Michael W. Larkin - 701 Lincoln Road • MIAMIBEACH
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 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.
Larkin Michael W.
NAME OF LOBBYIST: (Last) (First) (M.I)
Bercow, Radell & Fernandez, P.A. 200 S. Biscayne Blvd., Suite 850 Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 377 -6231 (305) 377 -6222 mlarkin @brzoninglaw.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
I. LOBBYIST RETAINED BY:
Michael Comras
NAME OF PRINCIPAL /CLIENT:
Comco, LLC 1261 20` Street Miami Beach FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 532 -0433 (305) 532 -5212 michael @comrascompany.com
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:
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
IL SPECIFIC LOBBY ISSUE:
Revocable permit for an encroachment at 701 Lincoln Road .
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual /Title B) Any Financial, Familial or Professional Relationship
Mayor, City Commissioners, Director of Public Works, staff None
* Unless an issue is legislative in nature, HPB, BOA, Planning Board, and City Commission members are not lobbied outside of a public hearing setting.
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER):
A)f LOBBYIST DISCLOSURE: (Required) $435.00 per hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $435.00 per hour _
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 ":
Dyes 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 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..
11 Yes X No: Are you representing a not - for - profit corporation or entity without special compensation
or reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1 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 LXPENDITURES OR COMPENSA ON DURING THE
REPORTING PERIOD.
Signat re of o yist
I do solemnly swear that all of the foregoing facts are true and c rect and that I have read or am
familiar with the provisions contained in Section 2 -482 of the Mia i each City Code and all reporting
requirements.
Signature of Lobbyist: ,///1'(
Signature of Principal /Client:. /�
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID ❑ Produced ID
Form of Identification Form of Identification
4 t known (Lobbyist) ✓Personally known (Principal d c� < ' LORRIE I3 n! ^w;c,;
z v . ' ° �6 NOTARY P^1 IC
i i VII. SIGNATURE AND STAMP OF NOTARY: 1;!,r!.4 ' o STATE OF FLORIDA,
e a •n � Comm# DD0915598
ai a 6 — State of Florida, County of Miami -Dade State of Florida, County of Miami -D 1 015
wa y
� � � ®° Sworn to and subscribed before me Sworn and subscribed before me
o Z ;5 u -I This _da of h4#) , 20� This /301 day of Jtcn� , 20 / i
00 , 11. , 4 o ?I' /U1 ° Sri ature of Public Notary — State of Florida Signature of ublic Notary ry —State of Florida
� i) I Notarization of Lobbyist's signature Notarization of Principal's signature
.°°
FOR CLERK' ONLY i
Annual Registration fee: [ ] Yes [ ] No Amount Paid Z MCR #,, 3/��D7 Date Paid k - -g ` /
Lobbyist Registration Form received and verified by: r 1 ntered By:
F• \CLER \$ALL \MARIA -M \Lobbyist \LOBBYIST fORM 05.doc r F Revised 12/08/04
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miomibeachfl.gov
CITY CLERK Office CityClerk@rniamibeachfl.gov
Tel: 305 673.741 1 , Fax: 305.673.7254
LOBBYIST NAME: (Gl " ,
I understand that no later than October 1 str of each year, I must file the following
forms, 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 Form
2) Disclosure 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.
470)(11
Signature: Date:
F:\CLER \LOBBYIST%Lobbyist Registration Form 32708.doc