Michael Larkin/Seth Gadinsky/745 Collins Avenuem 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 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.I)
Bercow, Radell & Fernandez 200 S. Biscayne Blvd., Suite 850 Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 377-6231 (305) 377-6222 MLarkinCalbrzoninglaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Seth Gadinsky, President
NAME OF PRINCIPAL/CLIENT:
Matacumbe Enterprises, Inc 325 South Biscavne Blvd ,Suite 1724 Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 347-5415 SethColGadinskyrealestate.com
TELEPHONE NUMBER: 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:
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Development approvals for property located at 745 Collins Avenue.
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 and Zoning Department Staff, DRB, BOA, Planning I None
Board, City Commission
x11. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY
Fa,,t;r~rz~ oR orNC~r
A) LOBBYIST DISCLOSURE: (Requirod) 5385 DDS hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Relquir~ed). 5385 OD oar hour
The folOmlving irrfarrnation must be ar>tsMrered:
1) Pursuant bo Miami Beach City Code Sedan 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issuesp:
~ Yes ~. Nom. Ara you lobb,a or taendino bid for g eauioment or services. or on a
ar oendhw award fg,BQ~,ealuiomerrE or setvk~?_
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Devebpment Issues":
~, Yes X Na A~you r+eorasenti~ a not-tor-e>trotit aorvQratl>Qn or enti!`v without sal conwensatiott
~lhlitIIta
Y. SIGNATURE UNDER OATH:
ON tXTOBER 1~ OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATIION
RECEIVED. IN THE CM OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SMALL BE FILED EVEN IF THERE HAVE BEEN IMO EXPENDITURES OR COMPENSATION DURING THE
REPORTING PERIOD. i/I/J~ i. ~--
Signature bf Lobbyist
'~ w
~ ° :~
~~ ~~ .~
t- F ~,
~ `c ~
~~~~
Jr
~~~I
~~.>~'
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 captained in Section 2-482 of the Miami Beach City Code and atl reporting
requirements. _ _ ,,
Signature of Lobbyist:
Signature of Principal/Qient:
Vi. LOBBYIST IDENTIFICATION:
~ Produced ID
Form of Identification
Personally known (L obbyi~)
VII. SIGNATURE AND STAMP OF NOTARY:
State of F~,rida, County
This
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
.e-PErsonally known (Prin w,~„rr~w,+~.~,~,r~,
ap`-"r °~ Notary Public State of Florida
Marc R Halpern
y ~ My Commiasion 00789014
State of Ronda, County o ~j Expires 0 312 9/2 01 2
Swom and subscribed befo me
This t7 day of 2p0 Y
Signature of Pubik No ry -State of Fbrida
Notarizatbn of Prindpai's signature
of Public Notary - Stat~bf Fbrida
ti~on of Lobbyist's signature
FOR CLERK'S USE ONLY
Annual Registration fee: [ ]Yes [ ] No Amount Paid ~~ MCR #
Lobbyist Registration rrorm received and verified by: Entered By:
;Paid ~ Z ~
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist" as set fortfi in Section 2-481 above) who only appears as a representative of anot-for-profit
corporation or entity wigaout special compensation or reimbursement for the appearance, whether direct, or
indirect, to express support of or opposit~n to any item, shalt register with the clerk as required by this
section but, shall not be required to pay any registration fees..
EXHIBIT B
DISCLOSURE OF INTEREST
Matacumbe Enterprises, Ltd.
325 S. Biscayne Blvd, #1724
Miami Beach, FL 33131
NAME OF INTEREST HOLDER
1. Matacumbe Enterprises, Inc.
Seth Gadinsky, President
325 S. Biscayne Blvd, #1724
Miami Beach, FL 33131
Seth Gadinsky 50%
325 S. Biscayne Blvd, #1724
Miami Beach, FL 33131
Lyle Stern 50%
1665 Washington Avenue, PH
Miami Beach, FL 33139
Subtotal 100%
2. Seth Gadinsky
325 S. Biscayne Blvd, #1724
Miami Beach, FL 33131
3. Lyle Stern
1665 Washington Avenue, PH
Miami Beach, FL 33139
4. Marylyn Gadinsky
325 S. Biscayne Blvd, #1724
Miami Beach, FL 33131
5. Bruce Koniver
1665 Washington Avenue, PH
Miami Beach, FL 33139
INTEREST
1.0
24.5
24.5
25.0
25.0
TOTAL 100.0