James E. Rauh/2K South Beach Hotel LLC (2)m MIAMIBEACH
City of Miami Beach Office of the City Cterk
1700 Convention Center Drive, Miami Beach, FL ~~ ~V 21
P~ 4~ 43
LOBBYIST REGISTRATION FORM ~ ~ ~ l'~ G i ~ `> }.'
~r c ~ (1F~it"~.~
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage t e
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. 1111 Lincoln Road Miami Beach, FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(786) 276-2343 (305) 673-5505 jrauhC~terminello.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
Rok, LLC
NAME OF PRINCIPAUCLIENT:
Rokbar 1905 Collins Avenue Miami Beach, FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(312) 718-0000 (305) 531-1239 OPSO47@aol.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: Phillip Sylvester, Manager
IDENTIFY ALL PERSONS HOLDING, DIRECTLY CR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
Phillip Sylvester (100%), Manager and Member
SPECIFIC LOBBY ISSUE:
Modification of Conditional Use Permit for the property located at 1905-1921 Collins Avenue.
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 Planning Staff None
City of Miami Beach Mayor/Commissioners None
MIADOCS 3142023 1
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $350 per hour.
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). $350 per hour
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
^Yes ~ No' Are you lobbvinq on a present or pending bid for goods equipment or services, or on a
present or pending award for Goods equipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On
Real Estate Development Issues":
^Yes ®No• Are you lobbvinq on a pending application for a Development Agreement with the City or
application for chance of zoning map designation or chance to the City's Future Land Use Map?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist" as set forth in Section 2-481 above) who only appears as a representative of anot-for-profit
corporation or entity without special compensation or reimbursement for the appearance, whether direct, or
indirect, to express support of or opposition to any item, shall register with the clerk as required by this
section but, shall not be required to pay any registration fees..
^Yes ®No• Are you representing anot-for-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
Signature of Lobbyist:
Signature of Principal/Client:
fillip Sylvester, Manager
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
~
® Personally known (Lobbyist)
VII. S ~~~
~Q~TURE AN STAMP OF NOTAI~~~ ~., F
State of //, County iami-Dade
~_
~4
Swor o a
~ subscribed efore me
~
Thi
d • , 2008
of 01
Signat
'c No - State o to 'da c4 ~
'4 ,.
Notari n of ob fist's signature ,
dime ber of Rok, LLC
PRINCIPAL IDENTIFICATION:
~$ Produced ID D'e~v~'e ~ ~"~ ~
Form of Identification
e
^ Personally known (Principal)
~,
State of Flor' ,County of M' mi-Dade ~ ~~ ~
Swore an u bef re me ~ H ~_
This I a ~~, 08 1 ~~~"'TTT •
!L~ Q,. ~d'l ~ c~.'
Signa of Publ Nota State of Florid ~'"•••'~~
Notariz of ~ nci 's signature ~~
BE COMPLETED BY CITY
~e: [ ]Yes Amount Paic
Form re ived and verified by:
USE QitNLY
Revised 03/27/2008
MIADOCS 3142023 1
PERIOD.
Sig ur f Lobbyist -James E. Rauh
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~?~-vf~tt~ Njieini-QR~ach City Code and all reporting requirements.
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, wwvv.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 1$` of each vear, 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
City Clerk's Office for lobbyist withdrawal in writing.
Z ~'~O
Date
MIADOCS 3142023 1