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James E. Rauh - SFX-Lincoln Operating LLC b/ I\A I AM I B FE AQ[­'­1 City of Miami B each Office of the City Clerk Q �� 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,Suite 400,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: -" -- c, Please nofify.°ths:`office If your contact Information changes:address;phone;or:e-mall:address.:. �, . 1. LOBBYIST RETAINED BY: SFX-320 Lincoln Operating LLC •• _ NAME OF PRINCIPAUCLIENT: __j 650 Madison Avenue. 15th Floor. New York. New York 10022 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (212)796-8174 TELEPHONE=NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional) Fill out this section if principal is a Corporation,Partnership or Trust[Section 2482(c)] • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY:Timothy Clyne,as Manager • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Exhibit"B". ILSPEC.IFI.C: LOBBY:ISSUE Appearance to Affirm Understanding o_f Conditions in Amended Conditional Use Permit under PB File No.1356a for property at 320 Lincoln Rd Issue to be lobbied(Describe in detail): In.CITY AGENCIES/iN.Q!-'.!.DUALS TO:B.E LQ.BBIED: Pursuant to City Code Section 2482(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 cit y to the present date,stating the eneral 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 Planning Board X Planning Director and Planning Staff 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. Sec 2-482 Any Financial,Familial or Professional Relationship �nC C:\Users\clerhat[\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc I s IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $375.00 per hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $375.00 per hour (REQUIRED). The following information must be answered: 1) Pursuant to Miami Beach City Code Section 2488 Entitled"Prohibited Campaign Contributions By Lobbyists On Procurement issues": _Yes X No: Are you lobbying on a present or pendina bid for Bloods,equipment or services,or on a present or pending award for goods,equipment or service? 2) Pursuant to Miami Beach City Code Section 2490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development issues": _Yes X_No: Are You lobbving on a pendina application for a Development Agreement with the City or application for chance of zonlna map deslanation or change to the City's Future Land Use Map? 3) Pursuant to Miami Beach City Code Section 2-482(h)Any person(except those exempt from the definition of"lobbyists 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. _YesXNo: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement. V. SIGNATURE UNDER OATH: ON FEBRUARY 28 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 ur f Lobbyist I do solemn) swear that all of the foregoing facts are tru a�orrect and that 1 have read or m familiar wi in y g g d a with the provisions contained in Section 2-482 of the Miami Beac ty Code and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: Vl. LOBBYIST IDENTIFICATION: Tim thy dyne,as Manager PRINCIPAL IDENTIFICATION: Produced iD Produced ID VPersonally Form of Identification Form of Identification known(Lobbyist) /Personally known(Principal) Vil, SIGNATURE AND STAMP OF NOTARY: State of Florida,County of Miami-Dade BRAD STEVEN FLEET State of Florida,County of Miami-Dade Sworn to and subscribed before me w` Sworn d subscrib�.before me MY COMWSSION#DD816769 May f 'e e n/, ,2013 `�, EXPIM:august 21,2012 This of `Y1 2013 -800.3-NOTARY FL NOvy Diowni Co. Signature of Public Notary—81ate of Florida Signature of Pu llc to Notarization of Lobbyist's signature Notarization of rin ta l's signature TO BE COMPLETED BY CITY CLERK'S STAFF O�J i Annual.Registration fee: [ .]Yes No Amount Paid M Date Pald: L awa obbylst Registration Form rece ed and verified by: � ` C:\Userslcl erhad\AppData\LocallMicrosoft\Windows\Temporary Internet Files\Content.Outlook183LGQDDHILobbyist Registration Formrevised 5-30-2012.doc MITCHELL J.NELSON Notary PubliC, State of New York No.02NE4854791 l Oualified in New York County2 _`� Commission Expires February 24, 0 e IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $375.00 per hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $375.00 per 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 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 Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": _Yes X_No: Are you lobbying on a pendinq 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 Section 2-482(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 28 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. SZand f Lobbyist I do solemnly swear that all of the foregoing facts are tru rect an d that I have read or am familiar with the provisions contained in Section 2-482 of the Miami Beac ty Code and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: Timothy Clyne,as Manager VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of Identification Form of Identification V Personally known(Lobbyist) Personally known(Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade BRAD STEVEN FLEET State of Florida, County of Miami-Dade Sworn to and subscribed before me Sworn and subscribed before me MY COMMISSION#DD816769 TW ay of ZnA-n uu r V, 2013 SIRES:Mpg 21,2012 This day of ,2013 1-800.3-NOTARY Fl.Notary Dismount Assoc.Co. Signature of Public Notary—Mte of Florida Signature of Public Notary—State of Florida Notarization of Lobbyist's signature Notarization of Principal's signature TO BE COMPLET D Y CITY CLERK'S STAFF ONLY Annual Registration fee:.C ].Yes[ ]-No Amount Paid$- MCR# • 0 Date Pai Lobbyist Registration Form received and verified by:' ' C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobb - .gistration Formrevised 5-30-2012.doc I I F:\CLEI tistration Form.doc Revised 04/27/2012 A City of Miami Beath, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov CITY CLERK Office Rafael E.Granado, City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.741 