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Todd Tragash - 2K South Beach Hotel, LLC ,p p^ n ii A "rn\ ea' MIAMI B EAC H p 0 ,,y0 „ F li..•,. v.1 ri�1. YIV City of Miami Beach Office o Cjty JJE x -ve�� YYY � 1700 Convention Center Drive l reach F 3139 � � ; LOBBYIST REGISTIfI6N- MF‘tii:A °F 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. Tragash Todd NAME OF LOBBYIST: (Last) (First) (M.I.) STA Architectural Group 3626 North Miami Avenue Miami Florida 33127 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 276 -1414 (305) 571 -1821 TODD @STAArchitecturalgroup.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes: address, phone, or e-mail address. I. LOBBYIST RETAINED BY: 2K South Beach Hotel, LLC NAME OF PRINCIPAL /CLIENT: Clevelander Hotel 1020 Ocean Drive, Miami Beach, Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (786) 276 -1414 N/A mpalma @clevelander.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: • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: • See Exhibit "A" attached II. SPECIFIC LOBBY ISSUE: Modification of Conditional Use Permit 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 said City personnel's commencement of service with the City to the present date, stating the general nature of the subject contractual relation. A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship City of Miami Beach Planning Board NONE City of Miami Beach Historic Preservation Board City of Miami Beach Mayor /Commissioners NONE City of Miami Beach Committees NONE MIADOCS 4912322 1 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $ ' / /44.. B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $ „T th2 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 ": f 1Yes Fa 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 ": fYes 6a 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 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.. nYes 6a 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 PRECEDIN C • LENDAR YEA'. S ATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES 013 70 O • E SA - ' RI t THE REPORTING PERIOD. Signature • ' obbyist ` Todd Tragash I do solemnly swear that all of the fore. g facts are . - a d c• sect and that I hafd o.am familiar with the provisions contained in Section 2 -482 the is :each I it Code and all reporting requirements. Signature of Lobbyist: dp/ Todd Tragash i Signature of Principal /Client: Michael L. Palma, Manager of 2K South Beach Hotel. LLC VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ❑ Produced ID ❑ Produced ID Form of Identification Form of Identification NOTARY PUBLIC - STATE OF FLuKwa Per 3t1A11 ,knoiirdaptifilMlan ❑ Personally known (Principal) ,.. c'o —rni -son #DD661416 VII. SIGNA$ • ANf ►IV`A bF I' RY: BONDED MAU ATLANThC 3ONDING CO., INC. State of Florida, County of Miami -Dade State of Florida, County of Miami -Dade Sworn , ,o and bscribeii before me Sworn to and subscribed before me This d ay 4f �!�,,,_/t, , 2010 • This day of , 2010 ignat , re •f Public Notary — State of Florida Signature of Public Notary — State of Florida ot4r nation of Lobbyist's signature Notarization of Principal's signature TO BE COMPLETEDABY CITY CLERK'S STAFf ONLY Annual Registration fee: [{,yies [ ] No Amount Paid $ , t MCR # $ / Date Paid ha/CA, Lobbyist Registration Form received and verified by: Si4 C F: \CLER \$ALL \aFORMS \LOBBYIST FORMS\Lobbyist Registration Form /j ��/ y g c (S &B #4701574) Revised 05/28/2010 MIADOCS 4912322 1 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DI CLOSURE: (Required) $ 11• f42 B) PRINCIPAL'S DIS OS RE (OF LOBBYIST COMPENSATION): (Required). $ ( -7.1 H A 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 ": fYes 6l 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 ": fYes El 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 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.. fYes 1 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. Signature of Lobbyist Todd Tragash 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 Miami Beach City Code and all reporting requirements. Signature of Lobbyist: Todd Tragash Signature of Principal /Client: , -` - Michael L. Palma, I -' ale o'er 'bouth .ch Hote VI. LOBBYIST IDENTIFICATION: PRINCIPAL ' ENTIFI • N: ❑ Produced ID 111 Produced ID Form of Identification Form of Identification ❑ Personally known (Lobbyist) ["Personal) known (Principal) Y ( p ) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami -Dade State of Florida, County of Miami -Dade Sworn to and subscribed before me ,,,,, , This day of 2010 � 0 , � if • . , subscribe. •'efdre me _7 �� ► ! MY •f l�c.,r '2ti10 EXPIRES: December 30, 2011 •4;; f ikcc Bonded Thru Notary Public Underwriters j i,V Signature of Public Notary — State of Fri' .. . - . - . - ublic. ot. - .te of orida Notarization of Lobbyist's signature Notarization of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: krYes [ ] No Amount Paid $ MCR # $ kA6 % Date Paid /2/{.3 /' C� Lobbyist Registration Form received and verified by: F: \CLER \$ALL \aFORMS \LOBBYIST FORMS \Lobbyist Registration orm. oc (S &B #4701574) Revised 05/28/2010 MIADOCS 4912322 1 r ` CA. MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CityClerk(a,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: Todd Tra2ash 2-13 I understand that no later than October 1st each year, lobbyists subject to lobbyist registration requirements shall submit to the city cl rk 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, I AM REQUIRED TO IMMEDIATELY NOTIFY THE CITY CLERK'S OFFICE OF LOBBYIST WITHDRAWAL IN WRITING. Ja I IA 1 4D11G 2OtO Signatur: ` ,I . i rag; sh Date: v MIADOCS 4912322 1 • 2K SOUTH BEACH HOTEL, LLC LEGAL ENTITY OWNERSHIP STRUCTURE AS OF OCTOBER 31, 2010 US TRUST on 8 Lucill Trustees Neei Ron &Lucille Nedey ;' / Settlors 3'LW) Seniors 8 Trustees 100% THE JONATHAN LEE THE STEVEN LEE THE ALISON THE NEELEY FAMILY NEELEY 1996 TRUST, NEELEY 1996 TRUST, NEELEY 1996 TRUST, REVOCABLE TRUST •\ DATED 11/5/96 DATED 11/5/96 DATED 11/5/96 DATED SEPT. 15, 1981 % Varies Varies % Varies % Vanes % Varies (LP) (LP) (LP) 100% BRIO INV. GROUP, INC. ABIGDESTINATIONS, LLC A CALIFORNIA C-CORP A DELAWARE SMLLC % Varies (Special General Partner) %Varies (GP) % Varies (GP) RNLN CAPITAL INVESTMENTS, LP A DELAWARE LIMITED PARTNERSHIP r _ m m p Tb , AAAas`.: - a taut. _; b Dn Cl) D Varies Varies CLASS B LIMITED PARTNERS RNLN REAL ESTATE ADVISORS, LP A DELAWARE LIMITED PARTNERSHIP 2K SOUTH BEACH HOTEL, LLC / A DELAWARE SMLLC THE `, CLEVELANDER HOTEL (FEE SIMPLE) ,/ 7