Raymond Fort - Abbott Avenue Partners, LLC tV\I,At\/\I BEIACH LL
Office of the City Clerk
1700 Convention Center Drive L(�j l't�j ,
P
Miami Beach, FL 33139 j j j 4
305.673.7411 _CO-((r;::
LOBBYIST REGISTRATION FORM , .- C'i? '.,
i-l-b..fi!'"
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, 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:
Fort Raymond
NAME OF LOBBYIST (Last) (First) (Middle Name)
Arquitectonica 2900 Oak Avenue Miami Florida 33133
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 372-1812 rfort@arquitectonica.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Finvarb Robert
NAME OF PRINCIPAL (Last) (First) (Middle Name)
Abbott Avenue Partners, LLC 1065 Kane Concourse, Suite 201, Bay Harbour Islands, FL 33137
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 866-7555
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
Pursuant RD City Gode Section 2121182(11'1)-5 A print ipaI of corporat on partnership, C?other entity who appears(Mal-6151574s CID behalf of that
entity,varg special compensation CP reimbursement iD- appearance,einglkockiga,indirect contingent,m talREga a Cffa?os0osition o
an item hull register with the e..lerk as req.iced by this subsection but shall not be required to pay any registration fees.
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2-482(c): Z \
• NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARY(if none,write N/A): ��' 'td
• 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):
See Attached.
Page 1 of 5
%iI
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.
Vacation of Alleys in Town Center between Abbott Avenue and Byron Avenue in Miami Beach, Florida.
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
Staff for the Planning&Building Department None X
Public Works &City Administration,PB, HPB, BOA None X
DRB, City Commission, and Mayor 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 N/A):
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):
'Q'Q ,�
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 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.
_Yes x 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 x_No: 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 2-491(1), no campaign consultant shall lobby the City Commission for a period of 12 months
following the swearing in of any elected official(s) for whom the campaign consultant provided campaign consulting services
within the past election cycle. See Section 2-491 for more information.
_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:
_Yes xNo: f yes, has it been less han 12 months since the elected officials) whom you rouided campaiq
onsulting services was sworn int.
6) Pursuant to City Code Section 2-482(a)(4)a., a lobbyist who has within the past election cycle provided campaign consulting
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 orally disclose such particular
service before lobbying 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:
Yes xNo: If yes, were you promised or did you receive economic consideration in exchange for campaig
consulting servicest. —
TO BE COMPLETED BY CITY CLERK'S 1STAFFF ONLY
Annual Registration fee: [ ]Yes[y]No Amount Paid$ • C MCR# I
t . 1 S Date.Paid 07* 4 q
Lobbyist Registration Form received and verified by: �"-?< s- �crGae� •
�;\•:%LER`\"SALL\aFORMS\LOBBYIST FORMS\Lobbyist,leg strationForm`Revised .09-20=18 REG,doc Revised 09/20/2018
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.'
Signature of Lobbyist: Date •
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 all reporting requirements.
Signature of Lobbyist: Date q
Signature of Principal: Date 2' l 1 /
VII. NOTARY SIGNATURE AND.SEAL:
LOBBYIST: PRINCIPAL
State of . State of 4—Joviddc
County of: County of: Mtar i
Sworn to(or affirmed)and subscribed before me Sworn to(or affirrileig)and subscribed before me
this day of ,20_, by this J_day of /VIOYCJ4 ,20) t by
Raymond Fort -71---r vaV
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
_Personally Known /Personally Known
Signature of Notary Public Signature of Notary Public
--if-F(0111/1'C ` 141US
Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped
pRy
S
(NOTARY SEAL) (NOTARY SEAL) �,o 4Tiffannie Ramos,
o NOTARY PUBLIC
dSTATE OF FLORIDA
1 ?Comm#GG291228
I The term"lobbyist"specifically excludes the following persons: 1' Expires 1/21/2023
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.
Page 4 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 CO NATIO URIIN.G.THE REPORTING PERIOD.1
Signature of Lobbyist: Date I / C7S/2 0l 1
I do solemnly swear or affirm th t 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 C e nd all re i equirements.
