-
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Signature of Public Notary - tate Flori
Notarization of Lobbyist's signature
FOR CLERK'S USE ONLY
Annual Registration fee: [~ [ ] No Amount Paid MCR # .::l~9 3W Date Paid
Lobbyist Registration Form received and verified by:
Revised 02/10/04 F: CLER\ALL MARIA-M\LOBBYIST\LOBBYIST FORM 04
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1 First Revision - 05-17-02
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
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 dedsion 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 defined in any manner in this section, 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 dty board or
committee. The term spedfically indudes the principal as well as any employee engaged in lobbying activities. The term
-Lobbyists- has specific exclusions. Please refer to Ordinance 2004-3435.
NAME OF LOBBYIST:
Larkin
(Last)
Michael
(First)
(M.!.) DATE QUALIFIED AS LOBBYIST
200 S. Biscavne Boulevard Suite 850
BUSINESS ADDRESS: (Number and Street)
Miami
(City)
Florida
(State)
33131
(Zip Code)
305-374-5300
TELEPHONE NUMBER:
305-377-6222
FAX NUMBER:
EMAIL:
I.
LOBBYIST RETAINED BY:
Maefield Holdinos LLC
NAME OF PRINCIPAUCLlENT:
1526 Blueiav Way
BUSINESS ADDRESS: (Number and Street)
Los Anoeles
(City)
California
(State)
90069
(Zip Code)
310-360-7712
TELEPHONE NUMBER:
310-360-7711
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section If principal Is a Corporation, Partnership, or Trust [Seellon 2-482 (c)]
? NAME OF CHIEF OFFICER, PARTNER OF BENEFICIARY: Mark Siffin
? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST
IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Demolition Ordinance reoardino noncontributino structures
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of IndlvlduallTltle B) Relationship
Joroe Gomez, Director None
Mercv Lamazares None
Richard Lorber None
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) 5300.00
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). 5300.00
~::::~~':"r:~:'~~~:n~ ~o ~~~~;::to~~=~:;5~r entitv without sDecial comDensation or
1) Pursuant to Ordinance No. 2003-3393 Amendino Miami Beach atv Code Chaoter 2. Article VII. Division 5
Thereof Entitled "Camoaion Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaion Contributions Bv Lobbvists On Procurement Issues":
!!!l Ye,~ No: Are YOU lobbyinG on a Dresent or DendinG bid for Goods. eGUiDment or services. or on a Dresent
or DendinG award for Goods. eauiDment or service?
2) Pursuant to Ordinance No. 2003-3395 Amendino Miami Beach Citv Code Chaoter 2 Article VII Division 5
thereof Entitled "Camoaion Finance Reform" Via The Addition Of Code Section 2-490 Entitled "Prohibited
Camoaion Contributions BY Lobbvists On Real Estate Develooment Issues":
i!\!Yes ~: A: :O:~ob:YinG ~n a =n~inG aDDIi~t;:n for a D~Ye;O~m~nt AGreement with the Citv or
I aDDlication for chanGe of zoninG maD desiGnation or chanGe to the Citv's Future Land Use MaD?
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED,
IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED
EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
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I do solemnly swear that all of the foregoing facts are true and correct and that I have read or
am familiar with the provisions contained in Section 2-482 of the Miami Beach City Code and all
reporting requirements.
Signature of Lobbyist:
~
Signature of Principal/Client:
VI.
o Produced ID
Form of Identification
6ersonallY known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
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State of Florida, County of Miami-Dade J Ii H' 'j
Sworn d subscrib befOre~e. if i I
This day of . 20 t 1"1 1"'1
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Signature of Public Notary - State of Flori
Notarization of Principal's signature
o Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This \'6~ dayof ~200~
~.~~
Signature of Public Nota - stc\te of ~rida
Notarization of Lobbyist's signature
FOR CLERK'S USE ONLY
Annual Registration fee: ~ [ ] No Amount Paid ~O~R # tl~9 ..ISO Date Paid V r 10/'
Lobbyist Registration Form received and verified by: (
Revised 02/10/04 F: CLER\ALL\ -M\LOBBYIS1\LOBBYIST FORM 04
1 First Revision - 05-17-02
...
