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Gregory Fontela - Gumenick Family Investment No. 2 ei-51 Ave, REGENED Office of the City Clerk 1700 Convention Center Drive FEB 12 202 Miami Beach, FL 33139 305.673/411 CIN OF MIA LOBBYIST REGISTRATION FORM OFFICE OF THE:ACalls:BaEgCeAL,CEdRHefKeat Lobbyist means all persons employed or retained, whether paid or not,'by a principal whoseeks to encourage the 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. Th'e 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 Chapter2, 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: 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: . Gurnenick Randy NAME OF PRINCIPAL (Last) ' (First) (Middle Name) Gumenick Family Investments No. 2 4901 Libbie Mill East Blvd., #200'Richmond VA 23230 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) snash@gumprop.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant to City Code Section 2"482(h)(1)(a): A principal of ER9 corporation, partnership,a?other entity who appears Ma lobbyist ail bahalf of that without special compensation Cp reimbursement for Ilii appearance,EaclingT0112Q,indirect a?contingent,fa sup•ort da?oa•osition to n 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 2-482(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 �G \ III. ISSUE TO BE LOBBIED: Describe withas much detail asis practical, includingbut 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 butnot 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 959 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 City personnel from 12 months preceding suchcommencement of service with the City to the present date, stating the general nature of the subjectcontractual 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 relationshipgiving 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 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): $360.00 per hour Page.2 of 5 The following six.(6)questions MUST be answered: 1) Pursuant to CityCode 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 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 2482(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 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 only scientific,technical or other specialized information or testimony in public meetings; any person who only appears as a representative of a neighborhood associationwithout 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 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 representative of a.neighborhood association without special .compensationor reimbursement or representing'a not-for-profit based organization for the purpose of requestinga 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 thepast 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 electedofficial(s) whom you provided campaign;. consulting services was sworn inr:,: 6) Pursuant to:City Code Section 2-482(a)(4)a., a lobbyist who has within the past electioncycle 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 shallorally disclose such particular service before lobbying the City Commission ata public meeting. 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: Yes xNo:. f yes, were you promised or did you receive economic consideration in exchange for campaign. onsulting servicesr:. -- TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ ]No Amount Paid$ So-( 4 MCR# L/]_S- I j Date Paid 0 7. (2- Lobbyist;Registration Form received and verified by: RCGCS\*LOaf)15 (LOEIViig'(FfS3 WS\110111)+Yi,t Reg+strntionnRif =2b-.TO 'ant Revised 09/20/2018 Page3of5 VI. SIGNATURES.UNDEROATH: 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 COM ENSAT ON DURING THE REPORTING PERIOD. 1 Z Zb Signature of Lobbyist. Upii Date I do solemnly swear or affirm that all ofthe foregoing facts, statements, and disclosures in this form aretrue and correct, and that I haveread or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code a -II r- o ing requirements. Signature of Lobbyist: /% Date 2 (Z. Z.b Signature of Principal:. ' 1 Date 2/ O VII. NOTARY SIGNATURE AND SEAL: . LOBBYIST: PRINCIPAL State.of 6trid .State of A) r1 cf County of: "'l(I1 -t County of:. :.(d Sworn to (or affirmed) and subscribed before me Sworn.to (or affirmed)and subscribed before me this day of 20_, by this 5 day of-rebVerti3 , 20`? by Gregory Fontela VcAnd (p r1.Q,f l(c NAME OF LOBBYIST NAME OF PRIN IPAL Produced ID Produced.ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION X -erso ally:Known Personally.Known. . . 6.6-th- lid2C)146 Signatu of Notary. Public Signature of Notary Public Salat- Name of Notary, Typed, Printed or Stam•ed Name of Notary, Typed, Pri ted or Stamped ecgi . ANA COHEN rM MYCOMMISSION OGG298966 I ::i►Rr^�''< SAIDEMi_AYES (NOTARY SEAL) =.;3 ' � (NOTARY SEAL) »��', Notary Public•State sf Florida ;�:��.c, EXPIRES:Apr829r2023 .*:tiii�PBonded ThruNotary Publlotkidewttet>s ��c Via; C•mmissitn=GG 211157 '�arrti '` My Comm.Expires Apr 29.222 Bonged through National Notary Assn. 1 The term."lobbyist"specifically excludes the following persons: Expert witnesses who provide only scientific,technicalor,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 ofor 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 MIAMI BEAH City of Miami Beach,:1700.Convention Center Drive,Miami.Beach;Florida 33.139,:www:miamibeachfl.gov. Office of the City.Clerk Rafael.E:Granada,.city Clerk CityClerk@miamibeachfl:gay 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 Clerkshall notify the Miami-Dade County Commission on Ethics and Public. Trust of the failure of a. lobbyist (or principal) to. file:the Statementor pay =the. assessed finesafter 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_CountyCommission:on Ethics and Public Trust. I hereby acknowledge that on February28 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 lobbyingon that issue, I shall immediately-file a Notice of Withdrawal with the Office of the City Clerk. .3) ANNUAL LOBBYIST REGISTRATION FEE 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 $500:00 pursuant o Section 2-482 of the Miami Beach City Code. Lil � Sign t re of Lobbyist : : - . : :Date • F:\CLER1$ALL1aFORMSILOBBYIST FORMS\Lobbyist RegistrationFonn Revised 09-20-18 REG.doc - Page'5 of 5 . . . • Gumenick Family Investments#2,Ltd., a Florida limited partnership 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 Sole Member: Chasen J&R Holdings,LLC(l00%) Members: Co-Managers: Jeffrey H.Gumenick,Randolph S.Gumenick Jeffrey H.Gumenick l-. and*alter F.Witt,Jr.,as Trustees under the Randolph S.Gumenick� col Jeffrey H.Gumenick Family Trust Agreement c6 19 dtd 6/20/07 And Jeffrey H.Gumenick,Randolph S.Gumenick and Walter F.Witt,Jr.,As Trustees under the 7 Randolph S.Gumenick Family Trust Agreement dtd 6/20/07 Management Committee: Jeffrey H Gumenick Randolph S.Gumenick Walter F.Witt,Jr. Wayne Chasen L e5,,( ,ddr Lets govs61 (s , elvsi ye, , groc .•-e p. nded plat aL Free.; 1 Sv�drvis(In 1 4� reC -cko) n ed. 28-aq • 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%) 0 1/0 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%) I , � 0 1% 94.5648% 2.2176% 2.2176% 100% 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 • • -,,--------,------,7-7,-7-777,--71 ...- 7,7"7.7"---`1,";"-",":„",'''::','',--- ,-7:",":;..‘ iYiie6eili:iisi6:6":dash,Re !!!!!! _ ,::: ,.. ,,, i ,,,,:ii,,,, 42:,.5.,,...7•,,,.1,-,.,9,_:,::,,..,:„.,,,,,.,:.,,::::,,,i,,,,,,;....:::,..,,,,,:,;‘,,,,,,,:,,,,,, • CCITYOF. BEACHMI..Ail/117. ! '' '. 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