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Kent H Robbins - 8701 Collins Development, LLC JE © t Pc� MIANAIL Co 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. Robbins Kent Harrison NAME OF LOBBYIST: (Last) (First) (M.I) 1224 Washington Avenue Miami Beach Florida 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)532-0500 (305)531-0150 khr @khrlawoffices.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: 8701 Collins Development, LLC NAME OF PRINCIPAUCLIENT: 2665 S. Bayshore Drive, Suite 1020 Coconut Grove Florida 33133 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 416-4556 1 dmartin&terraQroup.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 Martin, Managing Member; Pedro Martin, Managing Member e IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II.SPECIFIC LOBBY ISSUE: Legal Representation of 8701 Collins Development,LLC concerning the Development Project located at 8701 Collins Avenue,Parcel A,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 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 Zoning Board of Adjustment None Planning Board None X Design Review Boara Land Use Board None X Planning Staff None X Mayor None X Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,far4iilial 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(p)Any Financial,Familial or Professional Relationship None ry X ;None J I r >7 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc f-°, IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $565.00 / per hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED). $565.00 / per hour The following e in information must be answered: 1) Pursuant to Miami Beach City Code Section 2-488 Entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues". _Yes )(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 Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": _Yes XNo: 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 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. YesXNo: Are you representing 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 WBMIT 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 A-ALLAE FILEOWN IF AVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. Signature of Lobbyis I do solemnly swear that all of regoing f is ar trur ct and that I have read or am familiar with the provisions contained in Section 2-482 of the Miam' ch Cl C d to uirements. Signature of Lobbyist. Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of Identification Form of Identification ��ersonally known(Lobbyist) Personally known(Principal) VII. SIGNATURE AND STAM SOFIA TERRAZAS State of Florida, County of Miami- MY COMMISSION#FF 105996 State of Florida, County of Miami-Dade Sworn to an subscribed before m �,••, a, EXPIRES:March 25,2018 Sworn and subscribed before me This 2 day of {�✓ � - ' eondedThruNotaryPublfcUnderwriters This day of 201_ 1 Sign fblfe oAVublic Not ry— t e of Florida Signature of Public Notary—State of Florida - NotariYatioff of Lobbyist's si ature Notarization of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAM ONLY/ Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Date Paid Lobbyist Registration Form received and verified by: I '1 F:\CEEB\$;ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc � Revise 01/22/2014 ICY F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $565,00 per hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION). (REQUIRED). $565.00/per 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 servlcO 2) Pursuant to Miami Beach City Code Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": X Yes No: Are you lobbying on a pending application for a Development Agreement with the CitU 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 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. YesXNo: Are you representing 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 S /MIT TO THE CITY CLERK A SI D STATEMENT UNDER OATH LISTING LOBBYING EXPENDITURES AS WELL A5 COMPENSATION RECEIVED IN T IT F MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT HA L E FILED EVgkrf THERE HAV BE 0 EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD Sig tore of Lo byist I do solemnly swear that all grgoing fac re; ae and cor ct and that I have read or am familiar with the provisions contained in Section 2-482 of the Mia i Co d n a reporting r wire n i i Signature of Lobbyist: Signature of Principal/Client: °� w-'f �---- VC LOBBYIST IDENTIFICATION PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of ldentific Form of Identification �•i'Rr° ;;, SOFIATEARAZAS ®Personally known:(Lobbyist) MY COMMISSION#FF 105996,,/ Personally known(Principal) 0 EXPIRES:March 25,2018 S J VII. SIGNATURE AND STAMP OF I J06! State of Florida,County of Miami-Dade =* ;e Commission n.[[ 1713548 5 to of Florida,County of Miami-Dade My Commission Expires Sworn to and subscribed,before e = P� April 30, 20T6 S: rn nd subscribed before me This da of 01 "' s day of(`r h)hY5,y,201 - Signatu of u I c Notary-Stat of rida S'gnat�t re`o�Pgblic No ary-State of Florida Notariz o obb isVs sign ZCtarVzation of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ ]No Amount Paid MCR 9 Date,Paid Lobbyist Registration Form received and verified by: F:\CLER\$ALL\a FORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc Revised 01/22/2014 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc . 1. NA� AM, 1 B E AC H ' City of Miami Beath, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov CITY CLERK Office Rafael E. Granado, City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.741 1 , Fax: 305.673.7254 LOBBYIST NAME: Kent Harrison Robbins 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$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 lobbyi who fails to file the required Statement by April 30th, 2012, shall be aut ati Ily sus end e m lobbying until all fines are paid, unless the fine has been ap ea to a is -D County Commission on Ethics and Public Trust. Sig ature: Date: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc = - LL LLI _ . a rN a 'o ul '° ` L a mom U Prieto, Silvia From: Sofia Terrazas - KHR Law Offices <sterrazas @khrlawoffices.com> Sent: Thursday, October 30, 2014 4:14 PM To: Prieto, Silvia; Kent Harrison Robbins - KHR Law Offices Cc: Ernesto Reyes - KHR Law Offices; Stephanie Garcia - KHR Law Offices Subject: RE: REVISED Dezerland: 8701 Collins Avenue - Lobbyist Registration for Kent Robbins for Today's Hearing Silvia, We are having a problem with the pdf also. We will be delivering a letter with the document most likely tomorrow, October 31, 2014. Thank you for your attention and cooperation. Sofia Terrazas Administrative Assistant Ar I lip The Law Offices of Kent Harrison Robbins 1224 Washington Avenue Miami Beach, Florida 33139 Telephone: (305) 532-0500 Facsimile: (305) 531-0150 Email: sterrazas(aD-khrlawoffices.com From: Prieto, Silvia [mailto:SilviaPrieto @miamibeachfl.gov] Sent: Thursday, October 30, 2014 4:06 PM To: Kent Harrison Robbins - KHR Law Offices Cc: Sofia Terrazas - KHR Law Offices Subject: RE: REVISED Dezerland: 8701 Collins Avenue - Lobbyist Registration for Kent Robbins for Today's Hearing Mr. Robbins/Sofia For some reason, I was not able open the image you sent me, Sofia could you please scan it a,nd send it to me. MIAMI BEACH Silvia Prieto,Administrative Aide I CITY CLERK'S OFFICE 1700 Convention Center Drive,Miami Beach,FL 33139 Phone:305-673-7000 ext.6269/ Fax:305-673-7254 www.miamibeachfi.gov We are committed to providing excellent public service and safety to all who live,work and play in our vibrant,_tropical, historic community. From: Kent Harrison Robbins - KHR Law Offices [mailto:khr(-OKhrlawoffices.com] Sent: Wednesday,.October 29, 2014 5:07 PM To: Prieto, Silvia Subject: Fwd: REVISED Dezerland: 8701 Collins Avenue - Lobbyist Registration for Kent Robbins for Today's Hearing 1 r Kent Harrison Robbins khrAkhrlawoffices.com By iPhone 3056321770 Begin forwarded message: From: "Rosmery Lowe" <rlowe(ae kobikarp.com> To: "Ernesto Reyes - KHR Law Offices" <ereyes(a,Khrlawoffices.com>, "dmartina,terragroup.com" <dmartingterragroup.com>, "Kent Harrison Robbins - KHR Law Offices" <khr(d Khrlawoffices.com>, "Stephanie Garcia- KHR Law Offices" <sgarcia(a,Khrlawoffices.com> Subject: FW: REVISED Dezerland: 8701 Collins Avenue- Lobbyist Registration for Kent Robbins for Today's Hearing Good afternoon As per Mr. Martin's request please find attached PDF file Rosmery Lowe Kobi Karp Architecture Interior Design 2915 Biscayne Boulevard Suite 200 Miami, FL 33137 mailto:RLowegKobiKarp.com T: 305.573.1818 F: 305.573.3766 [logo]<http://www.kobikarp.com/> WWW.KOBIKARP.COM<http://www.kobikarp.com/> Please notify the sender immediately if you have received this message by mistake. This transmission cannot be guaranteed to be secure, or error-free, as information could be intercepted, corrupted, lost destroyed, arrive late or incomplete, or contain viruses. The sender, therefore, does not accept liability for any viruses, errors or omissions, in the contents of this message. Please note that any view or opinions presented in the email are solely those of author, and do not necessarily represent the view or opinions of the company. Please note that in order to distribute computer files containing our drawings (or documents), to a third party, an "AGREEMENT FOR USE OF COMPUTER FILES FROM KOBI KARP ARCHITECTURE & INTERIOR DESIGN" must be obtained from the third party, and immediately faxed to our office. KKAID does not assume any responsibility from persons, or companies, that receive computer files without signing the mentioned release. The information contained in this transmission contains privileged and confidential information. 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From: David Martin [mailto:dmartingterragroup.com] Sent: Wednesday, October 29, 2014 4:34 PM To: Rosmery Lowe 2 I Subject: Fwd: REVISED Dezerland: 8701 Collins Avenue - Lobbyist Registration for Kent Robbins for Today's Hearing FYI Begin forwarded message: From: Ernesto Reyes - KHR Law Offices <Date: October 29, 2014 at 4:32:42 PM EDT To: David Martin<>, Sandra Ramos <sramos(d�terragroup.coin<mailto:sramosgterra roup.com>> Cc: Kent Harrison Robbins - KHR Law Offices <>, Stephanie Garcia- KHR Law Offices <> Subject: REVISED Dezerland: 8701 Collins Avenue - Lobbyist Registration for Kent Robbins for Today's Hearing REVISED LOBBYIST REGISTRATION David, Please sign and notarize the attached Lobbyist Registration ASAP, scan in color and forward back to us so that Kent can register as a Lobbyist for you at the Commission hearing today. Ernesto V. Reyes Firm Administrator Senior Legal Assistant ExchangeDefender Message Security: Check Authenticity<https•//admin exchang_edefender.com/verify.php?id=s9TKYKfM010033&from=dm artingterragroup.com> 3 r � Prieto, Silvia From: Sofia Terrazas - KHR Law Offices <sterrazas @khrlawoffices.com> Sent: Monday, November 03, 2014 3:35 PM To: Prieto, Silvia; Kent Harrison Robbins - KHR Law Offices Cc: Ernesto Reyes - KHR Law Offices; Stephanie Garcia - KHR Law Offices Subject: RE: REVISED Dezerland: 8701 Collins Avenue - Lobbyist Registration for Kent Robbins for Today's Hearing Silvia, Ernesto will be taking care of this today. Sincerely, Sofia Terrazas Administrative Assistant The Law Offices of Kent.Harrison Robbins 1224 Washington Avenue Miami Beach, Florida 33139 Telephone: (305) 532-0500 Facsimile: (305) 531-0150 Email: sterrazas(aD-khrlawoffices.com From: Sofia Terrazas - KHR Law Offices Sent: Thursday, October 30, 2014 4:11 PM To: 'Prieto, Silvia'; Kent Harrison Robbins - KHR Law Offices Cc: Ernesto Reyes - KHR Law Offices; Stephanie Garcia - KHR Law Offices Subject: RE: REVISED Dezerland: 8701 Collins Avenue - Lobbyist Registration for Kent Robbins for Today's Hearing Silvia, We are having a problem with the pdf also. We will be delivering a letter with the document most likely tomorrow, October 31, 2014. Thank you for your attention and cooperation. Sofia Terrazas Administrative Assistant The Law Offices of Kent Harrison Robbins. 1224 Washington Avenue Miami Beach, Florida 33139 Telephone: (305) 532-0500 1