1 ,Fax:305.673.7254 LOBBYIST NAME: James E. Rauh, Esq. I understand that no later than February 28 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, or I am no longer lobbying on that issue or for that principal, I am required to immediately notify the City Clerk's Office of lobbyist withdrawal in writing. Pursuant to Section 2-485 (d), the City Clerk shall notify any lobbyist(or principal) who falls to timely file a Statement and in addition to any other penalties which may be Imposed as provided In Section 2-485.1, a fine of$50.00 a day shall be assessed for all Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal) to file the Statement or pay the assessed fines after notification. Any lobbyist, who fails to file the required Statement by April 30th, 2012, shall be automatically suspended from lobbying until all fines are paid, unless the fine has been appealed to the Mia ads County Commission on Ethics and Public Trust. /-7 / 7-W -� Signa re: Date: C:\Users\clerhatl\App Data\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc AFFIDAVIT STATE OF Gs�s COUNTY OF Before me, the undersigned authority, this day personally appeared Timothy Clyne, who being by me first duly sworn, upon oath,deposes and says: 1. That I am the Manager of SFX-Opium Group Operating LLC ("SFX-Opium"), the sole Member of SFX-320 Lincoln Operating LLC ("SFX-320 Lincoln"), the applicant submitting the accompanying application. for a public hearing before the City's Planning Board ("PB") as required by the City of Miami Beach's ("City") Land Development Regulations for the modification of the Amended Conditional Use Permit ("ACUP") issued under PB File No. 1356a affecting the real property located in the City described in the aforesaid application made a part hereof. 2. That SFX-Opium is a wholly owned subsidiary of SFX Holding Corporation ("SFX Holding"), which has direct or indirect shareholders comprised of closely held companies, companies and funds regularly traded on a securities exchange, as well as individual investors and a Trust, as recited on the attached corporate structure chart attached hereto and made a part hereof. 3. That as of the date of this Affidavit,the shares of SFX Holding are held as follows: Shareholder Ownership Interest Robert F.X. Sillerman 72.78 % 159 East 70th Street New York,NY 10021 Sebastian Solano .45 % 9140 SW 23rd Street Unit A Davie,FL 33324 Paul Campbell .45 % 10741 Pine Lodge Trail Davie,FL 33328 Lukasz Tracz .45 % 50 Biscayne Boulevard Unit 2150 Miami,FL 33132 Patryk Tracz .20 % 50 Biscayne Boulevard Unit 2150 Miami,FL 33132 Eric Fuller .02 % 204 Washington Avenue #13 Miami Beach, FL 33139 Collyns Stenzel .02 % 4841 Pembroke Road Hollywood, FL 33021 Entertainment Events Funding LLC 8.09 % 9 West 57th Street New York,NY 10019 Coralnet&Co. 5.05 % 767 Fifth Avenue 49th Floor New York,NY 10153 The Gordon&Dana Crawford Trust 2.63 % 520 Georgian Road La Canada,CA 91011 Disco Productions, Inc. 2.02 % 2626 N Arnoult Road Suite 100 Metairie, LA 70002 Sebu Corp. 0.49 % 40 West 23`d Street,2nd Floor New York,New York 10010 David Grutman, Inc. 0.55 % 1000 Lincoln Road,Suite 200 Miami Beach, Florida 33139 World on a String, LLC 0.33 % 40 West 23`d Street,2nd Floor New York,New York 10010 AJ Niland 1.11 % 1125 Royal Street Apt. l New Orleans, LA 70116 Bennett Drago 0.61 % 729 Ursulines Avenue #4 New Orleans, LA 70116 Evan Harrison 0.20 % 25715 Vista Verde Drive Calabasas CA 91303 Brent Silberstein 0.10 % 813 Saint Emanuel Street Houston,TX 77003 Individuals(as defined below) 4.45 % 690 Lincoln Road, Suite 201 Miami Beach, Florida 33139 4. That Entertainment Events Funding LLC is a wholly owned subsidiary of Och-Ziff Capital Management,which is a company regularly traded on an established securities market in the United States. 5. That Coralnet&Co. is a nominee name to hold shares owned by Baron Small Cap Fund, which is a mutual fund regularly traded on an established securities market in the United States. 6. That the sole Beneficiary of The Gordon & Dona Crawford Trust is Jeffrey Crawford and his address is 708 Georgian Road, La Canada,CA 91011. 7. That James Estinopal is the sole shareholder, officer and director of Disco Productions, Inc., a Louisiana corporation,and his address is 2626 N Arnoult Road, Suite 100, Metairie,LA 70002. 8. That Sebu Corp. is owned 50%by Brian Gordon and 50%by Maria Gordon, and their address is 40 West 23rd Street,2nd Floor,New York,NY 10010. 9. David Grutman is the sole shareholder, officer, and director of David Grutman, Inc., whose address is 1000 Lincoln Road, Suite 200,Miami Beach,Florida 33139. 10. Ryan Schinman is the sole member of World on a String, LLC, and his address is 40.West 23rd Street,2nd Floor,New York,NY 10010. H. That Mitchell Rubinson, Roman Jones, Eric Milan and Francis Milan (collectively, the "Individuals")ultimately own, directly or indirectly, a 4.45 %ownership interest in SFX Holding. The address for the Individuals is 690 Lincoln Road, Suite 201,Miami Beach,Florida,33139. 12. That the facts stated in this Affidavit, and represented in the application and documents submitted in conjunction with this Affidavit, are true and correct, to the best of the Affiant's knowledge, information and belief. Further Affiant sayeth not. r Timothy Clyne The foregoing instrument was acknowledged before me this ID day of 2013) by Timothy Clyne, who is personally known to me or who has produced as identification and who did(did not)take an oath. otary Public 1TCHELL J. NELSON Notary Public, State of New York No. 02NE4854791 Oualified in New York County Commission Expires February 24, 206 N O p S (D S C) < a ° o m p c 3 u O 3 m T 00 O C T 0 O 3'< ^ o d`!D ed S A o hD as`3 o'" m 3 n T v°,0 0 0 n o3i o c p� m o C) a- -+ c '� o c n I v+ "t n N n ao a@ c) O N F DI O° ° 0 =3 �.O O N C 7 O 3 CL fD „2 aa0wc RD Ln 0 m o S o�nr'O on,v - y O� Dr�O .. _ 1 a N G Q N O S O D D !D 3 ^. 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