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James E. Rauh - Kaine Parking 125, LLC Mar M I AM I BEAC H City of Miami Beach Office of the City Clerk /700 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, dc-cision 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. .. t SC.,0 -- WACk \*\kj e -- Q. NAME OF LOBBYIST: (Last) (First) (M.I) Thy- St ha6 ciii-uro-sfl‘rx■ . -3co fcwi .._...__ EQ-c-d■ 4,--i ,.1 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 3 t ;0 4 '6-13 , . e - I uef-e. triSusso@ • wicu 1. C TELEPHONE NUMBER. FAX NUMBER: EMAIL: Please notify this office if your contact information changes: address, phone, or e-mail address. 1. LOBBYIST RETAINED BY c , i . V ... iAue___ I S CO SO NAME OF PRINCIPAUCLIENT: - - , t • • , 1, 4 7t CA i IC0/1 CO 1 4th g R i vv\ C:esh , \hi c3001-(-c-tui or A e_ ik\k- t} t tikt &eC I P BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) ■-■ .S 31 -.-_ )5 , - 10 L P e-WICt iitUe V i .SCii 5,0 .) • V f 1 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: -1 • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, 1 PARTNERSHIP OR TRUST: • ILSPECIFIC LOBBY ISSUE: -7 1) i Q„. G aimi- Oaf -,0/Ne_._ LL s.ccA7 tk'cAA& Pt ivv\ c:"/s4-ikpL..acit'2._ (_, - 0 vi I- r F-kLLL-0121Si/Ve -7 . CAC l cX1 rts rn (1. rativ+ Pco 12icA L A i -_Q e , , IA j Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2482(04) include the commissioner or personnel sought to be lobbied, and whether the lobbyist has entered into any contractual i•elatiorm. .:p (paid or unpeid) with said city coaindssionar or personnel from 12 months preceding such person's commencement of service with the ci to the , date - . • the general nature of the subject. contractual relationship. Sec 2-482(aX4) Full Name of Individual and Contractuid Relationship (Explain) ' YES NO title olperson to be lobbied El e, A ICA — \ 6cp,(01 c..vc,tr v- - - -, ift , - le- Li V\ rryi, IA \I kce C-., r' v 1 4 1 rt Gatt<- py. - \J &II. Ocec. biredibr- 1/ Pursuant to City Code Section 2-462(g) Every registrant shall be required to state the extent of any business, financial, fernilial 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 2482(g) Any Financial, Familial or Professional Relationship - C ‘.4- 3 s '`-) l_J A113 i\J i P\ 6 ipt 0? A 1 W 11 OZ 1 _ Lta iv. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) . l\)c.j CNW ffic,o, 1 B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): \ (Required). C.-CVY re n 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 LerNoL_Are you lobtiiimmiellt or ncmka_ii bid for gqodnentorse . rvices a !_esentorlin 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": 0 Yes iT City ora for change of zoning map designation or change to the City's Future ? 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. H___Les_la_tijoLAV re yok re=sentitiTa not-,&Ut"rit corporation or entt_tyypeci?ISPrion or reimbursement. V. SIGNATURE UNDER OATH: ON FEBRUARY 28th OF EACH VEAR, EACH L.OBBYIST SHALL SURMIT TO THE CITY _CLERK A SIGNEP STATET 10417, OATH USTI L o.,;;;YING EXPENDITUR AS WE A C • PENSA 1114 RE EIVF:R IN THE CITY OF PAIMill BEAc.11:1 FOR THE PRECEDING CALENDAR YEAR, A STATEMENT SLL BE FJLED EVEktIF THERE HAVE BEEN 140 EXPENDM.iRrS07§. COMPENSATION DURING THE REPORTING PERIOD. Signature of Lobbyist 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 Lobby V ist: Signature of Principal/Client: V!. L3BBYIST IDENTIFICATION: PRZNCIPAL EDENTIFICATION: 0 Produced ID DProducedlD Form of Identification Form of Identification Personally known (Lobbyist) Personally known (Pr;::::;: 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 Sworn and subscribed before me - This day of frA9 ••■ 0 7 " day o /4* , 2011 4. - 4ot&' Public State . a 6/4/4W SA ndra Tata auber „ .1IP Ar My Cornmi.Lion OD706. • nature of Pudic emprof -- xcires 08/20 • - of " blic z-tate of Florida Notanza ion of Lob 4 natu wr 7 on o - cipars signature A /9 _1— poi TO BE COMPLETT Y CITY CLERK'S STAFF ONLY Annual Registration fee: [ ] Yes [ j No Amount Paid IP MCR 1 ^ to Paid AMV Lobbyist Registration Form received and verified by: As 4 *, i- \ CLER\SALL\aFORMS‘ LOBBYIST FORMS \ Lobbyist Annuai Registration Forrn.rie, Pr'Sag.",11 y Re 1/11/2011 C MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office CityClerk @miamibeachft.gov Tel: 305.673.7411 , Fax: 305.673.7254 LOBBYIST NAME: ENIrr.A.,R.4q 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 Clerk's Office of lobbyist withdrawal