Monika Entin - Alan Lieberman - 2365 Pinetree i
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City f Miami Beach Office of the City Clerk /v
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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.
Entin Monika
NAME OF LOBBYIST: (Last) (First) (M.1)
Bercow Radell &Fernandez, P.A., 200 S. Biscayne Blvd., # 850, Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-377-6237 305-377-6222 MEntin(&BRZoninaLaw.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:
NAME OF PRINCIPAUCLIENT:
Museum Walk Apartments, LLC, 2315 Pinetree Drive, Miami Beach FL 33140
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 531-5831
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: PCCO,Inc., d- f3EPZl�t��, Pis
• 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, Code Amendments, and Permitting Issues, including, but not limited to Historic Preservation Board,
Planning and Board of Adjustment,Land Use Development Committee, Building, Fire and Public Works Department approvals
for the nronertu located at 2365 Pinetree Drive, Miami Beach, Florida.
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 27482(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
B, DRB, HPB, BOA, City Commission, and Land Use None
Development Committee, as necessary None
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 cit commissioner brjcity personnel who is
sought to be lobbied as identified on the lobbyist registration form filed. L� !. `�d
Sec 2-482(g)Any Financial, Familial or Professional Relationship .� 3 „ F4d'
None
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None :'i
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required):$250.00 per hour
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B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):$250.00 per 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_X No: Are you lobbvina on a present or nendina bid for goods.eauipment or services_or 21 a present or
vending awaEd for goods.equipment 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 pending application for a Development Agreement with the City or application
fa change of zoning Map designation or change to the City's Future Land Use Mao?
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 o: Are you rennasenting 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
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EXPENDITURES OR NG THE REE 81012.
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Signdfure cl
I do solemnly swear that all of the foregoi acts are true d correct and that I have r am familiar with the provisions contained
in Section 2-482 of the Miami Beac Cit Co a and all reporti requirements.
Signature of Lobbyist: '
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: V V PRINCIPAL IDENTIFICATION-
Produced ID Produced ID
Form of Identification Form of Identification
Apersonally known(Lobbyist) Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida,County of Miami-Dade State of Florida,County of Miami-Dade
SwoPtion crib before me Sworn and subscribed before me
This ay f ,201 -¢ This " day of _,201� -
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Sign ry ate of Florida a a e of Florida
Nota signature Notarization of Princlpal's signature
TO BE COMPLETED BY CITY CLERK'S ST Aff® Y /
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Lobbyist Registration Form received and verified by: o %%"1'"714111111 CIIRISTIANNE NUNEZ
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anew,, .L Notary Public-State of FloriA�
My Commiasion.Eor Vay 17,2011
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l F:�CLE istration Form.doc Revised 04/27/2012
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City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139. www.miamibeach1gov
CITY CLERK Office
Rafael E.Granado,City Clerk CityClerka,miamibeachfl.gov
Tel:305.673.7411 ,Fax:305.673.7254
LOBBYIST NAME: Monika Entin
I understand that no later than February 28 of each year, I must file the following form,
pursuant to Section 2485 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 Mi '- ade County Commission on Ethics and Public Trust.
Signature Date
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Museum Walk Apartments, LLC - 2315 Pintree Drive, Miami Beach
PCCO, Inc. 100%
1680 Meridian Avenue
Miami Beach, FL
PCCO, Inc. - 1680 Meridian Avenue, Miami Beach
Alan Leiberman, President 100%
1680 Meridian Avenue
Miami Beach, FL
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