Louis Terminello/Noah Restaurant, Inc.m MIAMIBEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
L,033LtY1ST RECCST24TION hUR~9
Lobbyist means all persons employed or retained, whether paid or not, by a prindpal who seeks to encourage the passage, defeat
or modification of any ordinance, re;alu[ion, action or decision of any commissioner; any action, decision, recommendation of the
City Manager or any oily board or committee; or any action, decision or recomrnendatinn of any city personnel Bunny the time
period of [he entire decision-making process on such action, decision or recornrnendabon that f4reseeably will be heard or reviewed
by the city commis ion, or a city board or committee. The term specifically includes the prinupa( as well as any employee engaged
in lobbying activities. The term "Lobbyists" has specific exclusions. Please reter to Ordinance 2004-3435_
Terminello Louis J
NAME OF LOBBYIST-: (Last) (First) (M.1)
'Terminello & Terminello. P.A. 2700 SW 37th Avenue i`1i3mi 1~'lorida 33133
L3USINESS NAME AND ADDRESS (Number and Street) (Cdy) (State) (Zip Code)
305.444.500'L 305.448.5566 ljt@terminel.lo.com
i t~tYHUNt NUMtftR: FAX NUMBER FMAtI
I. LOBBYIST RETAINED BY:
Noah Restaurant, Inc.
NAME OF PRINCIPAL/CLIENT:
Noah, 4770 Biscayne Boulevard, Suite 60, Miami, Florida 33137
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zp Code)
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill
a c.orporafJOn,
NAME OF CIIiEF OFFICER, PARTNER, OR BENEFICIARY:
or Trust [Section 2-482 (c)J
Pierre Heafey
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A S% OR MORE OWNERSHIP INTEREST 1N Sl1Cti
CORPORATION, PARTNERSHIP OR TRUST:
Pierre Heafey (507) and Thomas Billante (50~)
II. SPECIFIC LOBBY ISSUE:
Application for Conditional Use Approval for Restaurant at 101 Ocean Drive
Issue to be lobbied (Describe in detail):
III_ CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
Planning Board No
Planning Director No
I1/. DISCLOSURE OF TERM. ~D AMOUNTS OF LOBBYIST COMPENSATION (D_ _OSE WHETHER HOURLY,
FLAT RATE OR OTH£Rr q~
A) LOBBYIST DISCLOSURE: (Required) --'+' 7, ~~~ ~ f L''4 ~ 2 4 Trv~~T~'/'~~ (,~Op,o~p~(~" {~[w(Z /~F'f~wZ- ~ S~`
I~ f M-W (°
B) PRINCIPAL'S DISCLOSURE (OF L088YIST COMPENSATION): (Required).__.`~_ =7 ~? n~~ ~ ~ L sr T ~A ~ C~,.r,t.~N ,g y0D • °'
~eYj- tfou 2 ~+-a'-rt (L t ~ t t~~-~~.
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":
^ Yes C5 No: 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 Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
lYes fit 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 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..
0 Yes ~No: Are you representing anot-for-profit corporation or entity without special compensation
or reimbursement. .
V. SIGNATURE UNDER OATH:
REPORTING PERIOD.
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 PREC NG CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEND URES OR COMPENSATION DURING THE
Signature o 0
I do solemnly swear that all h foregoing facts are true and correct and that I have read or am
familiar with the provisions n ivied in Section 2-482 of the Miami Beach City Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Principe'(%Client: ~_ -
:~
~,-~- ~.
VI. LOBBYIST IDENTIFICATION: __-- PRINCIPA~UFNTIFICATION:
^ Produced ID ^ Produced ID
Form of Identification Form of Identification
?i' Personally known (Lobbyi Personally known (Princi
,,~,,,~,,,,, LOURDES CECILIA OCAMPp
VII. SIGNATURE TARY: _-.~ ~ '~~ ~" ~- Nofary Public - State of Florida
- .' 1`~"
P~t~~,~1~~~,'~,i~°" ~ ~~ Q_MyCammissionExpiesgpl1,20i15
State of Flor oun State of Florida, County of a' Commission # DD309244
Sworn sal ~ r ~ Swom and subscribed,befor ""' `Bonded By NationalNotoryassn.
