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Matthew A. Barnes - Ocean Terrace Holdings, LLC
Oc t -efitite.. 44( thevvs kv 91-e, v 9 3(-1-.4 1 . V II City of Miami Beach Office of the City Clerk I � { . 1700 Convention Center Drive, Miami Beach, FL 331 LOBBYIST REGISTRATION FORM CITY J 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. Barnes Matthew A NAME OF LOBBYIST: (Last) (First) (M.I) Akerman, LLP 1 SE 3rd Avenue, #2505, Miami, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-755-5825 305-374-5095 matthew.barnes(a�akerman.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: Ocean Terrace Holdings, LLC NAME OF PRINCIPAL/CLIENT: Ocean Terrace Holdings, LLC 1035 N. Miami Ave., Suite 201, Miami, FL 33136 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-324-4700 sscher©clarocorp.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: see Veto', • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Sandor Scher, Alex Blavatnik Ii.SPECIFIC LOBBY ISSUE: Redevelopment of property and board approvals for area of Ocean Terrace and Collins Ave. . -wee v )2 rc & 71; Issue to be lobbied(Describe in detail): 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 members of Planning Department none X members of Planning Board none X members of City Commission and LUDC 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 W. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $235/hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $235/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 XNo: 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. YesXNo: 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. Ifieu - 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 Miam' :ea Cit _:_.- and all reporting requirements. Signature of Lobbyist: fr.^ ' ',raga) Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of Identification Form of Identification ersonall Y known(Lobbyist) Personal) known(Principal) ) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida,County of Miami-Dade State of Fl. ida, County of Miami-Dade Swor o and subscribed before me '.worn --. bscribed before me This day of L .-_;,,- -11 .his , Jay of ,201_ -DIANA PEREZ=®ATA , 7+ '' ' NOTARY PUBLIC Signatur- of Pu• Notary -il,4t�1�E-� OF FLORIDA Signat e �f Public ••t tat� FIP �� Florida Notarization o• obbyist's -11: `',-e, Comm#EE101480 Notari ati •• of Pri • ' s ress M ommission FF 188637 NCE at.% Expires 6/8/2015 7►a Expires 01/31/2019 TO BE COMPLETED BY CITY CLER S STA F ONL Annual Registration fee: Yes[" ]No Amount Paid$ 50 MCR • r • Date Paid - A'? Lobbyist Registration For received and verified by: fR_,y '� i� F:\CLER\$ALL\aOORMS\LOB YIST FORMS\Lobbyist Annual Regis= ation Form.doc Revised 0 /22/2014 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc , 1 A ov Bp- , cH i \ . i..-: i 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: 305.673.741 1 ,Fax:305.673.7254 LOBBYIST NAME: Matthew A. Barnes 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$50.00 a day shall be assessed for all Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal) to file the Statement or pay the assessed fines after notification. Any lobbyist, who fails to file the required Statement by April 30th of each year, shall be automatically suspended from lobbying until all fines are paid, unless the fine has been appealed to the Miami-Dade County Commission on Ethics and Public Trust. ro ', , . .•; -7 .-- S 26 /15 Sig ature: Date: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc 5 'Y w q `f i j' S ? fi dx'k,- �i' f y3 i 3 3 i 7} t � .:cx.•.P u ems;,.$y City of Miami Beach 1700 Convention Center Drive Miami Beach, Florida 33139 www.miamibeachfl.gov City Clerk's Office Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: Matthew Barnes Business Name: Akerman, LLP • Address: 1 SE 3rd Avenue, #2505, Miami, FL 33131 Office Telephone Number: 305-755-5825 Cellular Telephone Number: Email Address: matthew.barnes @akerman.com If more than one lobbyist, please list: 1) 2) 3) 4) 5) 6) 7) Submit this form to the Office of the City Clerk, along with a check for $500 for each lobbyist. Please make the check(s) payable to the City of Miami Beach. For City Clerk's Office Use Only MCR#: Amount paid: Date paid: Processed by: Date: F:\CLER\BALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx 1. • , -:•.••1.:_ -•,, i .i=::•'..,-.•..::.-.-.-..'-:' ,:-.,...dlar�eouls Cash Receipt 7:" .7 '� .i; 1 ,o.. .r .• CITY OIFMIAMI-BEACH `'� ` -, y p; , JC 5 S y IA ^,11,/�o�, /_� Ei:, df '-F Ii 1 -p,. f h P°' ! �' 1�_ r ( E Yid L :Y•J .Cash 0 Credit Card Ctieck�## Flo,! � �� �� ' �:- T• 1 �, a .`7.. 20_ s •.Received of • �. ,.,r":/ Fs _l 1: -'. Yt :' r :.h- , _C r - -n �r�r ���W��.,r,�c �..,--��.� �� :� „.- E c mac-c4',. . .��.r_.� �f at_� � � �� ;; (THIS;INFORMATION,MUST BE COMPLET• ED) Office of Finance Director:. ' •.-•. ''' -- 91'11'1':..''''''' ll�r t 1 '[,f. 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