Jonathan W. Cardello/South Beach Heights I, LLC (2)m MIAMIBEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist means a'dl 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 dec(slon 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 foreseeabiy 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.
CARDELLO, JONATHAN W.
NAME OF LOBBYIST: (Last) (First) (M.I)
ONE BISCAYNE TOWER, SUITE 1670, TWO SOUTH BISCAYNE BLVD., MIAMI, FLORIDA 33131
BUSINESS NAIviE AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-482-8705 305-482-8770 JCARDELLO@ADDINC.COM
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
SOUTH BEACH HEIGHTS I, LLC
NAME OF PRINCIPAL/CLIENT:
2200 BISCAYNE BOULEVARD MIAMI, FLORIDA 33137
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-374-5700
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: RUSSELL W. GALBUT
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN
SUCH CORPORATION, PARTNERSHIP OR TRUST: SEE ATTACHED.
ILSPECIFIC LOBBY'ISSUE: LAND DEVELOPMENT REGULATION AMENDMENT TO CHANGE THE FUTURE LAND
USE MAP OF THE COMPREHENSIVE PLAN FOR THE PROPERTY LOCATED AT 630 ALTON ROAD (SOMETIMES REFERRED TO AS
600 ALTON ROAD)
Issue to be lobbied (Describe in detail):
ill. CITY /~-GENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to city code section 2-4e2(g)
._ .
include a statement of the extent of-any business, financial, familial, professional or other relationship, giving raise to an
appearance of an impropriety, with any City personnel sought to be lobbied; further, pursuant to City Code Section 2-
482(a)(4) include a statement of any contractual relationship (paid or unpaid) from 12 months preceding the
commencement of service of City personnel to be lobbied.)
A Full Name of Individual Title B) Any Financial, Familial or Professional Relationship
PLANNING BOARD NO
CITY COMMISSION NO
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) ~ ~~ ~ ~ OD
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): ~ Q/~5 DSO
The following information must be answered:
of Lobbyist
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
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":
application for change of zoning map designation or chance to the Citv'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.
reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1sT OF EACH YEA
STATEMENT UNDER OATH, LISTIN
IN THE CITY OF MIAMI BEACH FO
EVEN IF THERE HAVE BEEN NO E)
I do solemnly swear t at all of the f
provisions contained in Section 2-482
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDEN'
^ Produced ID
Personally known
VII. SIGNATURE [~
:*:
~,
State of Florida, Count ofi
Sworn to nd subscrib
This day f
Signature of Public Nota
Notarization of Lobbyi t'
facts are true and cor
liami Beach City Code
Form of Identification
MY (:UMMISSIUN # DD 708540
_ €XPIRES: Augusi 26, 2011
~d Thru Notary Public Undenvnters
2008
of
~~.~.r DAYAMI AGUTAR
~~.~~uu.....
:,r0'~''aY P~°~~;•.; Notary Public -State of Florida
_ ~ , __ My Commission Expires Mar 16, 2011
of Mia i~j ~ Commission p OD 644032
_t--- _ '„ ~ c :.•~ Bonded Through National Notary Assn.
'ublic tVotafy -State of Florida
of Princiaal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF O LY
Annual Registration-fee: Yes [ ] No Amount Pai $ ~ ~ ~" 'MCR # ate Pald '
Lobbyist Registration For re eived and verified by:
F:\CLER\LOBBYI57\Lobb rst Registration Form 32708.doc Revised 03/27/2008
and that I have read or am familiar with the
all reporting requirements.
PRINCIPAL IDENTIFICATION:
0 Produced ID
Form of Identification
Personally known (P
State of Florida,
m M,IAMIBEACH
City of Miami Beath, 1700 Convention Center Drive, Miami Beach, Florida 33139, v+ww.miamibeachfl.gov
CITY CLERK Office CityClerk@miamibeachfl,gov
Tel: 305.673.7411 ,Fox: 305.673.7254
LOBBYIST NAME: JCJ~,~ G,~a~uo
I understand that no later than October 1st of each Xear, I must file fihe following
forms, pursuant to Section 2-485 of the Miami Beach City Code, with the City Clerk's
Office for all active lobbying issues.
1) Lobbyist Expenditure Form
2) Disclosure Form
Failure to file these forms on a timely basis will result in my name being transmitted to the
Miami-Dade County Commission on Ethics and for code violation evaluation.
