Michael J. Marrero - Matthew Kaplan c, c)bo r s6kv5 k`
MIAMI
B[BEACH
City of Miami Beach Office of the City Clerk k.;-- -= Y "Y-' I^ 1.
1700 Convention Center Drive, Miami Beach, FL 33139
?M 15 NOV -3 AN IQ• 13
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to..encourage.tthe 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. .
Marrero Michael J.
NAME OF LOBBYIST: (Last) (First) (M.I)
Bercow Radell&Fernandez, PLLC, 200 South Biscayne Boulevard, Suite 850, Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-374-5300 305-377-6222 mmarrero(aBRZoninaLaw.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:
Matthew Kaplan
NAME OF PRINCIPAUCLIENT:
750 West 50 Street Miami Beach Florida ' 33140
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)274-7533
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: 11/41 .
• IDENTIFY ALL PERSONS HOLD i DIRECTLY OR INDIRECTL ,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
II.SPECIFIC LOBBY ISSUE:
Development Approvals and Permitting Issues, including, but not limited to the Historic Preservation Board, Design Review
Board, Planning Board, Board of Adjustment, Land Use Development Committee, City Commission, and any City Workshops or
Committees, if necessary, relatina to the nrovertu located at 750 W 50 Street, Miami Beach, Florida.
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
Staff for the Planning Department, Building Department, None. X
Public Works and City administration, PB, HPB, BOA, None. X
City Commission, and Mayor as necessary 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.
None.
None.
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)$460.00 per hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $460.00 per 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 Iobbvina on a present or pending bid for goods.eauioment or services.or on a present or pending
award for goods.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 lobbying on a oendina application for a Development Agreement with the City or application for
chance of zonina map desianation or chanae 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 representina 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
EQB, ._ - :_c_B .. cl__, e_: __: 1 1 11 1. ■__ . =i_ I_o _ _k ■_:_ N1 — __k k •
EXPENDITURES OR C•►i -_L. _ • k. i ■ ► . ■_-.e MI6, _, 1
I•
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 Miami Beach •de, ..`%'rrep_•,.\ing require em nts:----
Signature of Lobbyist: / ii..
Signature of Principal/Client:
*we,
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
•
Produced ID Produced ID ..
Form of Identification •' Form of Identification q,
/
icg0Z 3Oz
Personally known(Lobbyist) o o Personally known(Principal) i E
VII. SIGNATURE AND STAMP OF NOTARY: o E.1 3°'
State of Florida, County of Miami-Dade 2" State of lorida, County of Miami-Dade I-n
Sworn • .. d s.,bscribe before me W g Swor subscrib*before me IV a
Thi ��t ,day of ' h , 2015 0 1 is day of J''v' v c'' ,2015 ir ,
TA T , ,
Signature o Public Notary–State of Florida Signature of P Olio Notary–State of Florida s.
Notarization of Lobbyist's signature Notarization of Principal's,signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes[ No Amount Paid$ 54, MCR# LA Q' O�2 Date Paid Argac
Lobbyist Registration Form receiv d and verified by: 41--Cgoir\-
1
M I AM I BEACH
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
LO B B Y IS T NAME Michael J. Marrero
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-D County Commission on Ethics and Public Trust.
Signature: / Da e:
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CITY HALL CASHIER OFFI
1700 CONVENTION CNTR DR
MIAMI BEACH, FL 33139
11/03/2015
10:13:46
CREDIT CARD
MC SALE
CARD#
Chip Card: •• •• 3870
MasterCard °"r""a'""""
Chip Card AID:ATC: A0000000041010 •TC: 0003
INVOICE C8251E6423BA3C37 Cif mi Beach-Florida
SEQ#: 0007 Finty anoce Mia Department
Batch#: 0007
Approval Code: 001280 1 City Hall
Entry Method: 74340P 1530720-1 11/03/2015 15ASRT c T131
Mode: Chip Read Tue Nov03,2015 1
Issuer 9 $350.00 MCRCLERK - MCR-City Clerk
SALE AMOUNT * MCR#: 408082
$350,00 1 ITEM(S): TOTAL: $350.00 0
Credit Car PAID $350.00
CUSTOMER COPY Have a nice day!