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Matthew Amster - Matias Alem & Christina W. Alem )92 ( N) /5. /) MIAMI BEACHOffce of he City "ECCI 1700 convention Center Drive ?U SE° ' 1?! 10 10 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, resdutian, action a dedsiw of any commissioner; any action, dedsian, 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 dedsicn-making process on such action, dedaon or recommendation that foreseeably will be heard or reviewed by the City commission, a a City board or committee. The term specifically indudes 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 fano,with the appicable 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 Thine" or Wa' in that section. My change to any information originally filed, or 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 kifarnation and amend the forms filed throughout the period that the lobbying occurs. Separate registration farms shall be required for each principal represented on each spedfic issue. I. LOBBYIST INFORMATION: Amster Matthew NAME OF LOBBYIST (Lest) (First) (Middle Name) Bercow Radell Fernandez & Larkin, PLLC 200 S. Biscayne Blvd, Suite 850, Miami, FL 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number end Steep (City) (State) (Lis Cade) (305)3745300 mamster@brzoninglaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Matias Alem & Christina W. Alem NAME CF PRINCIPAL (Last) (First) (Middle Name) 11 Island Avenue, #1511, Miami Beach, FL 33139 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 397-8788 ma@brghomes.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(if none,write N/A): Matias Alem & Christina W. Alem • NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE�A 'OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): PI 'Q" Page 1 of 5 C1( 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 forth 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): $490.00/Hour Page 2 of 5 The following six(6)questions MUST be answered: 1) Pursuant to City Code Section 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 2490, 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 change of zoning map designation or change to the Citta Future Land Use Map? 3) Pursuant to City Code Section 24B2(h), any person (except those exempt from the definition of"lobbyist" as set forth in Sedan 2-481)who only appears as a representative of a not-for-profit corporation or entity without spedal compensation or reimbursement for the appearance,whether direct a indirect to express support of or opposition to any item,shall register with the dry derk 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 2-48t, 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 represenblive of a neighborhood association without compensation or reimbursement for the appearance,whether direct, indirect or contingent to express suppal of or apposition to any item;and any person who only appears as a representative of not-for-profI community based organization far the purpose of requesting a grant without special mmpersaton or reimbursement for the appearance. _YesXNo: 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 want without special compensation or reimbursement? 5) Pursuant to City Code Section 2491(1), no campaign consultant shall lobby the City Commission fora period of 12 months fctlaving the swearing in of any elected offidal(s)for whore the campaign consultant provided campaign consulting services within the past election cyde.See Section 2-491 for more information. _YesXNo: Have you provided campaign consulting services to an incumbent member of die City Commission within the past election cycle?If cos,please list the incumbent member(s)of the City Commission: _Yes_No: If yes, has it been less than 12 months since the elected official(s)whom you provided campaign consulting services was sworn int 6) Pursuant to City Code Section 2482(aX4)a., a lobbyist who has within the past election cyde provided campaign ea-mulling services to an incumbent member of the 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 sally disclose such particular service before lobbying the Citv Commission at a public meeting. _Yes&No: Have you provided campaign consulting services to an incumbent member of the City Commission within the oast election cycle?If yes,please list the incumbent member(s)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 CLERKS STAFFAONLY Annual Registration fee: ( ]Yes[7]No /mount Pald$ 350 CC' NCR* Y'it 7b2h/ Dam Pa `' Paid act ' f- 1% Lobbyist Registration Form received and verified by: )A"tJ , Giitk_ F:\CIFR\BALL\aFc MS\LOHHYIST FORMS\Lobbvist Registration Form Revised 01-01-18 REG clod 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 COMPENSATIUN/ PORTING PERIOD.-' � Signature of Lobbyist: j V(/L Date ` / ki 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 prr��vi��ons contained in Chapter 2, Art VII, Divi�M on $entitled 'Lobbyists" of the Miami Beach City Code and all reporting 44 /X./(i if C Signature of Lobbyist: Date KK Date ``""�/ // 9 Signature of Prim•: lB [AC Fl City of Miami Beath, 1700 Ccnvenoan Center Drive,Miami Beach,Florida 33139,www.miamibeachtgw Office of the City Clerk Rafael E.Granodo,City Clerk CiiyClerk@miamibeach l.gov Tel:305.673.7411,Fax:305.673.7254 NAME OF LOBBYIST: Matthew Amster 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 30"' 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. ifs Signature of Lo byist Date 7/4? 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