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James Rauh - 500 Lakeview Court Variance MI Sao �iv y ( ,Fi d 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: Nelson Fox NAME OF PRINCIPAL /CLIENT: Not Applicable 500 Lakeview Court Miami Beach FL 33140 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 532 -6100 (305) 532 -6101 mrnelsonfox @yhoo.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: Not Applicable • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Not Applicable II. SPECIFIC LOBBY ISSUE: Variances relating to the property located at 500 Lakeview Court, Miami Beach, Florida 33140. Issue to be lobbied (Describe in detail): I11. 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 Committees None ail j �''��� �lt � S :C Nd I -AONOIOZ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMP T��ppr DI>,;C�LLQSE WHETHER l HOURLY, FLAT RATE OR OTHER): �� rC T // S IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): LOBBYIST DISCLOSURE: (Required) $ 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 ": flues N No: Are you Iobbyinq 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 ": [lYes N No: Are you Iobbyinq on a pending application for a Development Agreement with the City or application for change of zoninq 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 a not - 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.. fl¥es 71 No: Are you representing a not - for - profit corporation or entity without special compensation 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. --(2 Sign- • - . Lobbyist James Rauh I do solemnly swear that all of the foregoing facts are true a • orrect and that I have read or am familiar with the provisions contained in Section 2-4; • th Miami Beach City Code and all reporting requirements. Signature of Lobbyist: /� I Signature of Principal /Client: Nelson Fox VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ❑ Produced ID ❑ Produced ID Form of Identification Form of Identification s' Personally known (Lobbyist) Er Personally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami -Dade State of Florida, County of Miami -Dade S or to and su • . • -, •efore me Sworn to and subscribed before me Thi day of O l _ : e is # day of OGTOher 2010 �� i .. ..,i "---- - •gnature of Pub ic Notary State of Florida Signature ./' • ic No ary — '. (te of Florida _ •• • Lobbyist's signature Notarization of Principal's signature TO BE COMPLETED BY CI . CLERK'S USE ONL Annual Registration fee: ] Yes [ ] No Amount Paid $ �1ACR # $ Date Paid 1/ / '/ 0 Lobbyist Registration Form received and verified by: � 3��' ✓" / - - -�y� / F: \CLER \LOBBYIST\Lobbyist Registration Form 32708.doc X 4 4... 9 t, i Revised 03/27/2008 oY Po 29 .. ' • • `. ( t+ SHANNON HARVEY - - * t _ ) * MY COMMISSION # DD 984835 ,N" Notary Puhlie State of Fionaa mo'' �l ' EXPIRES: April 25, 2014 f Marilyn 0 &liffman 44.0F F � Q a`O Balled Thru Budget Notary Services y My fiomlflll ion RAd05S48 A t 6R �xplr8li �� /Q+1/t�1'� /\ /\ 1 BEAC H City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CityClerk @miamibeachfl.gov Tel: 305.673.7411 , Fax: 305.673.7254 Acknowledgement of fines /suspension from lobbying for failure to comply with City of Miami Beach lobbying Laws LOBBYIST NAME: James E. Rauh, Esq. I understand that no later than October 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 -DADE 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, 1 AM REQUIRED TO IMMEDIATELY NOTIFY THE CITY CLERK'S OFFICE OF LOBBYIST WITHDRAWAL IN WRITING. Zg' Sig Date: • •