This - dr~~ ofE , ZO ~d This~day of ~
Notarization
Signature
FOR CLERK'S USE ONLY
Annual Registration fee: [ ]Yes [ ] No Amount Paid MCR # Date Paid
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.doc Revised 12/08/04
m MIAMIBEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Driver Miami Beach, FL 33139
LOBBYIST REGISTR:1'I'10~ FOR11
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 rommissioner; 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 dty board or committee. The term speGfically includes the principal as well as any employee engaged
in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Terminello Louis J
NAME OF LOBBYIST: (Last) (First) (M.I}
Terminello & Terminello. P.A., 'L700 SW 37th Avenue, Miami, Florida 33).33
BUSINESS NAME AND ADDRESS (Number and Street} (City) (State) (Lip Code)
305.444.5002 305.448..5566 ljt@terminello.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Heafey / Bentley Hotel, LLC
NAME OF PRINCIPAL/CLIENT:
1717 North Bayshore Drive, Suite 102, Miami, Florida 33132
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305.523.3344
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
out this section if principal is a Corporation, Partnership or Trust [Section 2-~
Pierre Heafey
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
• IDENTIFY ALL PERSONS BOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MOR~E- OWNER IP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: See attached ~f~.~;fo1~ ~fM,
II_ SPECIFIC LOBBY ISSUE:
Application for Conditional Use Approval for Restaurant at 101 Ocean Drive
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title 6) Any Financial, Familial or Professional Relationship
Planning Board No
Planning Director No
IV. DISCLOSURE OF TERM. iD AMOUNTS OF LOBBYIST COMPENSATION (D. _OSE WHETHER HOURLY,
FLAT RATE OR OTHERf
A) LOBBYIST DISCLOSURE: (Required) ~ 7~ GjC~ ~ F L~ I 2 '`1- Tt=~ , ~~-e.~ ,~ l-(atl. `ra ~~ F{~cn(I- ,¢F-t-~~.
i5f l~G4R~~ 4 .
B) .PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). -~ ~~ ~ (7Q ~ ~ (-'`IT ~'~ ' ~~ _ Tlka..r~~-I,Ov• ~~
The following information must be answered:
I) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
^ Yes l~ No: Are you lobbyinn on a present or pending bid for goods, equipment or services, or an a
present or pending award for goods, equipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
^Yes ~NO: Are you lobbying on a pendina 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 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..
^ Yes i~JNo: Are you representing anot-for-profit corporation or entity without special compensation
or reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~ OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDIT S, AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PREC I G CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEND UR~S OR COMPENSATION DURING THE
REPORTING PERIOD.
Signature of Lobbyist
I do solemnly swear that all
familiar with the provisions c
requirements.
Signature of Lobbyist:
Signature of Principal/Cli nt:
VI. LOBBYIST IDENTIFICATION:
PRINCIPAL
~_i Produced ID 41 Produced ID
Form of Identification
Form of Identification
rsonally known (Principal)
State of Florida, County of Miami
Swor nd subscrib d before me
This day of ~ , 2~
Signature of Pu~c Notary - Stat~ef Flor
Notarization o Principal's signature
>ES CECaLIA C-~CAMPC
P~.,t>lic -State of Finno~
Commis.~ic~n # DD309~»4
87n~-ied By Nonona' ~ dn~nn~ ak:~
.,..'..,~...,.,.,..-.,;~a...~nr,..,w•-ter wr~°-ter
FOR CLERK'S USE ONLY
Annual Registration fee: [ ]Yes [ ] No Amount Paid MCR # Date Paid
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.doc Revised 12/08/04
foregoing facts are true and correct and that I have read or am
I in Section 2-482 of the Miami Beach City Code and all reporting
Personally known (Lobbyist)