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James E Rauh - Florida Wine and Spirits, LLC t\i\ k m X „,. 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 NAME OF LOBBYIST: (Last) (First) (M.I) Terminello & Terminello, P.A. 1224 Washington Avenue, Miami Beach, FL 33139 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 786-276-2343 jrauh @terminello.corn TELEPHONE NUMBER: FAX NUMBER: EMAIL: C".) e� — Please notify this office if your contact information changes:address,phone, or e-mail address. • I. LOBBYIST RETAINED BY: Florida Fine Wine and Spirits, LLC. r N NAME OF PRINCIPAUCLIENT: Florida Fine Wine and Spirits, LLC. 11325 Seven Locks Road, Suite 214, Potomac, MD 2085.4 - ; BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) • 301-795-1000 (- 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 "Exhibit A" • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See "Exhibit A" II SPtdIF,ICLOBBY ISSUE; Request for a variance from the 300' distance requirement between a retail package store and a place of Issue to be lobbied(Describe in detail): worship at 1139 5th Street Ill i AbrE!NCIE'S'/thDIVI®'IIALS TOt1BE 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 2-482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES NO title of person to be lobbied City of Miami Beach Planning Dept. Staff None X City of Miami Beach Board of Adjustment 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 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc 1 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $375/Hour B) PRINCIPALS 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 XNo: Are ou lobb in. on a.I resent-or3encling bid for goods,we uijamont�or services,or on a present or endinct 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 ou tobb in.. on a., endir a lication for a Dovelo rnent Ac ree ner t with the Cit, or a iication for change of zonincl map des gnationc shan eto the Cit:'s Future Land Use M,.a, ?- 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 o: Are ou re•resentin. a not-for..rofif corporation orentit without special comuonsation 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 I, ,f THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHAL, :` LED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. `l , r-of ob•yist I do solemnly swear that all of the foregoing facts are true a r .rrect and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami B ity Code and all rep y' g requirements. Signature of Lobbyist: Signature of Principal/Client VI. LOBBYIST IDENTIFICATION: wµ::"PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of Identification Form of Identification Personal) known(Lobbyist) $ �crsonall known(Principal) CHERYL A. C VII. SIGNATURE AND STAMP OF NOTARY: NOTARY PUBLIC t Commission Expires 070-0.= Rat kimfek . n1'yzer j State of Florida,County of Miami-Dade State of County of A� � Swor '•, ., • subscri• -;efor- me Sworn and subscribed before me This day of ! '....,201 Thi 6 day of jr i,t.�r: tt'_,20 _ /'x a 4' a 1 f ci '°aee BRAD STEVEN FLEET /' '' /7 - 1 J/�1 .a p 4 %r - c* MY COMMISSION N EE 223709 // . Sig . ` ry— EXPIRES:August 21,2016 Signatut e�'p1 Public Notary—State of Firridrrf ;i,rdakfa Si re o u•!ic No is tats of�I_;w�r ,�, Notarization of Lobbyist's signature�lq, pFR� ,°� aonaodThrHNtIgetNotary Services Notarizat(on of Principal's signature Xi° TO BE COMPLETED B CITY CLERK'S STAFF ONLY Annual Registration fee [ j 3 S 0_._ MCR# *o it$y Date Paid, 112 Lobbyist Registration Form received and verified by: C t Q„,,,,— Lam , 1 M S n t • , r L m .. F >. , , Revised 01/22/2014 F:ICLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc T 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 XNo: 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 No: 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. _Yes 4Jo: 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 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 BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. Signature of Lobbyist 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 City Code and all reporting requirements. CT) N) Signature of Lobbyist: Signature of Principal/Client: .7 �°' tzm r t VI. LOBBYIST IDENTIFICATION: •RINCIPAL IDENTIFICATION: — • • Produced ID Produced ID Form of Identification Form of Identificatior6 N Personally known(Lobbyist) CHERYL A. C ersonally known(Principal)=; VII. SIGNATURE AND STAMP OF NOTARY: NOTARY PUBLIC Commission Expires 07011/00/ .1a1 "nerlc State of Florida,County of Miami-Dade State of County of • Sworn to and subscribed before me Swori and subscribed before me This day of ,201_ / This ;:ay o tuVeLr ,201 Signature of Public Notary–State of Florida Signatur f Public Notary–State of Wa/- Notarization of Lobbyist's signature Notariza on of Principal's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ dNo Amount Paid$ MCR Date Paid Lobbyist Registration Form received and verified by: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registratio nr a Revised 01/22/2014 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc Exhibit A FLORIDA FINE WINE AND SPIRITS,LLC-Ownership NAME TITLE Ownership Beneficiary ADDRESS 11417 Skipwith Lane David J.Trone Managing Member 5.00% Potomac,MD 20854 9829 Avenel Farms Drive Robert L.Trone Managing Member 5.00% Potomac,MD 20854 11325 Seven Locks Road,Ste 214 Robert L.Trone Member 22.50% Potomac,MD 20854 11325 Seven Locks Road,Ste 214 MCT 2013 LLC Receiving Trust Member 11.25% Michelle Cynthia Trone Potomac,MD 20854 11325 Seven Locks Road,Ste 214 JET 2013 LLC Receiving Trust Member 11.25% Julia Elaine Trone Potomac,MD 20854 11325 Seven Locks Road,Ste 214 NRT 2013 LLC Receiving Trust Member 11.25% Natalie Rachel Trone Potomac,MD 20854 11325 Seven Locks Road,Ste 214 RJT 2013 LLC Receiving Trust Member 11.25% Robert Joseph Trone Potomac,MD 20854 11325 Seven Locks Road,Ste 214 SPT 2013 Receiving Trust#2 Member 22.50% Sophia Parisi Trone Potomac,MD 20854 100.00% City of Miami Beach, 1700 Convention Center Drve,Miami Beach,Florida 33139,www.miamibeochfl.gov CITY CLERK Office Rafael E.Granada, City Clerk CityClerk @miamibeachfl.gov Tel:305.673.7411 ,Fox:305.673.7254 LOBBYIST N a E: James E. Rauh 1 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 shalt 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$50.00 a day shall be assessed for all Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal) to file the Statement or pay th= assessed fines after notification. Any lobbyist, who fails to file the required Statement by April 30th of each year,shall be automatically suspended from lobbying until all fines are paid, unless the fine has been apps:; • to the Miami-Dade County Commission on Ethics and Public Trust. Signa• r.: Date: F:\CLERI$ALL1aFORMSILOBBYIST FORMS\Lobbyist Registration Form.doc CITY HALL CASHIER OFFI 4,;,-.:.:;.J-...,F a '.:',P'.,P f,1: 1700 CONVENTION CNTR DR x.- MIAMI BEACH, FL 33139 is` = 01/28/2015 10:11:34 4 ,. 1 , Merchant ID: 000000005148978 '' 02013135 _ ,v. . Terminal ID: — 275202450886 ._ CREDIT CARD VISA SALE CARD# )00000000000(5682 City of Miami Beach-Florida INVOICE 0004 Finance Department Batch#: 001454 Approval Code: 028380 1 City Hall Entry Method: Swiped 1502813-1 01/28/2015 BR1} T121 ry Online Wed Jan28,2015 10:11AM Trans#21-21 Mode: 21 $350.00 MCRCLERK - MCR-City Clerk Tax Amount: $0.00 * MCR#: 40143; _� ) : TOTAL: $350.00 SALE AMOUNT $35000 1 ITEM(S): Car PAID $350.00 Have a nice day CUSTOMER COPY• :.�t - a�._�'..�s .a{ d .R-- s �, 4Y•l'i#1,-d 7.JJ ,.d'1,: J s� - Miscellaneous Cash Receipt° ,, x� -i :a y i ) 11714. ; :1 - - - CITY OF MIAMI BEACH :....., .:. , o ❑ Cash Credit Card ❑Check# .. � $' ..2. ;:. -^ - ,1. 20 • Received of 'y— - 1.£4 j4,. • /r- 6 ccri;1 :J:.aA'i ‘ nr. . ; �- 'mot.,{ Address 1 ,r. v. 4,/,,,,..,A 1 : h.- ! ,} , e }3..s 7. er -;_ rte; 1 /3 i' ` Tie.F, `� . For /,, �l_ ;.t, a i -.,�-t.:�-�. f� ,: �, t -- t J / ' • • '-. (THIS INFORMATION MUST BE COMPLETED) - <<' Office.of Finance Director ;= .-> : -;•}� BY c. s. Account Number. :../1.J : `3 ;/ "�1 li( Dept: . EX '•- Preparers - .:L. �.= t,:.a ' -" ^-�. - .