Daniel Vasini - David Martin MIAMIBEACH BEAcH
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.
Vasini Daniel
NAME OF LOBBYIST: (Last) (First) (M.I)
West 8 333 Hudson Street, Suite 905 New York NY 10013
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(212) 285-0088
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
Please notify this office if your contact information changes:address,phone, or e-mail address.
I. LOBBYIST RETAINED BY: oPfriLl(k(
David Martin
NAME OF PRINCIPAL/CLIENT:
Terra Group 26 S. Bayshore Drive Miami Florida 33133
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 416-4556 (305) 777-3040 DMartin(c�terraaroup.com
TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional)
Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(c)] c;
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY:
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A °°OR ORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: ��� Gct - c
II.SPECIFIC LOBBY ISSUE: ,
Land Development Approvals for 8701 Collins Avenue. Miami Beach, Florida `P
Issue to be lobbied(Describe in detail): --
cT.
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 2-482(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 X
PB, HPB, BOA, City Commission, as necessary* 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
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)
$ pef QCI Ve-en'1,2/i t
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST OMPENSATION):
(REQUIRED). $ . { Gl- ree1n..0„-.f
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-48 Entitled"Prohibited Campaign Contributions By Lobbyists On Procurement
Issues":
Yes X No: Are you lobbyina on a present or pending bid for aoods.eauiDment or services.or on a present or
—
Pending award for aoods.eauipment 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 pendina application for a Development Aareement with the City or application
f chanae of zoning map desianation or chanae 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: Are you representina 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 SUBMI TO THE CITY CLERK A SIGNED STATEMENT UNDER
OATH. LISTING LOBBYING EXPENDITURES. AS WELL A _C•MPEN-ATION RECEIVED. IN THE CITY OF MIAMI BEACH
EQ1 ':-C_1.►: _ C.:. EL 11: s:_, _ 1 _u_►. 1. _ __ _ FIL I _ _1. ._:_ .._ - __ ►,0
EXPENDITURES OR C•u' .1 . 0► I Ii. _ '! ■ It�'►L'T,TIR. ,......
Tilitf isSignature o y _
I do solemnly swear that all • : foregoin„ facts are true and correct and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami eac` City Colt- -a: all reporting requirements.
Signature of Lobbyist: \ / 11 f
Signature of Principal/Clients •
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID ;",;b•,, Produced ID 1 ,,�,,.,, d
Form of Identification g ,' Form of Identification ',�x•41 T
`� Personally known(Lobbyist) Personally known (Principal) moo,
K o
VII. SIGNATURE AND STAMP OF NOTAR`•• ' 3 "' . 19, u,
> o 2 > > n =
State of Florida, County of Miami-Dade = o 73 State of Florida, County of Miami-Dade _ 3
Sworn to and subscribed before me o w, D Sworn and subscribed before me c y
This 'j411 day of Ma ri.h , 201,E 6 N O.m D I Th day of /�.lC I ,20,5 to m
0 om-�M I �// mrr,D
__ 40 // • 0.-2 34 0
Sig at e f Pu is Notary–State of Florida e A`� Signat eft Nota y State of Florida A cn
Notari ation Lobbyist's signature 00 Nota ization of Principa s signature . co
` TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: � Yes /No Amount Paid$ S MCR# q 0 4.1 r.1 Date Paid \" \k c
9 [ 1 [ 1
Lobbyist Registration Form received and verified by: C e-A R C -e+.v-a R
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I F:\CLE istration Form.doc Revised 04/27/2012
1
/V\ AM 1 BEACH
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: Daniel Vasini
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 fils to file the required Statement by April 30th, 2012, shall be
automatically suspe ded from lobbying until all fines are paid, unless the fine has been
appeal d to he M° i-Dade County Commission on Ethics and Public Trust.
1. 3/02-- /3
Signa . -: ate:
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SUPPLEMENTARY DISCLOSURE OF INTEREST
Interests in 8701 Collins Development, LLC
Percentage of Interest
8701 Collins Avenue, LLC 100%
c/o Terra Group
2665 South Bayshore Drive, Suite 1020
Miami FL 33133
Interests in 8701 Collins Avenue, LLC
Percentage of Interest
Terra 8701 Investments, LLC 50%
c/o Terra Group
2665 South Bayshore Drive, Suite 1020
Miami FL 33133
8701 Associates 2, LLC 50%
c/o Terra Group
2665 South Bayshore Drive, Suite 1020
Miami FL 33133
Interests in Terra 8701 Investments, LLC
Percentage of Interest
NV Collins, LLC 50%
c/o Terra Group
2665 South Bayshore Drive, Suite 1020
Miami FL 33133
Terra 8701 Investments Holdings, LLC 50%
c/o Terra Group
2665 South Bayshore Drive, Suite 1020
Miami FL 33133
Interests in NV Collins, LLC
Percentage of Interest
New Valley, LLC 100%
c/o Terra Group
2665 South Bayshore Drive, Suite 1020
r
Miami FL 33133
New Valley, LLC is 100% owned by Vector Group, Ltd., which is a publicly
traded corporation.
Interests in Terra 8701 Investments Holdings, LLC
Percentage of Interest
Terra 8701 IH Holdings, LLC 100%
c/o Terra Group
2665 South Bayshore Drive, Suite 1020
Miami FL 33133
Interests in Terra 8701 IH Holdings, LLC
Percentage of Interest
Pedro Martin 50%
c/o Terra Group
2665 South Bayshore Drive, Suite 1020
Miami FL 33133
David Martin 50%
c/o Terra Group
2665 South Bayshore Drive, Suite 1020
Miami FL 33133
Interests in 8701 Associates, LLC
Percentage of Interest
8701 Associates 2, LLC 100%
c/o Terra Group
2665 South Bayshore Drive, Suite 1020
Miami FL 33133
Interests in 8701 Associates 2, LLC
Percentage of Interest
Stephen Della Sala 100%
c/o Terra Group
2665 South Bayshore Drive, Suite 1020
Miami FL 33133
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mulassmaxamarisemassanor
City of Miami Beach-Florida
Finance Department
1 City Hall
1506213-1 03/03/2015 BR1 T118
Tue Mar03,2015 10:02AM Trans#18-18
' 18 $350.00 MCRCLERK - MCR-City Clerk
* MCR#: 402727 ,
1 ITEM(S): TOTAL: $350.00 I
Check (002072) PAID $350.00 ` -
Have a nice day!
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CITY OF MIAMI BEACH
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MCRCLERK - MCR-City Clerk
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$500.00
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