In addition, once an issue I have registered to lobby on has been resolved, I am required
to immediately notify the City Clerk's Office of lobbyist withdrawal in writing.
~ -22-08
Date:
F:ICLER\LOBBYIST1Lobbyist Registration Form 32708.doc
- CITY OF MIAMI BEACH
DEVELOPMENT I~EVIE'UV BOARD APP1LiCATION
DISCLOSURE OF INTEREST
1. LIMITED LIABILITY COMPANY
If the property which is the subject of an 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), trustee(s), partnership(s) or other
similar entity, further disclosure shall be required which discloses the identity of the individual(s)
(natural persons) having the ultimate ownership interest in the entity.*
SOUTH BEACH HEIGHTS I, LLC
LIMITED LIABILITY COMPANY NAME
NAME, ADDRESS, AND OFFICE
SBH HOLDINGS I, LLC
2200 Biscayne Boulevard
Miami, Florida 33137
Member
SBH MANAGEMENT COMPANY, LLC
2200 Biscayne Boulevard
Miami, Florida 33137
Member and Manager
OFFICERS:
SONNY KAHN
2200 Biscayne Boulevard
Miami, Florida 33137
Chairman
RUSSELL W. GALBUT
2200 Biscayne Boulevard
Miami, Florida 33137
President
BRUCE A. MENIN
2200 Biscayne Boulevard
Miami, Florida 33137
5r. Vice President
SHARON CHRISTENBURY
2200 Biscayne Boulevard
Miami, Florida 33137
Vice President
SHLOMO DACHOH
2200 Biscayne Boulevard
Miami, Florida 33137
Secretary
JOSEPH ZDON
2200 Biscayne Boulevard
Miami, Florida 33137
Treasurer
PABLO DE ALMAGRO
2200 Biscayne Boulevard
Miami, Florida 33137
Asst. Treasurer
OF MEMERSHIP iNTERES`r
B9%
1%
IF THERE ARE ADDITIONAL CORPORATIONS, LIST OTHERS, INCLUDING CORP.
NAMF(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 an application is owned or leased by a CORPORATION,
fist the principal stockholders and the percentage of stack 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 discloses the identity of the individual(s)
(natural persons) having the ultimate ownership interest in the entity.*
SBH MANAGEMENT COMPANY LLC
LIMITED LIABILITY COMPANY NAME
NAME, ADDRESS, APJD OFFICE
CH INVESTMENT HOLDINGS, LLC
2200 Biscayne Boulevard
Miami, Florida 33137
Member and Manager
OFFICERS:
SONNY KAHN
2200 Biscayne Boulevard
Miami, Florida 33137
Chairman
RUSSELL W. GALBUT
2200 Biscayne Boulevard
Miami, Florida 33137
President
BRUCE A. MENIN
2200 Biscayne Boulevard
Miami, Florida 33137
Sr. Vice President
SHARON CHRISTENBURY
2200 Biscayne Boulevard
Miami, Florida 33137
Vice President
SHLOMO DACHOH
22D0 Biscayne Boulevard
Miami, Florida 33137
Secretary
JOSEPH ZDON
2200 Biscayne Boulevard
Miami, Florida 33137
Treasurer
PABLO DE ALMAGRO
2200 Biscayne Boulevard
Miami, Florida 33137
Asst. Treasurer
OF MEMERSHlP INTEREST
~ oa~io
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 OE MIAMI BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
~~LOSURE OF INTEREST
1. LIMITED LIABILITY COMPANY
If the property which is the subject of an application is owned or leased by a CORPORATION,
list the principal stockholders and the percentage of stock awned 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 discloses the identity of the individual(s)
(natural persons) having the ultimate ownership interest in the entity.* .
