David J. Coviello - Ferrado Lido, LLC . s 11/4-A-•
P J 10r
qo 1
B MIAMI E
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 sppcifically includes the principal as well as any employee engaged in lobbying
activities. The term"Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Coviello David J.
NAME OF LOBBYIST: (Last) (First) (M.I)
Shutts&Bowen LLP 201 S. Biscayne Blvd.Ste 1500 Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-358-6300 dcoviello @shutts.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:
Ferrado Lido,LLC
NAME OF PRINCIPAL/CLIENT:
20411 SW Birch Street,Suite 360 Newport Beach CA 92660
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 1
949-474-9884 pepetena @ferrado-us.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:
Jose"Pepe"Tena
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, 1
PARTNERSHIP OR TRUST: See attached Disclosure of Interest and Ownership Structure
n.SPECIFIC LOBBY ISSUE:
DRB application for approval of canopy.(a L O l.4 +4 A-.4.. e.n---4
Issue to be lobbied(Describe in detail): I
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); , r...3 YES NO
title of person to be lobbied
�r
City of Miami Beach Committees and Boards None ✓
City of Miami Beach Attorneys Office and Administration None ✓
Cam: ✓
City of Miami Beach Mayor/Commissioners None
Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,familiar"&professional
relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner or_city p&ionnel-who is
sought to be lobbied as identified on the lobbyist registration form filed. N
Sec 2-482(g)Any Financial, Familial or Professional Relationship
None
/
C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc
MIADOCS:7647654v1 RB
LaRosa, Clara
From: Liz Bernardo <LBernardo @shutts.com>
Sent: Friday,April 03, 2015 2:12 PM
To: LaRosa, Clara
Cc: Kathleen Maurer; Susy Macet
Subject: Lobbyist Registration for David Coviello and Jose Gomez
Dear Ms. La Rosa:
As per our telephone conversation, please add under"specific issue" the address which is as follows:
40 Island Avenue
Miami Beach, FL 33139
Thank you so much.
Kind regards,
Liz
Liz Bernardo
Legal Assistant
S . , v
Shutts & Bowen LLP
OWEN 1500 Miami Center, 201 South Biscayne
Boulevard Miami, FL 33131
LL P Direct: (305) 347-7325 Fax: (305) 381-9982
E-Mail Website
Fozaided 1910
Please consider the environment before printing this email
1
LaRosa, Clara
From: Kathleen Maurer <KMaurer @shutts.com>
Sent: Monday, April 13, 2015 12:56 PM
To: LaRosa, Clara
Cc: Susy Macet
Subject: RE: Lobbyist Registration for David Coviello and Jose Gomez
Attachments: Lobbyist registration - page 2 -Jose Gomez.pdf; Lobbyist registration - page 2 - David
Coviello.pdf
Dear Clara,
Per our telephone conversation, please find attached the completed page 2 for David Coviello's and Jose Gomez's
respective lobbyist registrations.
Thank you again for your help,
Kathleen
Kathleen Maurer
SHurrs Associate
BOWEN Shutts & Bowen LLP
. 1500 Miami Center, 201 South Biscayne Boulevard Miami, FL 33131
LLP Direct: (305) 379-9136 Fax: (305) 347-7886
E-Mail I Biography V-Card Website
Founded 1910
Please consider the environment before printing this email
From: Liz Bernardo
Sent: Friday, April 03, 2015 2:12 PM
To: 'claralarosa @miamibeachfl.gov'
Cc: Kathleen Maurer; Susy Macet
Subject: Lobbyist Registration for David Coviello and Jose Gomez
Dear Ms. La Rosa:
As per our telephone conversation, please add under"specific issue" the address which is as follows:
40 Island Avenue
Miami Beach, FL 33139
Thank you so much.
Kind regards,
Liz
1
Liz Bernardo
Legal Assistant
SHUTTS
Shutts & Bowen LLP
BOWEN 1500 Miami Center, 201 South Biscayne
_ Boulevard Miami, FL 33131
LLP Direct: (305) 347-7325 Fax: (305) 381-9982
E-Mail Website
Founded 1910
Please consider the environment before printing this email
•
2
N. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)$450.00
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $450.00
(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■ 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":
W YesliNo: 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 Cltv'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 sal
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. .
Yoso: 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.
1 2_,)) Z.
Signature of Lobbyist
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or are familiar with the provisions contained
in Section 2-•482 of the Miami Be ch.jily/d p.yd 1 reporting requirements.
K v_.
Signature of Lobbyist: }
Signature of Principal/Client:
• VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
_Produced ID ___,__ ;� P .—Produced ID
Form of Identification ��/"'E4,.; Form of identification
Personally known(Lobbyist) g ,�/,f�g h _Personally known(Principal)
icy
c�4
VII. SIGNATURE AND STAMP OF NOTARY:r -t a u< P
State of Florida,County of Miami-Dade E` a,6 n- State of Florida,County of Miami-Dade
• Sworn to and subscribed me Sworn and subscribed before me
Thi. ...3/_-day of a ,2012 ,f►+i This day of 2012
..\(11--
Signature of Public Notary.---State of Florida ;. Km 1 Signature of Public Notary--State of Florida
Notarization of Lobbyist's signature p 0., 0 Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY _ _
Annual Registration foe: [ ]Yes[ No Amount Paid$_?›..i.0 MCR#•_ 0}.73 i 09 T Date Paid
Lobbyist Registration Form received and verified by: � � _^—_.-.
