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Jimmy L. Morales - Reta Ocean Drive, LLC /7 .L4 MIAMI RPrp City of Miami Beach Office of the City Clerk 2 1 v v 2011 ApR 26 1700 Convention Center Drive, Miami Beach, FL 33139 ri 1: 35 • LOBBYIST REGISTRATION FORM CiTy c i - � 1" `S VT ICE Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat or Y p p Y a p p 9 p 9 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. Morales Jimmy L. NAME OF LOBBYIST: (Last) (First) (M.I) Stearns Weaver Miller Weissler Alhadeff & Sitterson, P.A., 150 W. Flagler St., Ste. 2200, Miami, FL 33130 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305- 789 -3341 305- 789 -2682 jmorales @stearnsweaver.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: Reta Ocean Drive, LLC NAME OF PRINCIPAUCLIENT: 1236 Ocean Drive, Miami Beach, FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 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: Refik Cevik; Tacettin Yildirim • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Refik Cevik; Tacettin Yildirim II.SPECIFIC LOBBY ISSUE: Conditional Use Modification - 1236 Ocean Issue to be lobbied (Describe in detail): lll. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED: 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 Individual and Contractual Relationship (Explain) YES NO title of person to be lobbied Planning Board none 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. Sec 2- 482(g) Any Financial, Familial or Professional Relationship None I IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $400 / hr. B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $400 / hr. 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 ® 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 ® 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. ❑ Yes IN No: Are you representing a not - for - profit corporation or entity without special compensation or reimbursement. . V. SIGNATURE UNDER OATH: ON FEBRUARY 28th OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH LISTING LOBBYING EXPENDITURES AS WELL AS OMPENSATION RE . , IVED IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SIiAL BE FILED EVEN IF1T HERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. �— /Illki ■ Signature sf Lobbyist I do solemnly swear that all of the for going facts are true ••'d orrect and th.t I have read or am familiar with the provisions contained in Section 2-482 of the Miami Beach ity Code and all r-p• i • requirements. A Signature of Lobbyist: /�� Signature of Principal /Client: 1111111/Allt VI. LOBBYIST IDENTIFICATION: ' PRINCIPAL IDENTIFICATION: ❑ Produced ID ❑ Produced ID Form of Identification Form of Identification IN Personally known (Lobbyist) f 04, � ISABEI.. SATCHELL ' ersonally known !Pp ► j ISABELSATCHELL * , * MY COW/LISS :ON # DD 879891 _ *^ MY COMMISSION # DD 879891 VII. SIGNATURE AND STAMP OF ,,Ti: EXPIRES: April I3 2013 ; w -., 4 : EXPIRES. April 13, 2013 r, ' , „, ,; Bonded Thru Notary Public Underwriters i '? o �?, Bon �ed 7hru ?�ata Public Unde State of Florida, County of Miami -Dade State of Florida, Coun y o _ -1:"'''..z iami -Dade Sworn to and subscribed before me Sworn and subscribed before me This 2.411 day • A , ,ti , 2011 Th'. , day of A. ;1 z. , 011 ("IL _. Mik AM. ■ a.' a . OW ■ Signat re of Public Rrr ry — State o Florida Signa • - :f Public Not — tae of Florida Notari ation of Lobbyist's signature Notarizat • n of Principal's signature / TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ] Yes [ 'L No Amount Paid $ 5. CO NI,CR # -..1 Date Paid r 4 Lobbyist Registration Form received and verified by: --t o S4- I fe/ F: \CLER \$ALL \aFORMS \LOBBYIST FORMS \Lobbyist Annual Registration Form.doc /45-6- Revised 1/11/2011 frA MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CityClerk @miamibeachfl.gov Tel: 305.673.741 1 , Fax: 305.673.7254 LOBBYIST NAME: Jimmy L. Morales I understand that no later than February 28th of each year, I must file the following form, pursuant to Section 2 -485 of the Miami Beach City Code, with the City Clerk's Office for all active lobbying issues. 1) 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 CIe, s Office of lobbyist withdrawal in writing. ---- A �� =•- 04/26/11 Signatu e: Date: