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Graham Penn - 49 Collins Avenue Realty, LLC "(9 colity5 Ave. MIAm BEAC H RECEIVED Office of the City Clerk 1700 Convention Center Drive JUN 24 2019 Miami Beach, FL 33139 305.673/411 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, dedsion 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 "nia" 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: Penn Graham NAME OF LOBBYIST (Last) (First) (Middle Name) Bercow Radell Fernandez&Larkin,PLLC 200 South Biscayne Blvd., Suite 850 Miami, Florida 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 374-5300 gpenn©brzoninglaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Friedman Leopold NAME OF PRINCIPAL (Last) (First) (Middle Name) 49 Collins Avenue Realty, LLC 100 Gates Avenue,5th Floor Brooklyn NY 11221 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (718) 852-7000 ext. 108 PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS 4suant to City Code Section 241$2(h)(1(a): R prirepal eerily corLpo)ation, partne sl p,or other entity who appears as a lobbyist cet behalf of That entity,withcut special o sensation or remb7ursernent cr DE appearance,whether direct,indirect,or contingent to express support of o opposition to an=nldn`il re sister cV12thei E3 required CZEI3 subsection but shall required 9Cn"wregistratioice, 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): Leopold Friedman • 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 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. Legislative Issues related to existing garage and floor area for the property located at 49 Collins Avenue in the City of 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): $530.00 per hour Page 2 of 5 The following slx(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 X_No: Are you lobbying on a pending application fora 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 XNo: Are you representing a not-for-profit corporation or entity without special compensation or reim bursement? 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. —YesX 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 es has i been i-ss than 12 months inca =ae elected official s horn • •rovide• car.alt 0617.1. -rITAMIPIrrEPPAWI.T10-1V 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: f ;es were ou •nomised or did ou receive_economic consideration in exchan•.a for cam•ai n onsultin services? — — — TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[jI No AmountPaid$ 3,50° MCR# 1 �I � Date Paid 06.2g- 15 Lobbyist Registration Form received and verified by: � f1`S�',i c. lute. ' ., F:\CLER\$ALL\aFORMS\L086YIST FORMS\Lobbyist Registration Form 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.1 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 Y) 1 VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of State of NRAN 10r • County of: County of: Y-1 V19 Sworn to(or affirmed)and subscribed before me Sworn to(or affirmed)and subscribed before me this day of ,20_, by this 11 day of J V n G ,20(j, by • Graham Penn Leo Pr I ed-v a n NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION x Personally Known 1 "-rsonally n'.wn • , Signature of Notary Public Signature of• ot:ry Public Name of Notary,Typed, Printed or Stamped Name of Not-ry,Typed, Prince mon NOTARY L F NEW YORK Registration No.01SA6386593 (NOTARY SEAL) (NOTARY SEAL) Qualified Queens County CommissionnExpires January 28,203 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 ENG ED TO LOBV. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMP- SA *I0, - ‘G—TH/E REPORTING PERIOD.' ^��� J� p Signature of Lobbyist / 10 Date(((/-����' `/ ,....-- I do solemnly swear or affirm ti —II of the foregoing facts, statements, and disclosures in this form are true and correct, and that I have read or am "amili. with •- provisions contained in Chapter 2,Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Cod- -an. .II ,s4.•-' • e•u'rements. Signature of Lobbyist � Date 6-/zizt 7 Signature of Principal: Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL �1 State of 0 U ' A-`(j1 State of County of: V,(au( V/vi- County of: Swom to(or affirmed) d subscribed before me Sworn to(or affirmed)and subscribed before me - this k\ day of k-I RQ., ,20M,by this_day of 20_, by Graham Penn NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID Produced ID -ORM OF DENTIFICAl1ON FORM OF IDENTIFICATION X Personal) I, •• Personally Known ,‘\ Signature of Nota ' "ublic Signature of Notary Public 2/\oc V4AlY1 Name of Notary, Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped 0:a, '•; DIANARAMOS (NOTARY1 - MYCOMMISSION#60308355 (NOTARY SEAL) ' :*_ a,..' r,�; EXPIRES:Aprt 10,202,3 �V:Bli f icir•'� Bonded Thtu Notary Pubic Undeiwitera 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 MIAMBEACH City of Miami Beach, 1100 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov Office of the City Clerk Rafael E.Granada,City Clerk CityClerk@miamfbeachfl.gov Tel:305.673.7411, Fax:305.673.7254 NAME OF LOBBYIST: Graham Perm 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 comm-- ing October 1 of each year, and the fee for such annual registration shall be $500.00 purs nt to Section 2-482 of the Miami Beach City Code. G7/12 ignature •f Lob. t Date F:ICLERI$ALLIaFORMSSLOBBYIST FORMS\Lebbyist Registration Form Revised 09-20-1B REG.doc Page 5 of 5 Disclosure of Interest for 49 Collins Avenue Realty, LLC Percentage of Interest Leopold Friedman 49.95% Teddy Lichtschein 22.775% Eliezer Scheiner 22.775% Zevi Kohn 4.5% Miscellaneous Cash Receipt CITY OF MIAMI BEACH No. 423789 0 Cash In Credit Card Check# I 0 0 07' ,m r) 0r, ? co20 ReaWed of (2.A I 11, t ,,,,,,y0 Miscellaneous-MCR-2019 r ; 'x.; ,-•c,e �r-; , A. A��'� l�a 0013 orl» A--Or�z71_�ri�i�n_i..a.aa FotncR OPEN(MCR) 1 iCc.�R'_ Li 9 +, ((( Payment Amount: 350-00 '. 473799 (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director _ By ' Account Number: OH • ' OC.)() - 3-6! 1Li• co, 3 0_7 3 6'1 - M 0 00. ,, cam Preparers G F^ 1 �; f t s,�1 rin Dept: C C EXT: 7 l!I i