Joaquin Vargas/IC, LLC~ MIAMIBEACH
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 bond or
committee. The term specifically includes the principal as well as any employee engaged in lobbying activities. The
teen "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Vargas Joaquin E.
NAME OF LOBBYIST: (Last) (First) (M.I.)
c% Traf Tech Engineering Inc 400 North University Drive Suite 202 Tamarac FL 33321 _
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(954) 582-0988 (954) 582-0989 joaquinC~tratteck.biz
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
IC, LLC
NAME OF PRINCIPAUCLIENT:
IC LLC 2200 Biscayne Boulevard Miami FL 33137
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 374-5700 (305) 847-3354 mkramerl~crescentheights.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: Russell W. Galbut and Irving
Cowan
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: ~ q
-t o
-~ °D
Russell W. Galbut (50%), Managing Member ~ °'
~ ' r7
Irving Cowan (50%), Managing Member ~ --
~_: ~ "S
CI; -r.
II. SPECIFIC LOBBY ISSUE: = ~ ~
~ to
Conditional Use Approval (1) to permit the use of a robotic parking system in a commercial maul usarki
garage at 1826 Collins Avenue, which includes a restaurant within the commercial space; and (2)~4 op to the
garage after midnight.
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to City Code Section 2-482(8) 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 IndividuallTitle B An Financial, Familial or Professional Relationshi
City of Miami Beach Planning Board None
City of Miami Beach Planning Staff None
City of Miami Beach Mayor/Commissioners None
City of Miami Beach Committees None
E~
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
LOBBYIST DISCLOSURE (Required) $5 000 Flat Rate.
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). $5,000 Flat Rate.
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On
Real Estate Development Issues":
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist° as set forth in Section 2-481 above) who only appears as a representative of snot-for-profit
corporation or entity without special compensation or reimbursement for the appearance, whether direct, or
indirect, to express support of or opposition to any item, shall register with the clerk as required by this
section but, shall not be required to pay any registration fees..
V. SIGNATURE UNDER OATH:
ON OCTOBER 18t OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO THE CI CLERK A SIGNED
STATEMENT UNDER OATH LISTING LOBBYING EXPE DITURES AS WELL S COMPENSATION
RECEIVED IN THE CITY OF MIAMI BEACH FOR THE PRECE ING CALENDAR YEAR A STATEMENT SHALL
BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES R COMPENSATIO D RING THE REPORTING
PERIOD. , _~
Sig re of Lobbyist - J~ .Vargas
I do solemnly swear that all of the oregoing facts are ru orrect and that I ha read or am familiar with the
provisions contained in Section 2-4 2 of the ~ iami Be ch de and all reporting quirements.
Signature of Lobbyist:
Signature of Principal/Client:
sell W. Galbut, as anaging Member of IC, LLC
VI. LOBBYIST IDENTIFIC ION: PRINCIPAL IDENTIFICATION:
~roduced ID ~ L (~,~~~ (~ Produced ID
Form of Identi ~+. ~-; Form of Identification
`~:
.;~_
^ Personally known (Lobbyist) '~j~q „,~~~' ~, Personally known (Principal)
VII. SIGNATURE AND STAMP OF ~1$
State of Florida, County of Miami-Dade `~2~9 N~~~ State of Florida, County of Miami-Dade
Sworn to and subscribed before me y~`J' ow Sworn to and subs nb
A ~ ~ ~ Thi da of ~,, DAYAMIAGUUR
This j.(~, day of , 2008 y y -.,
4~ ~ Q , o ~ ~. Notary Public -State Of Florida
r ~ oo ~ ' ~ ` ~~. ~ My Cormtission Expires Mar 16.2011
o ~ ~,Q~~ ission # DO &/a032
nature of Pu c Notary -State of FI ride ~~ ~ Si na a of Public o r~jf ~ ~bf li(~TiirouynNatlonsiNotaryAan•
otarization of Lobbyist's signature otan tion of Princi
TO BE COMPLETED BY CITY CLERK'S USE ONLY
Annual Registration fee: Yes [ ] No Amount Pald $ MCR # $ Date Pald
Lobbyist Registration Form received and verlfled by:
F:\CLER\LOBBYISTLobb ist Re istration Form 32708.doc Revised 03!27/2008
S' ~ /
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov
CITY CLERK office CitvClerkCa~miamibeachfl.4ov
Tel: 305.673.7411, Fax: 305.673.7254
LOBBYIST NAME:
Joaquin E. Vargas
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 add~tion, once an issue I have registered to lobby on has been resolved, I am required to immediately notify the
City C erk's Office for lobbyist withdrawal in writing.
n E.
d
Date: