Kent Harrison Robbins - MAC SH, LLC frA �2 z
MIAMIBEACH r 2 � 4.I `'"`
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.
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 khr @khrlawoffices.com ,
TELEPHONE NUMBER: FAX NUMBER: EMAIL. c.., 'O
r
SPlease notify this office if your changes;addresskplione;or,e-mail.address,
I. LOBBYIST RETAINED BY: -\
MAC SH, LLC c•- `')
NAME OF PRINCIPAUCLIENT .J,
1261 20th Street, Miami Beach Florida 33139 =„,
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 532-0433
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.
Michael Comras, Manager
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST
Il. RE x,C-I ! I l rOSA '
Legal representation involving land use issues conceming 1201,1225,1237 and 1261 20th Street,Miami Beach,Florida
Issue to be lobbied(Describe in detail):
III prirromeossa[ ii ,gip i ' `� l zieglosp .
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 .erson to be lobbied
Planning Board None X
'g„R..:ie1.U.a.d Nato x
Land Use Board None X
City Commis-en -Nets X
Planning Staff 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
City Agencies/Individuals To Be Lobbied, Continued*
City Manages Office None X
City Attorney's Office None X
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE.(Required)
475 . 00 per hour
B) PRINCIPALS DISCLOSURE(OF LOBBYIST COMPENSATION):
(Required). $475 .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 ®No: Are you Iobbving 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 es No: Are you representing a not-forprofit corporation or entity without special compensation or reimbursement .
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28th OF EACH YEAR,EACH LOBBYIST SHAL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER
OATH. LISTING LOBBYING EXPENDITURES,AS WELL AS C MPENSATI N RECEI IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT AL E FIL EN IF — HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIO
Vdrl
Sign tun:of Lobbyist
I do solemnly swear that all of the foreg• ng facts are t e and co• and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Bea• Code a II eporting -nts.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: _Ala_Alb, PRINCIPAL IDENTIFICATION:
amy.
❑ Produced ID ae- l;: 0 Produced ID ° 0 C l p
Form of Identification '?�t�, � Form of Identification in as 2
Personally known(Lobbyist) z [ Personally known(Principal)
• iZ O
VII. SIGNATURE AND STAMP OF NOTARY 3 ' g I-
State of Florida,County of Miami-Dade it State of Florida,County of Miami-Dade sro•
Sworn • a•• s bscri•-d -+•re me 14161 ;a: Sworn and subscribed before me This _-' r' -y o - '_ • ,2011 S a This day of bpCth� 2011 + t•
ign-- re of P.• is .otary–State of Florida g -o 3 Sig re of Public Notary–State of Florida v
Notarization of Lobbyist's signature N" Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
AnnuallRegistration6fee:ti[i Amount Paid:$: • oY?; Rid a�. 'o• • i
LobbyistiRegistratibn1F.omvrece' tl•andveriedkby:, _ o''411C a`,!.'d
r:A\Ci!ilRr /iiIO IFIASIRWfSVOI lu.WirlIMeiMtnb:keg,i tiA mvglIk ii*m_im,•i'nr Tt-9due 'Revised 1a.1i/2011
• • . .
•
M MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel:305 673.7411 ,Fax:305.673.7254
LOBBYIST NAME: r T ASoo ROQBid\S
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.
L
Signature: Da