..
,."
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
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 defined in any manner in this section, 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 Ordinance 2004-3435.
NAME OF LOBBYIST:
Larkin
(Last)
Michael
(First)
(M.!.) DATE QUALIFIED AS LOBBYIST
200 S. Biscavne Boulevard Suite 850
BUSINESS ADDRESS: (Number and Street)
Miami
(City)
Florida
(State)
33131
(Zip Code)
305-374-5300
TELEPHONE NUMBER:
305-377-6222
FAX NUMBER:
EMAIL:
I. LOBBYIST RETAINED BY:
Maefield Holdinas. L.L.C.
NAME OF PRINCIPAUCLlENT:
1526 BlueiavWav
BUSINESS ADDRESS: (Number and Street)
Los Anceles
(City)
California
(State)
90069
(Zip Code)
310-360-7712
TELEPHONE NUMBER:
310.360-7711
FAX NUMBER: (Optional)
EMAIL: (Optional)
Fill out this section if principal Is a Corporation, Partnership, or Trust [Section 2-482 (c)]
? NAME OF CHIEF OFFICER, PARTNER OF BENEFICIARY: Mark Siffin
? LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST
IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Gilbert Fein District
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Indivldual/Tltle B) Relationship
JOl"!le Gomez, Director None
William Carey None
Thomas Moonev None
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.
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $300.00
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $300.00
~~:':::':nr::C':~~~:~ ~o ,:;~r~::c~~~';;':;~~:5~r entitv without sDeclal comDensation or
1) Pursuant to Ordinance No. 2003-3393 Amendino Miami Beach Citv Code Chaoter 2. Article VII. Division 5
Thereof Entitled "Camoaion Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited
Camoaion Contributions Bv LobbYists On Procurement Issues":
~ YesJ~ ~~: !er:d~~~ ~::~~:ro:o~:~:::~D%:~:~n~~~~~r Goods. eGuiDment or services. or on a Dresent
2) Pursuant to Ordinance No. 2003-3395 Amendino Miami Beach Citv Code Chaoter 2. Article VII Division 5
thereof Entitled "Camoaion Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited
:m:i:n ~n::tion:~ L:b~: ~n Re::t~:elo:,m:nt I:ues":
iYe,,~ . A 0 0 inG an' G DDIl n r D ve ODm nt AGreement with the Citv or
aDDlication for chanGe of zoninG maD desiGnation or chanGe to the Citv's Future Land Use MaD?
V. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, USTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED,
IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED
EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
~ cL/~
Signature of byist
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or
am familiar with the provisions contained in Section 2-482 of the Miami Beach City Code and all
reporting requirements.
~
Signature of Lobbyist:
Signature of Principal/Client.
VI.
FICATION:
~duced ID !rdionQ Dr Lc.
Form of Identification
o Produced 10
Form of Identification
~rsonallY known (Lobbyist)
o Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to <wd subscribed before me
This \~~ day of~'u-...vV .200'\-
a
~.~
Signature of Public Notary Stat of FI~a
Notarization of Lobbyist's signature
State of Florida, County of Miami-Dade
Sworn aJ1p:"subscribed before me IV J
This ----&.:r.day of //Y) V ' 20lk-Y
raI/~iL ~~
Signature of Public Notary - State of Florida
Notarization of Principal's signature
.
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JJIII
f
FOR CLERK'S USE ONLY
Annual Registration fee: [~ [ ] No Amount Paid .ids-. ~CR #,tc,,93m Date Paid S-://~t1V
Lobbyist Registration Form received and verified by:
Revised 02/10/04 F: CLER\ALL\MARlA-M\LOBBYIST\LOBBYIST FORM 04
1 First Revision - 05-17-02