Jonathan W. Cardello/South Beach Heights I, LLC (3)
~x~ ~ F,
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.
CARDELLO, JONATHAN W.
NAME OF LOBBYIST: (Last) (First) (M.I)
ONE BISCAYNE TOWER, SUITE 1670, TWO SOUTH BISCAYNE BLVD., MIAMI, FLORIDA 33131
BUSINESS NAME 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.
II.SPECIFIC LOBBY ISSUE: LAND DEVELOPMENT REGULATION AMENDMENT TO CHANGE THE ACTUAL ZONING MAP
DESIGNATION OF PARCEL(S) OF LAND FOR THE PROPERTY LOCATED AT 630 ALTON ROAD
(SOMETIMES REFERRED TO AS 600 ALTON ROAD)
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to city code section 2-48z(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 OTHERJ:
A) LOBBYIST DISCLOSURE: (Required)
~t7S . [~J~ . ~
PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
quired).
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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":
present or Dendina award for aoods 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 chance of zoning map designation or chance to the Citv'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 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
sect~n but, shall not be required to pay any registration fees.
reimbursement. .
V. SIGNATURE UNDER OATH:
n~~ nrrno~o SST ,~,r ~,,,.,,, ~„
I do solemnly swear tha all of th foregoing facts are true and Corr t and that I have read or am familiar with the
provisions contained in ection 2-4 of the Miami Beach City Code a d all reporting requirements.
Signature of Lobbyist: , r_-''--_
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATI N: PRINCIPAL IDENTIFICATION:
^ Produced ID ^ Produced ID
Form of Identification Form of Identification
Pe
rs
on
all
y known (Lobbyist) ~] Personally known (Principal)
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V~ COMM~5S10N~'dd'lt~41~N STAMP OF NOTARY: (
EXPIRES: August 2 2011
8atetemt,Fbor~dau~t~o iami-Dade -~'~i"a~ p~e~. DAYAMIAGUTAR
State of Florida, C u acybtary Pubtic -
Stat
fore me
This day o ~~Q , 2008 e of Fioryda
Swo nd subscri • .. MyC
~da of ~0A Ex~~ Ma-1ti, 2ptt
his
8
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Y 11„ ~
Commission # DD 644032
'Bonded Through National Nogr
Signature of Public Nota Sta a of Florida y ~.
St ature Public No ry fate of Florida
Notarization of Lobbvis s signature No rizati n of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Anr-ual Registration fee: [. ]Yes [ ) No Amount P Id ' .~~~" ' MCR # Date Paid
Lobbyist Registration Form received and verified b~~#
F:\CLER\LOBBYIST\Lobbyist Registration Form 327D8, oe.,:~ea ne r~~i~nnn
m MAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel: 305,673.741 1 ,Fax: 305.673.7254
LOBBYIST NAME: ~ 1G~ C~~~.~~.~
I understand that no later than October 1st of each year, I must file the 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 Citv Clerk's Office of 1o66vist withdrawal in writing.
~ - 22- O$
Date:
F:ICLERILOBBYIST1Lobbyist Registration Form 32708.dac
- CITY OE 1VlIAMI BEACH
DEVELOPIV[ENT REVIEUV BOARD APi'L~CATlON
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 corporations}, trustee(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.*
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
Sr. Vice President
SHARON CHRlSTENBURY
2200 Biscayne Boulevard
Miami, Florida 33137
Vice President
SHLOMO DACHOH
2200 Biscayne Boulevard
Miami, Florida 33137
Secretary
JOSEPH ZDON
220D Biscayne Boulevard
Miami, Florida 33137
Treasurer
PABLO DE ALMAGRO
2200 Biscayne Boulevard
Miami, Florida 33137
Asst. Treasurer
OF MEMERSHIP INTEREST
99%
1%
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
G1TY Ot= NttAt111t DEACH
DEVELOt'tV1ENT REVIEW DOARD APPLICATION
DISCLOSURE OF INTEREST
'(. 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, APHID 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
2200 Biscayne Boulevard
Miami, Florida 33137
Secretary
JOSEPH ZDON
2200 Biscayne Bouievard
Miami, Florida 33137
Treasurer
PABLO DE ALMAGRO
2200 Biscayne Boulevard
Miami, Florida 33137
Asst. Treasurer
X00%
IF THERE ARE ADDITIONAL CORPORATIONS, LIST OTHERS, 1NCLUD/NG 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
OF MEMERSHlP INTEREST
6
CITY OP MIAMI ~3EACH
DEVELOPMENT REVIEW BOARD APPL1GAl"ION
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.* .
SBH HOLDINGS f, 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 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 INTEREST
89.89%
10.11%
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 gage 8
6
CITY OF MIA1V11 BEACH
DEVELOPMENT REVIEVII BOARD APPLICATION
DISCLOSURE OF ~NTERES~
'I. 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.*
CH INVESTMENT HOLDINGS LLC
LIMITED LlAB[LITY COMPANY NAME
NAME, ADDRESS, AND OFFICE % OF MEMERSHlP INTEREST
SK BUSINESS TRUST ~ 37%
2200 Biscayne Boulevard
Miami, Florida 33137
Member
RF BUSINESS TRUST 37%
2200 Biscayne Boulevard
Miami, Florida 33137
Member
MENIN 1998 FAMILY TRUST 26%
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
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
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 corporations}, 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, ,4ND OFFICE
SONNY KAHN
2200 Biscayne Boulevard
Miami, Florida 33137
Beneficiary
OF INTEREST
100%
NOTE: Notarized signature required on page 8
7
CITY OF MIAMI REACH
DEVELOPMENT REVIEVI! ~30ARD APPLICATION
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. 4Nhere 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.*
RF BUSINESS TRUST
TRUST NAME
NAME, ADDRESS, AND OFFICE
RUSSELL W. GALBUT
2200 Biscayne Boulevard
Miami, Florida 33137
Beneficiary
OF INTEREST
1Q0%
NOTE: Notarized signature required on page S
7
CITY OF MIAMI BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
2. TRUSTEE
if the property which is the sub}ect 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 1898 FAMILY TRUST
TRUST NAME
NAME, ADDRESS, AND OFFICE % OF INTEREST
BRUCE A. MENIN _ 100%
2200 Biscayne Boulevard
Miami, Florida 33137
Beneficiary
NOTE: Notarized signature required on page S
7
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