Michael W. Larkin - CG TidesM
AMt BEA•CH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139 20/2
4PR /0
LOBBYIST REGISTRATION FORM C77- 4N /r),
1, f
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, de]eat'br„mq l f etion of
any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendation of the City Manager or any dity foo'ard. 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, PA
200 S. Biscayne Blvd, Suite 850 Miami Florida 33131
BUSINESS NAME AND ADDRESS
(305) 377-6231
(Number and Street) (City) (State) (Zip Code)
(305) 377 -6222 mlarkin @brzoninglaw.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
CG Tides, LLC — Meyer Chetrit, Manager
NAME OF PRINCIPAL /CLIENT:
CG Tides, LLC 2915 Biscavne Blvd., Suite 300 Miami
BUSINESS NAME AND ADDRESS (Number and Street) (City)
(305) 747 -6408
Florida
(State)
33137
(Zip Code)
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: Meyer Chetrit, Manager
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: See attached exhibit.
II. SPECIFIC LOBBY ISSUE:
Development approvals and permitting issues for properties located at 1220 Ocean Drive & 1201 -1229 Collins Avenue, Miami Beach, FL
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2- 482(a)(4) include the commissioner of personnel sought to be lobbied, and whether the lobbyist
has entered into 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 2482(a)(4) Full Name of Individual and
title of person to be lobbied
Contractual Relationship (Explain)
YES
NO
Staff of Planning Department, Building
Department, and Public Works Department
None
X
PB, HPB, BOA, City Commission, as necessary*
None
X
Pursuant to City Code Section 2- 482(g) Every registrant shall be required to state the extent of any business, financ'al, 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
None.
* Unless an issue is legislative in nature, PB, HPB, BOA, & City Commission members are not lobbied outside of a public hearing setting.
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). 445.1 0
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 ":
fl Yes X No: Are vou lobbvina on a present or pending bid for aoods, 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 ":
DYes X No: Are vou lobbying one pending application for a DevelopmentAureement with the Citv or application
for change of zoning map designation or chance to the Citv's Future Land Use Map?
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..
A Yes X 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.,
Signature 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.
v l
Signature of Lobbyist:
Signature of Principal /Client:
VI. LOBBYIST IDENTIFICATION:
0 Produced ID
Form of Identification
Personalty known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami -Dade
Sworn to and subscribed before me
This `-t day of. 'O— , 20 j'--
Signet
N
e of Public Nota -tate
Florida
ilzation of Lobbyist's sign . ure
L IDENTIFICATION:
d ID
Form of Identification
ally known (Principal)
MaD4a�a, County of ami:a e
nd subscribed before me
day of ∎\ , 20t' --
LOIS HUTTER SANCHEZ
Notary Public, State of New York
No. 01 HU5042516
rauaiif r1 in Queens County
omission Expires April 24, 20j.
Sig a ure of Public Notary — State of1r
Notarization of Principal's signs ur
FOR CLERK'S USE ONLY
Annual Registration fee: [ J Yes o Amount Paid %Q �D 00 MCt /� #iJr�% Date Paid
Lobbyist Registration Form receiv d and verified by: � 5 JOIEntered By:
Revised 1/11/2011
N, 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 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 X 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.
Signature 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:
VI. LOBBYIST IDENTIFICATION: / PRINCIPAL IDENTIFICATION:
❑ Produced ID ❑ Produced ID
Form of Identification Form of Identification
❑ Personally known (Lobbyist) 1ersonally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami -Dade
Sworn to and subscribed before me
This day of , 20_
Signature of Public Notary — State of Florida
Notarization of Lobbyist's signature
tge4.1 orck Qv eye rit
State of l l , County of e
Sworn and subscribed before me
This 3 day of ∎\ , 20tl— LOTS HUTTER SANCHEZ
Notary Public, State of New York
No. 01HU5042516
9M nualifieri in Queens County
Signature of Public Notary — State ofitedarnmission Expires April 24, 2O1.
Notarization of Principal's signature ‘10'
FOR CLERK'S USE ONLY
Annual Registration fee: [ ] Yes [ ] No Amount Paid MCR # Date Paid
Lobbyist Registration Form received and verified by: Entered By:
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: MC1ke( Y J • l_1 -iI- 14
1 tit
I understand that no later than February 28th of each year, .( 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: Date: