Alyssa Kriplen - PPF MBL Portfolio, LLC LiVICOIA Ko
ck a
A. A I A
RECEIVED
/AAA 1 .rtoffice of the City Clerk
•1700 Convention Center Drive NOV -6 2019
Miami Btach, 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 priacipal Who seeks to encourage the passage,.defeat or
modification of any ordinance, resolution, action or decision of any commissioner; any:aotion, 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.
InatrUctiOns:' Please complete all sections of this form and submit the.corripleted form,with the applicable fee,to the Office of the City
Clerk. If you-needmore 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 "Na" 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 andamend 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:
Alyaaa
Itripleh
NAME OF LOBBYIST (Last) (First) •
(Middle Name)
2455 st4 27th Aye, Suite 220 Miami, FL 33145
LOBByIST BUSINEss NAME AND ADDRESS (Number arid Street) (CO) (State) (Zip.Code)
305.310,2602 e1yssa@makwork cora
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
IL PRINCIPAL,INFORMATION':
.PPE" MSt.Portfolio, LLC
NAME OF"PRINCIPAL 0..ast) (First) (Middle Name)
801 4,rthuz Godfrey Rd, Suite 600, Miami. Beach, PL 33140
PRINCIPAL BUSINESS NAME AND ADDRESS •(Nurnber and Street) (City) '(State) (Zip Code)
:305.635.8700
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
If the principal' 15 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):.
Stephen R. aitteX, Manager
• 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); NA
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.
HP19-0342, HP Board Application to modify exterior of 801 Lincoln Rd
•
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
Debbie Tackett,Chief, Historic Preservation 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):
no additional compensation
Page 2 of 5
The following six(6)goestion$MUST be.answered;
1) Pursuant to City:Code Section 2488,.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
pendingaward for goods,:eQupment or service?•
2) Pursuant to City Code Section 2-490; entitled"Prohibited Campaign.Contributions By Lobbyists On.Real Estate:Development
lssues"t
— Are'
Yee 4 'Noyou Iobbvinq:Onn:a pending abglicatiotflOra DeVelbOment AgreeMent with the Citi Or application
• • • • • • - • •
for change ofzoning Map designation Or change to the City's Future Use Map?
3): Pursuant CO City Code Section 2,482(h), any person (except those exempt from the definition of lobbyist'- as' set forth in
Section 2481):who only appears as.a representative of a not-for-profit corporation-crantity without:special compensation or.
reimbursement theappearan co,whether direct or indirect to.express support Of or opposition to any item,shall register with
the city olerle..es,-reguired by this section,'but Shell riot be Uiredto.pay -registration fees,
_yes. MO: Are You representing, a :not4ot=ptofit• corporation or entity without. special compensation or
reimbursement?
4) Pursuant to City Code Section 248:1, the term"lobbyist' Spedifically excludes the following persons:!Expert witnesses who
provide only SCientifie,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 fortheappeatente.
_yesx No: .Are, you providing only scientific, technical or other;specialized .informationappearing as a
tePtesentative of.a neighborhood .association without special: Compensation reimbursement or
representing .a• not-for-profit based:organization for thepUrpOse of iregUeSting.a. grant without
special compensation or reimbursement?
5) pin:tont.to..City Code Section .2491(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.servioes.
within the past election cycle.See Section 2-491:for:more information,
Yes ki No: Have You provided:CamPaignOonsulting services to an inturnbenttnettber Of the City Commission
•• • .:..„
within the past election Ovoid?If yes please list the inetntbeht.tri6rribef(t)of the.City•Coriimisicitn.
. . . . . . . „ . . . . . . . . .
• • • •• • • • • - • . • • • • . • • • .• • . • • • , •
Yes No; ItietAida4Vbeetilesilitaii:421tiontbieiriceAbielecteirciffibiat(e);.44.1icirfileauliravide&carritieiiiri-
, . ••• • • •,
tonsUltinoServiceavastWornin?
...• •"... .." •.
6) Pursuant:to.City'Code Section.2482(e)(4)0,, a lobbyist who:hes:.within the-pest: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 ptiblionneeting,.
Yoe 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 hivinfierklit
........... ........ ... Oxchanqe for campaign
. ..
toitsultioity'terVide0_'
. .
'TO.BE COMPLETED BY CITY CLERK'S.STAFF ONLY
Annual Registration fee Yes No Amount Paid$ 5O MCR# q$(I' i 1 15 ) b Date Paid It c '
•:..„Lobbyist,Registratiomfonnxeceived:Andmenfierttyli'6.:g,,„
Page:.1..:of 5.
VISIGNATURES UNDER OATH:
ON FEBRUARY 25 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 COMPE ION DURING THE REPORTING PERIOD.
Signature of Lobbyist: Date a- 0 6- ( i
I do solemnly swear or affirm that ail of the foregoing facts, Statements,-and disclosures in this form are true and correct,
and that I have read or am fan4lar with the provisions contained in Chapter 2, Art. VII, Division 3,, entitled 'Lobbyists' of
the Miami Beach City COde a reportingrequirementS.
-_,,
Date IL 0
Signature of Lobbyist:: _
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Signature of Principal: ''''''',.' , N- ritL...- Date 13-•519
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VII. NOTARY SIGNATURE AND:SEAL:
LOBBYIST: PRINCIPAL
State'of fuob,IziAr State of r Imiceta.
COurtty of: tA I A-AA1-k)fkIDE '17ade.
County of: 114(e2 ;id,i.
