Michael Wilkings - HHG Holding I, LLLP G ,A,, i v' IZGAN--
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.
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NAME OF LOBBYIST: (Last) (First)kit-4 I g if (M.I)
1-11-11 Pop Le-c- ' LL� �r�lY�Call (l FL 3 �3
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)//
C -?# °gZir TELEPHONE NUMBER: FAX NUMBER: EMAIL: U
Please notify this office if your contact information changes:address,phone, or e-mail address.
I. LOBBYIST RETAINED BY:
Michael Wilkins
NAME OF PRINCIPAUCLIENT:
HHG Holding I, LLLP 1111 Lincoln Road, 4th Floor Miami Beach FL 33139
t3USINtSS NAME AND AUUKtbb (Number and street) (Uity) (State) (Lip Lode)
416-889-3977 michael(I wilkinas.con ::;
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: Michael Wilkings(President of the General Partner)
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCI-CORPORATION,
PARTNERSHIP OR TRUST:See Attached Exhibit
II.SPECIFIC LOBBY ISSUE: •--
r
Development Approvals and Permitting Issues, including, but not limited to Historic Preservation Board,Planning and Board
of Adjustment approvals for the property located at 605 Lincoln Road.
Issue to be lobbied(Describe in detail):
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, DRB, HPB, BOA, FP, City Commission, LUDC, and None. X
Commission Committees, 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
None.
None.
None.
C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration r
Formrevised 5-30-2012.doc
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required) /UDN .
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): ^! N G
(REQUIRED). ' v
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 rending bid for aoods.eauioment 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 XNo: Are you lobbying on a oendina application for a Development Aareement with the City or application for
chance of zoning map desianation or change to the City's Future Land Use Mao?
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 XNo: 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.
EQB THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
C-. fI c
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.
Signature of Lobbyist: ��- Ceti.C../4- t r
Signature of Principal/Client: • ( t /
717- 1/1-----
VI. LOBBYIST IDENTIFICATION: PRINCI AL IDENTIFICATION:
, lam'Produced ID -. Produced ID (�
Form of Iddntification a
(c. % s. yc. Form of Identification o ov a
Personally known(Lobbyist) ,` ?.�QQ cb �'` Personally known(Principal) .Q,�°
GO 004,44 Z _ ti 411 W o
VII. SIGNATURE AND STAMP OF NOTARY: yQ-� �,Q o �°. •ce r c . . .,
State of Florida,County of Miami-Dade co F,$ State of Florida,County of Miami-Da y E S
ty ` E ,_
Sworn to - d subscribed befo me '' 4+ �° wpm and subscribed before me a o
This .A: of Ley 1 ,20145-
,,.Je"�';• / OR-da of I l ,201 '. a '`'
�; �p •punt.,, °°IP r- A19111 =s f-
Signature o'Public No'=-'* -State of Florid- '-;y, TA�0, Signat e of Public"tary-State of Florida 4iiii,fNotarizatio of Lobbyist's signature �`"'t Notari .tion of Principal's signature '•; '
TO BE COMPL TED BY CITY CLERK'S STAFF ONLY
Annual Reyistratiun fee. [ ]Yes[ ]Nu Amount Paid$ MCR# Date Paid
Lobbyist Registration Form received and verified by:
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: = '(( C M A-6 )6_b (rl/GS
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.
2- /P,OL I S
Signature: Date:
C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH 1Lobbyist Registration
Formrevised 5-30-2012.doc
OWNERSHIP STRUCTURE:
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WIG Holding!litP
(Del). 0
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HHG Dewioprelents Cotp Howard Slue,, { HHG Management: UP
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Gener ii Port ner d!fewtcd Partnce { Lima' d P firmer
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_ iiowaer ! ramminil ital li r,ti ted •Howard Siuea 10!Cap#tfi iiml8ed 40 1
qtl.}j iinzti1'PvaYr �d f�octnr
50'd4 5Q'X, +tom 49%
•
ry _
Michael Wiiicingas.
•
__. 100% j yam-
OWNERSHIP STRUCTURE
605 LINCOLN Ri3A1 L UNI iS 800 RI V '
H110 tiQilmg I LIAP
11'11 Li,'ci ei
4111 Flapr
a+IIaIFri IH"aeh,FL 371 •
HFIG:!M2ns 6 a rater t IkLIP
1.111 Lincoln Rr4• •
4111 Fluor
+iiarni Beach:7t.:151-9
HMG L elopm n con*?
1113 Imnpair.RE
Ala.Mope*
Morn Reach,,.'r:1.]-31j.`
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Capitall tIrnlltt+d
14 Har ire Street.3rd!F t;,
order
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Hot+RS 'Slues
4465 rbnyal P ern A .
Miami Deb<Ii,FL 33140
Mic.luct IRlili�inga
1111 lerICOir,lCt7rt
alth,Floor
I carrii'k fh,'FL'33 j
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