Jonathan W. Cardello/South Beach Heights I, LLC (5)~ MIAMIBEACH
City of Miami Beach OfFce 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
term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Cardello Jonathan W,
NAME OF LOBBYIST: (Last) (First) (M.I.)
c/o ADD, Inc. One Biscayne Tower, Suite 1670, Two South Biscayne Boulevard Miami FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 482-8700 (305) 482-8770 jcardello addinc com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
South Beach Heights I, LLC
NAME OF PRINCIPAUCLIENT:
South Beach Heights I, LLC 2200 Biscayne Boulevard Miami FL 33137
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 374-5700 (305) 847-3354 mkramer crescenthei hts 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: Russell W. Galbut
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
See attached.
SPECIFIC LOBBY ISSUE:
Redevelopment of former South Shore Hospital assemblage and nearby properties, including properties between
6 and 8 Street on both the east and west sides of Alton Road.
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 IndividuallTitle B An Financial, Familial or Professional Relationshi
City of Miami Beach Planning Board
Cit
f Mi
i B None ~
~ ~
}'; ~ .~.~(1 ~. ~, (~.,t .:~ ?
~ ~r
y o
am
each Design Review Board None ,
`
City of Miami Beach Planning Staff
Cit
of Miami Beach M
/C None ~Z :~ I~I~
9 I ~
y
ayor
ommissioners None 3a BpDZ
City of Miami Beach Land Use & Development None
Committee
Ci
f M ~ "~ .~
~`~ "` / ~ I
'
ty o
iami Beach Committees None -~
l~
W'
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
LOBBYIST DISCLOSURE: (Required) $ f~,
B) PRINCIPAL'S DISCLOSURE (OF LO BYIST COMPENSATION):
(Required). $ .--._._____ ~ [`j, ~t_'j
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 6a No: Are you lobbvina on a present or pending bid for aoods eauipment or services or on a
present or Dendina award for aoods eauipment 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 lobbvina on a pending application for a Development Agreement with the City or
application for chance of zoning map designation or chance to the Citv's Future Land Use Maps
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 6a No: Are you representing anot-for-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1g~ OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
CTATG~~L-SIT ~~-~r~r~ ~~~~. ..w~..... .-~~.,...~ -_,--_.--__--_ -- ___...
Sig
I do solemnly swear that all of tly~foregoing
provisions contained in Section X482 of the P
Signature of Lobbyist:
Signature of Principal/Client:
Russel
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
are true and correct n that I have read or am familiar
Beach City Code and reporting requirements.
Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of
Sworn to and subscribed f"~°~°° , DEBRA J.VANZANT
This Icj day of ~C_ gftp ':*. MY COMMISSION # DD 708540
//~- ' / Iy ft : ~= EXPIRES: August 26, 20t t
/i~li _ / l ~/A.. e A ._ v i °'~ 4~,is' Bonded'rhru Notsry Public Underv+mers
of Pu~c Notary -State of Florida
ono obbvist's signature
each Heights I, LLC
PRINCIPAL IDENTIFICATION:
the
^ Produced ID
Form of Identification
Personally known (Principal)
ate of Florida, County of Miami-Dade
orn to and su cribed bef
is j~ day of ~, 2 8 ,:'~Y"'~•., O~Yr~A
?o i+ NOitllry PItbNC ' 8tih1 d FIOf10~
riplMl~i0f1 E>fpYM ~ 1)8, 4tlt
Si na re of ubl Notary - S
~ aC0^~~0^ ~ ~ ~09Y
hN
lN
T
f
A
Notari ation of Principal's s na~lf7~" otMr
8onded
hap
~
aw
Mi
TO BE COMPLETED BY CITY CLERK'S USE ONLY
Annual Registration fee: [ ]Yes [ ] No Amount Paid $ MCR # S Date Paid
Lobbyist Registration Form received and verified by:
F:ICLER\LOBBYIST1Lobb ist Re istration Form 32708.doc Revised 03/27/2008
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK office CitvClerkCc~miamibeachfl.gov
Tel: 305.673.7411, Fax: 305.673.7254
LOBBYIST NAME:
Jonathan W. Cardello
I understand that no later than October 1St 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 additio nce an issue I have registered to lobby on has been resolved, I am required to immediately notify the
City CI 's O for lobbyist withdrawal in writing.
~ r 1 1 12 - ~~_~
Sign onath W. Cardello Date:
CITY OF N11AMt BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
'1. LIMITED LIABILITY COMPANY
If the property which is the subject of an application is owned or leased by a CORPORATION,
list the principal stockholders and the percentage of stock owned by each. Where the principal
officers or stockholders consist of another corporation(s}, trustee(s), partnership(s) or other
similar entity, further disclosure shall be required which discloses the identity of the individual{s)
(natural persons) having the ultimate ownership interest in the entity.''