Sworn;to (or affirmed),, iand pubstribecl before me Sworn to(or affirmcd)and subs‘9ribed before-Me
this b N.day of' OV ,20A by this day of Npveafq fr./ , 206, by
..-
4k15SoL krFbi-lbil . 01 rn efti iri&r.i art/
NAME OF LOBBYIST NAME OF PRINCIPAL
(PrOthiCed 11) Fl-- 76 L Produced ID
.._
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
Personal, no
g ____PA;nally Know-
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iJY, 'ii'
Sigpure of Notary Public 4071 7-ature of Not. •Public 40
Name of Notary,Typed, Printed or Stamped Name of Notary, 'Typed,.Printed or Stamped
T„gy pc,
es,;k•MiiN JASON SALVATORE 01, Sandra Schatzel
(NOTARY SEA 4.1 fit 1,,Ti MY COMMISSION#GG 030527
(NOTARY SEALy .11-i., Notary Put:lite-State of Florida
EXPIRES:September 14,2020
. 03444.,,:,7,- Commission#PP 940827
Bonded Thru Notary Public Underwriters 487;1231' Expires 0W1912020
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
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qty of Miamj.Bedch, 1700 conVention Ceoter Prive,Mimi Beachifjoriclo ?•.1..9,Nrvw.rn1ornibeachfLgov
Office of the City Clerk
Rofoel.E.'QrarlddO,'City Clerk Citi/Clerlarniathibeadhfl.gov
Tel:: 3Q5.673:7411) Fox:3n6737254
NAME.OF LOE3BYIST:. .
Alyssa. Xrj,plen
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.
21. LOBBYIST WITHDRAWAL
Once an issue I have registered to lobby has concluded or I am no longer lobbying on
that issue, 1 shall immediately file a Notice of Withdrawal with the Office of theCity Clerk.
3): ANNUAL LOBBYIST REQISTRATION 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
$501.00 pursuant to Section 2-482 of the Miami Beach City.Code.
, .
Si - 4 rejof bbyist Date
FACLERISALL1aFGRIAMLOBBYIST FORMSlobbyist Registration Form Revised 01.01-18 REG.dbc
Page 5 of 5.
DIVISION OF CORPORATIONS
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Department of State / Division of Corporations / Search Records / Detail By Document Number /
Detail by Entity Name
Florida Limited Liability Company
PPF MBL PORTFOLIO, LLC
Filing Information
Document Number L14000122267
FEI/EIN Number 47-1509574
Date Filed 08/04/2014
State FL
Status ACTIVE
Principal Address
801 ARTHUR GODFREY ROAD, SUITE 600
MIAMI BEACH, FL 33140
Mailing Address
801 ARTHUR GODFREY ROAD, SUITE 600
MIAMI BEACH, FL 33140
Registered Agent Name&Address
Fitzgerald, Scott
801 ARTHUR GODFREY ROAD, SUITE 600
MIAMI BEACH, FL 33140
Name Changed: 02/08/2018
Address Changed: 02/08/2018
Authorized Person(s)Detail
Name&Address
Title Manager of Lincoln Road MM, LLC, the Manager of PPF Lincoln Road Venture,which is the sole member of PPF
MBL Portfolio
Bittel, Stephen H
801 ARTHUR GODFREY ROAD, SUITE 600
MIAMI BEACH, FL 33140
Annual Reports
Report Year Filed Date
2017 01/16/2017
2018 02/08/2018
2019 04/01/2019
•
Document Images
04/01/2019--ANNUAL REPORT i View image in PDF format
02/08/2018—ANNUAL REPORT View image in PDF format
01/16/2017--ANNUAL REPORT View image in PDF format
03/03/2016—ANNUAL REPORT View image in PDF format J
03/18/2015--ANNUAL REPORT View image in PDF format
08/04/2014--Florida Limited Liability View image in PDF format
Florida Del/Ott/add of Stair:•,Division of Corporations
DIVISION OF CORPORATIONS
S'f _`T)FVI 1Ol`i of
$6rrry of F!oridu
Department of State / Division of Corporations / Search Records / Detail By Document Number /
Detail by Entity Name
Florida Limited Liability Company
LINCOLN ROAD MM, LLC
Filing Information
Document Number L14000121976
FEI/EIN Number N/A
Date Filed 08/04/2014
State FL
Status ACTIVE
Principal Address
801 ARTHUR GODFREY ROAD, SUITE 600
MIAMI BEACH, FL 33140
Mailing Address
801 ARTHUR GODFREY ROAD, SUITE 600
MIAMI BEACH, FL 33140
Registered Agent Name&Address
Fitzgerald, Scott
801 ARTHUR GODFREY ROAD, SUITE 600
MIAMI BEACH, FL 33140
Name Changed: 02/08/2018
Address Changed:02/08/2018
Authorized Person(s)Detail
Name&Address
Title Member
Bittel, Stephen H
801 ARTHUR GODFREY ROAD, SUITE 600
MIAMI BEACH, FL 33140
Title Authorized Representative
Mcllroy, Mindy M.
801 ARTHUR GODFREY ROAD STE 600
MIAMI BEACH, FL 33140
ft.�n..�l Dnni..4n
ru InuaI I
Report Year Filed Date
2017 01/16/2017
2018 02/08/2018
2019 02/08/2019
Document Images
02/08/2019--ANNUAL REPORT View image in PDF format
02/08/2018—ANNUAL REPORT View image in PDF format
01/16/2017--ANNUAL REPORT View image in PDF format
03/03/2016—ANNUAL REPORT View image in PDF format
03/19/2015--ANNUAL REPORT View image in PDF format
08/04/2014—Florida Limited Liability, View image in PDF format
Florida Department of State,Oivsion of Corporations
Miscellaneous Cash Receipt 1
CITY OF MIAMI BEACH
No, 425115
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