Michael Larkin/North Beach Flats, LLC
_ I t1:J ... ,~
, ~~ MI.AMI BEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRA nON 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 Ordinance 2004-3435.
Larkin
Michael
W.
NAME OF LOBBYIST:
(Last)
(First)
(M.!)
Bercow & Radell, P.A. Biscayne Blvd., Suite 850
BUSINESS NAME AND ADDRESS (Number and Street)
Miami
(City)
Florida
(State)
33131
(Zip Code)
(305) 377-6231
TELEPHONE NUMBER:
(305) 377-6222
FAX NUMBER:
mlarkin@brzoninglaw.com
Ef~AIL:
I. LOBBYIST RETAINED BY:
North Beach Flats, LLC
NAME OF PRINCIPAljCUENT:
North Beach Flats. LLC
BUSINESS NAME AND ADDRESS
321-33 84th Street
(Number and Street)
Miami Beach
(City)
Florida
(State)
33141
(Zip Code)
(305) 828-4070
TELEPHONE NUMBER:
(305) 828-9875
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, OR BENEFICIARY: Oscar Delgado
.
· IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: See attached Exhibit A
II. SPECIFIC LOBBY ISSUE:
Design Review Approval with regard to property located at 321-33 84th Street Miami Beach, Florida
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Any Financial, Familial or Professional Relationship
DRB
None
4
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I FLA TJRA TE OR OTHER):
" A) LOBBYIST DISCLOSURE: (Required) $320.00
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $320.00
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The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
D Yes X No: Are YOU lobbyina on a Dresent or Dendina bid for aoods. eauiDment or services. or on a
Dresent or Dendina award for aoods. eauiDment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes X No: Are YOU lobbyina on a Dendina aDDlication for a DeyeloDment Aareement with the City or
aDDlication for chanae of zonina maD desianation or chanae to the City's Future Land Use
MaD?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist" as set forth in Section 2-481 above) 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 clerk as required by this
section but, shall not be required to pay any registration fees..
D Yes X No: Are YOU reDresentina a not-for-Drofit corooration or entity without sDecial comDensation
or reimbursement. .
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.
~~~
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. ~ I I
Signature of Lobbyist: ' , f.b r..-v
Signature of Principal/Client:!
VI.
LOBBYIST IDENTIFICATI
PRINCIPAL IDENTIFICATION:
~oduced ID pi I':::::.l 6-1? 3-V3 3 - & y- ~f'y-i>
Form of Identification
D Produced ID
o
co
....
m
co
J Personally known (Lobbyist)
Form of Identification
gnature of Public Notary - State of rid a
Notarization of Lobbyist's signature
D Personally known (Principal)
~ ".!It. Ana HernandeZ
!'~'->f.. My commislion 00195837
'\~I c..........AprlI12.2007
or", ........-
. -Dade
SIGNATURE AND STAMP OF NOTARY:
Annual Registration fee: [' Yes [ ] No
Lobbyist Registration Form received and verified by:
F:\CLER\$ALl\MARIA-M\LobbyIst\LOBBYIST fORM OS.doc
Entered By:
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...
EXHIBIT "A"
Disclosure of Interest
The following is the Disclosure ofInterest for North Beach Flats. LLC.
Name of Interest Holder
Percenta!!e Interest
DELGADO BROTHERS REAL ESTATE DEVELOPMENT, INC.
15476 NW 77 COURT, #705
MIAMI LAKES, FL 33016
POWER ONE REAL EST ATE INVESTMENTS, LLC
7900 NW 155 STREET, #201
MIAMI LAKES, FL 33016
50.00%
50.00%
D
The following is the Disclosure ofInterest for Del!!ado Brothers Real Estate Development. Inc.
JOSE DELGADO
15476 NW 77 COURT, #705
MIAMI LAKES, FL 33016
OSCAR J. DELGADO
15476 NW 77 COURT, #705
MIAMI LAKES, FL 33016
50.00%
50.00%
TOTAL
100.00%
The following is the Disclosure ofInterest for Power One Real Estate Investments. LLC
MICHAEL CAMILLERI
7900 NW 155 STREET, #201
MIAMI LAKES, FL 33016
25.00%
LUIS ESPINOSA
7900 NW 155 STREET, #201
MIAMI LAKES, FL 33016
RENE CAMBERT
7900 NW 155 STREET, #201
MIAMI LAKES, FL 33016
REGINALD BEANE
7900 NW 155 STREET, #201
MIAMI LAKES, FL 33016
25.00%
25.00%
25.00%
TOTAL
100.00%