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Kent Harrison Robbins - The Roney Palace Condominium Association, Inc. JUL -22 -201 1 (FRI) 03:10 Kent Harrison Robbins (FRX;)305 531 0150 P. 001!, • . v> : , (..it iL, 7 \(i ( it- y I I A 1 A .:\ A I Br A , .�.. X 4 J4) cs, _ 7() . 1.71 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; ar 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. Robbins Kent Harrison N AME OF LOBBYIST: (Last) (First) (M.I) 1224 Washington Avenue Miami Beach Florida 33141 BUSINESS ME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305 532 -0500 305 531 -0150 khr • khrlawoffices.com TELEPHONE NUMBED' FAX NUMBER: EMAIL: Please notify this office if your contact information changes: address, phone, or e-mail address. 1. LOBBYIST RETAINED BY: The Roney Palace Condominium Association, Inc. NAME OF PRINCIPAL/CLIENT: C ) c= , 2301 Collins Avenue, Unit 504, Miami Beach Florida 33139 =+ BUSINESS NAME AND ADDRESS (Number and Street) (City) (Stato) (Zip Code) i t (305) 534-2128 , r --- r"'" ,.. TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) r-1 PO s C.T+ Fill out this soctlon If principal is a Corporation, Partnership or Trust 'Section 2482 (c)] - . - NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: ri Brian Crone, Vice President T �"' --' . IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH COR '©RAN. PARTNERSHIP OR TRUST: '` ILSPECIFIC LOBBY ISSUE: & 1 1 1/ 1 N - 'f' Ao �aL Rove PAi/ Z r©sontatIon concerning modification /revocation of conditional use permit for F- e /h MSo Ct A t a Lego! 9 P 'A l> h S -4) 1- ANEICJV issue to be lobbied (Describe in detail): Iii. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED: CSE. Af{ /d Pursuant to City Code Section 2.482(a)(4) include the commissioner or porsonnol sought to be lobbied, and whothor tho lobbyist has entered Into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such person's comrnen of sorvice with t he city to the prosont date. statln • the t eneral nature of tho sub act contractual relationshi .. _ Sec 2- 482(a)(4) Full Name of Individual and Contractual Relationship (Explain) YES NO title of parson to be lobbied � aiitti� oJ++i4 ui MU lthiu x- Plnnninp Board None X , Nom„ — - 1'f -- Land Use Board None X C14 aueiie.ioe` ►Jr-)► -----------x---- Planrrnp Sr lo - None x A....------ 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 nought to bo lobbied as identified on the lobbyist registration form filed. Sec 2-482(g) Any Financial, Familial or Professional Retationshi • Ci w A /individuals To Be Lobbied: , . City Attpr. - icys Office None x Ow johi �' 4 :7/ . se ni , eu I , .,...,..„...,...A. „.„4,4, • The Law Offices of Kent Harrison Robbins August 4, 2011 Via Hand Delivery Robert Parcher, City Clerk City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 Re: Notice of Amendment to Lobbyist Registration for The Roney Palace Condominium Association Dear Mr. Parcher: This letter is to notify you that I am amending the lobbyist registration filed July 22, 2011 for The Roney Palace Condominium Association (attached hereto) as to the "Specific Lobby Issue" which should be amended to add the following: "Legal Representation concerning any land use issues involving the Roney Palace Condominium Association and the Sandy Lane entities." Please update your records to reflect this change. Sincere y, ent Harrison - Robbins Enclosure C Q ) 7T` .&"- CIS 3 O <'-- r O� 1224 Washington Avenue ivliami Beach R. 33139 -4614 305 532 0500 Fax 305 5311 0150 ira kr riawof'ires.corn khriaworf ces Gorr? Offices .... Miami Beach FL 1 !viontreai Q i San . uan PR JUL- 22- 2011 (FRI) 03:10 Kent Harrison Robbins (FRX)305 531 0150 P o0]G-003 i� . M � 1 / \/ \ I . City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM persons Lobbyist means all employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat or P 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 an 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. Robbins Kent Harrison NAME OF LOBBYIST: (Last) (First) (M.I) 1224 Washington Avenue Miami Beach Florida 33141 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 532 -0500 (305) 531 -0150 khrekhrlawoffices.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: The Roney Palace Condominium Association, Inc. NAME OF PRLNCIPAUCLIENT: i > 3 2301 Collins Avenue, Unit 504, Miami Beach Florida 33139 =+ BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (2Jp Code) + i i (305) 534 -2128 t ''7 TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) r''" "i N —n Fill out this section If principal is a Corporation, Partnership or Trust [Section 2482 (e)] ..