Max Strang - 2142 North Bay Road, LLC MIAMI BEACH �
City of Miami Beach Office of the City dikk DEC --2 Psi 2: 52
1700 Convention Center Drive, Miami Beach, FL, 331,3,9,,.,, - . I C-
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.-0 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.
Strang Max
NAME OF LOBBYIST: (Last) (First) (M.I)
Max Strang Architecture 3326 Mary Street,#301 Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)373-4990 N/A max @strangarchitecture.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:
2142 North Bay Road, LLC
NAME OF PRINCIPAL/CLIENT:
640 Fifth Avenue, 201h floor New York New York 10019
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
212-688-2550 N/A N/A
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: Please see attached Exhibit A.
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
II.SPECIFIC LOBBY ISSUE:
Development Approvals and Permitting Issues for 2142 North Bay Road Property
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 relationshi .
Sec 2-482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES NO
title of person to be lobbied
Planning Department and Building Department Staff None X
B, DRB, BOA, City Commission, as necessary None 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(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)$ j/0
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
(Required). $ 4/50
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 pendina bid for goods.gauiament or services.or on a present or pending
award for goods.eauipme it 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 Aareement with the City or application for
change of zoning map designation or change to the City's Future Land Use Man?
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
EM THE PRECEDING CALEN12AR YE6R. A STAIEMENT SHALL BE FILED E414 IF THERE HAVE BEEN NQ
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
Signature of Lobbyist
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 Co a and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
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VI. LOBBYIST IDENTIFICATIO PRINCIPAL IDENTIFICATION: n 0 D
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[]Produced ID []Produced ID 3 m z c
Form of Identification Form of Identification o o. ° °D m
personally known(Lobbyist) .Personally known(Principal) X Z 0 � Z
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VII. SIGNATURE AND STAMP OF NO;�Y`�C�..���/���� �/�� n/y - A O O
State of Florida, County of Miami-Dade O �y State of F i a, ounty o Miami-Dade n a m
Sworn to and subscribed before me ,C,3 .y Sworn and subscribed before me t M
This d 2 day of MC- , TSMY Comm.Expires This 2 G day of /V—4--,201
October 26,2013 — E O
No.DD 935993 Cn �:�6jc
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ignatu e i Notary-State of Flortutu ` �p �- Signat a of Public Notary-State of FIefide pV`l
Notari tion o rist's signature ����� UBL1�' ��\�� Notarization of Principal's signature
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TOi1� C LC` Ov CITY CLERK'S STAFF ONLY Z
Annual Registration fee: [ ]Yes[ ]No Amount Paid MCR# �7�- _Date Paid t'
Lobbyist Registration Form received and verified by:
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/\AIAMIBEACH
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: Max Strang
I understand that no later than February 28th 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, 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.
DLC. 020 203
Signature: Date:
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