Louis J. Terminello/2K South Beach Hotel, LLCZOQD ~0 ~' 21 PP 4 ~ 4 4
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 3313~~ ~ ,' ~! E -; ~'S C ~ ~ ,.
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.
Terminello Louis J.
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 Ijt@terminello.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
2K South Beach Hotel, LLC
NAME OF PRINCIPAUCLIENT:
1020 Ocean Drive Miami Beach, FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(786) 276-1414 N/A mpalma@clevelander.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:
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) Any Financial, Familial or Professional Relationship
City of Miami Beach Planning Board None
City of Miami Beach Mayor/Commissioners None
Cit of Miami Beach Committees None
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER /
HOURLY, FLAT RATE OR OTHER): ~ ,/
MIADOCS 3142023 1
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER}:
A) LOBBYIST DISCLOSURE: (Required) $525 per hour.
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION}:
(Required). $525 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":
I-lYes 5ZI No' Are you lobbvina 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 Clty Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On
Real Estate Development Issues":
Yes No: Are ou lobb in on a endin a lication far a Develo ment A reement with the Cit or
application for chance of zoning map des[anation 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 ar 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..
~1Yes ®No• Are you renresentina anot-for-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
Signature of Lobbyist:
Signature of PrincipallClient:
Michael L. Palma,
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
® Personally known (Lobbyist)
AND STAMP OF NOTARY:
State of Florida, ounty of ml-D:
Swornn,tQg and su crib e r me
ThisojOday _ 08
Signature of Public Notary -State of Florida
Notarization of Lobbvlst's signature
TO BE COMPL
Annual Registration fee: [ ]Yea o Amount Pali
Lobbyist Registration Roan r eived and verified by:
P•\Cl FR1LC)9aYlSTLobbvist Registration Form 327o8.c
USE ONLY
-_~- Notary p~ ~huc State of Flori a
MIADOCS 314 ~ CAROl./IINN MOOF~E ,_ ~'`r na~~ ~~~
pp `~ , = ~.,, ~ _o~~oy22
'" ~^?Y COMMISSION # DD721090 ~ ~ ~
,ti . ,~;~Ev C7c-~~'~er t"'?, 2011 _~ _ _-:-___
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(407)388-DYri9 FsoAdaN . Servrce.com
2K South Bedph Hotel, LLC
PRINCIPAL ID NTIFICATION:
Produced ID
Form of Identification
^ Personalty known (Principal)
State of Fiorida, County of Miami-Dade
Swom to and subscribed before me
This ,~, day ofNot;eik~er, 2008
Signature of Public Notary -State of Florida
Notarization of Principal's signature
i do solemnly swear that all of the f~~go(ng facts are true and correct and that I have read or am familiar with the
provisions contained in Section 2-48 the Miami Beach City Code and all reporting requirements.
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK office CityClerkrc"~.miamibeachfl.gov
Tel: 305.673.7411, Fax: 305.673.7254
LOBBYIST NAME:
Louis J. Terminello
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
City Clerk's Office for lobbyist withdrawal in writing.
Signature: Louis J. Terminello Date:
MIADOCS 3142023 1
r + ~~ 2K SOUTH BEACH HOTEL, LLC
LEGAL ENTITY OWNERSHIP STRUCTURE
'David Dane on a Luc
8 US TRUST Neeley
Co-Trustees Settlan
THE JONATHAN LEE ~ THE STEVEN LEE
NEELEY 1996 TRUST, NEELEY 1996 TRUST,
DATED 11/SN96 / DATED 11/5/98
Jonathan Lee Neeley, Steven Lee Neeley,
Beneficiary /
Beneficiary
40.00% (LP) 120.00% (LP)
Ron a Lwow
NsaNy
('RN' a'LN~
Settlon a trustees
100%
~ THE ALISON THE NEELEY FAMILY
NEELEY 1998 TRUST, REVOCABLE TRUST
DATED 11/5!96 DATED SEPT. 15, 1981
Alison Neeley, Ron 8 Lucille Neeley
Beneficiary ~ Beneficiaries
20.00% (LP) 19.00% (LP~
100%
THE JONATHAN LEE NEELEY
TRUST,
DATED APRIL 2, 1998
100%
ABIGDESTINATIONS, LLC
A DELAWARE SMLLC
10% (SGP)
~ RNLN CAPITAL ~
INVESTMENTS, LP
A DELAWARE LIMITED PARTNERSHIP
RNLN REAL ESTATE
HOLDINGS, LLC
A CALIFORNIA SMLLC
90% (GP)
BRIO INV. GROUP, INC.
A CALIFORNIA C-CORP
99% 1% (GP)
THE MAILING ADDRESS FOR
ALL ENTITIES LISTED HERE RNLN REAL ESTATE
IS AS FOLLOWS: ` ADVISORS, LP /
\ A DELAWARE LINKED PARTNERSHIP/
750 "B" STREET, SUITE 1930 _-----
SAN DIEGO, CA 92101 ~-' ` MIKE PALMA, MANAGER
2K SOUTH BEACH '~
HOTEL, LLC
A DELAWARE SMLLC
\ THE __
CLEVELANDER
~~ HOTEL
(FEE 31MPLE~_
9