^ ,• (...r> Y . NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Brian Crone, Vice President T ' C.0 . IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPOR4N. PARTNERSHJP OR TRUST' r' ii.SPECIFIC LOBBY ISSUE: Legal representation concerning modification/revocation of conditional use permit for Gansevoon Motel. 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 whothor tho lobbyist has entered into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such person's commencemont of service with the city to the prosont date. stating the general nature of tho subject contractual relationship_ Sec 2.482(a)(4) Full Name of Individual and Contractual Relationship (Explain) I YES ` NO title of person to be lobbied Planning Board done I 1, Land a Use Board INone IX thy ^. —_ - Plannrna Sled - bone I ix Pursuant to City Code Section 2482(8) Every regiatrant shah be roqulrod to state the extent of any business. financial, familial or professional relationship, or othor relationship giving d to an appearance of an Impropriety, with any current city commissioner or city personnel who is sou bt to be lobbied as Identified on tho lobbyist registration form filed. Sec 2482(9) Any Familial or Professional Relationship City Agencies /Individuals To Be Lobbied: None x City attorneys Office None x ri _ :/ JUL- 22- 2011(FRI) 03 :10 Kent Harrison Robbins (FRX)305 531 0150 P 002/003 iv. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLA RATE OR OTHR): A) $3 75. 0 D o 15CI,QS e r :( hZ o ur tl) 55 / per PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). S - 47S 0 0 / AOr hol! The following Information must be answered: 1) Pursuant to Miami Beach Gity Code Section 2 -488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues ". 0 Yes ® No: Are you lobbying on a present or pending bid for goods, equipment or services, or on a prosont or pondinq 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 fora Development Agreement with the City or application for change of zoning map designation or change to the City's Futuro 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. 0 Yes C9 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 COMPENSATION RECEIVENIN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL/RE FILE 7____, EN IF TAEREA-IAVE BEEN NO EXPENDITURES OR Actv=-- COMPENSATION DURING THE REPORTING PERIOD J Sig turn of Lobl3yIst I do solemnly swear that all h oregoin. a : are tn.]; .nd .•Erect and that I have read or am familiar with the provisions contained in Section 2-482 of the Mi i B h City r .l - .nd all ,orti ,- - quirements. Signature of Lobbyist: Signature of Princlpal /Client: / '/ - / v / lV 1 /71{ iy, . v/�/ - /kc/ y'c' / VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ❑ Produced ID 0 Produced ID Form of Identification Form of Identification ersonally known (Lobbyist) 1tX Personally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami -Dade '"'`qci ARLETTE TEJED btate of Flonde, County of , 1 . - ARLETTE TEJEDA Swam to and subscribed before me * . *= ' . * MY COMM # DD875549 = MY COMMISSION # DD875>9M!9r land subsCrl d be f 7i• This 7_7_ day of "\.Akw , 2011 .^ EXPIRES March 30, 201 _ is )..Z_ da y of ti y J EXPIRES March 30, 2013 (407) 388-0153 Floride,^l otarySerric9 eom rdgMOtary se 'r, ^. a� (407) 398-0153 F!o Signature of Public Notary —State of Ftorida Signature of Public Notary— State of Florida Notarization of Lobbyist's signature Notarization of Principal's signature . TO BE COMPLETY CITY CLERK'S STAFF ONLY ./ / Annual Registration fee: [ 1 e Yoa P Id o Amount S x.70. O MC A DIY Date Paid �� Lobbyist Registration Form rec94 ed and verified by: ,44-, (/ // - - F: CLLR \$A.L \oPoRMS \Lctstra5T FQRMS \Lebby(fjtAnnual Remistration3'orm.tiot Revised 1/11/2011 t JUL- 22- 2011 (FRI) 03:10 Kent Harrison Robbins (FHX)305 531 0150 P 003/003 1 �h ,( ° i +�'M ,� 1-- rat. - .�I, 14 i•+^'t � «....�� Ciry of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www,rrltamibeochfLgov CITY CLERK Office CityClerkPmiamibeachfLgov Tel: 305.673.7411 , Fax: 305 673.7254 LOBBYIST NAME: iCarT HrtiagtSatJ `jSI k I understand that no later than February 28th of each Year, 1 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 immedi tely notify the City Clerk' Office of lobbyist withdrawal in writing. _7_ 21// Signature: te: 1