Loading...
Matthew Amster - SRA/Lincoln Theater, LLC Tol fir MIAMIBEACH City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 �e 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 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. Amster Matthew NAME OF LOBBYIST: (Last) (First) (M.I) Bercow Radell & Fernandez, PA 200 S. Biscayne Blvd, Suite 850 Miami Florida 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 377 -6236 (305) 377 -6222 mamsterbrzoninglaw.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: SRA /Lincoln Theater, LLC, Joanna L. Golden, Vice President NAME OF PRINCIPAL /CLIENT: SRA /Lincoln Theater, LLC 2301 W. Sample Road, BIdq.3 /1B Pompano Beach Florida 33073 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (954) 979-6730 (954) 979-4951 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: Joanna L. Golden, Vice President • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Clifford M. Stein (20.3 %); Elliott Sutton (25.05 %); William & Sons of Lincoln Road, LLC (10.10% - George, Andrew & Michael Fakhir each own an equal interest); Stephen Muss (9.90 %). c� II. SPECIFIC LOBBY ISSUE: ---� Floodplain variance and permitting issues associated with redevelopment of 541 -551 Lincoln Road t • Issue to be lobbied (Describe in detail): ' • Co i= III. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED: VIG c Pursuant to City Code Section 2- 482(a)(4) include the commissioner of personnel sought to be lobbied, and whetter thtvfobbyist has entered into contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 montfjjpre®ding such person's commencement of service with the city to the present date, stating the general nature of the subjecfontTaZtual relationship. Sec 2482(a)(4) Full Name of Individual and Contractual Relationship (Explain) YES NO title of person to be lobbied Planning Department and Building Department None X Staff BOA /FPMB* 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. * Unless an issue is legislative in nature, BOA/FPMB members are not lobbied outside of a public hearing setting. 4.-;1:1) . IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER A) LOBBYIST DISCLOSURE: (Required) $310.00 B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $310.00 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 X 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 X 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 Citv'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 X No: Are you representing a not - for - profit corporation or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: ON FEBRUARY 28 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 REPO I 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 th i mi :each Code and all reporting requirements. Signature of Lobbyist: / �' ►��� "'�� Signature of Principal /Client ,� A.I VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of Identification Form of Identification /Personally known (Lobbyist) ) Personally known (Principal) VII. SIGNATURE AND I r, _ -- n ;•. 1'14; ; -�' . '.� - s_ CsaIS71NA D. GONLI MY COMMISSION* DD 960888 tiN . LUVY DEL CARMEN MORALES State of Florida, County of Mi.'rta {�4_ EXPIR M arc h 23, 2014 t: e of Florida, County of Mi ami - Wi .= MY COMMISSION # DD762920 Sworn to and subscribed befo trtikr BcndedThru Notary Public UnderwritetS ' .rn and subscribed before me .. J .. EXPIRES February 27, 2012 This '1 day of _day of – S∎1\ J , 2 398 -0153 Florida NolaryService.com Signature of Public Notary – ate Floricfil Signature Ablic Notary – State of Florida Notarization of Lobbyist's signature Notarization of Principal's signature FOR CLE K'S USE ONLY Annual Registration fee: [ ] Yes [ ] No Amount Paid �5 MCR # 3 1/ 2/ 7 Date P.". V / • Lobbyist Registration Form received and verified by: Entered By: _./ /'iN"O • Revised 1/11/2011 t F 4 •w. l ,�Smwv City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeochfLgov CITY CLERK Office CityClerk©miamibeachfl.gov Tel: 305.673 741 1 , Fox: 305.673.7254 LOBBYIST NAME: /Vl+43&1J AMSCkr 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. #41PZ( ? e: / / Signature: Da