Signature of Lobbyist: .�� Date
033 ?ten
Signature of Principal: Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of rrand a. State of
County of: IfiI 1 1( County of:
Sworn to (or affirmed) d sutlscribed before me Sworn to (or affirmed) and subscribed before me
this CC day of a (�/( , 20L'by this_day of , 20_, by
Raymond Fort
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
!/ - .onally Know • _Personally Known
'ignature of Notary Public Millw Signature of Notary Public
4(avik/ 7)02_
Nameof Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped
r7'471=27;, IBELDIAZ
(NOTARY SEAL) ! * MY COMMISSION#FF205139 (NOTARY SEAL)
u� 4 EXPIRES:June 29,2019
4,R0;,, Bonded Thru Notary Public Underwriters
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.
Page 4 of 5
.a
MIAMI BEACH
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: Raymond Fort
•
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
(..$2.
00.00 pursuant to Section 2-482 of the Miami Beach City Code.
n„........____, l
0 3/0cA0 I-1
A
Sig atur of Lo st Date
F:\CLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc
Page 5 of 5
DISCLOSURE OF INTEREST
Interests in Abbott Avenue Partners
Percentage of Interest
KG Normandy, LLC 61.87%
4770 Biscayne Blvd., Suite 1400
Miami, Florida 33137
Abbott Avenue Partners, LLC 38.13%
1065 Kane Concourse
Bay Harbor,Florida 33154
Percentage of Interest
KG Normandy,LLC 61.87%
4770 Biscayne Blvd., Suite 1400
Miami, Florida 33137
Abbott Avenue Partners,LLC 38.13%
1065 Kane Concourse
Bay Harbor,Florida 33154
•
Salvatore, Jason
From: Diana Ramos <DRamos@brzoninglaw.com>
Sent: Wednesday, March 6, 2019 9:54 AM
To: Salvatore,Jason
Subject: Abbott Avenue Partners, LLC - Raymond Fort Lobbyist Registration
Attachments: Lobbyist,Registration Form R. Fort (fully executed).pdf
Dear Jason:
Please amend page 2 section 5 as Mr. Fort's hourly rate is $200 per hour.
•
Thank you,
Diana Ramos
Florida Registered Paralegal
Bercow Radell Fernandez& Larkin
200 S. Biscayne Boulevard, Suite 850, Miami, FL 33131
dramos( brzoninglaw.com I www.brzoninglaw.com
0:(786)363 2764 I F:(306)377 6222
The information contained in this electronic message is privileged and confidential and is intended only for the use of the individual named above and others who have been specifically
authorized to receive it.If the recipient is not the intended recipient,you are hereby notified that any dissemination,distribution or duplication of the communication is strictly prohibited.If
you have received this communication in error,or if any problems occur with transmission,please immediately notify us by telephone(305)374-5300.
•
•
•
•
•
•
•
•
1
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH, 1
) 0 —77 No. 423125 . i
Cash 0 Credit Card ,Check# $ `"3 >
{,,' i c_) ''i. c-)-1 20 \ ..g
Reaiiced of Al i C 11<A (,. \ I:.�--
. g; :;''' -�'a,L: _� rl C 4—
scellaneou��s` CR4 2 9 h t � pp ., .,�„ � r
7.`: ') yew a {�� a 'i..... `' (�?C,I (').'''1,
i000A9drlda. �J1:06f'4A . ✓ A SSC, �l .P� I
I FoVIcR OPEN(MCR},'`; 4<..a'`'�gd '3 ‘1-00,41\ cci1i Lr ,A-1142.:11 A,1 i',.,.,,.,i c- .. ;.: -) I A .1
Payment Amount: 700.00 I
X7312
i
(THIS INFORMATION MUST SE COMPLETED) . Office of Finance Director
�( '�' .rt. A c--r f ✓ ��,t.. t` max. 1
Account Number: I- ti I i --� � r°
Prepare{: t . ,,,, r \lf0 _r,,-C:_ Dept: C ( EXT:--7 Li 1 1 1