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Matthew Amster - Beach House Owner, LLC 143`6S Gt,k1fr,5 ih►e MIAM BEA City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 20I6 SEP 27 r 1 12: LOBBYIST REGISTRATION FORM ,•—„ isI 17 3 lii i 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. Amster Matthew 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) 305-377-6236 305-377-6222 MAmster( .BRZoninaLaw.corn TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information changes:address,phone, or e-mail address. I. LOBBYIST RETAINED BY: Beach House Owner, LLC NAME OF PRINCIPAUCLIENT: Beach House Owner, LLC 29-35 Ninth Avenue New York NY 10014 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 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: Guy Williams, Chief Financial Officer • IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Attached. II.SPECIFIC LOBBY ISSUE: Develdvment'avprovals and Aermittina issues?with pronertu located 4385 Collins Avenue Miami Beach. Florida`— 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 Planning Staff, City Commission, Development,,; None X Board, Land Use Development Committee = None. • _ Y X and Commission as necessary None. X Pursuant to City Code Section 2-482(g)Every regisi ant.shalf be regui,red.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 fled:.,•.. Sec 2-482(g)Any Financial; Familial or:Professional Relationship . None . , . None. {. . None. - C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc • IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required)$455.00 per hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $455.00 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 lobbvina on a Present or pending bid for goods.eauipment 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 Iobbvina on a pending application for a Development Aareement with the City or application for chanae of zonina map desianation or chanae 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 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 E Q R - ;_ . _1 0 C--_.•_: - .1 _u_k .1__ - . . , - --` ` • )EXPENDITURES OR •u •_, • . ! : . ._ •:_. • •,? / 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 City Code and all reporting require -, ts. .. / Signature of Lobbyist: .. /7" Signature of Principal/Client: —�� VI. LOBBYIST IDENTIFICATION. PRINCIPAL IDENTIFICATION: 9��°4y_ Notary Public State of Fbrida _Produced ID Vanessa Altamirano 'roduced ID Form of Identificati., der Mr Commission FF 914375 Form of Identification orsa Expires 08/31/2019 Personally known (Lobbyist) _Personally known (Principal) Cheryl Carlin VII. SIGNATURE AND STAMP OF NOTARY NOTARYNObry Public•StateofConnecticut MAy Commission Expires C/ Fa 1 rGitid.. State of Florida, County of Miami-Dade June 30,2019 State of•Florida, County of fbMialii-Berle Swor t. and subscri•-. betgqrre�e me Swor .nd subscr•-d odor- me This • •day of .V' T ,2016 This I. day of !, I, II i d 016 ` Signature o Public Notary—State of Florida Signatur Public Notary—State of .. Notarization of Lobbyist's signature Notariz. • of principal's signature TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[Niel No Amount Paid$ _3;jO.ma MCR# 41 1 q%VI Date Paid 09-21-16 Lobbyist Registration Form receivedUnd verified by: ,per" lusiMf ollt-G- MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov CITY CLERK Office Rafael E.Granado, City Clerk CityClerknmiamibeachtl.gov Tel: 305.673.7411 , Fax: 305.673.7254 LOBBYIST NAME: Matthew Amster I understand that no later than February 28 o f 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. 204 Signature: Date: C:\Users\clerhatl\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc ORGANIZATIONAL CHART Yucalpa American Affiliate,LLC (Delaware) Ronald Burke 64.5% 35.5% Yucalpa American Management LLC (Delaware) 100% Yucalpa American Funds LLC (Delaware) 100% Yucalpa American Alliance Fund II LLC (Delaware) Limited Partners Limited Partners General Partner General Partner Yucalpa American Alliance Fund II Yucalpa American Alliance(Parallel)Fund II (Delaware) (Delaware) Richard Caring Nick Jones • 36.440% 24.006% 31.75% 7.804% Soho House&Co Limited(f/k/a BN TopCo Ltd) W.P.Carey Inc.(Maryland) (Jersey Ltd.Co) Publicly traded on NYSE under the symbol WPC 100% 100% US AcquireCo.,Inc. (Delaware) WPC Holdco LLC (Ma land) 100% (Maryland) 100% Soho House U.S.Corp. Minority (Delaware) WPC REIT Merger Sub Inc. Investors (Maryland) 99.499%Common Units 100% 0.501%Common Units 100%Preferred A Units 100%Preferred B Units CPA 16 LLC Soho House LLC. (Delaware) (Delaware) 100% 100% CPA 16 Merger Sub Inc. Soho-Ryder Acquisition,LLC (Maryland) (Delaware) 100% 100% Ryder Properties LLC SHO Member(LF)LLC (Delaware) (Maryland) $15M Preferred Equity Units 100%Common Units Beach House JV, LLC (Delaware) 100% Beach House HoldCo LLC 100% (Delaware) 100% Beach House Owner LLC —(Leas - House Beach House LLC (Delaware) (Delaware) Tower Parcel Owns Hotel Parcel 1(a)Except as set forth hereon,no person or entity,individually or with affiliates(other than The Califomia Public Employees'Retirement System,which holds an aggregate limited partnership interest of 24.37476%in Yucaipa American Alliance Fund and Yucaipa American Alliance(Parallel)Fund II),owns more than 10%of Beach House Owner, LLC or Beach House HoldCo.,LLC. (b)Except as set forth hereon,no person or entity,individually or with affiliates,exercises control over Beach House Owner,LLC or Beach House HoldCo.,LLC. 2362483 Alliscellaneous Cash Receipt •. CITY OF MIAMI BEACH _ • .'- 1j 98'4 ❑ Cash ❑Credit Card ©Check# 1 0- $ o 9- c.21 20 I'L b-Ar lc City ofMiarI xedOf N9( tv, rt r, .y S +l �- S L.1,IJ 4 A.l�r Miscellaneoytd s2ple 6 I:1r,t,kr Siy OS;J'1IAst_ 3313li 6-1 6) 5 000581-0006 Adna 09/27/2016 12:31 PM -� - For :OO° 31)ce. ,«t 1)Iv ci SSO, itk. YC -<1J I MCR OPEN 4 c. i Payment Amount: 2,1400 00 ( toec)e�. ,a, a ,Q-;4-) , U 1cS1n.Q s ._i kir1;h c, tC .; MCR411984 - - ._ _.. (THIS INFORMATION MUST BE COMPLETED)_ Office of Finance Director By 0� I O n:J 36 LILIcg'- Q0 -.30-7-365- oc-(�, (70 -•< —�i `, Account Number: Preparers 4fiS P! j 1 V)/�y..-6P4. Dept: 1. 1: {,t, k.. r... i.rv:.h.�.r,, r -+ ',�i� .rte N ?.., ..! ur .. j t'Y._ 6A. -. u.- _ t o. .fit„ •