Kobi Karp - Beta Epsilon`~. s ~~
Ml~r1~1I BEA~h~ ~ `~`'~
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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 inc-udes the principal as well as any employee engaged
in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Karp Kobi
NAME OF LOBBYIST: (Last) (First) (M.I)
Kobi Karp Architecture & Interior Design, Inc. 2915 Biscayne Blvd., Suite 200 Miami Florida 33137
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 573-1818 1305) 573-3766 infoCa kobikaro com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Beta Epsilon/Cadillac, LLC, contact: Dan Economos
NAME OF PRINCIPAL/CLIENT:
Beta Eosilon/Cadillac. LLC 4000 N Federal Hiohwav Suite 206 Boca Raton Florida 33431
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(561) 361-3918 (561)361-3945
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: Nicholas Economos, Manager
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: See Exhibit B
II. SPECIFIC LOBBY ISSUE:
New ground floor addition, including mechanical parking, at the Cadillac Hotel located at 3925 Collins Ave
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, HPB, BOA, Planning Board and
City Commission* None
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9~l ~£ ~ -
* ~ ~~~e« ~., ~~ I I ~ I
sue s egis ative in nature, HPB, BOA, Planning Board, and City Commission members are not lobbied outside of a public hearing setting.
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
, FLATRATEOROTHERf
A) LOBBYIST DISCLOSURE: (Required) $ 500.00 oer hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $ 500.00 oer 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 lobbvina on a present or oendina bid for aoods, eauiament or services, or on a
present or oendina award for aoods, eauioment 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 apulication for a Development Agreement with the City or
aaplication for chanae of zoning man designation or chanae to the Citv's Future Land Use
Mau?
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 X No• Are you representing anot-for-profit corporation or entity without suecial 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 COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDI CALENDAR YEAR A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITUR S N DURING THE
REPORTING PERIOD.
Si ature o obbyist
I do solemnly swear that all of the fnrPQOing facts are true d co ect and that I have read or am
familiar with the provisio ontained in Sec~1' n 2-482 of the ii Beach ity Code and all reporting
requirements.
Signature of Lobbyist:
Signature of Principa
VI. LOBBYIST
Produced ID
Form of Identification
NPer~a known (Lobbyist)
;~~ o,F~o2~~9
5~`e,~$!)~~T AND STAMP OF NOTARY:
t~~~aNo ~~~ ounty of mi-Dade
~~"""~~~ ~ subscr be efor me
?~a F~ ~ ~4
•~L ~ - da ' 20L
y''a~Nff~i
ignatur lic Nota o Floric
No ation of Lobbyists signature
IDENTIFICATION: ~'~` Ers.bh Ca]•Il~, C,
Produced ID
For dentification
Personally known (Principal)
~°~ARY P~~~ DEBRA A. IIVINGSTON
* MY COMMISSION # DD 687826
State of Florida, County of Miami-~ : EXPIRES: May 13, 2011
Sworn and subscribed before me 9~ ~oa~~O BondedihmBudgetNotarpserv~es
This ~_da of T~ I y , 2 D~
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Signature of Public Notary -State of Flori
Notarization of Principal's signature
FOR CLERK'S USE ONLY
Annual Registration fee: [ ]Yes [ ] No Amount Paid MCR # Date Paid
Lobbyist Registration Form received and verified by: Entered By:
F:\CLER\$ALL\MARIA-M\Lobbylst\LOBBYIST FORM OS.doc Revised 12/08/04
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office
Tel: 305.673.741 1 ,Fax: 305.673.7254
CityClerk@miamibeachfl.gov
Acknowledgement of fines/suspension from lobbying for failure to
comply with City of Miami Beach lobbying Laws
LOBBYIST NAME: __ ~~~ I l~~P~
I understand that. no later than Oetober 1st of each year, lobbyists subject to lobbyist
registration requirements shall submit to the city clerk a signed statement under oath
listing all lobbying expenditures, as well as compensation received,. for the preceding
calendar year with regard to the specific issue on which the lobbyist has been engaged
to lobby. A statement shall be filed even if there have been no expenditures or
compensation during the reporting period. The statement shall list, in detail, each
expenditure by category, including. food and beverage, entertainment, research,
communication, media advertising, publications, travel, lodging and .special events.
- FAILURE TO TIMELY FILE THE EXPENDITURE AND FEE DISCLOSURE REPORT
WILL RESULT IN A FINE OF $50.00 PER DAY. ANY LOBBYIST WHO FAILS
TO FILE THE REQUIRED EXPENDITURE REPORT BY DECEMBER 1, SHALL
AUTOMATICALLY BE SUSPENDED FROM LOBBYING UNTIL ALL -FINES ARE
--- PAID, UNLESS THE FINE HAS BEEN APPEALED TO THE MIAMI-DADS COUNTY
COMMISSION ON ETHICS AND PUBLIC TRUST. In the event .a lobbyist fails to
either file the report and/or pay the assessed fines, the Clerk shall notify the Miami-Dade
County Commission on Ethics and Public Trust.
IN ADDITION, ONCE AN ISSUE I HAVE REGISTERED TO LOBBY ON HAS
BEEN RESOLVED, I AM REQUIRED TO IMMEDIATELY- NOTIFY THE CITY
CLERK'S OFFI WITHDRAWAL IN WRITING.
Signature:
~ Y to
Date:
EXHIBIT B
DISCLOSURE OF INTEREST
for
Beta Epsilon/Cadillac, LLC
4000 N. Federal Highway, Suite 206
Boca Raton, Florida 33431
NAME OF INTEREST HOLDER - % INTEREST
- 1. Stanley Daniel Economos 24.75%
4000 N. Federal Highway, Suite 206
Boca Raton, Florida 33431
2. Nicholas Economos 24.75%
4000 N. Federal Highway, Suite 206
Boca Raton, Florida 33431
3. Alexandra Yessios 35.00%
4000 N. Federal Highway, Suite 206
Boca Raton, Florida 33431
4. Chris Yessios 7.50%
4000 N. Federal Highway, Suite 206
Boca Raton, Florida 33431
5. George Bavelis 7,50%
4000 N. Federal Highway, Suite 206
Boca Raton, Florida 33431
6. Beta Epsilon/Cadillac, Inc. a Florida Corporation 0.50%
4000 N. Federal Highway, Suite 206
Boca Raton, Florida 33431
a. Nick Economos 100%
4000 N. Federal Highway, Suite 206
Boca Raton, Florida 33431
I
TOTAL for Beta Epsilon/Cadillac, Inc. 100%
TOTAL for Beta Epsilon/Cadillac, LLC 100.00%i