Omelio Arrabal - Erica D. Rosen 1350 tdt-kaliGm3 A-v6
A A t„, A BEACH
t ",/ Office of the City Clerk
1700 Convention Center Drive
Miami Beach, FL 33139
305.673.7411
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 City Code Chapter 2,Article VII, Division 3, entitled"Lobbyists,"
for additional information.
Instructions: Please complete all sections of this form and submit the completed form,with the applicable fee,to the Office of the City
Clerk. If you need more space to complete an answer, use a separate sheet(s) of paper. If you have nothing to report in a particular
section, you must write "none" or "n/a" in that section. Any change to any information originally filed, or any additional City
Commissioner or personnel who are also sought to be lobbied shall require that the lobbyist file an amendment to the registration form.
The lobbyist has a continuing duty to supply information and amend the forms filed throughout the period that the lobbying occurs.
Separate registration forms shall be required for each principal represented on each specific issue.
I. LOBBYIST INFORMATION:
Arrabal Omelio
NAME OF LOBBYIST (Last) (First) (Middle Name)
Omelio Arrabal Architect
4900 SW 74th Court, Miami FL 33155
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 663-1662 omelio@oa-architect.corn.
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION: Dale
Rosen Erica
NAME OF PRINCIPAL (Last) (First) (Middle Name)
1350 Michigan Avenue, Miami Beach, FL 33139
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-213-2260 richardsonmiamilQ�, mail.corn
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided pursuant to City Code
Section 2-482(c):
• NAME OF CHIEF OFFICER; PARTNER, OR BENEFICIARY:• ^ '
NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST:
Jr Ike
III. ISSUE TO BE LOBBIED:
Describe with as much detail as is practical,including but not limited to a specific description where applicable of a pending request for
proposal,invitation to bid,or public hearing number.
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, relating to the
property located atJ350 Michigan Avenue, Miami Beach, Florida.
IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-482(a)(4), list the City Commissioner or City personnel sought to be lobbied,and whether the
lobbyist has entered into any contractual relationship(paid or unpaid)with said City Commissioner or City personnel from 12
months preceding such commencement of service with the City to the present date, stating the general nature of the subject
contractual relationship.
Full Name of Individual and Contractual Relationship(If yes,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.
List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an appearance of
impropriety:
None.
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a
contingency fee is prohibited pursuant to City Code Sec. 2-485.3):
115 , o0 /ht-
The following five(5)questions MUST be answered:
1) Pursuant to City Code Section 2-488,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues":
_Yes Oklo: 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 City Code Section 2-490, entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development
Issues":
_Yes VNo: 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 City Code Section 2-482(h), any person (except those exempt from the definition of "lobbyist" as set forth in
Section 2-481)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 city clerk as required by this section,but shall not be required to pay any registration fees.
_Yes VNo: Are you representing a not-for-profit corporation or entity without special compensation or
reimbursement?
4) Pursuant to City Code Section 2-481, the term "lobbyist" specifically excludes the following persons: Expert witnesses who
provide only scientific,technical or other specialized information or testimony in public meetings;any person who only appears
as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether direct,
indirect or contingent,to express support of or opposition to any item;and any person who only appears as a representative of
not-for-profit community based organization for the purpose of requesting a grant without special compensation or
reimbursement for the appearance.
_Yes/No: Are You providing only scientific, technical or other specialized information; appearing as a
representative of a neighborhood association without special compensation or reimbursement or
representing a not-for-profit based organization for the purpose of requesting a grant without
special compensation or reimbursement?
5) Pursuant to City Code Section 2-482(a)(4), a lobbyist who has within the past election cycle provided campaign consulting
services to an incumbent member of the City Commission shall disclose such particular service on his/her lobbyist registration
form and shall orally disclose such particular service before lobbying the City Commission at a public meeting.
_
Yes VNo: Have you provided campaign consulting services to an incumbent member of the City Commission
within the past election cycle?If yes.please list the incumbent member(s)of the City Commission:
If yes,you must also orally disclose such particular service before lobbying the City Commission at a public meeting.
VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A
SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.1
Signature of Lobbyist: ,,hr (/ I4414 Date04104-(27211
I do solemnly swear or affirm that all of the foregoing facts, statements, and disclosures in this form are true and correct,
and that I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Code and all re orting requirements.
