James E. Rauh/WSG 34th Street LLCm MIAMIBEACH
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 enrnurege the passage, defeat
or modification of any ordinance, resolution, action or decision of any commissioner; any action, derision, 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, deasion or recommendation that foreseeably will be heard or reviewed
by the dty commission, or a city board or committee. The term spedfically includes the principal as well as any employee engaged
in lobbying astiuit'l~s. 'The teen "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
NAME OF LOBBYIST: (Last) I
BUSINESS NAME AND ADDRESS (Number and Street) (City)
(moo s~ ~3 ~- - x-'75 ~ (~o~~
TELEPHONE NUMBER: FAX NUMBER:
I. LOBBYIST RETAINED BY: ~~
NAME OF
B ~~` ~-~~
(State) (Zp Code)
BUSINESS NAME AND ADDRESS (Number and Street) (City)
NUMBER:
FAX NUMBER: (Optional)
EMAIL: (Optional)
out this section if principal is a Corporation, Partnership or Trust [Section 2-482
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: ,? ~~ c? 'i ~` : C~u' ~' .
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
~~ P G,~~~Ct i/~ (,~
II. SPECIFIC LOB((B~~Y ISSUE: 4 ('~
'~.(jp~1C~AT-~(,tor Vc~'~c._~11C~4fiOC~tk~~CQTtC7~.~.•~
I~ue to be lobbied (Describe in detail): ,Q rC) ~~(' \/ ~ 1 ~,~~
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
JuG~,~~bn"1 ~ I~,r-~C.
or Caat7-Cb~l~,~~/s~a,
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
(M.I)
,~~ ~ ~~ 5~. ~, ~Q~-~S-,,-f-L.~~~3~
(State) j (Zip Code)
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLATRATEOR OTHERf. `'] y^~ j~
A) LOBBYIST DISCLOSURE: (Required) ~ 1 `,,~V L..I~ ~ ~ 1~.T~ (-~
//~~..~ C~ . pp
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). , ~ VQ. "" M ptiITHL~
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
Qn Procurement Issues":
` uresent or oendingaward for goods eouioment or service
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
aoolication for chance of zoning mao designation or chance to the Citv's Future Land Use
Man?
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 anot-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..
Qr reimbursement. .
V. i SIGNATURE UNDER OATH:
ON OCTOBER 1~ 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 P NG CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPi=NDITU ES OR CTION DURING THE
REPORTING PERIOD. ;
t- ..ice ~~'
r f Signature of Lobbyist
,.
I do solemnly swear that all of the foregoing ctS°~re true and correct and that I have read or am
familiar with the provisions contaJ ige~yn Sectjgr~~-~ of the Miami Beach City Code and all reporting
requirements. / ~'
Signature of Lobbyist:
Signature of Princ
VI. LOBBYIST
0 Produced ID
^ Produced ID
Form of Identification
ersonally known (Principal)
Form of Identification
Personally known (Lobbyist)
VI . SIGNATURE AND STAMP OF NOTARY:
. .................................o.oo...r
State of Florida, County of Miami-Dade State of Florida, County of Miami-Dade USSETTE VARtiA3
Sw ~d subscr' d be(O(~ --, onstanza To worn and subscribed b ore me a~ ue, Comn~OD06115d3
i day @f--' i/? his day of 20 ~ ~ ~ E~Irea 11/2/2010
/ Commission #DD28720~~ -~
T~~- ~-~, ,'~ ' ;Expires: Feb 03, 2008 e ~„~a N-':yAan.•Inc
Si nature of Pu ota - SE3te~o lori BondedTinu """""""""""""""""""""""
g n' i~tlantic Bon ' „ L,~Signature Pu lic Notary -State of Florida
Notarization of Lobbyist's signature ~o Notarization of Principal's signature
OR Crti LY ~
Annual Registration fee: [ es [ ] No A ount Paid MCR #~ ~~~~te Paid~~~
Lobbyist Registration Form received and verified
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM ~5. oc Revised 12/08/04
CITY OF MIAMI BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
1. LIMITED LIABILITY COMPANY
If the property which is the subject of the application is owned or leased. by a CORPORATION,
list the principal stockholders and the percentage of stock owned by each. Where the principal
officers or stockholders consist of another corporation(s), tnistee(s}, partnership(s) or other
similar entity, further disclosure shall be required which disclosures shall which discloses the
identity of the individual(s) (natural persons) having the ultimate ownership interest in the
entity).*
WSG 34TH STREET. LLC
LIMITED LIABILITY COMPA?tiTY NAME
Name, Address, and Office % OF STOCK
Philip Wolman 46.21
Eric Shepard 46.25
Canyon Partners, LLC 5.00
Canyon Sands Venture, LLC 2.50
IF THERE ARE ADDITIONAL CORPORATIONS, LIST OTHERS, INCLUDING CORP.