SOUTH BEACH HEIGHTS I LLC
LIMITED LIABILITY COMPANY NAME
NAME, ADDRESS, AND OFFICE
SBH HOLDINGS I, LLC
2200 Biscayne Boulevard
Miami, Florida 33137
Member
SBH MANAGEMENT COMPANY, LLC
2200 Biscayne Boulevard
Miami, Florida 33137
Member and Manager
OFFICERS;
SONNY KAHN
2200 Biscayne Boulevard
Miami, Florida 33137
Chairman
RUSSELL W. GALBUT
2200 Biscayne Boulevard
MEami, Florida 33137
President
BRUCE A. MENIN
2200 Biscayne Boulevard
Miami, Florida 33137
Sr. Vice President
SHARON CHRISTENBURY
2200 Biscayne Boulevard
Miami, Florida 33137
Vice President
SHLOMO DACHOH
2200 Biscayne Boulevard
Miami, Florida 33137
Secretary
JOSEPH ZDON
2200 Biscayne Boulevard
Miami, Florida 33137
Treasurer
PABLO DE ALMAGRO
2200 Biscayne Boulevard
Miami, Florida 33137
Asst.. Treasurer
OF MEMERSHIP INTEREST
99%
1%
IF THERE ARE ADDITIONAL CORPORATIONS, L/ST OTHERS, INCLUDING CORP.
NAME(S~ AND EACH !ND/VIDUAL'S NAME, ADDRESS, OFFICE AND
PERCENTAGE OF STOCK, ON A SEPARATE PAGE,
NOTE: Notarized signature required on page S
6
GITY OF MIAMI BEAGH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
1. LIMITED LIABILITY COMPANY
If the property which is the subject of an applica#ion is owned or leased by a CORPORATION,
List the principal stockholders and the percentage of stack owned by each. Where the principal
officers or stockholders consist of another corporation(s), trustee(s), partnerships} or other
similar entity, further disclosure shall be required which discloses the identity of the individual(s)
(natural persons) having the ultimate ownership interest in the entity.*
SBH MANAGEMENT COMPANY LLC
LIMITED LIABILITY COMPANY NAME
NAME, ADDRESS, AND OFFICE
CH INVESTMENT HOLDINGS, LLC
2200 Biscayne Boulevard
Miami, Florida 33137
Member and Manager
OFFICERS:
SONNY KAHN
2200 Biscayne Boulevard
Miami, Florida 33137
Chairman
RUSSELL W. GALBUT
2200 Biscayne Boutevar~d
Miami, Florida 33137
President
BRUCE A. MENIN
2200 Biscayne Boulevard
Miami, Florida 33137
Sr. Vice President
SHARON CHRISTENBURY
2200 Biscayne Boulevard
Miami, Florida 33137
Vice President
SHLOMO DACHOH
22D0 Biscayne Boulevard
Miami, Florida 33137
Secretary
JOSEPH ZDON
2200 Biscayne Boulevard
Miami, Florida 33137,
Treasurer
PABLO DE ALMAGRO
2200 Biscayne Boulevard
Miami, Florida 33137
Asst. Treasurer
OF MEMERSHIP INTEREST
100%
IF THERE ARE ADDITIONAL CORPORATIONS, LIST OTHERS, INCLUDING CORP.
NAMES} -AND EACH INDIVIDUAL'S NAME, ADDRESS, .OFFICE AND
PERCENTAGE OF STOCK, ON A SEPARATE PAGE.
NOTE: Notarized signature required on page 8
6
CITY OF MIAMI BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF [NTEREST
1. LIMITED LIABILITY COMPANY
!f the property which is thetsubject of an application is owned or leased by a CORPORATION,
list the principal stockholders and the percentage of stock owned by each. Where the principal
officers or stockholders consist of another corporations}, trustee(s), partnership(s) or other
similar entity, further disclosure shall be required which discloses the identity of the individual(s)
(natural persons} having the ultimate ownership interest in the entity.'` ,
SBH HOLDINGS ( LLC
LIMITED LIABILITY COMPANY NAME
NAME, ADDRESS, AND OFFICE
CH INVESTMENT HOLDINGS, LLC
2200 Biscayne Boulevard
Miami, Florida 33137
Member and Manager
DAVID GALBUT
2200 Biscayne Boulevard
Miami, Florida 33137
Member
OFFICERS:
SONNY KAHN
2200 Biscayne Boulevard
Miami, Florida 33137
Chairman
RUSSELL W. GALBUT
2200 Biscayne Boulevard
Miemi, Florida 33137
President
BRUCE A. MENlN
2200 Biscayne Boulevard
Miami, Ftorlda 33137
Sr. Vice President
SHARON CHRISTENBURY
2200 Biscayne Boulevard
Miami, Florida 33137
Vice President
SHLOMO DACHOH
2200 Biscayne Boulevard
Miami, Florida 33137
Secretary
JOSEPH ZDON
2200 Biscayne Boulevard
Miami, Florida 33137
Treasurer
PABLO DE ALMAGRO
2200 Biscayne Boulevard
Miami, Florida 33137
Asst Treasurer
°lo OF MEMERSHIP INTEREST
89.89%
10.11%
1F THERE ARE ADDITIONAL CORPORATIONS, LIST OTHERS, INCLUDING CORP.