•:\CLE R\SAL1.1:�i Onr.t.`.i\I.O1.,'tr,i;r 1`(iftl'l \1.n1;l;yha ltiii�ual Rcgi 11 o Titd oc Revised 04/27/2012
C:\Users\clerhati\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content,Outlook183LGQDDI-I1Lobbyist Registration
Formrevised 5-30-2012.doc
MIADOC S:7647654v1
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) $450.00
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $450.00
(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_No: Are you Iobbyinq 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 No: 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.
c2)(21,-----
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 Be--- City ,':- - d%I reporting requirements.
Signature of Lobbyist:
9 Y
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID [JAI.-
Produced ID
Form of Identification ��r. Form of Identification
Personally known (Lobbyist) = Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY: c State of Florida, County of Miami-Dade a State of Florida, County of Miami-Dade
Sworn to and subscribed •efo : me 0 Sworn and subscribed before me
Thi 31/ day of, // . _I , 2012 A This day of , 2012
•_, / / M�! ��L�L I L �Signature of Public Notary—State of Florida Signature of Public Notary—State of Florida
Notarization of Lobbyist's signature Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: Yes No Amount Paid$ 4' MCR# Date Paid
Lobbyist Registration Form received and verified by:
F:\CUR\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registratio€i Form. oc Revised 04/27/2012
C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc
MIADOCS: 7647654v1
W. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)$450.00
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $450.00
(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_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_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 No: 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.
01 -tY----/—
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 Be ellity. d I reporting requirements.
Signature of Lobbyist: i
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
_Produced ID _ ` -Produced ID
Form of Identification 4, .,F Form of Identification -co o
Personally known(Lobbyist) g �3= V_Personally known(Principal) d 5.1
1 "" 1121
VII. SIGNATURE AND STAMP OF NOTARY: 'a 0 E SR
State of Florida,County of Miami-Dade 'I g I State of Florida,County of Miami-Dade S v
Sworn to and subscribed sefo : me g% I P Sworn and subs crib d befQrg me , ,,.y,. ,a
Thi 3i/ day of, i . a i ,2012 I M N g This / d- • /-fir'[' 1 is=��''';-
\A I! ki. ■∎ / w�..' '�� � r I' ,:rte.
Signature of Public Notary—State of Florida 4 a Signar'�r` 1•Iic Notary—State%da . ..
Notarization of Lobbyist's signature p Q, Notarization of Principal's signatu
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Date Paid
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc Revised 04/27/2012
C:\Users\clerhatl\AppDatalLocal\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc
MIADOCS:7647654v1
I �L i3s �-
tr} fir 3 - �,& �
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: David J. Coviello, Esq.
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.
011-C20k. 3/ 3///5-
Signature: Date:
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Disclosure of Interest and ownership structure
Ferrado Lido LLC
Passthrough Entity to ROSP Corunna S.L., Partnership return
Sandra Ortega, 100%partner of ROSP Corunna S.L.
Ci fy of Miar�ii
ID '
44it
Finance Beach_Flcrlda
Der�artment
1 City Nall
00'2 04
Fri APr°04-301, /03/2015 BR1
' �0 X700�00 o M 02.19PP.1 T rants 1 -
�'1CR#, CRCLERI,i _ MCR_#30 30
3409 City Clerk
1 ITFM(J,�.
Check (00488 7T�L. $700.00
) PAID $700.00
Have a nice day'
Miscellaneous Cash Receipt [ 1
CITY OF MIAMI BEACH
403409
- ;.. No. .
0 Cash 0 Credit Card heck# � $ 700,E
1
.1 / 2 0 1 \�.
Received of S1'i4+ +S o 0 Lt... to I
Address /5 0 )14 {" fiAer. (� I a r-e !vd
For LL1 i 1--. „ SSu to ID :• (v c I(o i PI, . FL
--r. ,Ix-m_... I . 6 0,,,,,:z.p. Pt",0.411,o.1)4 0 40 ic/4.,.:1 AA. 3 31 :4 /
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(THIS INFORMATION MUST BE COMPLETED) Office of Finance Director
By'
•
" <2). , . Account Number: 0 11. D- 3,.../ t . y i
Preparers 1 1:( -°1-- .0--- ..-- De t: EXT.
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✓r
•
SHUTTS
BOWEN
LLP
Founded 1910
KATHLEEN MAURER E-MAIL ADDRESS:
ASSOCIATE KMaurer @shutts.com
(305)379-9136 Direct Telephone
(305)347-7886 Direct Facsimile
April 3, 2015
Via Courier
Ms. Clara La Rosa
• Office of the City Clerk
City of Miami Beach
1700 Convention Center Drive
. Miami Beach, FL 33139
RE: Lobbyist Registrations—Specific Issue
Our File No. 30912.0008
Dear Ms. La Rosa:
Enclosed are Lobbyist Registration Specific Issue forms for David J. Coviello and Jose L.
Gomez. Also enclosed is a check in the amount of$700.00 representing registration fees.
Please provide to our courier, a date stamped copy of this letter and a receipt for the
$700.00. Should you have any questions or comments, please contact me.
SHUTTS & BOWEN LLP
Very truly yours,
(01" I IMP
Kathleen Maurer
KM/sm
Enclosures
• MIADOCS 10715729 1
•
1500 Miami Center•201 South Biscayne Boulevard,Miami,Florida 33131 •ph 305.358.6300•fit 305.381.9982•www shutts.com ,
MIAMI FORT LAUDERDALE WEST PALM BEACH ORLANDO TAMPA TALLAHASSEE AMSTERDAM