James E. Rauh - SB Ice Steak, LLC ! Al ow
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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.
RAUH JAMES E.
NAME OF LOBBYIST: (Last) (First) (M.1)
Terminello&Terminello, P.A. 1111 LINCOLN ROAD, SUITE 400, MIAMI BEACH, FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(786)276-2343 (305)448-5566 jrauh @terminello.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:
SB ICE STEAK, LLC
NAME OF PRINCIPAUCLIENT:
Meat Market 915 LINCOLN ROAD, MIAMI BEACH, FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)532-0088 (305)532-0089 dtornek@sb-ice.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: David Tornek, Manager
Un
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH(CORPORATION,
PARTNERSHIP OR TRUST: See Attached Exhibit A
II.SPECIFIC LOBBY ISSUE:
All land use, zoning, development, and licensing matters related to the venue located at 915 Lincoln Road.
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
City of Miami Beach Development Boards None X
City Manager/Assistant City Manager None X
Planning Director/Public Works Director, and their staff 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 Any Financial,Familial or Professional Relationship
None
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR
OTHER):
A) LOBBYIST DISCLOSURE:(Required) $375/ hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $375/ 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 El 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 0 No: Are you lobbvinq 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 0 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 ILED N IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
Signat of obbyist
I do solemnly swear that all of the foregoing facts are tru correct and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Beac Code and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
L%OFV�'4 Notary Public State of F:"a VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDEN :Manuel N Lloret My Commission FF 040275 Expires 07/28/2017
❑ Produced ID ❑ Produced ID
Form of Identification Form of Identification
Personally known(Lobbyist) 'Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County jbeforem State of Florida, County of Miami-Dade
Sworn to and subscribed Notary Public State of Florida Swor and subscribed before me
This day of A0 Marilyn G Sheffman This day of APRIL 2014
My Commission EE 848949
ov R Expires 11/04/2016 Signature of u c Not ature of Public Notary—State of Florida
Notarizatio of Lobbyist's signature Notarization of Principal's signature
.X TO BE COMPLETED BY CITY CLERK'S S
/,,I-
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ r MCR# Date Paid
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc G Revised 1/11/2011
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City of Miami Beath, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
CITY CLERK Office CityClerk @miamibeachfl.gov
Tel: 305.673.741 1 ,Fax:305.673.7254
LOBBYIST NAME: JAMES E. RAUH
I understand that no later than February 28th ®f 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.
C C7�
Signatu e: Date:
EXHIBIT "A"
DISCLOSURE OF OWNERSHIP INTERESTS
David Tornek 31%
Debbie Cleveland 20%
Sean Brasel 10%
Nelson Fox 9%
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