Michael Larkin - Ocean One at So. Pointe MMEH
City of Miami Beach Office of the City Clerk e0747'1
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, PA 200 S. Biscayne Blvd, Suite 850 Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(3051 377 -6231 (3051 377 -6222 mlarkinCahbrzoninalaw.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:
Ocean One at South Pointe, LLC - Maximo Ramos, Manager
NAME OF PRINCIPAL /CLIENT:
Ocean One at South Pointe. LLC 842 lo Street Miami Beach Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305 244 -0002 (786) 513 -8001
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2 -482 (c)]
n ^
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Maximo Ramos, Manager _
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: Gervasio & Iraida Ramos (50 %); Rebeca Ramos (25 %); and Maximo Ramos :1
(25 %). r -
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II. SPECIFIC LOBBY ISSUE: (v
Development approvals and permitting issues for property located at 850 Commerce Street. 7G 1-7
Issue to be lobbied (Describe in detail): Ti
III. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED: Z i
rr CO
Pursuant to City Code Section 2- 482(a)(4) include the commissioner of personnel sought to be lobbied, and whether the lobbyist
has entered into 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 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
DRB, BOA, City Commission, as necessary* 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(9) Any Financial, Familial or Professional Relationship
None.
* Unless an issue is legislative in nature, DRB, BOA, & City Commission members are not lobbied outside of a public hearing setting.
VI
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR
OTHER) l
A) LOBBYIST DISCLOSURE: (Required) $435.00 / I r r
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $435.00 / r
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 vou Iobbvina on a present or oendina bid for goods, eauinment or services, or on a present or
pending award for aoods, eauinment 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 vou Iobbvina on a pending application for a Development Agreement with the City or application
for chance of zoning map designation or chanae to the Citv's Future Land Use Mao?
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 vou representina a not - for - profit corporation or entity special comp ensation 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 REPORTING PERIOD.
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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 Lobbyist: /7Z. 2 (Z\—/
Signature of Principal /Client: 7'
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
1 Produced ID Produced ID
Form of Identification Form of Identification
X Personally known (Lobblir. _ ,,,,,,, ` / 2ersQnally known (Principal)
' a
95 CRISTINA D. GONZALEZ
" b1MISSION # DD 960686
VII. SIGNATURE AND STAk�?! l�iiJT
i . y AES: March 23 2014
r ' ` 3ontic 'hru Notary Public Underwriters
State of Florida, County of Miami -cauc f Florida, County of Miami -Dade
Sworn to and subscribed before me Sworn and subscribed before me
This I day of 1LH 20\ k This 7 1 day of 'S vt,\ a . 20 1\
ca� t , ga n � N , - , •y YVETiE RAMOS
J�KJ��X / "C ' • ,.!4 ? MY COMMISSION # DD 959926
Signature of Public Notary = EXPIRES: May 21, 2014
em
g ry �tatetbf Flom Signature of • P{Iblic Notary —State of i�lo� � = ?os gon dedThruNotaryPublicUnderwr d
Notarization of Lobbyist's signature Notarization of Principal's signatures
FOR USE ONLY
Annual Registration fee: [ ] Yes [ ] No Amount Paid , 1 LAR 5(1 MCR # ;? / � „ D e Paid 1 -' //
Lobbyist Registration Form received and verified by: �cT Entered By:
Revised 1/11/2011
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City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeochfl gov
CITY CLERK Office CityClerk4m;amibeachfl gov
Tel 305 673.7411 , fax 305.673.7254
LOBBYIST NAME: + ' C ae. W, � � T ( n
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 C ity 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, 1 am required to
immediately notify the City Clerk's Office of lobbyist withdrawal in writing.
haMoil
Signature: < /Date: