Jorge L. Arrizurieta - Miami Beach Port, LLC ( ' t-Ito•cov-ttux-00—%;eimoy-
I I AI V 11 EAc f 1RECEIVED
Office of the City Clerk
1700 Convention Center Drive JUN -5 2019
Miami Beach, FL 33139
305.673.7411
CITY OF MIAMI BEACH
LOBBYIST REGISTRATION FORM OFFICE OF THE CITY CLERK
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:
Arrizurieta Jorge L
NAME OF LOBBYIST (Last) (First) (Middle Name)
CIO The Biltmore Hotel Suite 425
Arrizurieta & Assoc LLC. 12°°A"aStaSiaA"e Coral Gables FL 33134
Conf Center of the Americas
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-569-9929 305-775-4988 jorge@arrizurieta.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Perez Jon P.
NAME OF PRINCIPAL (Last) (First) (Middle Name)
Miami Beach Port, LLC 315 S Biscayne Blvd Miami FL 33131
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-533-0093 jpperez@relatedgroup.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
Pylizapilifri(ft •.- t 2-482(h)(10 a): a principal p'i'(IT corporation, partnership,®?dRgy GOV trac)appears Q3 p lobbyist Lt- CQ Q
- without(WIN compensation®?rei •ursement for giii9r+„rtragBErdlirA indirect,Cr contingent,'RD-(4;1-t y3 61,,majaCQCIT o••osition(E
ailMil ui^ )the=303re•uirediIVM a - • l J K2D24re.uiredQ7l•p?t:here•istration
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): Please 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): Please see attached.
Page 1 of 5
4�
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 property located at 120 Macarthur Causeway.
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
Members of City Administration and Members City Staff X
Members of Planning Board (PB) , Design Review X
Board (DRB) and Board of Adjustment (BOA) X
City Commission and Mayor 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):
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):
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":
DYesE✓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":
(eseNo: Are you lobbying on a pending application for a Development Agreement with the City or application
TT 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.
UYes✓slo: 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.
aYesElo: 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✓❑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)off the City Commission:
LI YesUNo: Arai 3-,fr sl�3 I 1 !ROA' : .tA- elect-eLefr ' ia .mzEciff.! rt ..
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.
a Yes✓®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:
QYes❑No: .i .yr cin at eu r- :_,r. °- eel) a.;' esir r€ f.a.t. T ,
;s Cr rs essr --
• TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Anrsu " [ I � a Date Paid! �
arRegistration fee: [� ]Yes No Amount Paid$ I�CR# III I d
III h II 1u �� , 1
fill crVI IIV SII 1 1.111I II 11III 5?, III, III If i III I'" I 1 VIII .,;1111
Lobby�stlRegistration,`Form receivedarD.verified by 1 :o �.i $. M1 II 1
1 f tk Hm A'�? 1 g4rh r u F .�3 '; fi r ul ' I A ,`r al�x `evised 09/20/20,1'S
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 ENG• --ED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPE 4Iii. ION U RING 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 famili_r with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Code anda eporti g requirements.
Signature of Lobbyist: 4411111110" Date
Signature of Principal: Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of Florida State of Florida
County of: Miami-Dade County of: Miami-Dade
Sworn to or affirmedd subscribed before meSworn to (or affirmed) and subscribed before me
this3 day of , 20,/,by this_day of , 20_, by
77r 7 L. 41i-r.2 u 11-Mok
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
Personally Kno n _Personally Known
l �
Signature • ��otary Publi Signature of Notary Public
Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped
JULIA N.BRU
(NOT RY L)MYC;oMIbIISSION#FF 221964 (NOTARY SEAL)
:d�Y= EXPIRES:June 30,2019
7, ;;i ';4'° 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
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
Signature of Principal: Date 1� (d'� I IZ
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of Florida State of Florida
County of Miami-Dade County of: Miami-Dade
Sworn,to(or affirmed)and subscribed before me . . Sworn to (or affirmed) and subscribed before me
this ' day of 20_, by this 70 day of Dec 201 kby
NAME OF LOBBYIST NAME OF PRINCIPAL L
_Produced ID . _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
_Personally Known Pers pally Known
Signature of Notary Public Signature of Notary Public
Name of Notary.,_Typed, Printed or Stamped Name of Notary,Typ=e, Printed or Stamped
<�olARyAss Victoria Delgado
(NOTARY SEAL) (NOTARY SEAL) Q .,;• o� NOTARY PUBLIC
+STATE OF FLORIDA
W . 1,.` Comm#GG162393
-"VOE e Expires 2/20/2022
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
MIAMIBEACH .
BE AC H .