NAME(S) AND EACH INDIVIDUAL'S NAME, ADDRESS, OFFICE AND PERCENTAGE
OF STOCK, ON A SEPARATE PAGE.
NOTE: Notarized signature required on page 8
6
CITY OF MIAMI BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
1. LIMITED LIABILITY COMPANY
If the property which is the subject of the application is owned or leased by a CORPORATION.
list the principal stockholders and the percentage of stocl. owned by each. Where the principal
officers or stockholders consist of another corporation(s), trustee(s), partnership(s) or other
similar entity, further disclosure shall be required which disclosures shall which discloses the
identity of the individual(s) (natural persons) NavintJ the ultimate ownership interest in the
entity).*
CANYON PARTNERS LLC
LIMITED LIABILITZ' COMPANY NAME
Name, Address, and Office % OF STOCK
Jeffrey Krieger 50
Matthew Krieger 10
Daniel. Adler ~ 5
Gerald Rosen
IF THERE ARE ADDITIONAL CORPORATIONS, LIST OTHERS, INCLUDING CORP.
NAMES j AND EACH INDIVIDUAL'S NAME, ADDRESS, OFFICE AND PERCENTAGE
OF STOGIE; ON A SEPARATE PAGE.
NOTE: Notarized signature required on page 8
6
Robert Goldstein 1 ~
Robert Pearlberg
Robert Ejger
John Cerreta
Joshua Bratter 2.5
IF THERE ARE ADDITIONAL CORPORATIOi~S, LIST OTHERS, INCLUDING CORP.
NAME(S) AND EACH INDNIDUAL'S NAME, ADDRESS, OFFICE AND PERCENTAGE
OF STOCK, UN A SEPARATE PAGE.
NOTE: Notarized signature required on page 8
CITY OF MIAMI BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
1. LIMITED LIABILITY COMPANY
If the property which is the subiect of the application is owned or leased by a CORPORATION,
list the principal stockholders and the percentage of stock owned by each. V1There the principal
officers or stockholders consist of another corporation(s), trustee(s), partnership(s) or other
similar entity, further disclosure shall he. required which disclosures shall. which discloses the
identity of the individual(s) (natural persons) having the ultimate ovv~lership interest in the
entity).
CANTON SANDS VENTURE, LLC
LIMITED LIABILITZ' COMPANY' NAME
Name, Address, and Office °io OF STOCK
David Birnbaum l 7.64705882
Tom 0. Hanson 5.882352941
Niclc Muscato 11.76470588
Mark Rankin 11.76470588
Allen Schwartz 17.64705882
IF THERE ARE ADDITIONAL CORPORATIONS, LIST OTHERS, INCLUDING CORP.
NAME(S) AND EACH INDIVIDUAL'S NAME, ADDRESS; OFFICE AND PERCENTAGE
OF STOCIt, ON A SEPARATE PAGE.
NOTE: Notarized signature required on page 8
Terrance Smith 5.882352941
David White 5.882352941
Fred Wilson 23.52941176
IF THERE ARE ADDITIONAL CORPORATIONS, LIST OTHERS, INCLUDING CORP.
NAME(S) AND EACH INDIVIDUAL'S NAME, ADDRESS, OFFICE AND PERCENTAGE
OF STOCK, ON A SEPARATE PAGE.
NOTE: Notarized signature required on page 8
6