Ralph Choeff/1100 West Properties, LLC~ MIAMIBEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist means a[I 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 bond 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.
Choeff Ralph
NAME OF LOBBYIST: {Last) {First) (M.I.)
Ralph Choeff Architect, P.A. 8425 Biscavne Boulevard, Suite 201, Miami, FL 33138
BUSINESS NAME AND ADDRESS (Number and Street) {City) (State) (Zip Code}
(305} 892-6262 (305) 892-5292 rchoeff@choeffarchitect.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
1100 West Properties, LLC
NAME OF PRINCIPAUCLIENT:
4770 Biscayne Boulevard, Suite 400 Miami Florida 33137
^-
BUSINESS NAME AND ADDRESS {Number and Street) (City) {State) (Zip Code)
305-) 674-4848 N/A ~ agalbut@hudcap.com
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
out this section if principal is a Corporation, Partnership ar Trust
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
IDENTIFY ALL PERSONS HOLDING, DIRECTLY CR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCW CORPORATION, PARTNERSHIP OR TRUST:
See Exhibit "A" attached.
II. SPECIFIC LOBBY ISSUE:
Conditional Use Permit
Issue to be lobbied {Describe in detail):
111. CITY AGENCIESliNDIVIDUAL3 TO BE LOBBIED: {Pursuant to City Code Section 2-482(g) include a
statement of the extent of any business, financial, familial, professional or other relationship, giving rise to an
appearance of an impropriety, with any City personnel sought to be lobbied; further, pursuant to Clty 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 bbbied.)
A Pull Name of IndlvlduaVTltle B An Flnanclal, Familial or Professional Relatlonahi
City of Miami Beach Planning Board None
Cfty of Miami Beach Mayor/Commissioners ~~ , ~ 1; .~ ,~
I
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City of Miami Beach Committees .
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c ~ _ ~ ~€d C Z ,~~0 8001
MIADOCS 3108466 1
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
~-
B) PRINCIPAL'S DISCLOSURE {OF LOBBYIST COMPENSATION):
(Required).
The foAowing information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488.Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
^Yes ~ No• Are you lobbving on a present or pending bid for Hoods eaulpment 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":
^Yes ®No• Are you lobbying on pandina apalicatlon for a Dev I pment Agreement with the City or
anr,uration for chance of zoning map dq~ignation 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, shad register with the clerk as required by this
section but, shall not be required to pay any registration fees.,
^Yes 6~ No: Are you representing snot-for-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
Signature of Lobbyist:
Signature of Principal/Client:
Abraham Ell. Galbut, President
West Properties, LLC,
VI. LOBBYIST IDENTIFICATION:
(~ Produced ID ~~~~..___ __._
or i of IdeQnnttifcation
ItiOTAR1' I'fBI.IC • STATE OF FZOAID~i
® Rt'1' allY~ ~~~~
~ tatt~i®~it3~ #T~~tt51~16
VN. "o s}t~1;a(Tl~li NOTARY:
State o~ ~~~iami ~'~a~e'
Swom o and subscrl ed before me
This+t~ day of , 2008
e of Public Notary -State of Florida
Notarization of Lobbyist's signature
E
F
of 1100 West Holdings, LLC, Manager of 1100
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
^ Personally known {Principal)
State of Florida, County of Miami-Dade
Swom to and subscribed before me
This _ day of , 2008
Signature of Public Notary -State of Florida
Notarization of Principal's signature
TO BE COMPLETED Y TY CLERK'S USE NLY
Annual Registration foe: ]Yes [ ] No Amount Psld S MCR # i Date Paid
Lobbyist Registration Form rocsived and verified by:
F:\CLERILOBBYIST\Lobbylsl Registration Form 32708.doC Revised 03/278008
MIADOCS 31084661
I do solemnly swear that all of y~foregoin acts~re tr ie and correct and that I have read or am familiar with the
provisions contained in Section 2 of t -~ea 'ali"r'BQorting requirements.
IV. D15C!_OSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE {OF LOBBYIST COMPENSATION):
(Required). ~ O
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 IRI Ne: Are you lobbvind on a present or pending bid far_ moods, equipment or senrlces, or on a
present or pendinsi award for Goods, equipment or service?
