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Matthew Amster - 418 Meridian, LLC Roberto D. Colmenero Av tl' I A A �� I B 1!----A C H 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. Amster Matthew NAME OF LOBBYIST: (Last) (First) 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)377-6236 (305)377-6222 mamster@brzoninglaw 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: 418 Meridian,LLC /o Roberto D.C21alenero NAME OF•PRINCIPAUCLIENT: Same La Pam Ea 1534 3 A(C1428AQ0) Buenos Aires Argentina (FlumDer ano Streep y (Stare) (Zip Coae3 4706.0209 n1a diego(W-urbanic_a com 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: Roberto D.Colmenero,Manager ry • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 59/o OR MORE OWNERSHIP INTEREST IN SUCH:CO%tRATI()N, PARTNERSHIP OR TRUST: See attached. ii.SPECIFIC LOBBY ISSUE: Development approvals&permitting issues concerning 418-426 Meridian Avenue Issue to be lobbied(Describe in detail). =�,� i ln.CITY AGENCIES/INDIVID:UALS TO`'BE;:.LOBBIED: =� o 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 2482(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 Pursuant to City Code Section 2482(8)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 Relationshi NQne C:\Userslclerhat[\AppData\LocallMicrosoft\Windows\Temporary Internet Files\Content.4utlook183LGQDDH1Lobbyist Registration Formrevised 5-30-2012.doc Ct w /f IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $350/hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED). 350/hour 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 lobUng on a present or pending bid for goods egu*pment or servicgs or on a present or pending award for SWA2.eauj2Ment 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 nendina annlicalinn fnr a Qemel2cment gLtg[02nt Mfilb fhs Cily 2a � �- r�rrrfi.�i�fisse+�l�HifR___ _ change of zoning man desianation or change to khe City's Future Land Use MaI2? 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 fa -for- Eofit rorR=ion or entity wit_hgIg special comggjjsation or reimbursCment. V. SIGNATURE UNDER OATH: 0LUDRUARY 28 OF EACH YEAR.EACH LOBBYIST ANAL L CI 1101 TO THE CITY CLERK K A SIQNED SIAILMENI UNDER �OA�TH. LI_ STING LOBBYING EXPENDITURES. A WELL AS COMPENSATION R9CEe 1VED`IN-THE !GIIXX OF MIAMI B� EACH EXPENDITURES OR 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 reports requiremen Signature of Lobbyist: Signature of Principal/Client: c m Vi. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of Identification Form of Identification Zpersonally known(Lobbyist) Personals known(Principal) Y ( p ) ""•Y° CRISTINA D.GONZAL.EZ VII. SIGNATURE AND STAMP OF N '__ MYCOMhAISSION#DD 960888 EXPIRES:March 23,2014 State of Florida,County of Miami-Dade ' ,qp � Bonded Thru Notary Public Underwriters ate of Florida,County of Miami-Da Sworn to and subscribed before me or and subscribed before me This (-4— day of 5ZM"bW013 This day of �6 JN{ _F20 Signature of Public Notary— tate f Flordla Signature of Public Notary, to ci Notarization of LQhbvist's&eignature Notarization of t pN A UB EXPIRES:A*e 20 2016 TO BE COMPLETED��Y CITY CLERK'S STAFF ONLY �+iaRa� eo�ded?wn,6uaporroowj, 1 Annual Registration fee: Yes No Amount Paid$ 3S'' MCR# s� Date Paid Lobbyist Registration Form received and verified by: , C:\Users\clerhatl\AppData\LocahMicrosoft\Windows\Temporary Internet FileslContent.Outlook183LGQDDHILobbyist Registration Formrevised 5-30-2012.doc istration Formdoc Revised 04/27/201 L-A KIw t6 Citv of Miami Beach, 1700 Convention Center Drive,Miami Beach. Florida 33139, %%,%v%v.miamibcach(l.gov CITY CLERK Offlice Rafael E.Granado.City Clerk CilyClcrk(t?,niiamibcacIifl.gov Tel:305.673.7411 .Fax:305.673.7254 LOBBYIST NAME: Matthew Amster 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$60.00 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, 2014, 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. Signature: 'Date: C:\Users\clerhaU\AppDataNLocalkMicrosoft\Windows\Temporary Internet Files\Content.Outlook\83LGODDH\Lobbyist Registration Forwevised 5-30-2012.doc 3- - = ZZ : Cl At co m v � G, t� _ `mss 1 HOC LL_ LL Co- r z z LL cc - .... _� a: F =a