Carly Grimm - E.A.Y.C. Investments LLC . GouIMacseAce
6:1 "\\AI ANA, I
t F; P.P"
City of Miami Beach Office of the City Clerk
• 1700 Convention Center Drive, Miami Beach, FL 33139 2015 s ' e r 2: L
LOBBYIST REGISTRATION FORM i � ,.'
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat or `-i
' 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.
GRIMM CARLY
NAME OF LOBBYIST: (Last) (First) (M.I)
Bilzin Sumberg Baena Price&Axelrod LLP-1450 Brickell Avenue,23rd Floor,Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-350-2352 305-351-2251 cgrimm @bilzin.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:
E.A.Y.C.Investments LLC
NAME OF PRINCIPAUCLIENT:
16300 NE 19 Avenue,Suite 211 No.Miami Beach, FL 33162
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
786-431-7704
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: Yaniv Cohen
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
See acha
II. SPECIFIC LOBBY ISSUE:
All matters regarding land use/zoning/development of property located at 914 Marseille Drive,Miami Beach, FL
Issue to be lobbied(Describe in detail):
Ill.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
x
Planning/Zoning and Staff
x
Board of Adjustment and/or Design Review Board and staff
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
MIAMI 4648 742.1 81844/46912
i
IV.DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)Hourly/$275
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):(Required).Hourly/$275
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 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
•
❑Yes liNo: 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 2-484 (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 No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement. .
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28th 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. 41('
,_, �.
Signature of Lobby.,-t: arly Grimm
I do solemnly swear that all of the foregoing facts are tr e 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 r,p• ing requirements.
Signature of Lobbyist: �.�1 i 41111M
'Carly Grir is
Signature of Principal/Client:
Yaniv Co
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
❑ Produced ID ❑ Produced ID
Form of Identification Form of Identification
`"„'®,z,0 ISIS DIAZ
Personall known Lobb is MY COMM ISSION#f 111282 Personally known(Principal)
;Tr!. �oEXPIRES:May 24,2018
VII. SIGNATURE AND STAMP `
K
,
.,* �AIr:dmNBudgetNotaryServlces
NO‘ \a.LYR
State of Florida, County of Miami-Dade State of Florida, County of Miami?ade•GOMMiss�'• C, .
Sworn to and subscri d before a Sworn nd subscn before rr * .$' ppriI3��4 cIt t
This'_ day s , 2015 This ( day of lC �01h
•
_ • 0. mi*I
_�' #FF �• .
Signat - 'ublic Notary4 of Florida i• at e o ublic Nota ;/ State of Flor�+VoG• ti4�d�,N •: �
Notarization of Lobbyist's signature Notarization of Principal's signature ''e,,-/i�8 E of F�o.\O;
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY ®��/!9°/""�"��
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ 350 MCR# `'tD719? Date Paid N 15If
Lobbyist Registration Form received and verified by: & cCamr�
Revised 4/27/2012
MIAMI 4648742.1 81844/46912
I .,fir,
`, tit { "i A;S;a �,a s a�a a q - .s. 1.
City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov
CITY CLERK OFFICE
Rafael E. Granado, City Clerk CityClerk(c�miamibeachfl.gov
Tel: 305-673.7411 , Fax: 305.673.7254
LOBBYIST NAME: Carly Grimm
I understand that no later than February 28th of each year, I must file the following forms, 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 Form 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, 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.
qSi / IT
Signature: Date:
MIAMI 4648742.1 81 844/469 12
Camm, Patrick
From: Ibis Diaz <idiaz @bilzin.com>
Sent: Tuesday, September 15, 2015 12:21 PM
To: Camm, Patrick
Subject: RE: Lobbyist Registration Grimm & McDowell
Good afternoon Patrick;
Below is the information provided by the Principal.
Please let me know if you need anything else from me.
EAYC Investments LLC:
50% EA Florida Investments( EA Florida investments 99% Efrat Arad, 1% Doron Arad)
50%Yaniv Cohen
Bilzin Sumberg
Ibis Diaz
Legal.Assistant
Bilzin Sumberg Baena Price&Axelrod LLP
1450 Brickell Avenue, 23rd Floor Tel 305.374.7580 x 3065
Miami, Florida 33131 Direct Fax 305.374.7593
www.bilzin.com idiaz @bilzin.com
From: Ibis Diaz
Sent: Monday, September 14, 2015 10:00 AM
To: 'Camm, Patrick'
Subject: RE: Lobbyist Registration Grimm & McDowell
I reached out to the client when we last spoke. I am unable to speak with him today- Rosh Hashanah. But, I will try
tomorrow.
I31l,Zin Sumberg
Ibis Diaz
Legal Assistant
Bilzin Sumberg Baena Price&Axelrod LLP
1450 Brickell Avenue, 23rd Floor Tel 305.374.7580 x 3065
Miami, Florida 33131 Direct Fax 305.374.7593
www.bilzin.com idiaz(c�bilzin.com
1
.---•
• 1-,j
'...,,-,.1 • . s_ - i
....q,
• o `..........., ..-1
r) ....,.
ti , e• '.51
•
o .43 (.\ •••:1
1'4 ; c'1 1 m
c •• --•:=.
to • :..1
•_---i. c
.....,,,
it w . ...-1
-,•-: --f
7-7 .,...7- k • 11
-......, - • ,I LI --.-
0 ••••••
,...... ..,. !1. c..) ,J... •,.,
• — .'----__'-'
..,, .
c...-- • 2 \\.., -••••••::.':
•...,. .......,• . . .
• ..,
... ,...... ,---, ..-z, >.. • Ns,
,:.:.• # ......--- ,,,,_ -1'''' .4 i
C...., .,
e"... -PO' \,'-•' 4.--- ',-,1
,-i
••.
- NI , • 1
•_, k....„.. Z......... .. ;.,
`... ti.
.:i
....., _. -
-...,
.K \)'•-• CI : .
. . ..1
.._
7 7'•. (CD
r e't ii il
. w
* . ,..• c•.;„ 1-- - Q
1 • •,,
, .
.._,d .._ :74 ,-,:?., _1 •
CC
4...
O.
. 1..a...)
...,
0 Er— -7" 7 • '
W
,... ,....., c„,... Q.,3
,•-.I
= X i...: ''\::: -, ,- n --•1
Cn C.) CO
0 -,..., f,
_ 's.1
-r V\
i
8 g ..... -
......
7:1 ''''0 je., N.,- :•*-- z
■....- 1 . - 4,-;_c 0
CA CO ct) N--k • .c--
1... ,_,. t.) ....?„,
= — <
0 2 C.)
C.5 —
. -,..• 2 0 t•-•-•
CD < 0 . . (Id
C M le.. 0
O .0 0 , ,.......-- U. Z .•,
,. , Li. Z
(5'
4) 0 03 > a co c 0
L. ,..I
O .
CO 0
El 7) 45
ea 13 0 I.
8 0 1
2 PC) ce a ii., a a:
. - .
...L.., ..... ..i
:-.J.•.:,•_...., .
.•:-:,,,,---.,::., ,
..„-..• -,:::A_,..: •.• . - in
-,--.-,,:..'-,•- ,--L.'„- . „.. :_.,.,,
--
....1
" fv.,•"_ -,.:::-:,' . ..,...,...
-:,'.•'•',.j,.:,-,. ;:i.-.,_,' " `.1
-''7;'' -,,;...:,,,•
•.,,'."S s',,.'-'-',•,'•
-.1,7 1,,,,..''',.'`f i','".•'-:.'- ,-,