Ricardo Tabet - 600 Collins, LLC h ,it-
AA
D
0 S
City of Miami Beach Office of the City Clerk l.,
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.
Tabet Ricardo
NAME OF LOBBYIST: (Last) (First) (M.I)
600 Collins, LLC 846 Lincoln Road, 5th floor Miami Beach FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 712-7133 rtiootimumusa.us
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information-changes address,phone, or e-mail address.
I. LOBBYIST RETAINED BY:
Ricardo Tabet
NAME OF PRINCIPAL/CLIENT:
600 Collins, LLC 846 Lincoln Road, 5th floor Miami Beach FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 712-7133 rtaoptimumusa.us.
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:see attached I
• 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 Board Approvals for 600 Collins Avenue—.600 Collins. LLC
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 thepresent date,stating the general 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
Planning Staff, PB, HPB, BOA, DRB, Commission None X
Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,familiaiai er professional
relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner of city personnel who is
sought to be lobbied as identified on the lobbyist registration form filed. r = .
c-a
Sec 2-482(g)Any Financial, Familial or Professional Relationship
frrE
= c�
71-; G3
C\UserslclerhatlWppData Local\MicrosoftWindows\Temporary Internet Filesl Content.Outlook183LGQDDHLobbyis t
Registration
Formrevised 5-30-2012.doc
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) N/A
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): N/A
(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: - • . • • • : 1 • •1 . • 1 • • 1!•1 • • ••• • •• 1,1 " 1 • • •1 • - " f • • - 1 •.'1
award for aoods.eauioment 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: - • • •:∎ '1 • •1 . !- 1•'1 • •.!! • ••• a • - • • - 1 -! 11," 1 , • I 1 - • .• • •. ••1 •
chanae of zonina maxi desianation or chance 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.
Yes X No - .• - ' 1 1• 1 • • • ••_L 1 •_- • 1 • •.__ • 11 • - 1 • 1 • "'fi ._ti, II • 1
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER
• _ it ► ► •
Mg THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR,COMPENSATION DURING THE REPORTING_PERIOD.
Signature oftobbyist
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 C,iiy_Code and all reporting; quirements.
Signature of Lobby
Signature of Principal/Clien • ) /
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
ALProduced ID•' rt 1.ao-14-o2-to_p =Produced ID 3)L 4t I 30 -120.-14- O -0
Form of Identification Form of Identification
Personally known(Lobbyist) Personally known(Principal) o N o
Z• LL
VII. SIGNATURE AND STAMP OF NOY'4 CRISTINA DIANA GONZALEZ *
State of Florida, County of Miami-Dade u�..,,, MY COMMISSION#FF083128`tate of Florida,County of Miami-Dade a o e.
Sworn to and subscribed before me 9 u
•,'�cs��;.� EXPIRES March 23. 2018Sivom and subscribed before me
cn
This oar day of DeLeAlie42.2014 (407)398-0153 FloridallotaryService.com This 1 Sr day of Vet:EN €..2014 z 2 Cr o
M
v �
Signature of Public Notary- to of lorid Signature of Public Notary- ate Florid „
Notarization of Lobbyist's signature Notarization of Principal's signet re ;e •`°*;: 4
TO :E COMPLETED BY CI CLERK' S c ON_ :o=��-
�
Annual Registration fee: [ ]Yes[. ]No Amount Paid "— MCR# A f00(4 5 - Date Paid L BNB ,,
Lobb 'st Re•istration Form received and verified b .
C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc
IF:\CLF; istration.Form.doc Revised 04/27/2012 I
MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office
Rafael E.Granado, City Clerk CityClerk@miamibeachfl.gov
Tel: 305.673.7411 ,Fax:305.673.7254
LOBBYIST NAME: Ricardo Tabet
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 $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.
/o2i/ /0(
Signature: Date:
C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc
Exhibit A
Disclosure of Interest
600 Collins
Avenue, LLC
Optimum USA \ � S8 Collins Ave, LLC
Investments 2, LLC Ricardo Tabet
Rodolfo Misitano 846 Licoln Rd, 5th floor
c/o Funaro &Co. P.C. Miami Beach, FL 33139
350 Fifth Avenue,
41st floor, 1 oho
New York N.Y. 10118
9 9 )/o
1
Miscehaneous Cash Receipt �.
,
CITY OF MIAMI BEACH 3 2
, ii 0a
4 o
3.
❑ Cash ❑Credit Card Check# t e
2.-- --/--. • 20I 1.
1
Received of-1644(1- . (Zi c - -o kg 00 r ' L LC i
Address t 9 00 (...-t)--E--0.-rtA, Z- c---t--- , 8 'i(.0 L-r,cA94-, U. ---- ri_... fri 6 1 ,
1
For 1 b , r, r ri v 4.1 s i ti . s, ,,, ,„ . a.
r / U Vi
, / q� 6 P / ( 2A, 10' ej . ^
T T ..
f
_- =
(THIS INFORMATION MUST BE COMPLETED)
‘.., Office of Fi ance Director
By
Account Number C'1 l• { L" • -u I' ' '
, ,,sr V1/Pre arer: 6 / 4~ a Dept• . 1 `---� EXT: 7 ,
I
'
ii':',:flii,---tr5,,,,:ti,,,,!..„:„;:::,,i:':,:,. ...!..:e:f:r,E,,,,,"--,:;!:,,g,l,„::;,47.';i'ii;".`,.:-.::::;,...,,4.,;..,..,3`,.:,4:;"':.:::-.::,,,..,i-':-.. ,..3",i,,i,::T},',.,1:::...,2,',,,,,:i.,,1:,;':,'":6-,-,:-:-.,es,,'''..4;1.,H.:-.6.-..':::::;:,.::', -,..6..-,'-.:;:6,1::'-')-0.', ',.-:::::';;;..-.:-.,,_-_,...:[;:i.,77,,,.„..,::r.,: :.,:.!,:: ,„:-,.,...:;.:-....li',,,:.',..,:-„:::„..-ii:.-1,-.::-..::;;,..,,,:;,1:,..i.,,:::::,..,-A1;:`,..::7;:,,:.:::;,.::::!-,,,A7,;i1,,,,,;::',iii".,,;,,,.:,:,:':,',15.'i.'.4:4FAI
.L'''''' ''''''''' '''.''''''''''7'.1 . .. '''. . '''''''''''''
hp-t:-&-t-,..,,-,,ORDER...0E',:s'' ' . ..:.._....,,,,,....,,',:,,::,-..,:.;:: .':,..:::.',,,,,-',....-.-. ',-...j.,,-...,,?..;.(*.,:.'.;:.;„..':...1'..:..:!,,..:-. ..f.:'.'_:,.,,i,'• :. ... I,.,'.fi:,,,,,:'.Li':::,,,,. ...:.... ;...",..: ::.•:.-:',DOLLAR.....-.:,:.,..,.,,:,..',.,....rp...t,...„:,..,1...:±,-.. ,2,1,1
67
• (4%r.6.-;,:fiE';•':,'::,'".',-,'‘.,...'.i..','-7..e.-.:'.':''''','-''':.'-'''.-,?. '-:';',".<,::''':.•:.-:,'Le-,i'14.:-1.:::'-'---. ..' .". " •'''.-------.-7- ...'' ". ' ' ' ' ' ' -s'it'
,
`�
.
.
_.*,
`
.
^
^
.
.
L