The URL can be used to link to this page

Matthew Amster - Denise Vohra MIAMI I BBEACH es. City of Miami Beach Office of the City Clerk 125 1700 Convention Center Drive, Miami Beach, FL 33139 es9q-c. 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. Amster Matthew NAME OF LOBBYIST: (Last) (First) (M.I) Bercow Radell&Fernandez, P.L.L.C., 200 S. Biscayne Blvd#850 Miami, FL 33131 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-377-6236 Mamster(dbrzoninalaw.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: Denise Vohra, LLC NAME OF PRINCIPAUCLIENT: 3601 S.W. 160th Avenue Suite 250 Miramar FL 33027 BUSINESS NAME AND ADDRESS(Number and Street) (City) (State) (Zip Code) (305) 519-0363 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: Denise Vohra • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: 100% II.SPECIFIC LOBBY ISSUE: Development Approvals and Permittina Issues Concernina Propertu Located at 2125 Lake Avenue ✓ Issue to be lobbied(Describe in detail): lll. 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 Staff, City Commission, Development None. X Boards, Land Use Development Committee None. X and Commission as necessary None. ,r.X Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,1"familial or professional relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner&r 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. ry None. None. C:\Users\clerhathAppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc p • IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) $ 425/hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED). $ 425/hour 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 lobbvina on a present or nendina bid for aoods.eauiament 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 lobbvina on a pendina application for a Development Aareement with the City or application for chanae of zonina map desianation or chance 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 reoresentina 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 BEACI{ �B ■ : ► ► _ _ 11 ► ■ - FILED ► • •_ • EXPENDITURES OR •►i ► _ e k e : ► • -•: ► :1!! ",/,'", • Signature of Lobbyist I do solemnly swear that all of the foregoing facts are true and re t and that I have read'or am familiar with the provisions contained in Section 2-482 of the Miami Beach City Code and all repo •'• e• ir- =- _ Signature of Lobbyist: Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: F L , v lo0u- 1 - a 4 O Produced ID yProduced ID 7 Form of Identification 44°.‘ Form of Identification IZPersonally known(Lobbyist) Personally known(Principal) VII. SIGNATURE AND STAMP OF NOTARY: 1511 State of Florida,County of Miami-Dade Y State of Florida, County of Miami-Dade Sworn o and subscribed before me '11 Sworn a subscri•_-d •efore me This (o day of , ,2015 -I g •This / day of , 21 5 R /�� Olj Si. ""r F of Pu• is .!?y—State't'Florida N I Signature o ' . °j `4i;f Florida Notar' ation of • elf i sign.,?. re Notarization gf; ifrd, a' re TO BE COMPL ' BY WY CLERK'S *° ONLY •. `n Annual Registration fee_[ ]Yes j V,No Amount Paid$ 3_, " °at Paid 7/4/r Lobbyist Registration Form received and verified by _glie56420......4. 4' :� - o pr L gyp r 0*• o �' �MCd af �32 M I AM I BEACH • City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeach8.gov CITY CLERK Office Rafael E. Granado, City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.7411 , Fax: 305.673.7254 LO B B Y IS T NAME Matthew Amster 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. Q.g?W 11,-/e 0// Signature: Date: C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\ContentOutlook\83LGQDDH\Lobbyist Registration Form revised 5-30-2012.doc City of Miami Beach-Florida Finance Department 1 City Hall 15 BR1 T137 1518720-2 07/06/20 Mon Ju106,2015 02:15PM Trans#. 6 $1050,00 MCRCLERK - MCR-City Clerk MCR#; 40838 1 ITEM(S); TOTAPADI$1050 00 Check (001204) I • s t F , = .1 s Miscellaneous Cah Receipt ✓ s �# �.s _ - k g zi CITY OF MIAMI BEACH • .. Cash D Credit Card Check# _ - � 20 F• Received of -e f S C c .f44 ,, s Address 71'3 0 0 c Te 41-a 3 0'q For e v. �, 5.� f 4/7):Al y-;� j�` i (� iI b c;, („2 Lc5Lice '1 • • (THIS INFORMATION MUST BE COMPLETED) Ofttce of Finance Director ! By Account Number: C'/ . '5'0 0 o. ; .( ..' 7V -7( Preparers _ �- Dept: E)(T. /�1 zf.