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James E. Rauh/2K South Beach Hotel LLCm MIAMIBEACH City of Miami Beach Office of the City Clerk 2:98 NDY 2 ~ PM ~: ~~ 1700 Convention Center Drive, Miami Beach, FL 331,9, `, } r C~~``,~~,'~ t~Fj" SCE 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 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. Rauh James E• NAME OF LOBBYIST: (Last) (First) (M.I.) c/o Terminello &Terminello, P.A. 2700 SW 37~h Avenue Miami, FL 33133 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 444-5002 (305) 448-5566 jrauh@terminello.com _ TELEPHONE NUMBER: FAX NUMBER: EMAIL: LOBBYIST RETAINED BY: 2K South Beach Hotel, LLC NAME OF PRINCIPAL/CLIENT: 1020 Ocean Drive Miami Beach, FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (786) 276-1414 N/A mpalma(a clevelander.com TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) 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 CR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Exhibit "A" attached. II. SPECIFIC LOBBY ISSUE: Modification of Conditional Use Permit for the property located at 1020 Ocean Drive. Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS 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 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) An Financial, Familial or Professional Relationship City of Miami Beach Planning Board None City of Miami Beach Mayor/Commissioners None City of Miami Beach Committees None ~/ MIADOCS 3142023 1 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION {DISCLOSE WHETHER HOURLY, FLAT RATF OR OTHER): A) LOBBYIST DISCLOSURE: {Required) $375 per hour. B} PRINCIPAL'S DISCLOSURE {OF LOBBYIST COMPENSATION}: {Required). $375 per hour 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 No: Are o lobb "n on a resent or endin bid for oods a ui ment 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 lobbving on a pendino application for a Development Agreement with the City or application for chance of zoning map designation or chance to the Cltv's Future Land Use Map4 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 No: Are ou re resentin a not-for• roflt cor oration or entit without s ecial com ensation ar reimbursement. V. SIGNATURE UNDER OATH: ON OCTOBER 15t OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH LISTING LOBBYING EXPENDITURES, A3 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 COMPENSA~IA~t-pURING THE REPORTING PERIOD. of Lobbyist-lames E. Rauh I do solemnly swear that all of the fore cis provisions contained in Section 2-4 of the Mi i Signature of Lobbyist: Signature of Principal/Client: chael L. Palma, VI. LOBBYIST IDENTIFICATION: ^ Produced ID Form of Identification ® Personally known (Lobbyist) correct and that I have read or am familiar with the Code and ail reporting requirements. f South c~, LLC PRINCIPAL ENTIFICATION: Produced ID ~ +T Lfl,~-~ r Form of Identification ^ Personally known (Principal} Vll SIGNAT E AND STAMP OF NOTARY: fate of Florida, Cou ty of Miami-Dade State of Florida, County of Miami-Dade Sworn t and s b c e me Sworn to and subscribed before me ~( Thi~ day d 008 This'` daynof ~ICU~+uIx, ; 2008 /\ Sign Ic No ary -State of Florida Signature of Public Notary -State of Florida Notarization of Lobbvist's signature Notarization of Principal's signature TO BE COMPLETED BY CITY CLERK'S USE ONLY Annual Registration fee: [ ]Yes o Amount Pald $ NtlrR # $ Date Pald Lobbyist Registration Form rec ved and verified by: S F:ICLERILOBBYIS71Lobbyist Registration Form 32768.d~ Revised 03/2712608 MIADOCS 314 _ ~ v,.~, Notary ~,^ ~r ~raie o' Fi ~ida~ ,`r ~• ~ g r ~~n1~31 j~hd "ma'y' '~ ` ®/ CAROB A~+N^N M-+QQ~fI~A~ /~ f Q r,~ c,o I~,~w, ,r Jr)~ o~~L . R. &` MY COMMISSION ~f~D/41V~y P ~'`~Or T~O'~ ~A~I(C5 )i ~ L~..~1~ ____.-....~I ~ - ~. SPIRES ()Gto4~r 0~~ ~~'~~ ' --_- _ -_-__ ~,~ _ (407j3Sb-OS'v: FloridaNote 8ervice.com ,/ 3 m MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK office CityClerk(c~miamibeachfl.gov Tel: 305.673.7411, Fax: 305.673.7254 LOBBYIST NAME: James E. Rauh 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 1 have registered to lobby on has been resolved, I am required to immediately notify the City Clerk's Office for I is ' hdrawal in writing. re: 1 Z~ Z d~ ~ Date: MIADOCS 3142023 1 ~~ ~ ~ ~ 2K SOUTH BEACH HOTEL, LLC LEGAL ENTITY OWNERSHIP STRUCTURE > THE JONATHAN LEE NEELEY 1996 TRUST, DATED 11/5/96 Jonathan Lee Neeley, Beneficiary 40.00% (LP) "David Dane on a Luc 8 US TRUST Neeley Co-Trusteas Settbrs THE STEVEN LEE NEELEY 1996 TRUST, DATED 11/5/96 Steven Lee Neeley, Beneficiary 20.00% (LP) THE ALISON NEELEY 1996 TRUST, DATED 11/5/96 Alison Neeley, Beneficiary 20.00°h (LP) Ron a Lu6Ne Nael°y ('RN' a'LN7 Settlors a Trustees 100% THE NEELEY FAMILY REVOCABLE TRUST DATED SEPT. 15, 1981 Ron ~ Lucille Neeley Beneficiaries 9.00°h (LP) 100% THE JONATHAN LEE NEELEY TRUST, DATED APRIL 2, 1996 100% ABIGDESTINATIONS, LLC A DELAWARE SMLLC 10°h (SGP) ~ RNLN CAPITAL ~ INVESTMENTS, LP A DELAWARE LIMITED PARTNERSHIP RNLN REAL ESTATE HOLDINGS, LLC A CALIFORNIA SMLLC BRIO INV. GROUP, INC. A CALIFORNIA C-CORP 90% (GP) 99% 1% (GP) THE MAILING ADDRESS FOR ALL ENTITIES LISTED HERE , RNLN REAL ESTATE IS AS FOLLOWS: ' ADVISORS, LP ~~ A DELAWARE LIMBED PARTNERSHIP 750 "B" STREET, SUITE 1930 -""~ SAN DIEGO, CA 92101 MIKE PALMA, MANAGER 2K SOUTH BEACH I~ HOTEL, LLC / A DELAWARE SMLLC r--~ - ~ THE ~ CLEVELANDER ~~~ HOTEL \ (FEE SIMPLE) 9