Tom Weber - Matthew D. Shore & Sari Shore 53 ov L4- Cotic.c-, vA-t✓E
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f i Office of the City ClerkE ;E l f
1700 Convention Center Drive
Miami Beach, FL 33139 nt;DEC _' AM 9f
305.673.7411 C6
LOBBYIST REGISTRATION FORMMY_ OF MIAMI BEACH
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Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage,'d t 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:
Weber Tom
NAME OF LOBBYIST (Last) (First) (Middle Name)
Weber Studio, LLC 104 Crandon Blvd, #414, Key Biscayne, FL 33149
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 361-9935 tweber@weberstudiomiami.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
H. PRINCIPAL INFORMATION:
Matthew D. Shore & Sari Shore
NAME OF PRINCIPAL (Last) (First) (Middle Name)
5300 La Gorce Drive, Miami Beach, FL 33140
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 702-1523 mshore@dradvisors.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: N/A_
• NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: AT/fr
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 for property located at
6300 Lk Go,LGE bittie
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
Planning Staff, City Development Boards, None X
Land Use Development Committee None X
and Commission 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:
N/A
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a
contin kncy fee is rohibited pursuant to City Code Sec. 2-485.3):
le
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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 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 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.
_YesX_No: 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 lobbying the City Commission at a public meeting.
—Yes X_No: 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: Date 11VSI('1
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 II reporting requirements.
Signature of Lobbyist: _ Date I I 4*(11
Signature of Principal: Date /4. /i / i
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: { PRINCIPAL
State of P O,, i c+ c. State of {!(,OP-I}"
County of: 1v\\tk vs&‘ -1-)4.(1.12 County of: /141h'41 -046-
Sworn
41*Sworn toor affirme nd sub cribed before me Sworn to(or affirmed and su scribed before me
this 2S( day of o•!42 V ✓ , 20 Y'�by this t day ofA— , 2011, by
TOVA VJ i v ,N 5-hi-et-LC--
NAME OF LOBBYIST NAME OF PRINCIPAL
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_Produced ID Vroduced ID FL Di__ 0.3 #
FORM OF IDENTIFICATION FORM OF IDENTIFICATION =.•i:'i <
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c_f Personally Known / _Personally Known 14'.1,#;,..?
ig ure of N ary ublic S' ature of Notary Public i'
v;"' JASON SALVATORE : �g Z
MFI ISSA P 1 AN7A 3
Name MTS ibtir ie35tamped Name of Notary, nr_�:(NOTA A1uydedthrough1stStateInsunce (NOTARY SEAL . r rW— ..��.-.N•� -• •I ' •o
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes[7C,]No Amount Paid$ 3 50•o 0 MCR# 1-tf'i5S5d1 Date Paid '0(-I,
Lobbyist Registration Form received and verified by: ,JkS°,u 5 A-LAA-'tifs.,
F:\CLER\$ALL\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: Tom Weber
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
$500.01 pursuant to Section 2-482 of the Miami Beach City Code.
v. • 11 (1-S( 11
Signature of Lobbyist Date
F\CLER\SALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 08-18-16 REG.doc
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Salvatore, Jason
From: Matthew Amster <MAmster@brzoninglaw.com>
Sent: Friday, December 01, 2017 11:45 AM
To: Salvatore,Jason
Cc: Brenda Rubio; Evelyn Cedron
Subject: RE: Lobbyist Registration M. Larkin for Mathew Shore
Jason,
This is the additional notarized signature page we discussed this morning.
In addition, I note that for the specific issue to be lobbied on page 1, the correct address of the
property should be 5300 La Gorce Drive (NOT 5777 La Gorce Dr and 5774 Pinetree Dr - that was
another matter altogether). Please note on Tom Weber's, Michael Larkin's and my forms that you
accepted today that they are for 5300 La Gorce Drive. My apologies for the mix-up and
inconvenience.
Matt
Matthew Amster
ercow Radell Fernandez& Larkin
:'0S S. Biscayne Boulevard, Suite 850, Miami, FL 33131
n_c•nst_r_brzoninglaw.com I wvw.brzoninglaw.com
(305) 377 62361 P (305)377 6222
Download v!lard View t3io raphy
The
information contained in this electronic rnessaae Is priviieged and confidential and is intended only for the use of the individual named above and others who have been specifically
t ericed to receive i, if the reciolent Is not toe intended recipient,you;are hereby notified that any dissemination,distribution or duplication of the communication is strictly prohibited.If
yinif fume received this communication in error.or if any problems occur with transmission,please immediate y notify us by telephone(305)374-5300.
From: Brenda Rubio
Sent: Friday, December 1, 2017 11:24 AM
To: 'JasonSalvatore@miamibeachfl.gov' <JasonSalvatore@miamibeachfl.gov>
Cc: Matthew Amster<MAmster@brzoninglaw.com>; Evelyn Cedron<ecedron@brzoninglaw.com>
Subject: Lobbyist Registration M. Larkin for Mathew Shore
Good Morning Jason,
Please see the attached lobbyist registration with Michael Larkin's notarized signature with respect to
the above captioned project. A courier will be hand delivering shortly.
Thank you,
1