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Michael W. Larkin - Scott Robins 'CH MAMIBEP 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. Larkin Michael W. NAME OF LOBBYIST: (Last) (First) (M.I) Bercow, Radell&Fernandez, P.A. 200 S. Biscayne Blvd.,Suite 850 Miami Florida 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)377-6231 (305)377-6222 mlarkin(a)brzoninglaw com TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: Scott Robins NAME OF PRINCIPAL/CLIENT: Bay Road Partners, LLC 230 Fifth Street Miami Beach Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)674-0600 X309 (305)674-0619 scott @robinscompanies.com 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: • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: C7 Proposed Parking District for Sunset Harbor Neighborhood --i ►� dL Issue to be lobbied(Describe in detail): >� i III., CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A)Full Name of Individual/Title B)Any Financial,Familial or Professional Rela" nst X Planning Department Staff,City Administration None tg, Mayor and City Commission None Planning Board members None *Unless an issue is legislative in nature,HPB,BOA,Planning Board,and City Commission members are not lobbied outside of a public hearing setting._, i- :z IC -;f, tO IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $445.00 B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (Required). $445.00 The following information must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues": ❑Yes X No: Are you lobbying on a present or pending bid for goods equipment or services,or on a present or pending award for goods,equipment or service? 2) Pursuant to Miami Beach City Code 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": ❑Yes X No: Are you lobbying on a pending application for a Development Agreement with the City or application for change of zoning map designation or change to the City's Future Land Use Man? 3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481 above) who only appears as a representative of a not-for-profit corporation or entity without special compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or opposition to any item, shall register with the clerk as required by this section but, shall not be required to pay any registration fees.. ❑Yes X No: Are you representing—a not-for-profit corporation or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. Sig,$tutt 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: Signature of Principal/Client: l� V A 4.�r,..r VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: q R Produced ID Produced ID u S Form of Identification Form of Identification ari XPersonally known (Lobbyist) -"I Personally known (Principal) N STAMP F NOTARY: s ' VII. SIGNATURE AND O O a State of Florida, County of Miami-Dade State of Florida, County of Miami-Dade a .... . 7 $ Sworn o and subscribed before me Sworn_aad subscribed before me _ . ¢` This 2 clay-of "2012 This Ada of E (�U�2012 Signa re of PL6k Notary—State of Florida Signa ture6fPublic tary—State of Florida Notarization of Lobbyist's signature Notarization of Principal's signature FOR CLERR 'SNLY Annual Registration fee: [ ]Yes[ ] No Amount Paid MCR# � � Date Paid Lobbyist Registration Form received and verified by: Entered By: ' `# F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.doc Revised 12/08/04 t, A L� City of Miami Beach, 1700 Convention Center Drive,Miomi beach,Florida 33 i 39,www.miamibeachtLgov CITY CLERK Office CityC1er1c@miami6eachf1.gov Tel:305.b%3.7411 ,Fax: 305.673.7254 LOBBYIST NAME: MICHAEL W. LARKIN 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. /0 r Im Signature: Date: Prieto, Silvia From: Cristina Gonzalez <cgonzalez @brzoninglaw.com> Sent: Wednesday, December 10, 2014 10:49 AM To: Prieto, Silvia Subject: FW:Question Attachments: SUNBIZ-BAYROAD-CORPDOCS.pdf Dear Silvia, As we discussed. Cristina CRISTINA D. GONZALEZ ASSISTANT TO JEFFREY BERCOW, MICHAEL W. LARKIN AND JUSTIN KARR Bercow Radell & Fernandez, P.A. 200 South Biscayne Boulevard,Suite 850 Miami, FL 33131 305.377.6228 I Office 305.377.6222 1 Fax cgonzalez@brzoninAlaw.com ® • ® • From: Jeremy Schwartz<jeremygrobinscompanies.com> Date: December 10, 2014, 9:41:01 AM EST To: Michael Larkin <mlarkinna brzoningLlaw.com>, Scott Robins <srobinsQbellsouth.net> Subject: RE: Question Please find attached the current corporate annual report filed with the State of Florida. It lists Scott Robins and Philip Levine as Managers and both are 50%owners. No other managers or owners since formation. A complete corporate structure history is public record at www.sunbiz.org. Please let me know if you have any questions.Thanks J Jeremy B. Schwartz Director of Financial Operations Scott Robins Companies,Inc www.robinscompanies.com 230 5th Street Miami Beach,FL 33139 P.305.674.0600 F.305.674.0619 1 2014 FLORIDA LIMITED LIABILITY COMPANYANNUAL REPORT FILED DOCUMENT#L09000028353 Apr 22, 2014 Entity Name: BAY ROAD PARTNERS, LLC Secretary of State Current Principal Place of Business: CC8763526453 230 5TH STREET MIAMI BEACH, FL 33139 Current Mailing Address: 230 5TH STREET MIAMI BEACH, FL 33139 FEI Number: 80-0373795 Certificate of Status Desired: No Name and Address of Current Registered Agent: ROBINS,SCOTT 230 5TH STREET MIAMI BEACH,FL 33139 US The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,in the State of Florida. SIGNATURE: SCOTT ROBINS 04/22/2014 Electronic Signature of Registered Agent Date Authorized Person(s) Detail Title MGR Title MGR Name ROBINS,SCOTT Name LEVINE,,PHILIP Address 230 5TH STREET Address 230 5TH STREET City-State-Zip: MIAMI BEACH FL 33139 City-State-Zip: MIAMI BEACH FL 33139 I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under oath;that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 605,Florida Statutes;and that my name appears above,or on an attachment with all other like empowered. SIGNATURE:SCOTT ROBINS MGR 04/22/2014 Electronic Signature of Signing Authorized Person(s)Detail Date