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Robert Behar - Harding Excalibur, LLC. aao I€\ \Dn Fi lo d3aLls ,,, ,, ,, , , , 7,,,,,, V'''. ." ,,,,,,,,,, ,: . r 3 Y City of Miami Beach Office of the City Clerk ,,.. 7.4._ . 1700 Convention Center Drive, Miami Beach, FL 33130' ' - ' = ,' S" 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. Behar Robert NAME OF LOBBYIST: (Last) (First) (M.I) 4533 Ponce de Leon Boulevard Coral Gables Florida 33146 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305.740.5442 305.740.5443 Robert @beharfont.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: Andres Goldenberg NAME OF PRINCIPAUCLIENT: Harding Excalibur,LLC. 1444 Biscayne Blvd.,#306 Miami Florida 33132 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305.200.8825 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: 4 Go. 3 �G b`� . � • IDENTIFY ALL PERSONS HOLDINGIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: l rr// II.SPECIFIC LOBBY ISSUE: Design Review Board NAP p L4 0 Wel 0-044-k 5d l k vi-A-At)i/V 6, vt . 1 Issue to be lobbied(Describe in detail): r t g97 , CZV OC 10174i02/ 48035 , 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 -SRI 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 N/A F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc /€6 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) None B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): (REQUIRED). None 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": _Yes X_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 item,shall register with the clerk as required by this section but,shall not be required to pay any registration fees. _YesXNo: 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 STATEME HAL = ED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTIN - -IOD. -f Signatur: of Lobbyi•.t I do solemnly swear that all of the foregoing facts .r- -D: .nd ,orrect a d that I have read or am familiar with the provisions contained in Section 2-482 of the Miami Beach `i y o.e .- , all rep.`'-: require ents. Signature of Lobbyist: / L./ Signature of Principal/Client: \ BF / .,--7 • VI. LOBBYIST IDENTIFI• "• : PRINCIPAL IDENTIFICATION: Produced ID Produced ID Form of Identification Form of Identification Y Personally known(Lobbyist) VPersonally known(Principal)— VII. SIGNATURE AND STAMP OF NOTARY: State of Florida,County of Miami-Dade State of Florida, County of Miami-Dade Sworn to and subscribed before me Sworn and subscribed before me Thi, a, day of 0i a ' . . I This i. day of 0. ,201 . • � 1 _ :��" ' �,", SANDRA VARELA 1 ' �� �„ ,, '`,`PAY�`���" SANDRA VARELA ►!_ J•�.►0. du'�1��= Notary Public-State of Flori.. , �•' �� ''���'. Si ature of Public Notary St- • o °:?•: ature of Public Notary–St. E. �;�+,a: Notary Public-State of Florida Sig B; -,, lilt :: My Comm. Expires Jun 28,20 , N• arization of Lobbyists Sig = ���Q.o; Commission#EE 190383 • =rization of Principals si. • J.My Comm.Expires Jun 28,2016 83 P 0.",�� �� a Commission#EE 190383 ,,''',,,,\, Bonded Throuth Na o . - - • = _ima_il n:-K'S TAFF ONLY sanded Thro Natio, , . ry Assn. Annual Registration fee: [ ]Yes["p]No Amount Paid$ ._..o MCR# • / - ' Date Paid if_i dr_—�� Lobbyist Registration Form receive and verified by: JASON c4- WITI•e& F:\CL R\SAIL\aFO MS\LOBBY ST FORMS\€.ob y;.;t Annual Registration Forimdcr Revised 01/22/2014 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc 1 fs City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov CITY CLERK Office Rafael E. Granada, City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.7411 , Fax: 305.673.7254 LOBBYIST NAME: Robert Behar 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 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. NMI January 26,2016 Signatur-: Date: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc Miscellaneous Cash Receipt p .x�. -� a F i e• M .. ,T_ i I , :V : 3 fi �� , � CITY OF BEACH F 4 y ;1� �� 0 N * � 3 o. Y, _ ...., . . , . 1 Check# .. y h 0 Credit Card 20 . 4 ` t } fy.:P �'i Received of F L a ezp c-3 f ".� L c.. f_ec Address , For" Office of Finance Director S INFORMATI (THIS INFORMATION MUST BE COMPLETED) By �,.1 .r - �# � A ber- � `� x Account Number: r Dept: ' ' T n n T rt co c3� OO o NJ �. 4,111...„. . _ _ .-4. ,..-4 1--- Cp .-^-' c:, - --. .411___. ._ ,:::, ".t cC, n A, ,. .,...........,r..3 toOc".3) J 40 443 -70 O O I J► fl- �.` Co "':-.1--* i .......4 -g.._ c)—' co • ‘, 6 BEACH City of Miami Beach r; ,: 1700 Convention Center Drive ' - �' �, `� Miami Beach, Florida 33139 www.miamibeachfl.gov City Clerk's Office Tel: 305-673-7411 Fax: 305-673-7254 Office Use Only ANNUAL LOBBYIST REGISTRATION FORM Name: Robert Behar Business Name: Behar Font&Partners,P.A. Address: 4533 Ponce de Leon Boulevard,Coral Gables,Florida 33146 Office Telephone Number: 305.740.5442 Cellular Telephone Number: Email Address: Robert@beharfont.com If more than one lobbyist, please list: 1) 2) 3) 4) 5) 6) 7) Submit this form to the Office of the City Clerk, along with a check for $500 for each lobbyist. Please make the check(s) payable to the City of Miami Beach. For City Clerk's Office Use Only MCR#: Amount paid: *$ 550.00 Date paid: OOZ 1a_ l Processed by: ,`WoK) V 4 vz & Date: Q.'` 12- ) 6 F:ICLERI$ALLIaFORMSILOBBYIST FORMSIANNUAL LOBBYIST REGISTRATION FORM reg.docx Misc tlaneous Cash Receipt t :. CITY OF MIAMI BEACH F '' << "'r , Y .b IITT tt,,: t.:n is L,Iwr dICA1 .° . #0n,. ill- No. w ,- ❑`Cash QCredit Card kCheck# -:) 1 _ 20 I - Received of 14- - 1.3C 4 . • Address 3; -- - , _ For I 4 Iv td ,J (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director '` Account Number: ' I Preparers 45ee e 6r, Dept. :; 'y ;' .1 - E)(T:7 1 i : • - . 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