James E. Rauh - 2020 Ventures, LLC~N~
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City of Miami Beach Office of the City Clerk 'U~~`
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.
Rauh James E.
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NAME OF LOBBYIST: (Last) (First) (M.I.)
c/o Terminello &Terminello, P.A. 1111 Lincoln Road, Suite 400 Miami Beach Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(786) 276-2343 (305) 673-5505 jrauh@terminello.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
2020 Ventures, LLC
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NAME OF PRINCIPAL/CLIENT:
2020 Ventures, LLC 15645 Collins Avenue, No. 805 North Miami Beach Florida 33160
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(978) 815-3653 (305) 957-8934 bob@rwjeffrey.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: Robert W. Jeffrey, as Managing
Member of 2020 Ventures, LLC
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
Robert W. Jeffrey (50%) and Kathleen P. Jeffrey (50%)
I1. SPECIFIC LOBBY ISSUE:
Introduction of new operator, 2020 Ventures, LLC, to the Board of Adjustment to affirm its understanding of the conditions, and
agree to meet the conditions, contained in the Board's Order granting the Variance for property located at 1437-1439
Washington Avenue to waive the minimum distance separation required between a business that sells alcoholic beverages and a
school.
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 Board of Adjustment None
City of Miami Beach Planning Staff None
City of Miami Beach Mayor/Commissioners None
City of Miami Beach Land Use 8 Development Committee None
City of Miami Beach Committees None
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
LOBBYIST DISCLOSURE: (Required) $375.00 per hour.
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
{Required). $375.00 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 iobbyinq on a present or pendin_ bld 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 lobbying on a pending application for a Development Agreement with the City or
application for chance of zoning map designation or change 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-a81 above) who only appears as a representative of snot-#or-profit
corporation or entity without special compensation or reimbursement for the appearance, whether direct, or
indirect, #o express support of or apposition to any item, shall register with the clerk as required by this
section but, shalt 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:
ON OCTOBER 1St 4F EACH YEAR. EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH LISTING LOBBYING EXPENDITURES AS WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL
BE f1LED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING
PERIOD. ('
Sign t re o obbyist -James E. Rauh
I do solemnly swear that all of the foregoing facts are true rrect and that I have read or am fami{iar with the
provisions contained in Section 2-482 g€ i e i i Beacb.,~it~ Cade and all reporting requirements.
Signature of Lobbyist:-
Signature of PrincipaUClient:
as Managing~iS{I'emJ~r of 2(320 Ventures, LLC
.-~ Vl. LOBBYIST IDENTIFICATION:
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4 .... ~ State of Florida,- County of Miami-Dade
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`~Signat., ublic No#ary -State of F[ori
filet`" rizatian of Lobbylst's signature
[PAL IDENTIFICATION:
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Form of Identification
ej~'Personafly known {Principal)
State of Florida, County of Miami-Dade
Sworn to and subscribed of re me
T '- o~f =, 2010
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Signature of Public Notary -State of Florida
Notarization of Principal's signature .
TO BE COMPLET BY CITY CLERK'S S O
Annual Registration fe j Yes [ ] No Amount Paid $ MCR # $ Date
Lobbyist Registration Form received and verified by:
FaCLER~L08BYIST1Lobbyist Registration Form 32708.dac !!A fY~leM .n
Revised 03/27/2008
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
LOBBYIST DISCLOSURE: (Required) $375.00 per hour.
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). $375.00 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 6a 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 change of zoning map designation or change 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:
ON OCTOBER 1St OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS 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 COMPENSATION DURING THE REPORTING
PERIOD.
Sign re o obbyist -James E. Rauh
I do solemnly swear that all of the foregoing facts are true rrect and that I have read or am familiar with the
provisions contained in Section 2-482 e i i Beac ('itv Code and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
Robert W. Jeffery, as Managing Member of 2020 Ventures, LLC
q ~® VI. LOBBYIST IDENTIFICATION:
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~,n ~ State of Florida County of Miami-Dade
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.=-.~e,~,. ` ~ Sworn~~to°and subs gibed before me
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rization of Lobbyist's signature
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
^ Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This day of , 2010
Signature of Public Notary -State of Florida
Notarization of Principal's signature
TO BE COMPLET Y CITY CLERK'S USE Y
Annual Registration fe Yes [ ] No Amount Paid $ MCR # $ Date Paid
Lobbyist Registration Form received and verified by:
F:\CLER\LOBBYIST1Lobbyist Registration Form 32708.d Revised 03/27/2008
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK office CityClerk(7miamibeachfl.qov
Tel: 305.673.7411, Fax: 305.673.7254
LOBBYIST NAME:
James E. Rauh
I understand that no later than October 1St of each near, 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.
Date: