Matthew A. Barnes - Deauville Associates, LLC 6l01 Cott t1s 402_
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FFL 33139:'1 ,; 23
LOBBYIST REGISTRATION FORM ;, l I
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.
Barnes Matthew A
NAME OF LOBBYIST: (Last) (First) (M.I)
Akerman LLP 98 SE 7th Street Miami FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305.374.5600 305.374.5095 matthew.barnesAakerman.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:
Deauville Associates, LLC
NAME OF PRINCIPAL/CLIENT:
6701 Collins Avenue Miami Beach FL 33141
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-409-3645
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: See attached Exhibit 1.
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A OR MORE OWNERSHI?INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: ° &t U-
II.SPECIFIC LOBBY ISSUE:
CHistorie preselyation-board;site-plan,and-variance-approvals---�- 7-7.0-1" �'lt✓lS— T
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
Mayor and Members of City Commission and HPB none x
City staff in Planning Department 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
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Fomi.doc
id
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)
Z)L45 nOUrly
B) PRINCIPALS DISCLOSURE(OF LOBBYIST COMPENSATION):
(REQUIRED).4:•L45 nouriy
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 ONo: 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":
_Yes ONo: 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.
YesEINo: 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 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.
.
Signature of Lobbyis
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 City Code and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client9 1.
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
_Produced ID _Produced ID i '',,;`5'•I'`,• i,,
Form of Identification • Diana Perez-G a Form of Identification ± -..r.'' �jl
c NOTARY PUBLIC * ‹. .
STATE OF FLORIDA J 7 -s••• x ;'
ersonally known(Lobbyist) -:010.1,".-..` FF233833 Personally known(Principal) 4
i o Z
• Expires 8/8/2018 ' n "., ° .
VII. SIGNATURE AND STAMP OF NOTARY: ,i ° ° v 7 -4 3
So 3. 3 v > .
State .f Florida,County of Miami-Dade State of Florida, County of Miami-Dade -i= o. x Q f'
Sworn and subscrib-d before me _ ti , -+
Swo r d sday o 1Y— , If,� � r.'
T is ��_ day of � �- 2 This 1.5 day of 7 ��, ,20_ fir, � m s � z �;
W: _ a 9 a r.
/Ii��r �.- ! y a o T A 7
Signature •,'lie Notary-State of Florida Signature o Public Notary-State o�:lorida y o N o t'
Notarizati• • Lobbyist's signature Notarization of Principal's signature ' �; '' - 2 ,
TO BE COMPLETE BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes[ L]'No Amount Paid MCR# 0 9 9a Date Paid d.c2D l
Lobbyist Registration Form received and verified by: v>1 'k' •'
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Registration Form. oc Revised 11/18/2013
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
' •
City of Miami Beach, 1700 Convention Center Drive,'Miami Beach, Florida 33139,www.miamibeachfl.gov
CITY CLERK Office CityClerk @miamibeachfl.gov
Rafael E. Granado, City Clerk
Tel:305.673.741 1 ,Fox:305.673.7254
Matthew A. Barnes
LOBBYIST NAME:
I understand that no later than February 28 n CitcCoderwith the City Clerlk's Office for
pursuant to Section 2-485 of the Miami Beach City
all active lobbying issues.
1) LOBBYIST EXPENDITURE AND COMPENSATION FORM
Failure to file these forms on a timely basis Ethics and for code violation result in my beng transmitted a to
the Miami-Dade County Commission on
In addition, once an issue I have registered to lobby am required ed to immediately notify
longer lobbying on that issue or for that principal,
the City Clerk's Office of lobbyist withdrawal in writing.
Pursuant to Section 2-485 (d), the City Clerk shall notify lobbyist
principal) who be
fails to timely file a Statement and in addition any
Imposed as provided in Section 2-485.1, a fi $SClerk shall notify the Miamif-Dade
Statement(s) filed after the due date. The City
County Commission on Ethics and Public Trust of the notification.
of a lobbyist(or principal)
to file the Statement or pay the assessed fines after l be automatically
Any lobbyist, who fails to file the required Statement f 30, haslbeen appea led to
suspended from lobbying until all fines are paid, unless the
the Miami-Dade County Commission on Ethics and Public Trust.
�1161�6
LLB I/ Date
Signature
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc
Exhibit 1
Disclosure of Ownership
Deauville Holdings, Inc.- 96.8541%
Belinda Meruelo (5101 Collins Ave, Miami Beach, FL 33141)- 50%
Homero F. Meruelo (5101 Collins Ave, Miami Beach, FL 33141)-50%
Faithfull, LLC- 3.1459
Carlos Catala (1422 NE 40 Ave, Homestead, FL 33033)-100%
{38490471;1}
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH
No 409993
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MCR OPEN For t Z SS ...,e._. 1.1 P 13 S'//P - 2,/i / +i 1.f v`-� %, ,'/.r 44 /,'°, ,I.---,1
'Payment Amount: 350.00
MCR409993
(THIS INFORMATION MUST BE COMPLETED) Office of Finance Director
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