Peter A. Zalewski - Palau Sunset Harbor, LLCCity 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.
Zalewski
Peter A.
NAME OF LOBBYIST: (Last) (First) (M.I)
Condo Vultures, LLC, 1005 Kane Concourse, Suite 205, Bal Harbour, FL 33154
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305 -865 -5629 1- 305 - 832 -0311 (e -fax)
peter @condovultures.com
TELEPHONE NUMBER:
FAX NUMBER: EMAIL:
Please notify this office if your contact information changes: address, phone, or e-mail address.
LOBBYIST RETAINED BY:
Palau Sunset Harbor, LLC
NAME OF PRINCIPAL/CLIENT: Meir Srebernik, c/o Mathew Cicero,
South Florida Condominium Management, Inc., 3100 NW 72 Avenue, Suite 113, Miami, FL 33122
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305 - 637 -3699 305 - 634 -7607 mcicerosflamat.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: Meir Srebernik, President, Palau Sunset Harbor, L
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: See Attached Exhibit "A"
LC
ILSPECIFIC LOBBY ISSUE:
Develop property with a mixed -use residential and commercial structure (requiring conditional use permit:
Issue to be lobbied (Describe in detail): gey fa/c2s° itiVh ��i� :2,9 s' `6i` ,' 41,1 j/ ,P; /v s3/3�
Ill. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED: o°(i ' ` ��^'
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
title of person to be lobbied
Contractual Relationship (Explain)
YES
NO
Planning Board, Design Review Board
X
Richard Lorber, Acting Planning & Zoning Director
X
City Planners - Mercy Lamazares, Michael Belush, Katia Hirsh
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,
to be or other as identified on giving g rise to an
re appearance eo of anlimproprieti AiihIeytggrenk.city commissioner or city personnel who is
9 Y 9 SIB
Sec 2- 482(g) Any Financial, Familial or Professional Relationship
ce .f, ,
None
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE: (Required)
�
Hourly - $ �� '9°
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): '
(Required).
Hourly - $ ,�cv.
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 El 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 g No: Are you Iobbyinq 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 •ME- NSATION REQ.E.B/E-D, IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMEN HALL B 1/LED EVE THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERI•
I do solemnly swear that all
in Section 2 -482 of th-. ' iami Beac
Signature of Lobbyis
Signature of Principal /Clie
Sign- - of Lobb -t
rego facts are true an correct and that I have read or am familiar with the provisions contained
C:
ode and all r
rting requirements.
VI. LOBBYIST IDENTIFICATION:
❑ Produced ID
Form of Identification
1 Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami -Dade
Sworn tAana subscribed fore e
This G eay s 7 , 2OlX 2012
ignature(of Public Notary — State of Florida
Notarization of Lobbyist'spignature
PRINCIPAL IDENTIFICATION:
Produced ID , D ( (7 1-
Form of Identification
❑ Personally known (Principal)
State of Florida, County of Miami -Dade
Sworn and subscribed 'efore
This d . r 201X 2012
ature of Public Notary - tate ' Florida
Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S TAFF •NL
Annual Registration fee: [ ] Yes [ ] No Amount Paid $ 'g5) . MCR #
Lobbyist Registration Form received and verified by:
LOMYIST :°..'.isMeALr:'r`;byist Annual FiegLt-.at €o:?
Date Paid
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Revised 1/11/2011
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office
Tel: 305.673.7411 , Fax: 305.673.7254
CityClerk @miamibeachfl.gov
LOBBYIST NAME: Peter A. Zalewski
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.
Signa ure:
VC/4 Z4
Date:
PATHMAN
LEWIS, LLP
ATTORNEYS AT LAW
WAYNE M. PATHMAN, P.A.
HAROLD L. LEWIS, P.A.
DAVID E. SACKS
LOUIS P. ARCHAMBAULT
JOHN A. MOORE*
DAVID JOVE
BRUCE L. BENNETT"*
SARA WALTERS
ANTHONY VICTOR DE YURRE
JONATHAN C. BROWN
PETER L. MELTZER
* also admitted to practice in Texas
Member Washington, D.C. Bar
Ms. Silvia Prieto
City of Miami Beach
City Clerk's Office
1700 Convention Center Drive
Miami Beach, FL 33139
RE: PALAU
Dear Silvia,
March 26, 2012
ONE BISCAYNE TOWER • SUITE 2400
2 SOUTH BISCAYNE BOULEVARD
MIAMI, FLORIDA 33131 -1803
TELEPHONE (305) 379 -2425
FACSIMILE (305) 379 -2420
www.pathmanlewis.com
DAVID E. SACKS
dsacks@pathmanlewis.com
Please see enclosed Lobbyist Registration Form for Mr. Peter A. Zalewski. My
assistant Sandy paid for the Annual Lobbyist Registration Form and attached Lobbyist
Registration Form on Friday.
Very truly yours,
PATHMAN LEWIS, LLP
David E. Sacks
DES /sls
Enclosures
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City of Miami Beach, 1700 Convention Center Drive,
Miami Beach, Florida 33139 www.miamibeachfl.gov
City Clerk' Office
Tel: 305/673 — 7411
Fax: 305/673 - 7254
ANNUAL LOBBYIST REGISTRATION FORM
Name: Peter A. Zalewski
Business Name: Condo Vultures, LLC
Address: 1005 Kane Concourse, Suite 205, Bal Harbour, FL 33154
Phone: 305 - 865 -5629
Email: peter @condovultures.com
If more than on Lobbyist, please list:
1)
2)
3)
MCR #:
Amount paid: Date paid:
Processed by: Date:
Send this form with a check for $500 payable to
the City of Miami Beach for each lobbyist
FABLER \$ALL \aFORMS \LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM.docx
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