SBH HOLDINGS I, LLC
LIMITED LIABILITY COMPANY NAME
NAME, ADDRESS, AND OFFICE
CH INVESTMENT HOLDINGS, LLC
2200 Biscayne Boulevard
Miami, Florida 33137
Member and Manager
DAVID GALBUT
2200 Biscayne Boulevard
Miami, Florida 33137
Member
OFFICERS:
SONNY KAHN
2200 Biscayne Boulevard
Miami, Florida 33137
Chairman
RUSSELL W. GALBUT
2200 Biscayne Boulevard
Miami, Florida 33137
President
BRUCE A. MENIN
2200 Biscayne Boulevard
Miami, Florida 33137
Sr. Vice President
SHARON CHRISTENBURY
2200 Biscayne Boulevard
Miami, Florida 33937
Vice President
SHLOMO DACHOH
2200 Biscayne Boulevard
Miami, Florida 33137
Secretary
JOSEPH L_DON
2200 Biscayne Boulevard
Miami, Florida 33137
Treasurer
PABLO DE ALMAGRO
2200 Biscayne Boulevard
Miami, Florida 33137
Asst. Treasurer
°lo OF MEMERSHIP INTEREST
89.89%
10.11%
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 IVIIAI1111 BEACH
DEVELOPMENT REVIEV1l BOARD APPLICATION
DISCLOSURE OF INTEREST
'i. LIMITED LIABILITY COMPANY
If the property which is the subject of an application is owned ar 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), trustee(s), partnership(s) or other
similar entity, further disclosure shall be required which discloses the identity of the individual(s)
(natural persons) having the ultimate ownership interest in the entity.*
CH INVESTMENT HOLDINGS, LLC
LIMITED LIABILITY COMPANY NAME
NAME, ,4DDRESS, AND OFFICE % OF MEMERSHIP INTEREST
SK BUSINESS TRUST
2200 Biscayne Boulevard
Miami, Florida 33137
Member
37%
RF BUSINESS TRUST
2200 Biscayne Boulevard
Miami, Florida 33137
Member
MENIN 1998 FAMILY TRUST
2200 Biscayne Boulevard
Miami, Florida 33137
Member
MANAGERS:
SONNY KAHN
2200 Biscayne Boulevard
Miami, Florida 33137
Manager
RUSSELL W. GALBUT
2200 Biscayne Boulevard
Miami, Florida 33137
Manager
BRUCE A. MENIN
2200 Biscayne Boulevard
Miami, Florida 33137
Manager
37%
26%
lF THERE ARE ADDITIONAL CORPORATIONS, LIST OTHERS, INCLUDING CORP.
NAME(S) AND EACH /NDIV/DUAL'S NAME, ADDRESS, OFFICE ~ AND
PERCENTAGE OF STOCK, ON A SEPARATE PAGE.
NOTE: Notarized signature required on page 8
6
CfTY OF MiAlVfl BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
2. TRUSTEE
If the property which is the subject of an application is owned or leased by a TRUSTEE, list the
beneficiaries of the trust and the percentage of interest held by each. Where the
beneficiaries/beneficiary consist of corporation(s), another trust(s), partnerships} or other
similar entity, further disclosure shall be required which discloses the identity of the individua{(s)
(natural persons) having the ultimate ownership interest in the entity.*
SK BUSINESS TRUST
TRUST NAME
NAME, ADDRESS, AND OFFICE
SONNY KAHN
2200 Biscayne Boulevard
Miami, Florida 33137
Beneficiary
OF INTEREST
100%
NOTE: Notarized signature required on page 8
7
CITY OF IVIIANiI BEACE-I
DEVELOPMENT REViE1N BOARD APPLICATIOi`I
DISCLOSURE OF INTEREST
2. TRUSTEE
If the property which is the subject of an application is owned or leased by a TRUSTEE, fist the
beneficiaries of the trust and the percentage of interest held by each. Where the
beneficiaries/beneficiary consist 'of corporation(s), another trust(s), partnerships} or other
similar entity, further disclosure shall be required which discloses the identity of the individual(s)
(natural persons)~having the ultimate ownership interest in the entity.*
RF BUSINESS TRUST
TRUST NAME
NAME, ADDRESS, AND OFFICE
OF INTEREST
RUSSELL W. GALBUT
2200 Biscayne Boulevard
Miami, Florida 33~ 37
Beneficiary
100%
NOTE: Notarized signature required on page 8
7
CITY OF MtAMf BEACi-i
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
2. TRUSTEE
If the property which is the subject of an application is owned or leased by a TRUSTEE, list the
beneficiaries of the trust and the percentage of interest held by each. Where the
beneficiaries/beneficiary consist of corporation(s), another trust(s), partnership(s) or other
similar entity, further disclosure shall be required which discloses the identity of the individual(s)
(natural persons) having the ultimate ownership interest in the entity.*
MENIN 199 FAMILY TRUST
TRUST NAME
NAME, ADDRESS, AND OFFICE % OF INTEREST
BRUCE A. MENIN
220D Biscayne Boulevard
Miami, Florida 33137
Beneficiary
100%
NOTE: Notarized signature required on page S
7
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