Erin Sutherland - MB Mixed Use Investment, LLC let() I Co4d 1.
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1 H: Office of the.City Clerk --�,
1700 Convention Center Drive ?Gr.) 'r--EB 28 Pik L,: 33
Miami Beach, FL 33139I i r.,r.,_ u
305.673.7411 n iI'll)",Ml F'r=;.,� ,1
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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, 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:
Sutherland Erin
NAME OF LOBBYIST (Last) (First) (Middle Name)
MB Mixed Use Investment, LLC 2665 S. Bayshore Drive Miami FL .. 33133:
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-416-4556 esutherlandAterragroup.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Martin David
NAME OF PRINCIPAL . (Last) (First) (Middle Name),
MB Mixed Use Investment, LLC 2665 S. Bayshore Drive Miami FL. 33133
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-416-4556.. david(c terragroup.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
ROMER(tO EV Code - 0 2-482(h)(11)a): A principal c2 firly corporation, partnership;@1i t't ?!i appears i)a lobbyist aE( cotha
MOV, special ompensation Cr atieyljggRaig for¶appearance,digagrage,indirect,01.contingent,QJ Q sue Dort CQc_oo o osition to
uIMOprec.isteratthe EU&g3reeuiredEriln`h0 0 ['Adag II{50 re0uiredir, reeistration tam
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): See attached
• 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): Seg, er [4-gr (N ici
Page of
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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, including but not limitedto the.Design Review Board; Planning
Board,Board.of Adjustment, Historic Preservation Board, Land Use Development, City Commission, and any
City Workshops, Committees or City Staff, if necessary, relation to the property located at 1901 Convention
Center Drive:
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 intoany 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 Title of Person to be : Contractual Relationship (If yes, explain) YES NO
Lobbied
Staff for the Planning&Building Department,Public Works, None X
and City Administration,PB,'HPB,BOA,DRB,City : None .. X
Commission,•and Mayor as necessary: Nene 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 town
appearance of impropriety (if none,write N/A): N/A
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):
$0/Hour
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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 X 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":
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 orindirectto 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 onlyscientific,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 toany item;and any person who only appears as a representative of
not-for-profit community based organization for the purposeof 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 X No: If yes, has it been less than 12 months since the elected official(s) wham you prim/Wed campaiq`
consulting services was sworn ina.
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 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:
Yes X No: If yes, were you promised or did you receive economic consideration in exchange for campaiq
consulting se'rvicesr.
TO BE COMPLETED'� BY CITY.CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes[c]'No Amount Paid$.>S 0 MCR# t( "F 1 p J Date.Paid a° =2 '
Lobbyist Registration.Form received and verified by: c Jc.‹„0.1
F:\CLER\$ALL\aF.ORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20=18 REG.doc Revised 09/20/2018
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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 COMPEN URI THE ORTING PERIOD.'
Signature of Lobbyist: _-- , _ Date O
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 a • - -re..rting r quiremen s'.
ST
Signature of Lobbyist: Date OD. 20 k 1
46'
Signature of Principal:- -4W-07Date a 7.... i
VII:. NOTARY SIGNATURE AND.SEAL:
LOBBYIST: PRINCIPAL
State of: cio ridgy State of fwc,grla
County of: M/GA • Pad County of:' l�ld/Yl/ • Dak)
Sworn to. or affirmed) nd subscribed before me Sworn to(or affied) and subscribed before . e
this 01-7 day.of 1', (L , 20 /q by this c77 day of , 20'7,, by
-6rin 6u tli ell . . iii P1.4/17/-)NAME OF:LOBBYIST AME OF PRINCIPAL
_Produced ID _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
✓Personally Known Personally Known
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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:305.673.7411, Fax:305.673.7254
NAME OF LOBBYIST: Erin Sutherland
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 anyother 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 shallimmediately 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.
fP
. - CD 9-71 ►
Signature of Lob. ist Date
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc
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EXHIBIT 1 . . .
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PEDRO A MARTIN. DAVID P MARTIN
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SO% 1a ..+' 5cS
MB MIXED USE INVESTMENT
HOLDINGS MEMBER OWNER,
Lit •
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MD MIXED-USE INVESTM€NI
HOLDINGS MEMBER PARENT,
LLC
MR MIXED USE IP VESTMENT. TB MBCC HOTEL
HOLDINGS MEMBER,LEC INVESTMENT,LLC
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SdWio .- 50°J
Kit HUEDUSEI ,'QSTME?T,
HOLDDYGS,
IOD%
MB MIXED ISE ISVESTEASENTtLLC
PRINCIPALS OF TURNBERRY MEMBER OF MB MIXED USE INVESTMENT HOLDINGS,LLC
•Members are(I)Jacquelyn Soffer and/or trusts,partnerships or
• other entities for estate planning purposes of Jacquelyn Soffer
Jacquelyn (collectively,"Jackie Soffer"),(ii)one or more of the following,
Soffer Members' relatives of Jacquelyn Soffer:(x)Rock Soffer,(y) RappaportMax
and(z)Brooke Soifer,and/or(iii)senior employees of Tumberry
Associates;provided that(1)Jackie Soffer shall own at least five
I percent (5%) of TB MCC Hotel Investment LLC and (2) no
individual will directly or indirectly own more than thirty percent
(30%)of TB MOCC Hotel Investment LLC
f
0%Manager \ / 10096 Equity
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TB MBCC HOTEL INVESTMENT LLC MB MIXED USE INVESTMENT I
HOLDINGS MEMBER,LLC
(FL-6/6/18)
)
\ /
SOY Member s0%Member
MB MIXED USE INVESTMENT HOLDINGS,LLC
(FL—5/30/18)
,
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