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Ralph Choeff - Florian Depenthal and Cindy Melk 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 mined,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 tirtte period of the entire decision-making process on such action, decision or recommendabon that foreseeably will be heard or reviewed by the city commission, or a city board or committee. The t.errn speclft lly includrrs the principal as well as any employee engagers in lobbying activities. The term"Lobbyists"has specific exclusions. Please refer to Ordinance 200433. A NAME OF LO$BYIST: (Last) (First) 1 f,14 2 9 ' L BUSINESt NAME AND AD RE$ (Dumber and Street) City) (State) t (Zip Code) U a ALE-PHONE MBE FAX NUhABER. EMAIL: Please nodfy this offiCe it your contact information changes:address,phone, or o-mail address. I. LOBBYIST RETAINED 13Y. fia d-A 46-D - Ve,eg.-3-r A-.0i,L_ i NAME OF PRINCIPAIJCLIENT; BUSINESS NAME AND ADDRESS (Number and Stree (City) I (Stets) V (Zip Code) TELEPHONE NUMBER,; FAX NUMBER:(Optional) EMAIL:(OptionaO Fill out this section if Principal is a Corporation,Partnership or Trust fiction 2.482(c)9 • NAME OF CHIEF OFFICER, PARTNER,OR 8EN€FICIARY: • IDENTIFY ALL PERSONS HOLQIING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OVVNERSHiP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: i1 SPECIFIC LO BBY ISSUE: Issue to be lobbied(Describe in detail): iii.CITY AOENCIESfiNDIVIDUALS 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 entared into any contractual relationship (paid or unpaid) with said city commissionor or personnel from 12 months preceding such person's ommencement of sarvice with the city to the pmsent date,statin g the eneral nature"of the subject contractual relationship. Sec 2-482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES I N6_j title of person to be lobbied _ Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the exert of any businfts,financial,familial or professional relationship,or other relationship giving rise to an appearance of an impropriety,vrith any current city commissioner or city personnel who is sought to be lobbied as identified on the fobbyM regisr ration fan-n filed. Sec 2482(9)-Any B*ina ial,Familial or Professional Relationship W _ C:1UserslclerhaV\AppDatal LocaWicrosoftl,Njndo%vs�Tet,npora!y Intemet File s\Content.0utlook%83L40 biHN 5byist Registration 2 Fortmrev'sed 538-20'i2.doc / � Z S IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) 8) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION)- (REQUIRED). Tho following information must be answered: 1) Pursuant to Miami Beach City Code Section 2-088 Entitled`Prohibited Campaign Contributions By Lobbyists On Procurement Issues": Yes)Io: 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 2490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development issues". _Yes_�No: Are you lobbying on a1 pendingg apolication for a Development Agreement with the Cityy or application for change of zoning man designation or change to the Cfty's Future Land Use Map? 3) Pursuant to Miami Beach City Code Section 2-482(h)Any person(excerpt 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 appearanoe, 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�La'o: Arp 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 WE CITY CLERIC A SIGNED STATEMENT UNDER OATHS LISTING LOBBYING EXPENDITURES,AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR rHE PRECEDINP CALENDAR YEAR. A STA_TEMENT SHALL B EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. Signatu byist I do solemnly swear that all ping facts are true and ovrrect and that' I have read of am familiar with the provisions contained in SeGdon 2-482 of the ity Code and all reporting requirements. Signature of Lo gist: OFFICIAL SEAL Notary Public-State of Illinois Signature of Principal) Bent �= lion Expires Oec 8,201 VI. LOBBYIST IDENTIFICATION: f PRINCIPAL IDENTI I - Produced ID (1,c`�9,t 0-L,- Produced I D Form of Identification Form of Identification Personally known(Lobbyist) Personally known(Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida,County of Warni-Cade State of Florida,County of Miami-Dade Swom to and subscriped before me Swaoni an s:�bscrii, before me This C of,--V1tW,_ ARIADNA CAO This ( of ,2012 a Y COMM ISSION#F 09 5 SEgnata�re of otary—St RES June 02,2015 NOI�a!'tZatlO Lo I$t'�sig � Flortdat aryservice.com ignature of Public Notary—State of Florida Notarization of Principal's signature _ TO BE COMPLETED LY CITY CLERKS STAFF ONLY Annual Registration tee. I )Yes[ )No Amotint Paid$ MCR# Date Paid Lobbyisi Registration Form received and vwified by: C:tUsers'�derhatll AppDaltalLocalWicrosoftl!N-iirldovvslTemporary Internet FilestCornent.OuL'ook183LGQDDHtLobbyist Registration Forrnrevised 5-30-2012.doe F:\CLEI listration Form.doc Revised 04/27/2012 MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfi.gov CITY CLERK Office Rafael E. Granado,City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.741 1 ,Fax:305.673.7254 LOBBYIST NAME: Ralph Choeff 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 fails 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 automatic speeded from lobbying until all fines are paid, unless the fine has been ap ed t e Miami-Dade County Commission on Ethics and Public Trust. f - �- J� Signat re. Date: C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc 9 3ra Df?ISO Salvatore, Jason From: Ralph Choefft<rchoeff @clfarchitects.com> Sent: Thursday, August 18, 2016 12:06 PM To: Salvatore, Jason Cc: CLF Architects Subject: Ralph Choeff lobbyist letter received Attachments: Ralph Choeff Lobbyist.pdf Dear Jason, In your letter dated 7/29/2016 you ask what compensation was received or will be received for the following projects: 1. 114 3rd Dilido Terrace Principal: Florian Depenthal Cindy Melk 2. 835 E. Dilido Drive Principal: AML Investment IX LLC/Andrew Lessman 3. 721 E. Dilido Drive Principal: Peter R. Kassabov I have and will not receive any compensation for these projects in regards to lobbying. Thanks, Ralph Choeff Principal CHOEFF LEVY FISCHMAN A R C H I T I C T U R E + D E S d G N 8425 Biscayne Blvd.Suite 201 Miami, FL 33138 (t)305.434.8338,Ext. 111 (f)305.892.5292 rchoeff(a,clfarchitects_com www.clfarchitects.com 1