2) Pursuant to Miami Beach City Cade 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On
Roal Estate Development Issues":
^Yes ®No: Are you lobbylnc on a pendinri application for a Development Agreement with the City or
application for chance of zoning map designation or chance 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 snot-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 requirod to pay any registration fees..
{-IYes IRI No: Are you representlnsi snot-for-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1S1 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 PRECEDING CALENDAR YEAR_ A STATEMENT SHALL
BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING
PERIOD.
E
Signature of Lobbyist -Ralph Choeff
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 contained in Section 2-482 of the Miami Beach Clty Code and all reporting requirements.
Signature of Lobbyist: E
Signature of Principal/Client: /j j f X
~am~l.-~albut, President of 1100 West Holdings, LLC, Manager of 1100
West Properties, LLC,
Vi. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
^ Produced ID ~ Produced ID ~I~
Form of Identification F- m of Identification
® Personally known (Lobbyist}
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This _ day of , 2008
Signature of Public Notary -- State of Florida
Notarization of Lobbvlst's signature
^ Personally known (Principal)
NOTARY PUBLIC • STATE OF FLORIDA
,,,,,"., :, Linda Christian
State of Florida, County of Miamic,, Commi sie~s #DD65141ti
Sworn to and subscr'b d before rtity~~~~~'~•~ ~xpues. `~~ 23, 2011
ggNABt) TFittt! ~g't,Ati'rtC HONUtNG CO., INC.
This ~ day of ~ , 2008
_~--i~..~... ~~sllc..,~~
S e of Public Notary -State of Florida
Notarization of Principal's signature
TO BE COMPLETE
Annual Registration fee: [Vf Yas [ ] No Amount Pald S~ MCR # $ r ate Paid
Lobbyist Registration Form received and verified by:
F:\CLER\LOBBYI511lobbvlst Registration Form 32708.doc ~7r. a Revlsad 03r27~2DDR
MIAdOCS 3108466 1
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov
CITY CLERK office ~ityClerk(~miamibeachfl.aov
Tel: 305.673.7411, Fax: 305.673.7254
LOBBYIST NAME: Ralph Choeff
I understand that no later than October 1'~ of each veer, 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 1 have registered to lobby on has been resolved, 1 am required to immediately notify the
' le 's Office for_lobbylst withdrawal in writing.
Date:
MIADOCS 310t14fi6 1
1100 WEST PROPERTIES, LLC
OWNERSHIP STRUCTURE
1100 WEST PROPERTIES, LLC
1100 West Holdings, LLC 100%
(Sole Member of 1100 West Properties, LLC)
475 10th Avenue
c/o Morgans Hotel Group
New York, New York 10018
1100 WEST HOLDINGS, LLC
Mondrian Miami Investment, LLC 50%
475 10th Avenue
c/o Morgans Group, LLC
New York, New York 10018
Sanctuary West Avenue, LLC 50%
c/o Hudson Capital
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
MONDRIAN MIAMI INVESTMENT, LLC
Morgans Group, LLC 100%
475 10th Avenue
New York, New York 10018
MORGANS GROUP LLC
Morgans Hotel Group Co. 97.1
475 10th Avenue
New York, New York 10018
Residual Hotel Interest LLC 2.9% (See attached
c/o 475 10th Avenue flow chart)
New York, New York 10018
MORGANS HOTEL GROUP CO.
Morgans Hotel Group Co. is a publicly held corporation
MIADOCS 2884089 1
SANCTUARY WEST AVENUE, LLC
Sanctuary West Holdings, LLC 100%
(Sole Owner of Sanctuary West Avenue, LLC)
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
SANCTUARY WEST HOLDINGS, LLC
Sanctuary West Management, LLC 95%
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Gladys Brownstein 2.5%
Honey Waldman 2.5%
SANCTUARY WEST MANAGEMENT, LLC
Abraham Galbut & Nancy K. Galbut, his wife 28%
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Keith Menin 18%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Daniel Galbut 16%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Seth Frohlich & Kimberly Frohlich, his wife 8%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Robert N. Galbut and Rita Galbut, his wife 10%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
David Galbut and Geta Galbut, his wife 10%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Joan Brent 10%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
MIADOCS 2884089 1
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