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Gregory Fontela - Southgate Towers, LLLP (© RECEIVED ` • • Office of the City Clerk FEB 12 2020 1700 ConventionCenterDrive Miami Beach, FL 33139 CITY OF MIAMI BEACH 305.673.7411 OFFICE OF THE CITY CLERK 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 alsosought 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: Fontela Gregory NAME OF LOBBYIST (Last) (First) (Middle Name) Bercow Radell Fernandez Larkin&Tapanes,PLLC 200 South Biscayne Blvd., Ste. 850 Miami, Florida 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 374-5300 gfontela@brzoninglaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Gumenick Randy NAME OF PRINCIPAL (Last) (First) (Middle Name) Southgate Towers,LLLP , 4901 Libbie Mill East Blvd.,#200 Richmond VA 23230 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) rgumenick@mac.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant to City Code Section 22482(li)(1(a): A principal of az corporation, partnership;Cff other entity who .p p=- p3 a lobbyist Gp behalf of tha,'. entity;%IRA special compensation Cif reimbursement(P appearance;52=1:12PaRia,indirect,azt1?contingent faJsu•tort dCpodoositionto an item shall register with the Clerk as required 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 2482(c):. • NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARY(if none,write N/A): Randy Gumenick • 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 asis.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 &Planning Issues,including but not limited to the Historic Preservation Board, Design Review Board, Planning Board, Board of Adjustment,Land Use Development,City Commission, and any City Workshops or Committees, if necessary,relating to the property located at 910 West 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 Citypersonnel from 12 months preceding such:commencement of service with the City to the presentdate, 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 soughtto be lobbied as identified on the lobbyist registrationform 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): $360:00per hour 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 Iobbvinq 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 XNo: 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 representativeof a,neighborhood association without special .compensationor 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 Commissionfor 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 members)of the City Commission: _Yes XNo: If yes, has it been less than 12 months since the elected official(s)'whom you provided campaign,. consulting services was sworn 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 isnot otherwise prohibited.by Code section 2-491) shall disclose such particular service on his/her lobbyist registration form, andshall 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 members)of the City Commission: _Yes XNo: If yes, were you promised or did you receive economic consideration in exchange for campaign;_ consulting services.:. TO BE COMPLETED BY CITY CLERK'S STAFF ONLY . . . Li9tl E Annual [°'Registration fee: [ ]Yes {]No Amount Paid$350 �� MCR# ! P,7 1' Date Paid 6 "12." Za Lobbyist Registration Form received and verified by: reVatirtWAL"L..tbFORr,.tdLO •f Y•LSTIFt3irg*MSAn egistratmr Fofm ROvdsOrl C19220-18 FtEG..ci a Revised 09/20/2018 Page3of5 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 COMPENS TIONDURING THE REPORTING PERIOD. Signature of Lobbyistlir Date 2 /12.(-z0 g y I do solemnly swear or affirm that all ofthe foregoing facts, statements, and disclosuresin this form aretrue 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 Co.e and I repo '-• requirements. 411111K a 120 Signature of Lobbyist: �'Date Signature of Principal:. / Date //x/20 VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of .<1'1�l State of W.rlwi County of: tONLti ` 114-4-sz County of:. UC Swoni is(or affirmend subscribed before me Sworn o(or affirmed) and subscribed before me this IYd a - day of 2t ?by this P7 day of 17(UV , 2020, by Gregory Fontela VcAryklph l ent NAME OF LOBBYIST NAME OF PRINCIPAL . Produced ID Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION X Perso ally K own_ ' Personally Known I • EckOtiu .5 Signatur- - •otary Public Signature of NotaryPublic eS Name of N ary, Typed,Printed or Stamped Name of Notary, Typed, Prin ed or Stamped. ANA COHEN ( _ •= MY COMMISSION#00298968 (NOTARY SEAL). a .p�-; salOE MIAYES 9 . NOTARY SE •�,. : .F,.�. 5 .may`o._ EXPIRES:AprAZ9,2023 F•• ��. Notary:Public-.State of Florida •.,oFi�?