in writing. Signature: Date: 1 t) vy trA t\AiAAAI ( t I 4§ Z 4 fi i — 1 City of Miami Beach Office of the City Clerk r~ 1700 Convention Center Drive, Miami Beach, FL 33139 -: LOBBYIST REGISTRATION FORM -T1 Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the pasage, treat modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendattn of, re City Manager or any city board or committee; or any action, decision or recommendation of any city personnel during the timesperioh'bf 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. Rauh James E. NAME OF LOBBYIST: (Last) (First) (M.I) Terminello & Terminello, P.A 1111 Lincoln Road Miami Beach Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (786) 276 - 2343 (305) 448 - 5566 jrauh @terminello.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes: address, phone, or e-mail address. LOBBYIST RETAINED BY: Kaine Parking 125, LLC NAME OF PRINCIPAL /CLIENT: Kaine Parking 125, LLC 170 N.E. 29the Street Miami Florida 33137 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zio Code) (305) 572 - 9899 Larrythe law(c�hotmail. 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: Lawrence Kaine, as Managing Member of Kaine Parking, LLC. • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Attached Exhibit n.SPECIFIC LOBBY ISSUE: % s' % C � ; <L -c;LK Application for modification of a Modified Conditional Use Permit to allow for the expansion of an existing permanent _ surface parking lot, to operate the expanded surface parking lot after midnight, and to change the name of the applicant. Issue to be lobbied (Describe in detail): iii. 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 City of Miami Beach Planning Board None X City of Miami Beach Planning Director /Staff None X City of Miami Beach Mayor and Commissioners 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 sou. ht to be lobbied as identified on the lobb ist re• istration form filed. r Sec 2- 482(g) Any Financial, Familial or Professional Relationship None u f • IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $7,500 Flat Fee B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): $7,500 Flat Fee (Required). 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 k( 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 lo: 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 COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EV ► IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. 4 . Sign. • - • obbyist I do solemnly swear that all of the foregoing facts are tr - and correct and that I have read or am familiar with the provisions contained in Section 2 -482 of the MiamA -7- - h City - • •e a d all reporting requirements. Signature of Lobbyist: y WV/ V r Signature of Principal /Clien 011 , k VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ❑Produced ID Ki<duced ID r ( L. K cD0OS 0 - 0 2 7 - 3 . 30 I Form of Identification Form of Identification ersonally known (Lobbyist) ❑Personally known (Principal) \N \.`�AN * ��/ � � ''����� �' ' VII. SIGNATURE AND STAMP OF tei . BRAD STEVEN FLEE ` `� �GOMMIS • % MY COMMISSION # DD816769 * ; �` �p Fes ?� r EXPIRES: August 21, 2012 2 O -o • - a State of Florida, County of Miami -Dade �eoa� � .N aQy l�.� a .c o. State of Florida, County of IVi :Dade ,,,,• m: Sworn to nd subscribe• before me Sworn an l beforiirga y #0 `, M. This da of 2011 Thi )q Liay of �( -1 , d 80 ?pr * r. Signature of Public Notary — State of Florida ig ature of Pul Notary — State of Florio ', " / " / E 0 ` ;\''. Notarization of Lobbyist's signature Notarization of rincipal's signature TO BE COMPLETED BY WY CLERK'S STAFF ONL _ Annual Registration fee: [ Yes [ ] No Amount Pais $ a ' ■ CR # Date Paid (2 1t Lobbyist Registration Form received and verified by: , _ _ / / _ i _ r:_ i _ all y x i ' fi t .. e - r �'���r�.�:1�i Aft. �., ��= ��fi« �� ,#.�;�t��"I= �a���t..s�ls�y� �$ ,�i��� ; < < -�a. Aac ( Revised 1/ 1/2011 City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miambeachfl.gov CITY CLERK Office Ci#yClerk @miarnibeachfl.gov Tel: 305.673.741 1 , Fax: 305.673.7254 James E. Rauh, Esq. LOBBYIST NAME: 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 Clerk's Office of lobbyist withdrawal in writing. 5- - 2 3 Zc`t Sign. - Date: EXHIBIT "B" DISCLOSURE OF INTEREST KAINE PARKING 125, LLC Name and Address % of Ownership KAINE PARKING 125, LLC Lawrence Kaine 50% 170 NE 29 Street Miami Florida 33137 Patricia Kaine 50% 170 NE 29 Street Miami Florida 33137 II