NAME(S) AND EACH INDIVIDUAL'S NAME, ADDRESS, OFFICE AND
PERCENTAGE OF STOCK, ON A SEPARATE PAGE.
NOTE: Notarized signature required on page 8
6
CITY OF MIA~Mt BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
'1. LIMITED LIABILITY COMPANY
If the property which is the subject of an application is owned or leased by a CORPORATION,
list the principal stockholders and the percentage of stock owned by each. Where the principal
officers or stockholders consist of another corporation(s), trustee(s), partnership(s) or other
similar entity, further disclosure shall be required which discloses the identity of the individual(s)
(natural persons) having the ultimate ownership interest in the entity.*
CH INVESTMENT HOLDINGS LLC
LIMITED LIABILITY COMPANY NAME
NAME, ,4DDRESS, AND OFFICE % OF MEMERSHIP INTEREST
SK BUSINESS TRUST 37%
2200 Biscayne Boulevard
Miami, Florida 33137
Member
RF BUSINESS TRUST 37%
2200 Biscayne Boulevard
Miami, Florida 33137
Member
MENIN 1998 FAMILY TRUST 26%
2200 Biscayne Boulevard
Miami, Florida 33137
Member
MANAGERS:
SONNY KAHN
2200 Biscayne Boulevard
Miami, Florida 33137
Manager
RUSSELL W. GALBUT
2200 Biscayne Boulevard
Miami, Florida 33137
Manager
BRUCE A. MENIN
2200 Biscayne Boulevard
Miami, Florida 33137
Manager
lF THERE ARE ADDITIONAL CORPORATIONS, LIST OTHERS, INCLUDING CORP. "
NAME(S) AND EACH INDIVIDUAL'S NAME, ADDRESS, OFFICE - AND
PERCENTAGE OF STOCK, ON A SEPARATE PAGE.
NOTE: Nofarized signature required on page 8
6
CITY OF MIAMI BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
2. TRUSTEE
If the property which is the subject of an application is owned or leased by a TRUSTEE, list the
beneficiaries of the trust and the percentage of interest held by each. Where the
beneficiaries/beneficiary consist of corporation(s), another trust(s), partnership(s) or other
similar enti#y, further disclosure shall be required which discloses the identity of the individual(s)
(natural persons) having the ultimate ownership interest in the entity.*
SK BUSINESS TRUST
TRUST NAME
NAME, ADDRESS, AND OFFICE % OF INTEREST
SONNY KAHN
2200 Biscayne Boulevard
Miami, Florida 33137
Beneficiary
100%
NOTE: Notarized signature required on page 8
7
CITY OF MtAMt BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
2. TRUSTEE
If the property which is the subject of an application is owned ar leased by a TRUSTEE, list the
beneficiaries of the trust and the percentage of interest held by each. Where the
beneficiaries/beneficiary consist "of corporation(s), another trusts}, partnership(s) ar other
similar entity, further disclosure shall be required which discloses the identity of the individual(s)
(natural persons}having the ultimate ownership interest in the entity."
RF BUSINESS TRUST
TRUST NAME
NAME, ADDRESS, AND OFFICE °!o OF INTEREST
RUSSELL W. GALBUT
2200 Biscayne Boulevard
Miami, Florida 33137
Beneficiary
100%
NOTE: Notarized signature required on page 8
7
CITY OF MIAMI BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
2. TRUSTEE
If the property which is the subject of an application is awned or leased by a TRUSTEE, list the
beneficiaries of the trust and the percentage of interest held by each. Where the
beneficiaries/beneficiary consist of corporations}, another trusts}, partnerships} or other
similar entity, further disclosure shall be required which discloses the identity of the individual(s)
(natural persons) having the ultimate ownership interest in the entity.*
MENIN 1998 FAMILY TRUST _
TRUST NAME
NAME, ADDRESS, AND OFFICE °lo OF INTEREST
BRUCE A. MENIN
2200 Biscayne Boulevard
Miami, Florida 33137
Beneficiary
100%
NOTE: Notarized signature required on page S
7