Jose L. Gomez - Ferrado Lido, LLC MIAMIBEACH4o City of Miami Beach Office of the City Clerk Cro
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.
Gomez Jose L.
NAME OF LOBBYIST: (Last) (First) (M.I)
Beilinson Gomez Architects P.A. 8101 Biscayne Blvd,Suite 309 Miami FL 33138-4664
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-559-1250 x.208 305-551-1740 JG @beilinsonarchitectspa.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)
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,
PARTNERSHIP OR TRUST: See attached Disclosure of Interest and Ownership Structure
II.SPECIFIC LOBBY ISSUE: ll
DRB application for approval of canopy.40 I a ,d A v. •
Issue to be lobbied(Describe in detail):
Ill.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
City of Miami Beach Committees and Boards None _' C ✓
City of Miami Beach Attorneys Office and Administration None _+.; ✓
-;7
City of Miami Beach Mayor/Commissioners None I J ✓
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.
-71 r
Sec 2-482(g)Any Financial,Familial or Professional Relationship -- t■
None C.ti
CT
C:\Users\clerhatllAppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc
MIADOCS:7647654v1
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
SHUTTS .
Shutts & Bowen LLP
BOWEN 1500 Miami Center, 201 South Biscayne
Boulevard Miami, FL 33131
LLP Direct: (305) 347-7325 I Fax: (305) 381-9982
E-Mail Website
Founded 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
SHUTTS Associate
BOWEN Shutts & Bowen LLP
LLPL1L"yy�- 1500 Miami Center, 201 South Biscayne Boulevard I Miami, FL 33131
L Direct: (305) 379-9136 I 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
SHU a _.
Shutts & Bowen LLP
BO EN 1500 Miami Center, 201 South Biscayne
1�1 Boulevard Miami, FL 33131
LL. Direct: (305) 347-7325 Fax: (305) 381-9982
E-Mail Website
l'oxau ed 1910
Please consider the environment before printing this email
2
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE;(Required)$250/Hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $250/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 LNo: 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 LNo: Are you lobbying on a pending application for a Development Agreement with the City or application for
change of zoning man 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.
r YesZNo: 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 COMPE SATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BEll ;�EVEN IF THERE HAVE BEEN NO EXPENDITVRES OR
COMPENSATION DURING THE REPORTING PERIOD.
Slgnatu e of Lobbyist
I do solemnly swear that all of the foregoin •facts a :true and .orrect and hat I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Beacl ity-C e and a reporting equiremen s.
Signature of Lobbyist: "____ `-.
Signature of Principal/ iient:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
�' Produced ID
Produced ID `S ;S
Form of Identification . f ' _ Form of Identification
Personal) known(Lobbyist) I. • Personally known(Principal)
Y
VII. SIGNATURE AND STAMP OF NOTAR
a State of Florida,County of Miami-Dade I.
State of Florida,County of Miami-Dade ,,,,,,,,;,,, ;;: Y
Sworn to and subscribed before me �.•;, Irot., Sworn and subscribed before me
Y I� _, 5 , This day of ,2012
TAhis4 =S1sC' day of`� l01 Y . Y��� ��- — — , Signature of Public Notary—State of Florida
Signatur�of Public Notary—State f Florida S gn ►Y
Notarization of Lobbyist's signat re Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: ( ]Yes[' No Amount Paid$ 3S0 MCR# 03tip ! Date Pald�
Lobbyist Registration Form receive and verified by: _ Revised 04/27/2012
F:\CI..t R\SOI_t.\e1F'URr+ls\I.0811YIST F(I•RNS\Lobbyist.Annual lze,(llstr:sl r o
C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\O3LGQDDI-I\Lobbyist Registration
Formrevised 5-30-2012.doc
MIADOCS:7647654v1
1.
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)$250/Hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $250/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 LNo: 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 LNo: 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 COMPE, SATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BF FI D EVEN IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD. ■
1
•
Signatu e of Lobbyist
I do solemnly swear that all of the foregoint facts a e true and orrect and hat I have read or am familiar with the provisions contained
in Section 2-482 of the Miami B--ch • •,.e and a reporting equiremen s.
Signature of Lobbyist:
Signature of Principal/i lient:
VI. LOBBYIST IDENTIFICA ION: I i PRINCIPAL IDENTIFICATION:
Produced ID 1 is -es2 Produced ID
Form of Identification ( 8 Form of Identification
•LPersonally known(Lobbyist) Oil g , Personally known(Principal)
Ell ..---
VII. SIGNATURE AND STAMP OF NOTARY, '' gi
State of Florida, County of Miami-Dade 1 I State of Florida, County of Miami-Dade
Sworn to and subscribed before me ,.0�� • Sworn and subscribed before me
This 31st day of ,2015 s i‘iiii/e'
" r This day of ,2012
-9eawa– V • 1P:
g Notary–State i Florida Signature of Public Notary–State of Florida
Signatu of Public Nota _
Notarization of Lobbyist's signat.re Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# A a ' Date Paid s 1'S
Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form.doc Revised 04/27/2012
C:\Users\clerhatlWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc
MIADOCS: 7647654v1
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)$250/Hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $250/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 LNo: 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 LNo: 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 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 COMPE, SATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BF FI( D EVEN IF THERE HAVE BEEN NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD. ■
Signatu e of Lobbyist
I do solemnly swear that all of the foregoin, facts a e true and correct and at I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Bach d i .e and a reporting equiremen s.
i
Signature of z: flS Sgnature of P H_____
VI. LOBBYIST IDENTIFICA ION: 4 , PR CIPAL
IDENTIFICATION:N fg N.r Produced ID t.g g ° Produced ID Form of Identification 31= Form of Identification/ - C,Personally known(Lobbyist) , 'z W»., Personally known(Principal)c'E,VII. SIGNATURE AND STAMP OF NOTARYi c .
State of Florida, County of Miami-Dade 4 State of Florida,County of Miami-Dade
Sworn to and subscribed before me '�'/11•1�&
;••;,� • °'•a, Sworn and subscribed before me
This 31�r day of 201 _ �! � T is day ofpYi1___,?,A#M'S
' ',%/1111,,1,� _l /-
Signatu of Public Notary—State :f Florida Sig :rzr''ub is Not-, —State of Florida
Notarization of Lobbyist's signat're Notarization of Princi.P s signature
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:1Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook183LGQDDH\Lobbyist Registration
Formrevised 5-30-2012.doc
MIADOCS:7647654v1
t\AIAMIBEACH
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: Jose L. Gomez
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.
AltIF r 3/30/2015
ignat re: Date:
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MIADOCS: 7647654v1
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.
•
•
•
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•
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City of Miami
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Check (00440838470390 TOTAL(: !7OO.00 PID $700,00 .
Have a nice day
x Miscellaneous Cash Receipt & -A IIf11 f m f, }
CITY OF MIAMI BEACH
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(THIS INFORMATION MUST BE COMPLETED) Office of Finance Director
. By
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Pre parer: _ trt..... .. -- F
Dept: EXT• 1
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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,
CI
111V\
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 s FORT LAUDERDALE WEST PALM BEACH ORLANDO TAMPA TALLAHASSEE AMSTERDAM