Bernard Zyscovich/TGNCRECEIVED
03 16 I0:58
CITY CLERK'S OFFICE
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Bach, FL 33139
Email: citycie rk~ci.miami-beach.fl, us
LOBBYIST REGISTRATION FORM
(City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481)
[] ~ Check Box If an Amendment
Zyscovich Bemard
NAME OF LOBBYIST: (Last) (First)
100 N. Biscayne Boulevard. 27m Floor Miami
BUSINESS ADDRESS: (Number and Street) (City)
(~)~) 577-4521 ~ ~ ¢305~ 372-5222
TELEPHONE NUMBER:~~'"~ FAX NUMBER:
Io LOBBYIST RETAINED BY:
9~02
(M.I.) DATE QUALIFIED AS LOBBYIST
Florida 33132
(State) (Zip Code)
T(~N(~ Develooment. LLC
NAME OF PRINCIPAL/CLIENT:
60 Cutler Mill Rqad, ~308 Great Neck New York 11559
BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code)
(305) 674-0600
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 OF BENEFICIARY: See Exhibit A
LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OVVNERSHIP INTEREST
iN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Exhibit A
II. SPECIFIC LOBBY ISSUE:
Substanl;ial Amendment to Conditional Use Permit Aoolication
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Relationship
Jorge Oomez None
Mercy Lamazares None
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATRION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (~ ) ~ ~11~11~,
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIEST COMPENSATION): t'~/~ ~'/~V ($ )
V. SIGNATURE UNDER OATH:
ON OCTOBER 1~r OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE
PRESEDiNG CALENDAR YEAR.
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 cont_J~in Section 2-482 of the~iami Beach City Code as
amended, and all report~
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
[] ~ Produced ID
Form of Identification
-~ Personally Known
VII. SIGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This ..~ day of J~/~i/ , 200~
Signature'~ - State"Of Florida
Print, stamp or type name of Notary Public
FOR CLERK'S USE ONLY
Registration: ~ ACCEPTED [ ] REJECTED
/
If rejected, state rsason: ,
Registration fee paid: [~JCYes [ ] .No
[ ] Cash [~Check MCR #
DATA ENTRY DATE:
,2002 ENTERED BY:
I First Revision - 05-17-02
Iv. DISCLOSURE OF TERM-'= AND AMOUNTS OF LOBBYIST CQMI~Nu'r~o# (DWCI.O~E WI.I;THER
HOURLY, FLAT i:~A TE OR OTHER):
B) PRINCIPAL'8 DI~CLOSLIRE (OF LOBBYIEST COMPENSATION):
V. 81GNATURE UNDER OATH:
ON OCTOBER 1~' OF EACH YEAR, EACH LOBBYIST 8HALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LI'STING LOBBYING EXPENDITURE~ IN THE CITY OF MIAMI BEACH FOR THE
PRE~EIDING CALENDAR YEAR.
Signature ~ Principal/Client:
VI.
I do solemnly swear that ail 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 as
amended, and all reporting requirements.
Signature of Lobbyist: ~ ~
LQ~BYIST IDENTIfiCATION: ~
r-i ~ Produ(;ed ID
Form of Identif'maflon
VII. 81GNATtJR~ AND STAMP OF NOTARY OR DEPUTY CLERK:
State of Florida, County of Miami-Dade
SworA~l~and aula~'.rtb~l before me
ThtsU_:- ,y
Signat~-re of Public Notary - State of Florida
P~t, stamp or type name of Notary Public
FOR CLERK'S USE ONLY
Registration; ~LACC;PTED []REJECTED DATE:
If mjaeled, abit~
Regl~mtion fee paid: ~ Yes [ ] No /3 ~.q .,~ ,.~
['] C~)sh/~l:Check _MCR# "-7~. U ~.'~ '
1
Flit Rl1~lml - 0~-17.~2
P. ~2
B) PRINC~PAL'9 {)I~C~t.,O,gUR:E (OF LOGB¥~F. STCOMPb'NBA'TI(~):
v. :IGNATURP. UNDI~ oATH:
ON O~UBE~ t~ ~CH ~R~ ~H ~IT~T~ ~U~T ~ ~B C~ CLE~ A ~GN~D
eT~ U~ OA~, Lm~NG LOBBING ~E~ ~ CI~ OF UlAmr IUCH F~THI
F~EDJNG C~ND~ ~
I do sol~nly ~=r ~t .11 d ~e fo~o~; ~ m e~a and ~ and that ] h~ve m~d or.m
~mlller ~ t~ ~n~ ~n~in~ ~ ~on 2~ ~ the M~ml C~ c~e m
amendS, and all m~lng ~ulmma~.
