Javier Aviño - Stuart Miller MIAMI 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.
Ayih6 Javier F.
NAME OF LOBBYIST: (Last) (First) (M.1)
Bilzin Sumberg Baena Price&Axelrod LLP, 1450 Brickell Avenue,23rd Floor,Miami,FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-350-7202 305-351-2275 javino @bilzin.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:
Stuart Miller
Name of Applicant/Client:
7 Star Island Drive Miami Beach FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
978-546-6592
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:
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST:
ll. SPECIFIC LOBBY ISSUE:
All zoning, land use and permitting matters related to Lot 7 (7 Star Island Drive), 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 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
City of Miami Beach Planning Department staff and Zoning x
Department staff
City of Miami Beach Commissioners, Planning Board,and x
Board of Adjustment
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(g)Any Financial, Familial or Professional Relationship
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR
OTHER):
MIAMI 3798690.1 72252/40365 J
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A) LOBBYIST DISCLOSURE:(Required) $475/hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):(Required). $475/hour
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.
Signs a of Lobb ist-Javier F. Avin6
I do solemnly swear that all of the foregoing facts are true an ct 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:
Javier F. Avin6
Signature of Principal/Client:
art it r
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
❑ Produced ID ❑ Produced ID
� Form of Identification / Form of Identification A� •n cq cs
Personally known(Lobbyist) Lf Personally known(Principal) o �N o
ri N Ch
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VII. SIGNATURE AND STAMP OF NOTARY: o v g
State of Florida, County f Miami Dade�`PRr P°e�% IBIS DIAZ State of Florida, County of Miami-Dade H w a A
Sworn=d and subscrib d before me * MY COMMISSION#DD 994845 Sworn and subscribe b fore me .�-5; F
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Signature o lic Notary—State orida Signature of Publicf ota —State of Florida VA DL.
Notarization of Lobbyist's signature Notarization of Principal's signature
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TO BE COMPLETE WY 91 CLERK'S STAF ON 6,Y
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Z> Da Paid
Lobbyist Registration Form received and verified by: '
Revised 4/27/2012
MIAMI 3798690.1 72252/40365
MIA.MIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov
CITY CLERK Office CityClerk @miamibeachfl.gov
Tel:305.673.7411 ,Fax:305.673.7254
LOBBYIST NAME: Javier F. Avin6
I understand that no later than February 28th of each year, I must file the following forms,
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 Form 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.
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 of each year, 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.
g 2 t3
Si ature: Date:
MIAMI 3798690.1 72252/40365