The URL can be used to link to this page

Rafael E. Andrade - 1501 Garage, LLC too /\AIAMI BEACH 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. Andrade Rafael E. NAME OF LOBBYIST: (Last) (First) (M.I) Law Offices of Rafael E. Andrade, P.A., 1111 Lincoln Road, Suite 400,Miami Beach, Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 531-9511 (305) 673-5734 ralph @randradelaw.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: 1501 Garage, LLC NAME OF PRINCIPAUCLIENT: 1501 Collins Avenue,#CU-001 Miami Beach Florida 33139 ry BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip CodeTj ZZ (305) 803-3369 _< TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional) M Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(c)] • NAME OF CHIEF.OFFICER,PARTNER,OR BENEFICIARY:Andrew Mirmelli,Manager �T1 • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH OQRPORA-TION, PARTNERSHIP OR TRUST:See Attached Exhibit"A" -r co Ii.SPECIFIC LOBBY ISSUE: Application for conditional use approval to use the under-utilized parking spaces at 1501 Collins Avenue after midnight 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 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 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 Department 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 None C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc � 513 I IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $500 per hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $500 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 XNo: 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 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 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. 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 ASIGNED 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 Cod d all reporting re ments. Signature of Lobbyist: Signature of Principal/Client: ' VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of Identification Form of Identification ��y., „ �.Ill�,s'•a s Personally known(Lobbyist) LPersonally known(Principal) �VV�,"•, l6• ticr' rn,'�iar VII. SIGNATURE AND STAMP OF NOTARY: Q State of Florida, County of Miami-Dade co State of Florida,County of Miami-Dade N Swoyr o and subscribe _ ef ore me ��c; Sworn subscrib d Wore me Thies"" day of e4x ,201x 3 c o his day of 201 3z � rs� � Signature o Pubic Notary—State of Florida '' Sig=at r of Publi ary—State of Florida n o Notarization of Lobbyists signature Notirization of Principals signature TO BE C Y CITY CLER 'S STAFF ONLY Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# / 'fJ Da Paid Lobbyist Registration Form received and verified by: C-.\Users\clerhatl\AppData\Local\Microsoft\Windows\TpmpDr-ary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc :t1 EXHIBIT"A' DISCLOSURE OF INTEREST NAME AND ADDRESS % OF INTEREST 1501 Gara eg , LLC 1501 Parking Lot Investments, LLC 37.5% 2200 Biscayne Boulevard Miami, Florida 33137 Manager Andrew Mirmelli 30% 1210 Michigan Avenue Miami Beach, Florida 33139 Manager Surfcomber Parking Garage,LLC 25% 1717 Collins Avenue Miami Beach, Florida 33139 Member Heather S Mirmelli and Jenna Mirmelli Family Trust 5% 1210 Michigan Avenue Miami, Florida 33139 Member