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Juan-Carlos Planas - Bar Brothers, Inc (Purdy Lounge) SwuJer- 0f46a4-n^1C0 Y_ :a ' " t ° Office of the City Clerk R E C E I V E D 1700 Convention Center Drive Miami Beach, FL 33139 20 17 JUL 24 PH 12: 2 305.673.7411 LOBBYIST REGISTRATION FORM CITY 0'F MIAMI BEACH I �iGE CF THE CITY CLEpf Lobbyist means all persons employed or retained,whether paid or not, by a principal who seeks to encourage the passage, a eat 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: Planas Juan-Carlos NAME OF LOBBYIST (Last) (First) (Middle Name) 600 Brickell Avenue, Suite 1715 Miami Florida 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-531-2424 850-980-6542 jcplanas@kymplaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Bar Brothers, Inc. (Purdy Lounge) (See Addendum for corporate officers) NAME OF PRINCIPAL (Last) (First) (Middle Name) 1811 Purdy Avenue Miami Beach FL 33139 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-531-4622 305-733-5496 richarddisp@yahoo.com 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: SEE ADDENDUM • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: S'e& / jp(iljbuivi 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. rp ri lna - A r 4 Agenda item C 4 P 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 Mayor and Commissioner Was legal counsel for Commissioner Grieco on one personal issue x Manager and Staff 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: I have previously represented several commissioners as their election counsel. V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a contingency fee is prohibite pursuant to City Code Sec. 2-485.3): X'Vow P z d u 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 xNo:• 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 xNo:• 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. _YesNo: 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 xNo: 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 lobbvina the City Commission at a public meeting. _Yes xNo: 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: I have not been a consultant,but I have represented some Commissioners as legal counsel. 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. = • „i�'er` ALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENSATION DU- _• ' - "TING PERIOD.- / Signature of Lobbyist: Date 7/7/ 7 I do solemnly swear or affirm that all of the foregoing facts, state ents -nd disclosures in this form are true and correct, and that I have read or am familiar with the provs `. -• ._ hapter 2, Art. VII, Division 3, en 'tied "Lobbyists" of the Miami Beach City Code and all reporti/,<. -••- - Signature of Lobbyist: //� Date 74 /7 Signature of Principal: lik\ 13.--- . Date ---)/07 Li/ / -7 VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Et-0114A- State of R-&OP k p/t" County of: /14(j&/.4f -wive County of: /141 hilt - DA-AG Sworn to(or affirmed)and subscribed before me Swornto(or affirm d)and subscribed before me this a1( day of i &t-Y ,2011, by this L(day of LsL-f , 20/7, by 4,1-./-C.19-fu-ac 0L. -S 2.t C t -' &v2-I z i NAME OF LOBBYIST NAME OF PRINCIPAL VI-produced ID ,bR-IDA' 1 - VProduced ID CLOP--(D4 b � FORM OF IDENTIFICATION FORM OF IDENTIFICATION _Personally Known _Personally Known Sig re of Notary Public Si ure of Notary Public R50,J SA-4-11.4Tes R.. .�las c, CP‘-4-4/2,,e6- /2,,LE Name of Not-r •-• Printed or Stam.ed Name of Notary, .ed Printed or Stamped (NOTARY S l"1":40,tiAlt:i'ms` JASON SALVATORE (NOTARY SEA 1M' JASON SAN#GG E MY COMMISSION#GG 030527 MY COMMISSION#GG 030527 EXPIRES:September 14,2020 "• s' EXPIRES:September 14,2020 , •..°,„ 1' Bonded Thru Notary Public Uncle v „„ .. Banded Thru Notary Public Undenvdters • c Y CITY CLERK'S STAFF ON Annual Registration fee: [ ],Yes[ ]No Amount Paid$ - r 00 MCR# FEW Date Paid 07-12 if-/7 Lobbyist Registration Form received and verified by: V . r Cly F:\CLER\BALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 08-18-16 REG.doc 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: uc,^ - / /a441- 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 - . , and the fee for such annual registration shall be $500.00 pursuant • ecr of the Miami Beach City Code. 2/77 Sigma • e of Lobbyist Date F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 08-18-16 REG.doc 7/24/2017 Detail by Entity Name 4000000 .4 Department of State / Division of Corporations / Search Records / Detail By Document Number / Detail by Entity Name Florida Profit Corporation BAR BROTHERS, INC. Filing Information Document Number P99000071740 FEI/EIN Number 65-0948898 Date Filed 08/06/1999 Effective Date 08/04/1999 State FL Status ACTIVE Last Event REINSTATEMENT Event Date Filed 12/18/2010 Principal Address 1811 PURDY AVENUE MIAMI BEACH, FL 33139 Changed: 08/07/2000 Mailing Address 1811 PURDY AVENUE MIAMI BEACH, FL 33139 Changed: 08/07/2000 Registered Agent Name&Address PETRILLO, LOUIS A 1811 PURDY AVE MIAMI BEACH, FL 33139 Address Changed: 03/23/2001 Officer/Director Detail Name&Address Title PD DISPENZIERI, RICHARD 1811 PURDY AVE MIAMI BEACH, FL 33139 Title VD http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResu ItDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=BARBROT... 1/2 7/24/2017 Detail by Entity Name DONOVON, JOHN 1811 PURDY AVE MIAMI BEACH, FL 33139 Title VD PETRILLO, LOUIS A 1811 PURDY AVE MIAMI BEACH, FL 33139 Title VD BINKIEWICZ, DAN 1811 PURDY AVE MIAMI BEACH, FL 33139 Annual Reports Report Year Filed Date 2015 01/11/2015 2016 03/10/2016 2017 02/28/2017 Document Images 02/28/2017--ANNUAL REPORT View image in PDF format 03/10/2016--ANNUAL REPORT View image in PDF format 01/11/2015--ANNUAL REPORT View image in PDF format 01/16/2014--ANNUAL REPORT View image in PDF format 04/30/2013--ANNUAL REPORT View image in PDF format 01/09/2012--ANNUAL REPORT View image in PDF format 01/10/2011 --ANNUAL REPORT View image in PDF format 12/18/2010--REINSTATEMENT View image in PDF format 05/01/2009--ANNUAL REPORT View image in PDF format 04/28/2008--ANNUAL REPORT View image in PDF format 10/10/2007--REINSTATEMENT View image in PDF format 04/05/2006--ANNUAL REPORT View image in PDF format 03/30/2005--ANNUAL REPORT View image in PDF format 05/11/2004--ANNUAL REPORT View image in PDF format 04/28/2003--ANNUAL REPORT View image in PDF format 02/05/2002--ANNUAL REPORT View image in PDF format 03/23/2001 --ANNUAL REPORT View image in PDF format 08/07/2000--Amendment View image in PDF format 02/28/2000--ANNUAL REPORT View image in PDF format 08/06/1999--Domestic Profit View image in PDF format http://search.su n biz.org/Inquiry/CorporationSearch/SearchResu ItDetai I?i nq uirytype=E ntityName&d i rectionType=1 nitial&search N a meOrder=BARB ROT... 2/2 . - . -. . 13 CD E E 0 , ' 0 x 3 7:i s.,r, 2 -11 "0 > 'I 0 0 0 .., . tio C ro. --.1 • ---.--i 47.... 0 .< 0 a = tk < CU 0 0 ri ..... 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