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: Jorge L. Arrazurieta
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
corn -ncing October 1 of each year, and the fee for such annual registration shall be
$50f I i pursuant to Section 2-482 of the Miami Beach City Code.
iA°
Signature of Lobbyist Date
0
F:ICLER1SALL1aFORMSILOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc
0
Page 5 of 6
Disclosure of Interest for Miami Beach Port, LLC
Miami Beach Port, LLC, a Florida limited liability company, is 100%owned by MICO, LLC, a
Florida limited liability company
MICO, LLC is 50% owned by PRH Terminal Island, LLC, a Florida limited liability company,
and 50% owned by BCH Terminal Island, LLC, a Florida limited liability company
• PRH Terminal Island, LLC is 97.5% owned by PRH Investments, LLC, a Florida limited
liability company, and 2.5%owned by Carlos Rosso Revocable Trust
o PRH Investments, LLC, a Florida limited liability company, is wholly owned by
PRH Related Holdings, LLC
■ PRH Related Holdings, LLC, a Florida limited liability company, is
wholly owned by Perez Ross Holdings, LLC
• Perez Ross Holdings, LLC, is 75% owned by Jorge M Perez
Holding Ltd., and 25% owned by Related NY Holdings, LLC
o Jorge M Perez Holdings, Ltd is 68% owned by Jorge M.
Perez, 15%owned by Jorge M Perez 2012 Family Trust,
15%owned by Jorge M Perez 2002 Family Trust, 1%
owned by Related Florida Inc., and 1%owned by JMP
Holdings GP, LLC
• Jorge M Perez 2012 Family Trust
• Jon Paul Perez and Nicholas Alexander
Perez are the beneficiaries
• Jorge M Perez 2002Family Trust
• Jon Paul Perez,Nicholas Alexander Perez,
Christina Anne Perez and Felipe Manuel
Perez are the beneficiaries
•
• Related Florida Inc.
• Wholly owned by Jorge M. Perez
• JMP Holdings GP, LLC
• Wholly owned by Jorge 1V1. Perez
o Related NY Holdings, LLC, a Florida limited liability
company, is 99.99%owned by The Related Companies,
L.P., and .01%owned by RCMP, Inc.
• The Related Realty Group, Inc., a Delaware
corporation, is the sole general partner of The
Related Companies, L.P., a New York limited
partnership.
• The Related Realty Group, Inc. is wholly
owned by Stephen M. Ross
• RCMP, Inc., a Delaware corporation, is wholly
owned by The Related Companies, L.P.
• The Related Realty Group, Inc., a Delaware
corporation, is the sole general partner of
The Related Companies,L.P.;a New York
limited partnership.
o The Related Realty Group, Inc. is
wholly owned by Stephen M. Ross
o Carlos Rosso Revocable Trust
■ Carlos Rosso is the sole beneficiary during his lifetime
• BCH Terminal Island,LLC, a Florida limited liability company, is 67% owned by
BeachCo Holdings, LLC, and 33%owned by NLI Holdings, LLC
•
o BeachCo Holdings, LLC, a Florida limited liability company, is wholly owned by
Victor A. Bared
o NLI Holdings, LLC, a Florida limited liability company, is 25% owned by Jose
Boschetti and Silvia Boschetti, as Tenants by the Entirety, 24.25%owned by Luis
Boschetti and Lina Boschetti, as Tenants by the Entirety, 23.50% owned by Jose
R. Boschetti, as trustee of the Jose R. Boschetti Declaration of Children's
Irrevocable Trust dated March 30, 2009, 24.25% owned by Luis R. Boschetti as
trustee of the Luis R. Boschetti Declaration of Children's Irrevocable Trust dated
March 4, 2009, and 3% owned by Mariannie Boschetti and Juan S. Cordovez, as
Tenants by the Entirety.
• Jose R. Boschetti Declaration of Children's Irrevocable Trust dated March
30, 2009
• Jose Boschetti, Jr. and Maurice Boschetti are the beneficiaries
• Luis R. Boschetti Declaration of Children's Irrevocable Trust dated March
4, 2009
•
• Luis E. Boschetti is the sole beneficiary
2
#49307275_v1
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH
No. 423750
0 Cash ,Credit Card 0 Check# `t
M2F CC; 20 . . .
Recow d jus- Mt1e-'204 f) # +a,z 3 `ie t c—v1,z.,3 A-0, V.. ill
Adma0034 Maris p/cpy0.;,12fu 1 'i,1,Ai_ jf' r 3•3
MCR O•E T r ;� y s 6.a f'. ` # f'
FO iaymanr Amn7in • a ,xt4f f ro r,� !? //y Vis' i H i„k 4 C r�. _�” / t 7 ,9 g� f i F �J'(` 1'1/'$r,) c,,
423750 }
(THIS INFORMATION MUST BE COMPLETED) Office of Finance Director
By
Account Number. 4 %C'C-)0. =y ,`i tyf) ' a 3 _3• <7;''7 7 C • rr -
y
Preparers ,u �; , F r; ; :'=° Dept:
.0 EXT