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Monika Entin - The Mantell Condo Association vutitt,s4- MIAMIBEACH City of Miami Beach Office of the City Clerk ^ ' 1700 Convention Center Drive, Miami Beach, FL 33139 2016 OCT y 8 i'' 3: 00 LOBBYIST REGISTRATION FORM CiTY Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage,`defeat or'L '- 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. Entin Monika 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) 305-377-6237 305-3 77-6222 MEntin(a�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: Rau Breslin NAME OF PRINCIPAUCLIENT: The Mantell Condo Association, 255 West 24th Street, Miami Beach FL 33140 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-772-5665 bresaro(w,aol.corn 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. • IDENTIFY ALL PERSONS HOL�N�G, DIf2ECTLY 514R I�ID R IIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: ✓` Gs II.SPECIFIC LOBBY ISSUE: Development Approvals an`drPermitting I—ssuesl including, but riot limited to the Historic Preservation Board, Design Review Board–Plannin Bord,Board of Adjum and Use Development Committee, City Commission, and any City Workshops or committees, if necessary, f"elatina-to-the-vronertu located at 255 West 24th Street, Miami Beach,_Flo ida? 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 DRB, 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. 1 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)$425.00 per hour B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $425.00 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 uendina bid for goods.eauiument 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 lobbvina on a oendina 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 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 UNDF,R OATH. LISTING LOBBYING EXPENDITURES. AS WELL AS COMPENSATION RECEIVED. IN THE CITY OF MIAMI BEACU EQ@ THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR • ii -_► : • ► ! ■ ._ :_° • : ► ' _.:1►•]! / Signature of Lo..yist I do solemnly swear that all of the foregoing facts - _ - and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami Beach City Co•- . d all repo g requirements. Signature of Lobbyist: giltr:i Signature of Principal/Client: WO ,./ iPti —v'a t1 VI. LOBBYIST IDENTIFICATI• 9 °' a `"' PRINCIPAL IDENTIFICATION: _Produced ID 4 9El∎• �� ,Produced ID Form of Identification =.v.,•.°;,;- . Form of Identification mZ Personally known(Lobbyist) o ' _Personally known(Principal) } a 3 ;o VII. SIGNATURE AND STAMP OF NOTARY: ( H- P co =o G' to _sr. °','• ' State of Florida, County of Miami-Dade .t , y r State of Florida, County of Miami-Dade ' m Z Sworn to an. subscribed before me ." ;; Sworn a .• subscribore me I o d ' This /, •- of �• -• 2016 ( ° a This d ::y of G ,2016 3 a m mCP T a �,�//I��l�' i� N O ��/�I/�_� O k Fj j Sign;lure • f rotary–State of Florida _. Signatur: of Pub Si•ary–State of Florida r * H. ^ m Notarization`j �obbvist's signature Notarization of • . '•. ' signature -" d m i m1 ' D TO BE COMPLETED BY CITY CLERK'S S fAFF ONLY ° rn• - t N p =. ■ Annual Rpgictratinn far, [ ]Yas]l ]Nn Amnunt Paid$ 5°• MGR a °1 flatP Paid ... d f Lobbyist Registration Form received and verified by: - �' tr 104151 MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeach0.gov CITY CLERK Office Rafael E. Granado, City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.7411 , Fax: 305.673.7254 LOBBYIST NAME: Monika Entin 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 - - iami-Da• - County Commission on Ethics and Public Trust. /U - // - 2v/6? Signature: Date: C:\Users\clerhatlWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\83LGQDDH\Lobbyist Registration Formrevised 5-30-2012.doc Detail by Entity Name Page 1 of 3 FLORIDA, DEP.ARTM'ENT OF S'TATE r , - D�'VISION OF C ORP.OR TION:S www5knbAcoz f � Detail by Entity Name Florida Not For Profit Corporation THE MANTELL CONDOMINIUM ASSOCIATION, INC. Filing Information Document Number N93000004657 FEI/EIN Number 65-0473723 Date Filed 10/15/1993 State FL Status ACTIVE Principal Address % GRS MANAGEMENT INC. 8140 NW 155 ST. SUITE 101 MIAMI LAKES, FL 33016 Changed: 10/29/2012 Mailing Address % GRS MANAGEMENT INC. 8140 NW 155ST. SUITE 101 MIAMI LAKES, FL 33016 Changed: 10/29/2012 Registered Agent Name &Address PHILLIP EISINGER KOSS ATTN: DENNIS EISINGER, ESQ. 4000 HOLLYWOOD BLVD #265 SO. HOLLYWOOD, FL 33021 Name Changed: 05/14/2003 Address Changed: 05/14/2003 Officer/Director Detail Name &Address Title President BRESLIN, RAY 8140 NW 155ST 101 MIAMI LAKES, FL 33016 http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entit... 10/18/2016 Detail by Entity Name Page 2 of 3 Title Secretary LENNOX, DENNIS 8140 NW 155STREET 101 MIAMI LAKES, FL 33016 Title Treasurer PECORARO, PATRICK 8140 NW 155STREET 101 MIAMI LAKES, FL 33016 Title VP MC DANIEL, MARY G 8140 NW 155 STREET 101 MIAMI LAKES, FL 33016 Title Director QUADE, DEBI 8140 NW 155TH STREET 101 MIAMI LAKES, FL 33016 Annual Reports Report Year Filed Date 2014 02/10/2014 2015 01/13/2015 2016 02/24/2016 Document Images 02/24/2016 --ANNUAL REPORT View image in PDF format 01/13/2015 --ANNUAL REPORT View image in PDF format 02/10/2014 --ANNUAL REPORT View image in PDF format 03/26/2013--ANNUAL REPORT View image in PDF format 10/29/2012 --ANNUAL REPORT View image in PDF format 01/23/2012 --ANNUAL REPORT View image in PDF format 03/07/2011 --ANNUAL REPORT View image in PDF format 01/28/2010--ANNUAL REPORT View image in PDF format 01/30/2009 --ANNUAL REPORT View image in PDF format 02/28/2008 --ANNUAL REPORT View image in PDF format 02/22/2007 --ANNUAL REPORT View image in PDF format 05/02/2006 --ANNUAL REPORT View image in PDF format 04/29/2005 --ANNUAL REPORT View image in PDF format 03/29/2004 --ANNUAL REPORT 7 View image in PDF format http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entit... 10/18/2016 Detail by Entity Name Page 3 of 3 05/14/2003 --ANNUAL REPORT View image in PDF format 05/01/2002 --ANNUAL REPORT L View image in PDF format J 04/30/2001 --ANNUAL REPORT View image in PDF format 05/18/2000--ANNUAL REPORT View image in PDF format 05/10/1999--ANNUAL REPORT View image in PDF format 05/18/1998 --ANNUAL REPORT View image in PDF format 05/13/1997 --ANNUAL REPORT r View image in PDF format 04/19/1996 -- ANNUAL REPORT View image in PDF format 07/03/1995 --ANNUAL REPORT View image in PDF format Coovriaht©and Privacy Policies State of Florida,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entit... 10/18/2016 --::..4:4 .15.=:0 ,Pc.' 0 iS (7■ •,z : . -.•-'---":'. 4' —9 o op a---, __-" • . ::.:::2- -- 1.) .,.. -0 8 •-•13'7,.,,F,..,...],,---,.'- 0 E . .... 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