Robert S. Fine 940 Ocean Drive - . C 6)eP'
113:1 i\A A E
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 board of 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.
FINE ROBERT S.
NAME OF LOBBYIST: (Last) • (First) (M.I)
Greenberg Traurig, P.A. 333 Ave of the Americas Miami FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) . (State) (Zip Code)
(305)579:0525 - (305) 961 =5826 .__ Finer @gtiaw.corri
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes: address, phone, or e-mail address. -
1. LOBBYIST RETAINED BY:
940 Ocean Drive LLC
NAME OF. PRINCIPAL/CLIENT:
940 -960 Ocean Drive Miami Beach, FL 33139
BUSINESS NAME AND ADDRESS • (Nurnber.and Street) • ' (City) (State) (Zip Code)
212
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: C/0 Nakash Holding, 1400 Broadway, 15th FI., NY, NY 10018
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
ii.SPECIFIC LOBBY ISSUE:
Building and Zoning Code Issues including floodplain for Breakwater and Edison Hotels 1.
Issue to be lobbied (Describe in detail):
mmm.AC. Y 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
Building Dept. /Fire Dept., Board of Adjustment X
Planning & Zoning 'Dept. /Public Works, City Manager X
Historic Preservation Bd., Floodplain Managmenet Board X
Pursuant to City 2-482(g) Code Section 2-482 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 331 i. 0 S i I ;a ,k 11
N/A
11 .
g
.1
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE: (Required)
$550.00
•
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). $550.00
The 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 ou Iobb in • on a • resent or • endin • bid for • oods e • ui • ment or services or on a • resent or • endin •
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
wy - change of zonirg
ma desionation erto:the CI_ '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 No: Are ou re • resentin • a not -for- • rofit cor • oration or enti without s • ecial com • ensation 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 - CO ' ' . NSATIO ► - -- • • z . M OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT D e''3 E BEEN NO - ENDITURES
COMPENSATION DURING THE REPORTING PERIOD. - Or
Si. - 4111
atu - of Lob •
1 do solemnly swear that all of the = ..egoi => is are true. an. 0- -ct and that I have -d or am - - iar with the provisions contained
in Section 2 -482 of the Miami Beach , ity • • : and all ii irements. ;
Signature of Lobbyist:. _
Signature of Principal /Client:
VI: LOBBYIST IDENTIFICATION PRINCIPAL IDENTIFICATION:
❑ Produced ID ce
- `❑ rodu d . iD
Form of Identification Form of Identification
Personally known (Lobbyist) � - � Personally. known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY: i „ —
•e
State of Florida,. County of Mia i -• , p S tate. •
Sworn t• and subscribed b GISELA MUS ,, ° VINJA-ElliaeMUSA
r i s e of Florida
day of �� .:. Notary Public - St ate of worn • . ; A(� 4: omm ,.
This _ Florida a .�+ 6'f�s Mar 25, 2014
v. My Comm. Expires Mar 25, 2014 / %° F` 0 - 'sion. # 0D 974799
,1 � 0 : , ` \ Commission # 0D 974799 •I
Signature of Public Notary - a - o i• nature of Public Notary - State of Florida
Niitarization of Lobbyist's signature Notarization of Principal's signature
TO BE COMPL -TED BY CITY CLERK'S STAF �•
Annual Registration fee: ] Yes [ ] No Amount Paid �li►�. QC�MCR #_3 411 � • Date Paid .
An
Lobbyist Registration Form received and verified by: "'r
F: \CLER \$ALL \aFORMS \LOBBYIST FORMS \Lobbyist Annual • g is Revised 1/11/2011
MAM!B - a
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfll.gov
CITY CLERK Office CityClerk @miamibeachfl.gov
Tel:
305.673.7411 , fax; 305.673.7254
v C �-:
- - LOBBYIST NAME: ± -, Le •
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 Ciiy Clerk's Office of lobbyist withdrawal in writing.
Signature: Date:
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