Emily Balter - Matias Alem & Christina W. Alem Kz-( Foy R--D
MIAMI BEACH office of the City Clerk � ,t.r- Q
1700 Convention Center Drive nit$ . 4 An (D )
Miami Beach, FL 33139
305.673.7411
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed a retained, whether paid a not, by a principal who seeks to encourage the passage, defeat or
modification of any ordinance, resolution, action or dedsion of any commissioner; any action, derision, recommendation of the City
Manager or any City board or committee;or any action, dedsion or recommendation of any City personnel during the time period of the
entire dedsion-making process on such action, dedsion a recommendation that foreseeably will be heard a reviewed by the City
commission, a a City board or committee. The term specifically indudes the prindpal as well as any employee engaged in lobbying
activities.The term "Lobbyists'has spedic 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 appirable 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 wile 'Thane' or 'Na' in that section. My change to any information originally filed, a any additional City
Commissioner or personnel who are also sought b be lobbied shall require that the lobbyist file an amendment b the registration form.
The lobbyist has a continuing duty to supply hfamation and amend the forms filed throughout tie period that the lobbying occas.
Separate registration farms shall be required for each prindpal represented on each spedfic issue.
I. LOBBYIST INFORMATION:
Baiter Emily
NAME CF LOBBYIST (Last) (First) (Middle Name)
Bercow Radell Fernandez& Larkin, PLLC 200 S. Biscayne Blvd, Suite 850, Miami, FL 33131
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (bp Cade)
(305)374-5300 ebalter(dbrzoninglaw.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Matias Alem & Christina W. Alem
NAME OF PRINCIPAL (Last) (First) (Middle Name)
11 Island Avenue, #1511, Miami Beach, FL 33139
PRINCIPAL BUSINESS NAME AND ADDRESS (Number end Street) (City) (State) (Lp Code)
(305) 397-8788 ma@brghomes.com
PRINCIPAL BUSINESS 1ELEPHONE 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(if none,write NIA):
Matias Alem & Christina W. Alem
• NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): N/
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/=i
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 the property located at 2421 North Bay Road.
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(if none,write NIA):
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):
$175.00/Hour
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The following six(6)questions MUST be answered:
1) Pursuant to City Code Secbon 2-488, entitled Prohibited Campaign Contributions By Lobbyists On Procurement Issues':
_Yes))&No: 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':
_YesXNo: Are you lobbying on a pending application for a Development Agreement with the City or application
for chinas 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 commotion a entity without special compensation or
reimbursement for the appearance,whether direct or indirect to express suppal of or opposition to any item,shall register with
the city Berk as required by this section,but shall not be required to pay any registration fees.
_YesXNo: 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"spedfically excludes the fdloMng persons: Expert witnesses who
provide only scientific, technical a other specialized information or testimony in public meetings;any person who only appears
as a representalbe ofa neighborhood association without compensation or rdmbursement for the appearance,whether direct,
indirect or contingent to express support of a 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 a
reimbursement for the appearance.
_Yes XNo: Are you providing only scientific, technical or other specialized information: appearing as a
representafve 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 2-491(1), no campaign consultant shall lobby the City Commission for a period of 12 months
following the swearing in of any elected olticial(s)fix whom the campaign consultant provided campaign consulting services
within the past election cycle.See Section 2-491 fa more information.
Ves)SNo: 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:
_Yes No: If yes, has it been less than 12 months since the elected officialls)whom you provided campaign
consultina services was sworn in?
6) Pursuant to City Code Section 2-482(aX4)a., a lobbyist who has within the past election cyde provided campaign consulting
services to an incumbent member oft he City Commission(which lobbying activity is not otherwise prohibited by Code section
2-491) shall disclose such particular service on his/her lobbyist registration form and shall orally disclose such particular
service before lobbMnu the City Commission al a public meeting.
_YesXNo: Have you provided campaian consulting services to an incumbent member of the City Commission
within the past Section cycle?If yes,please list the incumbent members)of the City Commission:
_YesXNo: If yes. were you promised or did you receive economic consideration in exchange for campaign
consulting services?
TO BE COMPLETED BY CITY CLERK'S STAFF ONLYY1 !
Annual Registration fee: [ ]Yee(C1 No Amount Pale$ 3SC) t ' MGR* �I`.t� l JG o Dab Pad UQ--GI -(3
Lobbyist Registration Form received and verified by: —)lYSv J 7\Ac-.✓NTtInF.
F.SaER SALL1aEOSIMSALOBBYIS1 rcwnitobnpscaegisuauion Form Revised 01-01-18 REG doc Revised 01/01/2018
Page 3 of 5
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.33
Signature of Lobbyist ('n 4 s Date CI f}{ 12 al 6
I do solemnly swear or affirm that a I 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 . i all repatis• require ents.
Signature of Lobbyist: / I�tLA _twr. . LL Date O /DA -2 01
tfieUSignature of Principe iR Date $1345
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST:rPRINCIPAL
State of f-c-r fU0 ry- State of T-LO4d M'
County of: /141. Mr- DPrDf- County of: 11/44i4Ml- bc t
Swoon tq(or affirmed)and subscribed before me Sworn to(or affirmed) and subscribed before me
this `I day of Sc*'rE,a tuft. 20j'by this 51 day of AJCVS'( 204 by
ISMtLy Of�R
NAME OF LOBBYIST NAME OF PRINCIPAL
'4oduced ID k- 1)L_ Produced ID
FORM OF IDENTIFICAT ON FORM OF IDENTIFICAT ON
_Personally Known ',Personally Known
S. lure of Notary Public Sit attire . otary Public
-5,11"5"--"-) S,v<I,•rza_e Jane 1-1-e- 11/44 le(1112'
Name of Notary, Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped
cleatJASON SALVATORE
A ;1 MY COMMISSIONp 000305
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The term lobbyist"specifically excludes the following persons:
Expert witnesses who provide only sdentific,technical or other spedalized information or testimony in public meetings;any person who
only appears as a representative of a neighborhood association without compensation or reimbursement ix the appearance,whether
direct, indirect or contingent to express support or or opposition to any item;and any person who only appears as a representative of
not-fa-profit community based organization for the purpose of requesting a grant without special compensation a reimbursement for
the appearance.
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rlBEACH
City of Miami Beach, 1700 Convention Center Drive,Miami Bond,,Florida 33139,www.miamibeadlfl.gc
Office of the City Clerk
Rafael E.Granado,City Clerk CilyClerk@miamibeachil.gov
Tel:305.673.7411,Fax:305.673.7254
NAME OF LOBBYIST: Emily Batter
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 3011 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.
(7 °G Ic 1201 ,
Signature of L•• •yi �W Date
F1CLEFMALLWFORMMOBRYISF FORMS1Lbybl RepdeYtn Form Revised 01!11.11 REG.bac
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