�`•• BondedThu NotaryPublicundermitet= �;yr�y�e Commission f GG 211957 '•o it: My Comm.Expires Apr 29,2022 0 ''' �� 'bonded through National Notary Assn. 1 The term"lobbyist"specifically excludes the following persons: Expert witnesses who provide only scientific,technical or other specialized information ortestimony 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 ofor opposition to any item; and any person who only appears as a representative of not-for-profit communitybased organization forthe purpose of requesting a grant without special compensation or reimbursement for the appearance. Page_4 of 5 MIAMI BEACH City of Miami Beach,:1700.Convention center Drive,Miami.Beach,Florida 33.139,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: GregoryFontela. 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 Clerkshalll 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, .whofails to file the required Statement.by April 30th. of each year, shall be automatically suspended from lobbying until allfines are paid, unless the fine has been appealed to the Miami-Dade County:Commission:on Ethics and.Public Trust. hereby:acknowledge that on February 28 of each year, I shallsubmit to the City Clerk a signed.Statement under oath listing'.all lobbyist expenditures,.aswell 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 lobbyingon 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 $500.0.0 pursuant to Section 2-482 of the Miami Beach City Code. WO' • //„.../ Fl. 1-6 Si4ture of Lobbyist. Date F:\CLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc Page5of5 Gumenick Family Investments#2,Ltd., a Florida limited partnership Pc' Limites Partners: JRG Investments,LLC(44.550%) Jeffrey H. Gumenick(22.275%) Randolph S. Gumenick(22.275%) Wayne A. Chasen(10:000%) General Partner: Gumenick Investment#2,LLC(0.900%) 0.900% 22.275% 22.275% 44.550% 10.000% Gumenick Investment#2,LLC,a JRG Investments,LLC,a Florida Florida limited liability Jeffrey H.Gumenick Randolph S.Gumenick limited liability company Wayne A. company Chasen Sole Member: J&R Holdings,LLC(100%)\ Members: Co-Managers: J Jey H.Gumenick,Randolph S.Gumenick Jeffrey H.Gumenick Land Walter F.Witt,Jr.,as Trustees under the Randolph S. menickGumenck� tom,F,'b -Jeffrey H.Gumenick Family Trust Agreement f5b�c dtd 6/20/07 And Jeffrey Hi Gumenick,Randolph S.Gumenick and Walter F.Witt,Jr.,As Trustees under the ) Randolph S.Gumenick Family Trust Agreement dtd 6/20/07 Management Committee: Jeffrey H Gumenick Randolph S.Gumenick Walter F.Witt,Jr. Wayne Chasen Le ems ( ,401d Le g 14rOU564 (5 e12 g(0-6/3 v , .3, p,..•-crdCol plat of F(ee.-wcopd , Sc., 04;isccA 1 c�.s recerelth i n ed ?S-agl SOUTHGATE TOWERS,LLLP, a Florida limited liability limited partnership Limited Partner: Gumenick Family Investments No. 3, Ltd.,a Florida limited partnership(99%) General Partner: Gumenick Investment No 1, LLC, a Florida ' limited liability company(1%) 1%° 99% Gumenick Family Investments No 3,LTD a Florida limited partnership Gumenick Investment No. 1,LLC,a Florida limited liability company Limited Partners: Jeffrey H. Gumenick(2.2176%) Sole Member: J&R Holdings,LLC Randolph S. Gumenick(2.2176%) JRG Investments,LLC, a Florida Managers: Jeffrey H. Gumenick limited liability company(94.5648%) Randolph S. Gumenick General Partner: Gumenick Investment No 3,LLC,a Florida limited liability company(1%) 100% 1% 94.5648% 2.2176% 2.2176% J&R Holdings,LLC,a Florida Gumenick Investment No.3, JRG Investments,LLC,a Florida limited liability company LLC,a Florida limited limited liability company Jeffrey H. Randolph S. Members: liability company Gumenick Gumenick Randolph S.Gumenick General Partner Members: Jeffrey H.Gumenick Jeffrey H.Gumenick,Randolph S.Gumenick Management Committee: Sole Member: J&R Holdings, and Walter F.Witt,Jr.,as Trustees under the Jeffrey H.Gumenick LLC(100%) Jeffrey H.Gumenick Family Trust Agreement Randolph S.Gumenick dtd 6/20/07 Walter F.Witt,Jr. Managers: Jeffrey H.Gumenick And Wayne A.Chasen(also Randolph S.Gumenick Jeffrey H.Gumenick,Randolph S.Gumenick listed as President) and Walter F.Witt,Jr.,As Trustees under the Randolph S.Gumenick Family Trust Agreement dtd 6/20/07 Management Committee: Jeffrey H Gumenick Randolph S.Gumenick Walter F.Witt,Jr. Wayne A.Chasen • • Miscellaneous;Cash Receipt CITY OF MIAMI B ►CH„ . No ;,425719'* fff Cash En Credit Card Check# � , ! - ` - � �^ 1 ReiV�d of rc# 't t^^ #" `F � r E. t 1"1 iscel aneous MCR sJ�B „ • • For CR:OPEN(MCR) L h„� L^ fv .;` J n Payment HmUunt 1,4uvuu �..NMCR425719;;e „ (THIS INFORMATION MUST BE COMPLETED)° Office of Finance Director .„Account Nu�per. . 1 .°x Preparer: - Dept f EXT. t 1'e