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James E. Rauh - Garden of Eden Restaurantm MIAMIBEACH a~~a3°~~~ 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 term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. Rauh James E. NAME OF LOBBYIST: (Last) ~ ~ (First) (M.I.) c/o Terminello &Terminello P.A. 1111 Lincoln Road Miami Beach, FL 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: Garden of Eden Restaurant, LLC NAME OF PRINCIPAUCLIENT: Garden of Eden Restaurant, LLC 210 23~tl Street Miami Beach FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 397-8760 (305) 397-8736 Lawrencerizzo mail 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: Lawrence Rizzo IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See attached Disclosures of Interest. II. SPECIFIC LOBBY ISSUE: Certificate of Appropriateness for renovations and alterations to the exterior area of the ro ert located at 210 23~d Street . p p y 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 IndividuaUTitle B) An City of Miami Beach Historic Preservation Board None City of Miami Beach Planning Staff ~ None City of Miami Beach Mayor/Commissioners ~ None City of Miami Beach Committees ~ None Financial, Familial or Professional Relationshi 9o:oi!~a ~ ~~aoioa S. Y v ~t ..y.. --. 1 • .a~ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Requiredj: $ 375 per hour. B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $ 375 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": nYes ~ No: Are you lobbying ~ 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 6~ No: Are you lobbvinq on ~a gendina 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 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 18t 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 COM SATION DURING THE REPORTING PERIOD. >- ~ ~ ~"~': ~ ~ Signat of byist -James Rauh 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~~IVliami Be i Code porting requirements. Signature of Lobbyist:. ~ , ,, . _ Signature of Principal/Client: awrence. Rizzo, Managing VI. LOBBYIST IDENTIFICATION: tuber, Garden of Eden Restaurant, LLC PRINCIPAL IDENTIFICATION: ^ Produced ID Form of Identification " Personally known (Lobbyistj~:-:~.-`":`°~~~~~- " VII. SIGNATURE AND STAMP OF `NOTARY: . State of Florida, County of Miami-Dade ~° °.. ".. an s ed before me~ .. This ~ day of , 2010 r P n e of ublic Notary - Stake ofof Florida :_:. ~. ' riz of Lobbyist's ~i'gnature ~' Produced ID QD I ~Z S Form of dentification ^ Personally known (Principal) BRAD STEyEN FLEET State of Florida, County of Miami-D E7~~SSI~N~DD816769 Sworrp~c~and s ri ~d before m '~'-'~~Y ~'21.2otz This day of ( ~n~ n s~uD''_°tl_°~~oo. a~ 5igr~ature of PuTlic Notary =State of Florida Notarization of Principal's signature TO BE C'~MPLETED BY CITY CLERK'S USE ONLY _ Annual Registration fee: [ ]Yes [ ] No Amount Paid $ ~ MCR # $ Date Paid Lobbyist Registration Form received and verified by: , F:\CLER\LOBBYIST1Lobb ist Re istration Form 32708.doc Revised 03/27/2008 ~'`:a''+,~~0 SHANNON HARVEY ,~ * MY COlbIA,IfSSION # DD 964835 EXPIRES: April 25, 2014 ~~'°'~oF ~~\o: Bonded Thru Budget Notary Servicaes ~ . Cifiy of Miami Beach, 1700 Convention. Center Drive; Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CityClerk@miamibeachfl.gov Tel: 305.673.7411 ;fox: 305.673:7254 ~- c~/`"' LO~~YIST N~AAE: ~ ~S ~ I understand that no Later than Febru®ry 2~th of a®ch ~eotr, I must file the following .form, .pursuant #o Section 2-485 of the Miami Beach City Code, with the. City Clerk's .Office for all active lobbying issues. l) Lobbyist Expenditure and Compensation 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 of lobbyist withdrawal in lb -i2-/~ Date: Revised 09/24/2010 -REP F~:1C;LER\LC)BBYI~T1Ex~~iiditurf; ~: Disc;Ic~surF ~r~rrn It~.~icc: We ore commiiled to providing excellent public service and safely io oll who live, work, and ploy in our vibrant, tropical, historic community. EXHIBIT «B» DISCLOSURE OF INTERETS NAME AND ADDRESS % OF INTERST , GARDEN OF EDEN RESTAURANT, LLC Lawrence Rizzo 25% 5959 Collins Avenue # 1108 Miami Beach, Florida 33140 Kelly Jones 25% 100660 Lago Cantini Street Las Vegas, Nevada 89141 Charles Schafer 25% 4765 Rushford Place Colorado Springs, Colorado 80923 . Christopher Lee 25% 206 Front Street Brooklyn, New York 11210