Michael Larkin - Fisher Island Community Association, Inc. /\AIA/\Al BEACHe
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City f Miami Beach Office of the City Clerk 0
Y Y � �-
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.
Larkin Michael W
NAME OF LOBBYIST: (Last) (First) (M.1)
Bercow Radell & Fernandez, PA 200 S. Biscayne Blvd, Suite 850, Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 377-6231 (305) 377-6222 mlarkin(o)brzoninolaw.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:
Fisher Island Community Association, Inc.
NAME OF PRINCIPAUCLIENT:
Same One Fisher Island Drive Fisher Island FL 33109
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)938-2944
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: See attached.
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: See attached.
II.SPECIFIC LOBBY ISSUE:
Development approvals & permitting issues for Parking Garage and over water platform for ferry service located at 120
MacArthur Causewav
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 general 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
Staff of Planning Department, Building Department,and Public Works None X
Department
PB, HPB, BOA,City Commission,as necessary None — X
r
Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,44miliii or pi•Qfessional
relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner orcityrsonnel who is
sought to be lobbied as identified on the lobbyist registration form filed. CD
Sec 2-482(g)Any Financial, Familial or Professional Relationship -,
None
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) $y 75-
/hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMENSATION):
(REQUIRED). $�/hour
The following information must be answer�d s
1) Pursuant to Miami Beach City Code Section 2-488 Entitled"Prohibited Campaign Contributions By Lobbyists On Procurement
Issues":
_Yes X No: Are you lobby'na on a present or pendina bid for aoods.eauioment or services, or on a present or nendina
award for aoods.eauipment 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 lobbvina on a pendina application for a Development Aareement with the City or application for
chance of zoning map desianation or chanae to the City's Future Land Use Man?
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 reoresentina 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
EM 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
i a�:n CRISTINAD.GOWAL¢ Form of Identification
: ,,,,,,
+: {q r MY COMMISSION#DD 960888
Form of Identifc
/ i`-"�; ).� ' EXPIRES:March 23,2014
Personally known(Lobbyist) C., t,=Via° bonded Thru Notary Public Underwriters ,Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, Count of Miami-Dad tate of Florida, Count of Miami-Dade
County ABMt,EY LYNN IRRARRY y
Sworn to and subscribed before me No"Pella-SW*o1 FlorMa rn an subscribed before me
This day of e _, 201 My Comm.Egon Uff 31.2016 h 2`^d day of 3U&+L)� , 2042 13
Cammhtlon t EE 189874
Signature of Public ota Sta of FI n Signa ure of ubli Notary State of Florida
Notarization of Lobbyist's signature Notarization 'signature
TO BE COMPLEID BY CITY CLERK'S STAFF ONLY r�
Annual Registration fee: Yes No Amount Paid$ -- MCR# Z�Q Z- Date Paid Z T 1g
Lobbyist Registration Form received and verified by: t \
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F:\CLE istration Form.doc Revised 04/27/2012
MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office
Rafael E. Granado, City Clerk CityClerkamiamibeachfl.gov
Tel: 305.673.7411 , Fax: 305.673.7254
LOBBYIST NAME: Michael W. Larkin
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
automatically suspended from lobbying until all fines are paid, unless the fine has been
appealed to the Miami-Dade County Commission on Ethics and Public Trust.
9-/ 60
Signature: Date:
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1
Fisher Island Community Association, Inc.
Board of Directors
Gary Snider,President One Fisher Island Drive, Fisher Island, FL 33109
Heinrich von Hanau,Vice President One Fisher Island Drive, Fisher Island, FL 33109
Roberto Sosa, Treasurer One Fisher Island Drive, Fisher Island, FL 33109
Ashley Irizarry,Secretary One Fisher Island Drive, Fisher Island, FL 33109
Howard Lorber, Director 8061 Fisher Island Drive,Fisher Island, FL 33109
Laurie Melnick, Director 2114 Fisher Island Drive, Fisher Island, FL 33109
Irwin Potash, Director 2033 Fisher Island Drive,Fisher Island, FL 33109