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James E. Rauh - Ocean First Groupi, LLC �� A ��m— o�~8� ^' City of Miami Beach Office of the City Clerk 17OO Convention Center Drive, Miami Beach. FL 33139 LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained, whether paid or not, by o principal who seeks to encourage the paaoage, defeat or modification or any o,uinance, naoo|uuon, action or decision or any oommiaaioner� any oction, uecio|on, 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, ueu|a|on or recommendation that roneaeeamywill be heard or reviewed by the city oommiaaion, or city board or committee. The tann specifically includes the principal as well as any employee engaged in lobbying activities. The term ^Lo»»vioto^ has specific exclusions. Please refer u,Ordinance onm*'n*oe. Rauh James E. NAME OF LOBBYIST: (Last) i First) (M.1) Tennineoo&Terminexo. P.A. 1111 Lincoln Road Miami Beach Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)276-2343 (305)448'556e ]nauh@tenninoxo.00m � Please notify this office/f your contact information changes:address,phone, or e-mail address. /. LOBBYIST RETAINED BY: Ocean First Group, LLo NAME OF PRINCIPAL/CLIENT: Ocean First Group, LLo orao Alton Road Miami Beach Florida 33140 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) _(4o7)s6a'0001 N/A vannwinuermere@ootmox.fr rLLLrHumLmumbLK: t-AA mumuLN:kupnonuv Lm^/Lwpoonao Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(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 I r)RRV ^^x«:|/F=' Variance for the venue located at0000 Collins Avenue, (spaces 1, and 1o).to waive the minimum distance separation required between dance halls and entertainment establishments within 300 feet of each other,which are not also operating as restaurants with full kitchens .and serving full mea|�. III.CITY AGENC|ES/I NDIV|DUALS 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 m/auonomn (nem or unpaid) with said city commissioner or nwmonno/ from o months nmoomno such person's commencement of service with m 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 Board of Adjustment 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 co�n �i,? r or r,-kty_peT�onnqI Who is sought to be lobbied as identified on the lobbyist registration form filed. J- Sec 2-482(g)Any Financial,Familial or Professional Relationship 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 Q'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": ❑Yes GAO: 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 [4o : 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. Si n re 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 ch City C nd all reporting requirements. Signature of Lobbyist: Signature of Principal/C en VI. LOBBYIST IDENTI N: PRINCIPAL IDENTIFICATION: ❑ Produced ID Produced ID COD =9 Form of Identification Form of Identification CD N N O Z 1• ersonally known(Lobbyist) Personally known(Principal) ''g N El g u' I. SIGNATURE AND STAMP OF NOTARY: z ¢ , >- �`, ate of Florida, County of Miami-Dade State of Florida, County of Miami-Dade M q worn to and subscribed me Sworn nd s bscribed befo me co° 0�. is o > 1� T y of ,20 1 "' 10* * ign is Notary— to of Florida Signature P lic Notary—State of Florida �6 g Notariza ' n of Lo signature Notariza ' n of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ ]No Amount Paid$ d MCR# Date Paid Lobbyist Registration Form received and verified by: ORMS\L bbyistAn ial Re isb- do n Revised 1/11/2011 1 t � City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfi.gov CITY CLERK Office CityClerk @miamibeachfl.gov Tel: 305.673.741 1 , Fax:305.673.7254 James E. Rauh, Esq. LOBBYIST NAME: 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. Signature: i 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