Signature of Lobbyist: giA) .7 (/ 1 Date d4-10 4- ZVI')
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Signature of Principal: e,A.�. Date - go I }
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VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL d
State of F�i -f p1� State of 1 \ 0►' 1 (2
County of: M 1 t M 1— piSl!�6 County of: Ni\( �� ( D 71
Sworn to(or affirmed)and subscribed before me Sworn,to (or affirmed)and Subscribed before me
this day 4f Q.f� , 2017, by this •)(jday of ( AL1 'L in , 2017, by
OM E -L 0 Ala-A,)3t�� I C cit ICU , b1
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID N/-1S. _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
Personally nown ). Personally Known
Sign. ur- ' • - r lic Signature of N6tary Public
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IAN -•e9rS•pi `�;"`• Name of Notary,T -• - '• -•
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TO BE COMPLETED BY CITY CLERK'S ST FF ONLY
Annual Registration fee: [' Yes[ ]No Amount Paid$ 1,SC•c`: MCR# -S Date Paid 04 .0 -Irl
Lobbyist Registration Form received and verified by: it St,4‘) 7111.A.erM 43
F: CL R\$ALL\aFORMS\LOBBYI T FORMS\Lobbyiist Registration Form Revised 08-18-16 RFC,dor Revised 08/18/2016
1 The term"lobbyist”specifically excludes the following persons:
Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings; any person who
only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance, whether
direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of
not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for
the appearance.
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado, City Clerk CityClerk@miamibeachfl.gov
Tel: 305.673.741 1, Fax: 305.673.7254
NAME OF LOBBYIST: Omelio Arrabal
1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
Pursuant to City Code Section 2-485(d), the City Clerk shall notify any lobbyist (or
principal)who fails to file timely a Lobbyist Fee Expenditure and Compensation Statement
(Statement). In addition to any other penalties that may be imposed as provided in
Section 2-485.1, a fine of $50.00 a day shall be assessed for Statements 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.
I hereby acknowledge that on February 28 of each year, I shall submit to the City Clerk a
signed Statement under oath listing all lobbyist expenditures, as well as compensation
received, for the preceding calendar year with regard to the specific issue on which I have
been engaged to lobby.
2) LOBBYIST WITHDRAWAL
Once an issue I have registered to lobby has concluded or I am no longer lobbying on
that issue, I shall immediately file a Notice of Withdrawal with the Office of the City Clerk.
3) ANNUAL LOBBYIST REGISTRATION FEE
I understand annual registration of all lobbyists shall be required for each 12-month period
commencing October 1 of each year, and the fee for such annual registration shall be
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
tlY\Ap 44,6 DA 20'
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Signature of Lobbyist Date
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 08-18-16 REG.doc
Salvatore, Jason
From: Betty LLerena <BLLerena@brzoninglaw.com>
Sent: Wednesday, April 05, 2017 11:00 AM
To: 'Omelio Arrabal Architect'
Cc: Monika Entin; Salvatore, Jason
Subject: RE: Rosen - lobbyist form
Thank you!
Jason please see below.
Betty Llerena
Florida Registered Paralegal
Bercow Radell Fernandez& Larkin
200 S. Biscayne Boulevard, Suite 850, Miami. FL 33131
bllerena a@brzoninglaw corn l www.brzoninglaw.corn
tai (786)363 2762 ! r:(305)377 6222
BERCOW RADELL
ID FERNANDEZ& LARKIN
ZONING. IANC,UWE ANO HNVIRIONNIHNTAL LAW
e ,?crrna on contained in this electronic message is privileged and confidential and is intended only for the use of the individual named above and others who have been specifically
authorized to receive it.If the recipient is not the intended recipient,you are hereby notified that any dissemination,distribution or duplication of the communication is strictly prohibited If
roe ties received this communication in error,or if any problems occur with transmission,please immediately notify us by telephone(305)374-5300.
From:Omelio Arrabal Architect (mailto:omelioarrabalarchitect@gmail.com]
Sent:Wednesday, April 5, 2017 11:00 AM
To: Betty LLerena <BLLerena@brzoninglaw.com>
Cc: Monika Entin <mentin@brzoninglaw.com>
Subject: Re: Rosen -lobbyist form
Hi Betty,
Are Hourly rate we are billing for this historical additional work,meetings,etc to the Rosen is$125.00/hr.
Regards
Omelio Arrabal
Architect
T./Fax 305 663 1662 •M. 305 303 2690 •oaarch(a-thellsouth.net• 4900 SW 74th Ct Miami Fl
,_ .. 33155 • http://www.oa-architect.com/
EA
http://oaarchitect.houzz.com/
On Apr 5, 2017, at 10:56 AM, Betty LLerena <BLLerena@brzoninglaw.com>wrote:
Hi Omelio. Can you please let me know what your compensation for this matter will be? Either a flat or
an hourly rate is fine. It is a requirement on the form (see V on page 2).
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MIAMI BEACH
City of Miami Beach
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
Omelio Arrabal
Name:
Business Name: Omelio Arrabal Architect
Address: 4900 SW 74th Court, Miami, FL 33155
Office Telephone Number: 305-663-1662
Cellular Telephone Number:
Email Address: omelio®oa-architect.corn
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.
' f For City Clerk's Office Use Only
MCR#: `SIS Ibc
Amount paid: o O Date paid: O11 O5`1 7
Processed by: Date: CAA-OS- (1
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\ANNUAL LOBBYIST REGISTRATION FORM reg.docx