Signature of ~bbyieb
Signature of P~n~Cllen/:
[] ,~ Produced ID
Form of Idenl~o.¢on
vu. 8IGM&TUME AND STAMP OF NOTARY OR DEPU'W CLERK:
~ba~ of Florkla, Co~Jnty M MlemI-Da6e
Public
Pr'mt, stamp or type name of Notary Publk3
',,' TOTAL P. 82
· '~': ' ' TOTAL P.02
EXHIBIT A
DISCLOSURE OF INTEREST INFORMATION
Lots 2 and 4 and east 25.5 feet of Lot 6: TGNC Development, LLC:
Irrevocable Trust for the Benefit of David Craig Brodsky,
Jeffrey Holden Brodsky, Jessica Brodsky Miller, Lee Jared Brodsky.
Each of the beneficiaries holds an equal share in the trust.
Muriel Brodsky is the guardian of the trust.
26 Harbor Park Drive, Port Washington, NY 11050
Paul Anton, 60 Cutter Mill Road, Suite 308, Great Neck, NY 11201
GSB Holdings Corp. (100% owned by Steven A. Boughner)
60 Cutter Mill Road, Suite 308, Great Neck, NY 11201
Michael Groothius
60 Cutter Mill Road, Suite 308, Great Neck, NY 11201
50%
16.667%
16.667%
16.665%
Lots 1 and 3: POP Development, LLC:
Irrevocable Trust for the Benefit of David Craig Brodsky,
Jeffrey Holden Brodsky, Jessica Brodsky Miller, Lee Jared Brodsky.
Each of the beneficiaries holds an equal share in the trust.
Muriel Brodsky is the guardian of the trust.
26 Harbor Park Drive, Port Washington, NY 11050
Paul Anton
60 Cutter Mill Road, Suite 308, Great Neck, NY 11201
GSB Holdings Corp. (100% owned by Steven A. Boughner)
60 Cutter Mill Road, Suite 308, Great Neck, NY 11201
50%
16.667%
16.667%
Michael Groothius
60 Cutter Mill Road, Suite 308, Great Neck, NY 11202 16.665%
Lot 8 and west 50 feet of Lot 6: Just Around the Corner, LLC
Paul Anton
60 Cutter Mill Road, Suite 308, Great Neck, New York 11201
Michael Groothius
60 Cutter Mill Road, Suite 308, Great Neck, NY 11202
Lee Lazenus
60 Cutter Mill Road, Suite 308, Great Neck, NY 11202
Dean Fierro
60 Cutter Mill Road, Suite 308, Great Neck, NY 11202
Michael Meyers
60 Cutter Mill Road, Suite 308, Great Neck, NY 11202
19.5%
26.5%
9.5%
2.5%
2.0%
South Beach Garage, LLC
26 Harbor Place Drive, Port Washington, NY 11050
(Ownership Breakdown of South Beach Garage, LLC)
Hugh Freund
26 Harbor Park Drive, Port Washington, NY 11050
Irrevocable Trust FBO David Craig Brodsky (beneficiary)
26 Harbor Park Drive, Port Washington, NY 11050
Irrevocable Trust FBO Jeffrey Holden Brodsky (beneficiary)
26 Harbor Park Drive, Port Washington, NY 11050
40%
3.0%
5.625%
5.625%
guardian of the trust.)
Barnett Brown
P.O. Box 987, East Hampton, NY 11937
Gerald Angowitz
37 Fieldstone Lane, Oyster Bay, NY 11771
2.5%
1.0%
Irrevocable Trust FBO Jessica Heather Brodsky Miller (beneficiary)
26 Harbor Park Drive, Port Washington, NY 11050 5.625%
Irrevocable Trust FBO Lee Jared Brodsky (beneficiary)
26 Harbor Park Drive, Port Washington, NY 11050 5.625%
(Each of the beneficiaries holds an equal share in the trust. Muriel Brodsky is the
David Gershen
26 Harbor Park Drive, Port Washington, NY 11050
Adam Caslow
Old House Lane, Sands Point, NY 11050
Emily Caslow
26 Harbor Park Drive, Port Washington, NY 11050
Gerald Shapiro
26 Harbor Park Drive, Port Washington, NY 11050
Joel Mair
83 Winthrop Road, Plainview, NY 11803
Edward Miller
7 Sunset I.ane, Garden City, NY 11530
0.5%
1.25%
1.25%
4.0%
1.5%
2.5%