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James E. Rauh -Ocean First Group, LLC _ Y L5 0 �. /\A1AAA1 BEACH 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. Rauh James E. NAME OF LOBBYIST: (Last) (First) (M.1) Terminello&Terminello, P.A 1111 Lincoln Road Miami Beach Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (786)276-2343 (305)448-5566 jrauh @terminello.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 First Group, LLC NAME OF PRINCIPAL/CLIENT: Ocean First Group, LLC 5785 Alton Road Miami Beach Florida 33140 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) _(407)968-6631 N/A Yannwindermere @hotmail.fr TtLtF'HUNt NUMbLN: t-AX NUMbtN:(Optional) tMAIL:(Up[lonal) Fill out this section if principal is a Corporation,Partnership or Trust[Section 2482(c)] • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: Yann Lelourec,as Manager of Ocean First Group, LLC. • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Attached Exhibit CPF�`IFllf_ I (1RRV ICCI IF• Conditional Use Permit for a Neighborhood Impact Establishment,consisting of an alcoholic beverage establishment,which is also operating as an entertainment establishment and dance hall with an occupant content of more than 200 persons located at 2000 Collins 'Avenue, Miami Beach, Florida 33139. Ill.CITY AGENCIESANDIVIDUALS TO BE LOBBIED: 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 person to be lobbied City of Miami Beach Planning Board None X City of Miami Beach Planning Director/Staff None X City of Miami Beach Mayor and Commissioners 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. I�I I Sec 2-482(g)An Financial,Familial or Professional Relationship _! OZ None t1 _� 11tY-± IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $375.00 an hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $375.00 an hour (Required). 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 dNo: 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 d 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 i 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 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. Signatu oyist 1 do solemnly swear that all of the foregoing facts are true that I have read or am familiar with the provisions contained in Section 2-482 of the Miami ity Cod porting requirements. Signature of Lobbyist: Signature of Principal/Clie VI. LOBBYIST IDENTI PNTIFICATION: ❑ Produced ID L y�-9C�- Eo sac Form of Identification o Form of Identification ersonally known(Lobbyist) o ¢ ❑ Personally known(Principal) N va O VII. SIGNATURE AND STAMP OF NOTARY: o z o Q �TW g State of Florida, County of Miami-Dade State of Florida, County of Miami-Dade W Sworn to sub before me do Swor ubs ibed befor me w x This day Of 20 I& a.• `s; is 2P1 "' e]' gnat of Public otary—State of Florid oy ' Sir Signat P lic N ary—St a of Florid , No riz obbyist's signature Jol N r' do f Principal's signature ' TO BE COMPLETED BY.:ITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Date Paid Lobbyist Registration Form received and verified by: Revised 1/11/2011 City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfi.gov CITY CLERK Office CityClerk@miamibeachfl.gov Tel: 305.673.7411 , Fax: 305.673.7254 LOBBYIST NAME: A-e4e-5 E, , Rat C., 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. I) 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. 1- 15), S gnat Date: EXHIBIT "B" DISCLOSURE OF INTEREST OCEAN FIRST GROUP,LLC Name and Address % of Ownership Ocean First Group,LLC 5785 Alton Road Miami Beach,Florida 33140 OFG Marquis,LLC 51% 5785 Alton Road Miami Beach,Florida 33140 Member Ocean First Group Investments,LLC 49% 5785 Alton Road Miami Beach,Florida 33140 Member OFG Marquis,LLC 5785 Alton Road Miami Beach,Florida 33140 Yann Lelourec 51% 5785 Alton Road Miami Beach,Florida 33140 Managing Member Arturo Vargas 49% 5785 Alton Road Miami Beach, Florida 33140 Member Ocean First Group Investments, LLC 5785 Alton Road Miami Beach, Florida 33140 OFG Marquis,LLC 100% 5785 Alton Road Miami Beach,Florida 33140 Member EXHIBIT"B" DISCLOSURE OF INTEREST OCEAN FIRST GROUP,LLC Name and Address % of Ownership Ocean First Group,LLC 5785 Alton Road Miami Beach, Florida 33140 OFG Marquis,LLC 51% 5785 Alton Road Miami Beach,Florida 33140 Member Ocean First Group Investments,LLC 49% 5785 Alton Road Miami Beach, Florida 33140 Member OFG Marquis,LLC 5785 Alton Road Miami Beach,Florida 33140 Yann Lelourec 51% 5785 Alton Road Miami Beach, Florida 33140 Managing Member Arturo Vargas 49% 5785 Alton Road Miami Beach,Florida 33140 Member Ocean First Group Investments,LLC 5785 Alton Road Miami Beach, Florida 33140 - OFG Marquis,LLC 100% 5785 Alton Road Miami Beach, Florida 33140 Member