John P. Oliver - 1100 West Properties, LLC Y 7
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
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LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retai ed, whether paid or not, by a principal who seeks to encourage the passage, defeat K ® 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 i
y ty 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. Ttie 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.
Oliver John P
NAME OF LOBBYIST: (Last) (First) (M.1)
Mondrian South Beach 1 100 west Avenue Miami Beach FL 33
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305 674 -4848 n/a jp.oliver @morganshotelgroup.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office If your contact Information changes: address phone Ore -mall address.
1. LOBBYIST RETAINED BY:
1100 West Properties, LLC
NAME OF PRINCIPAUCLIENT:
c/o Morgans Hotel Group 475 10th Avenue New York NY 10018
BUSINESS NAME AND ADDRESS Nurnber and Street) '
( ) .(City) (State) (Zip Code)
305 674 - 4848 N/A
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2 (c)] .
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: !
• IDENTIFY ALL PERSONS HOLDING, DIR CTLY OR INDIRECTLY, !A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
x x7�a e F'1iN i1y :.143 x t} 1�.7- �.'o�r.»r, ,: +err :�.y t a�� , :.
11.S.PE IF! ; B if F , y 4
Conditional Use Permit
Issue to be lobbied (Describe in detail):
111. ° � ..�xAGE hill } ,� DUALS � TO y " 6 sOBBIEL . %! .:w .. uz
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Pursuant to City Code Section 2- 482(a)(4) include the commissioner or personnel sought to be lobbied, and whether the lobbyist has entered
into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such person's
commencement of service with the city to the present date, stating the general !nature of the subject contractual relationship.
Sec 2- 482(a)(4) Full Name of Indivi ual and Contractual Relationship (Explain) YES NO
title of • erson to be lobbied
City of Miami Beach Planning Board
X
City of Miami Beach Mayor /Commi sioners i X
City of Miami Beach Committees X
Pursuant to City Code Section 2- 482(g) Every registrant shall be required to state the extent of any business, financial, familial or professional
relationship, or other relationship giving rise to an appearance of an impropriety, with any current city commissioner or city personnel who is
sought to be lobbied as identified on the lobbyist registration ;form filed.
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Sec 2- 482(g) Any Financial, Familial or Professional Relationship
None
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR
OTHER):
i
A) LOBBYIST DISCLOSURE: (Required)
Normal compensation !
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): i
(Required). Normal compensation • . 1
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement
Issues ":
D Yes 0 No: Are vou lobbvinq on a pres nt or pending bid for goods, equipment or services. or on a present or pending
w
a and for Moods, e9uipment or service?
2) Pursuant to Miami Beach City Code 2/490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues ":
0 Yes a No: Are vou lobbying on a Dendina 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) An i
ty O y person (except those exempt from the definition of lobbyist as set forth in
Section 2-481 above) who only ap 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 recfluired by this section bu shall not be required to pay any registration fees.
0 Yes 12 No: Are vou representing a not - for- profit corporation o entity without special compensation or reimbursement. .
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28th OF EACH YEAR, EACIF LOBBYIST SHALL S BMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER
OATH. LISTING LOBBYING EXPENDITURES, AS WELL AS COMP NSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SH .t BE - ILE b EVEN IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DARING THE REPORTING PERIOD.
Signature o T obbyi- t
do solemnly swear that all of the fore _ • • facets are true an ,/correct - nd that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Beach C Coe nd all repo g require ents.
Signature of Lobbyist: - 7 T x
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Signature of PrincipaWClien : ._
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VI. LOBBYIST IDENTIFIC /ION: PRINCIPAL IDENTIFICATION: )(..
0 Produced ID ❑ Produced ID
Form of Identification Form of Identification
Personally known (Lobby' = . C. B. i Personally kno • ,
eseoik COLLADO C. B. COLLADO
elk ► MY COMMISSION # DD864622 ;
VII. SIGNATURE AND STAMP ' )1 , -. 417 : > ;. AI : February 25, 2013 ' ` MY COMMISSION # DD864622
,
ro 1 ` EXPIRES: February 25, 2013
'404.3 NOTARY Fl. Notary Discount Assoc. Co.
