Nicholas Barshel - Indian Creek II, LLC �g -1
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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.
BARSHEL NICHOLAS
NAME OF LOBBYIST: (Last) (First) (M.I)
AKERMAN LLP ONE SE 3 AVENUE MIAMI FLORIDA 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-952-5538 305-374-5095 nicholas.barshel @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:
Indian Creek II, LLC
NAME OF PRINCIPAL/CLIENT:
326 FIRST STREET SUITE 403 Annapolis MD 21403
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
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:
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
II.SPECIFIC LOBBY ISSUE:
Dock variances for 4777 Pine Tree Drive and 4821 Pine Tree Drive
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 qr 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 X
City Commission Members X
City Administration -- 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
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
•
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)
$235.00 Hourly
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
(REQUIRED).$235.00 Hourly
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 x 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 x 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 x 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 C OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THE E H• E = NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
Signature of Lobbyist
I do solemnly swear that all of the foregoing facts are true .II• correct and tha lave read or am familiar with the provisions contained
in Section 2-482 of the Miami Beach C' C-se and al --port.•g re.,e'reme
Signature of Lobbyist: i
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID * Produced ID
Form of Identification �a15 ��ay` Form of Identification
Personally known(Lobbyist) �%q "�,� Personally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
a10
State of Florida, County of Miami-Dade e N E State of Florida, County of Miami-Dade
Sworn tsnd subscrib-■ befo e me °c Sworn and subscribed before me
•'_ day of r• ,21-1 This day of ,201_
I� Nm
ro 1.1
Signature of P `ic Notary— 'tate of Florida Signature of Public Notary—State of Florida
Notarization •1 Lobb ist' gnature Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF NLY /v Z n
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ Ps 0 MCR# 34/�� Date Paid ` /
Lobbyist Registration Form received and verified by:
F:\CLEIR\OIL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Forrra.cdoc Revised 01/22/2014
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
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Iv. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): I
I
A) LOBBYIST DISCLOSURE:(Required) .
$235.00 Hourly .
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): I
(REQUIRED).$235.00 Hourly i
d
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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":
i
_Yes x 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 2490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
_Yes x 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 payany registration fees.
Yes X 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 C OF MIAMI BEACH FOR
THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THE E H' •E = NO EXPENDITURES OR
COMPENSATION DURING THE REPORTING PERIOD.
9, ,,2,7-'
Signature of Lobbyist
I do solemnly swear that all of the foregoing facts are true -i• correct and tha lave read or am familiar with the provisions contained
in Section 2-482 of the Miami Beach C., C e and al -po g re./reme
Signature of Lobbyist: /f/_f
Signature of Principal/Client: �'�`r .
VI. LOBBYIST IDENTIFICATION: / PRINCIPAL IDENTIFICATION:
Produced ID Produced ID
Form of Identification if,..,,,. Form of Identification
gi. ;t
Personally known(Lobbyist)
04 "'""') VPersonally known(Principal)
VII. SIGNATURE AND STAMP OF NOTARY: a. b 1 i y/ ,L. ,L
State of.Florida,.County of Miami-Dade V P' E State of-GleFids,County of Miami-Bade
Sworn t��nd subscrib-• befo e me °o Sworn and subscribed before me
•' day of ' •_. ,211 �•- m( is 1, day of _QCe ,201±iir& _.-
Signature of P f is Notary— `Mate of Florida °as Signature of P blic Notary—State of-Pleca/Aw l•y/4410,
Notarization if Lobb 'st'i gnature Notarization of Principal'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:\CLEF\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist.Antioial Registration Form.doc Revised 01/22/2014
F:ICLERI$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
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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: NICHOLAS BARSHEL
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 Co ission on Ethics and Public Trust.
/Pf/
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Signatu e: Date:
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
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Camm, Patrick
From: maria.y.gonzalez @akerman.com
Sent: Thursday, May 28, 2015 4:30 PM
To: Camm, Patrick
Cc: nicholas.barshel @akerman.com
Subject: FW: Lobbyist Profile Update Information
Attachments: Nicholas Barshel.pdf
Good afternoon Mr. Camm,
I am following up on your email to Mr. Nicholas Barshel regarding his lobbyist registration for Indian Creek(Dock
Variances for 4777&4821 Pine Tree Drive).
In response, please note that the principal and whole owner for the company is Mr. Michael Saylor. There is no financial
or familial relationship with principal or company. The only relationship is Mr. Barshel is the attorney/lobbyist for the
company.
Mr. Barshel's office remains at Akerman, LLC, One SE Third Avenue, 25th Floor, Miami, Florida 33131.
Please let me know if you need any other information and I will try to provide same.
Regards,
Maria Y. Gonzalez
Legal Administrative Assistant to
Jose A. Villalobos/ Augusto E. Maxwell /
Jose F. Diaz/ Joseph Falk/ Nicholas Barshel
Akerman LLP I One Southeast Third Avenue
25th Floor I Miami, Florida 33131
Dir: 305.679-5488 1 Main: 305.374.5600
maria.y.gonzalez @akerman.com
CONFIDENTIALITY NOTE:The information contained in this transmission may be privileged and confidential,and is intended only for the use of the individual or
entity named above.If the reader of this message is not the intended recipient,you are hereby notified that any dissemination,distribution or copying of this
communication is strictly prohibited.If you have received this transmission in error,please immediately reply to the sender that you have received this
communication in error and then delete it.Thank you.
From: Camm, Patrick [mailto:PatrickCamm@miamibeachfl.gov]
Sent: Thursday, May 28, 2015 2:48 PM
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To: Barshel, Nicholas (Assoc-Mia)
Subject: Lobbyist Profile Update Information
Good afternoon,
Please see the attached copy of your lobbyist registration for(Dock Variances for 4777&4821 Pine Tree Drive). I
highlighted the information in Orange that is missing;could you please email me the information that pertains to
[Section 2-482c] and ]Section 2-482(g)]. If you have any questions, please contact me at the number below.Also, could
provide me with your current mailing address and telephone number?
I am auditing all lobbyist files, if any information is missing from 2014—current date, I am sending emails to everyone
requesting the missing information.
Regards,
low Ammer. Armak..
N i▪s 4.11111MINIMI
Patrick Camm,Administrative Aide I
OFFICE OF THE CITY CLERK
1700 Convention Center Drive, Miami Beach, FL 33139
Tel: 305-673-7411/Fax: 305-673-7254/ www.miamibeachfl.gov
We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical,
historic community.
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