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Sharone Tzalik - Charles Garage, LLCr t Q C ,cx: ;t< "FF a. eta.. f . / a: \F 5;,„:t .. y,. -. 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. Tzalik Sharone ' . NAME OF LOBBYIST: (Last) (First) . (M.I) Charles Garage,LLC 4333 Collins Avenue Miami Beach FL . . 33140 BUSINESS NAME AND ADDRESS (Number and Street) (City) . (State) (Zip Code) 305-532-2266 . stzalik657 cri aol..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: Charles Garage, LLC NAME OF PRINCIPAUCLIENT: 4333 Collins Avenue Miami Beach . . FL 33140 BUSINESS NAME AND ADDRESS (Number and Street) . (City) (State) (Zip.Cede) 305-532-2266 TELEPHONE NUMBER: FAX NUMBER:(Optional) EMP. tsG Fill out this section if principal is a.Corporation,Partnership or Trust[Section 2-482(c)] ,"0/ • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY: Jacob Neiss • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTERES. I CORPORATION, PARTNEKSHIP-OR-TRUST: N II.SPECIFIC LOBBY ISSUE: Modification of Conditional Use Permit e te.4-4 !� Issue to be lobbied(Describe in detail): CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(x)(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 . Board of Adjustment,Dept of Public Works,Historic Preservation Board . X City of Miami Beach Commissioners,City Manager,City Attorney,Fire Dept. X Planning Board,Design Review Board,Building Dept.,Planning Dept. 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 C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook183LGQDDH\Lobbyist Registration . Formrevised 5-30-2012.doc 1 7(14C 11111 • IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) No special compensation for lobbyist . B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED). No special compensation for lobbyist 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": . Yest/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 litem,shall register with the clerk as required by this section but,shall not be required to pay any registration fees. YesJNo: 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 STA UNDER OATH,LISTING LOBBYING EXPENDITURES.AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF =EACH FOR . THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO • DITURES OR COMPENSATION DURING THE REPORTING PERIOD. • Signature of Lob. 1st I do solemnly swear that all of the foregoing facts are true and corre'. --d -t I have read or am familiar with the p - .ions contained in Section 2-482 of the Miami Beach City Code and all reporti. , =ments. r. Signature of Lobbyist: Signature of Principal/Client: Aff- erdiFv . • VI. LOBBYIST IDENTIFICATION: ;—INCIPAL IDENTIFICATION: .Produced ID Produced ID Form of Identification • Form of Identification Personally known(L bbXiPs,•4„ RAUL V GONZALEZ Personally knowq (! t ), RAUL V GONZALEZ e`'0% Notary Public-State of Florida °. *`��; Notary Public-State of Florida VII. SIGNATURE AND S � r ( ' a •= �T� omm.Expires Nov 18,2017 =•. :My Comma Expires Nov 18,2017 ... pe Commission#FF 063622 =;'9 ��`4 Commission#FF 063622 •State of Flori• County of Mi i-YA \:�`' ► State.,•Florida,Cou wed Through National Notary Assn. •�•• Bonded Thraugtt Nations!Notary Assn. �y o�� ba Sworn WI- ► subscrib -fo - Swor,, s - • This (0ce” day ' .01 Th ,� ,,ay , , _ • AVOW) _ ignatur- • - blic Notary–Stat- of Florida Si.• atur- 2 blie.Notary–State of Florida Notari • of Lobbyist's sig ature Notar' atio of Principal's signature TO BE COMPLETED BY CITY CLER;'S AFF ONLY . Annual Registration fee: [ ]Yes[ ]No Amount Paid$ .41T / MCR# /mil; , ' to Paid j/ii� Lobbyist Registration Form received and verified by: f - ,/ �.f'% C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc r • • I F:\CLEt list-abort Form afoc V Revised 04/27/2012 I f t, t • ;s i. is City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov CITY CLERK Office Rafael E. Granado,City Clerk V CityClerk @miamibeachfl.gov Tel:'305.673.741 1 ,Fax:305.673.7254 V V V LOBBYIST NAME: Sharone Tzalik 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 fads 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. V Any lobbyist, who fails to file the required S =ment by April 30th, 2012, shall be automatically suspended from lobbying until es are paid, unless the fine has been appealed to the Miami-Dade County Comm - on Ethics and Public Trust. 7/A•FAI Signature: / Dat • • C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc r 1 . • • • i o ` \. 1 �= .o • .� �. • - - 1 4 - ' I .1-- ., .. .V - - i. . 2 r : t v - W•i : CC - _ . -'7- - ',...' '.' ._ . ...... .i.,..00_ ._. .k•••4....... .:..ik__.,. -: -L:,,,j, � - (+W / � a D-0--- co- I' -� • -. - . .. . • S GT GreenbergTraurig Ethan B.Wasserman Tel 305.579.0784 Fax 305.579.0717 wassermane @gtlaw.com September 17, 2014 Hand Delivery Silvia Prieto, Administrative Aide I City of Miami Beach Office of the City Clerk 1700 Convention Center Drive Miami Beach, Florida 33139 Re: Lobbyist Registration Dear Ms. Prieto: Per our conversation,please find enclosed lobbyist registrations for Lucia A. Dougherty and Sharone Tzalik, along with a check in the amount of One Thousand Two Hundred Dollars ($1,200.00). Please note that we are also paying for Mr.'Tzalik 2014 Annual Lobbyist Registration. If you have any questions,please do not hesitate to contact us. Best regards, Ethan B. Wasserman Enclosures GREENBERG TRAURIG, P.A. • ATTORNEYS AT LAW • WWW.GTLAW.COM 333 Southeast Second Avenue • Miami, FL 33131 • Tel 305.579.0500 • Fax 305.579.0717