State of Florida, County of Miami -Da • - State of Florida, Co ' , Y Fl. "'' Dis'°"in Assoc. Co.
Sworn o and ubsc 'b. • • - fore me Swom and subscribed before me
This �' • ay f f, 1 A' � , 2011 �
1 Thi _ ' . .day r sA , ifkli,4 fir el I , 2011
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Signature of - • • lic Notary - State of Florida Signature of - • lic ' otary – State of Florida
Notarization of Lobbyist's signature ' Notarization of ,Principal's signature
TO B COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ] Yes [ ] No Amou r t Pald $ MCR # . Date Paid , i
Lobbyist Registration Form received and verified by: , I
FACLERWLL\aFORMS‘LOaBYIST FORMS\Lobbyist Annual Registration Form.doc T _ Revised 1/11/2011
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I: MIAMIBEACH
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139 www.miamibe h
ac fl.gov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel: 305.673.7411 Fax: 305.673.7254
John Paul Oliver
LOBBYIST NAME:
I understand that no later than February 28th of foliowing ry each year, I must file the form, pursuant
to Section 2 -485 of the Miami Beach Ci 'Code with the City Clerk's Office tY ty � ce for all active
issues.
1 Lobbyist Expenditure and Compensation
� Y p Form
Failure to file these forms on a timely basis will result in Miami
-Dade
to 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 Iobby • ed to
g on has been resolved, I am re w q
immediately notify the City Clerk's Office of lobbyist writing.
ist withdrawal in writin
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f natt re • Date:
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1100 WEST PROPERTIES. LLC
;OWNERSHIP STRUCTURE
1100 WEST PROPERTIES, LC
1100 West Hold rigs, LLC 100%
(Sole Member o 1100 West Properties, LLC)
475 10 Avenue
c/o Morgans Ho el Group
New York, New York 10018
1100 WEST HOLDINGS, LL
Mondrian Miam' Investment, o
stment, LLC 50 /o
475 10 Avenue
c/o Morgans Gr up, LLC
New York, New York 10018
Sanctuary West venue, LLC 50%
c/o Hudson Cap'tal
4770 Biscayne lvd., Suite 400
Miami, Florida 3137
MONDRIAN MIAMI INVESTMENT, LLC
Morgans Group, 1,1,C 100%
475 10 Avenue'
New York, New York 10018
MORGANS GROUP LLC
Morgans Hotel Group Co. 97.1%
475 10 Avenue
New York, New York 10018
Residual Hotel Interest LLC 2.9% (See attached
c/o 475 10 Avenue flow chart)
New York, New York 10018
MORGANS HOTEL GROUP CO.
Morgans Hotel Group Co. is a publicly held corporation
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SANCTUARY WEST AVE LLC
Sanctuary West , oldings, LLC , 100%
(Sole Owner of anctuary West Avenue, LLC)
4770 Biscayne lvd., Suite 400
Miami, lorida 33137
SANCTUARY WEST HOLD' 1 GS, LLC
Sanctuary West anagement, LLC 95%
4770 Biscayne ; llvd., Suite 400
Miami, Florida 3137
Gladys Brownst in 2.5%
Hone y Waldm • 2.5%
SANCTUARY WEST MAN . 'GEMENT, LLC
Abraham Galbu & Nancy K. Galbut, his wife 28%
4770 Biscayne !: lvd., .Suite 400
Miami, Florida 3137
Keith Menin i 18%
c/o 4770 Bisca e e Blvd., Suite 400
Miami, Florida 3137
Daniel Galbut 16%
c/o 4770 Bisca e Blvd., Suite 400
Miami, Florida 3 137
Seth Frohlich & Kimberly _Frohlich, his wife 8%
c/o 4770 Bisca e e .Blvd. Suite 400
Miami, Florida . '3137
Robert N. Galb t and Rita Galbut, his wife 10%
c/o 4770 Bisca e Blvd., Suite 400
Miami, Florida '3137
David Galbut • d Getz Galbut, his wife 10%
c/o 4770 Bisca e Blvd., Suite 400
Miami, Florida , 3137
Joan Brent 10%
c/o 4770 Bisca e Blvd., Suite 400
Miami, Florida '3.137
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