Matthew Amster - 1600 Lenoxm MIAMIBEACH i6o~ ~t'~~k
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 board 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.
Amster Matthew
NAME OF LOBBYIST: (Last) (First) (M.I)
Bercow, Radell & Fernandez, P.A. 200 S. Biscayne Blvd., Suite 850 Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
ri305) 377-6236 (305) 377-6222 mamsterCa~brzoninglaw com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
1600 Lenox Investors, LLC c/o Greenstreet Partners, L. P.
NAME OF PRINCIPAL/CLIENT:
2601 South Bavshore Drive 9th Floor Miami Florida 33133
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)858-4225 (305)858-2334
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: Jeffrey Safchik, President
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: ~~ ~~`bf~,
II. SPECIFIC LOBBY ISSUE:
Rezoning and redevelopment issues concerning 1600 Lenox Avenue
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
Planning Department Staff, Planning Board, and City
Commission *
None
~k I Inl., .. 1.. ..1 ..4•..
JI IIGJJ OII IJJUC IJ ICyIJIGIIVC III IldWfe, rlannmg rsoara ana city commission members are not lobbied outside of a public hearing setting.
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER
A) LOBBYIST DISCLOSURE: (Required) $ 285.00 per hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $ 285.00 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 X No: Are you lobbying on a present or pending bid for goods, equipment or services, or on a
present or pending award for oods~equipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
^Yes X No: Are you lobbying 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 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..
^ Yes X No: Are you reuresenting anot-for-profit corporation or entity without special comuensation
or reimbursement. .
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~ 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. ~
ignature of Lobbyist
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 2-482 of the 'ami Beach City Code and all reporting
requirements. ,~, ~
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST ID
^ Produced ID
Form of Identification
Personally known (Lobbyist)
.- VII. SIGNATURE AND STAMP OF NOTARY:
~~
" State of Florida, County of Miami-Dade
Sworn to and subscribed before me
~~ This 1 day of 20_+~
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N
ota -State of Flori
9 ry da
Notarization of Lobbyist's signature
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
C~Aersonally known (Principal)
NOTARY PI;BLIC-STATE OF FLORID:+
State of Florida, County of Miami-Dade ,••''~"'"''~: Georgia Williams
Sworn a subscribed before me w : Commission # DD90269U
This y"~~day of , 20~D `~•.,,,,,,.•'~ Expires: ;`iUG. O1, 2013
BONDED T'flRti ATI.A.`T:C BG\DL'~G CO., TNrv.
Signature Pu lic Notary -State of Florida
Notarize on of Principal's signature
CLERK'S SE ONLY
Annual Registration fee: ]Yes [ ] No ount Paid MCR #~ Date Paid
Lobbyist Registration Form received and verifie Entered By:
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.doc Revised 12/08/04
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City +of Miami Beath, 17fJa Canventian Center t?rive, Miami Eieach, Fiarida 33139, www.miarnibecachfl,gov
CITY CLERK Office CityClerk~miamibeachfl.gov
Tel: 305.b73.741 1 ,Fax: 3Q5.673.725d
LOBBYIST NAME: _ f" ~~'""`'`'~~ ~ZS~
1 understond that no later than Oct~~eir 1st a~ ecaChwea,-r_, ~ must file the faf lowing
forms, pursuant to Section 2-4.$5 of the Miami Beach City Code, with the City Clerk's
Office for all active lobbying issues.
1) Lobbyist Expenditure Form
2j Qisclosure Form
Failure to file these forms on a timely basis will resul# in my name-being transmifited to the
Miami-Dade County Commission on Ethics and For code violation evaluation.
(n addition, once an issue I harre registered to lobby on has been resolved, I am required
to immediately notiFy the City Clerk's C)fFice of lobbyist withdrawal in writing.
F:ICLERILDBBYISTILobbyist Registration Fvrm 32708,doc
EXHIBIT B
Disclosure of Interest
1%
General Partner
Greenstreet Management, Inc.
(Delaware Corporation)
100% shareholder
Steven J. Green
2601 South Bayshore Drive
Stn Floor, Suite 800
Coconut Grove, Florida 33133
Jeffrey A. Safchik,
President/Treasurer/Secretary
1600 Lenox Investors, LLC
(Florida Limited Liability
Company)
100% Owner & Sole Member
Greenstreet SOBE
Investments, LLC (Florida
Limited Liability Company)
l 100% Owner & Sole Member
MG Real Estate Partners,
LP (Delaware Limited
Partnership)
67.0% 32.0%
Limited Partner
Knowledge Industries, LLC
(California Limited Liability
Company)
Limited Partner
Greenstreet Capital, LP
(Delaware Limited
Partnership)
100% shareholder
Michael R. Milken
1250 Fourth Street, 5th Floor
Santa Monica, CA 90401
See page 2
Page 1 of 2
.EXHIBIT B continued
Greenstreet Capital, LP
Greenstreet Capital, LP
99%
Green Family Holdings, LP
18.1567% 23.7827%
57.0606%
Green Family Green Family
Investments II, Investments, LP
LP
98.8235%
1.1765% 1.1765%
GF Associates
Investments, Inc.
98.8235% 100%
Dorothea Green 1996 Trust
1%
Greenstreet Management, Inc.
1%
Green Family
Holdings, Inc.
100% /100%
- Steven J, Green
2601 South Bayshore Drive
ENEFICIARIES 9th Floor, Suite 800
Coconut Grove, Florida 33133
50% 50% Jeffrey A Safchik ---
Andrea Green
~. President/Treasurer/Secretary
Kimberly Green
Page 2 of 2