Michael Larkin - Southgate Towers, LLLP RECEIvED 9 (a w.e - Ave_
FEB 12 2020
n ® CITy F MIAMI BEACH
C.L i
Office of th® Qrk
ER9 r cITY
1700 Convention Center Dri CLERK
Miami.Beach, FL 33139 CITY OF MIAMI BEACH
305.673:7411 OFFICE OF THE CITY CLERK
LOBBYIST REGISTRATION FORM
Lobbyistmeans all persons employed or retained, whether paid or not, by a:principal who•seeks to'encourase the passage, defeat or
modification ofany 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.principalas 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 morespace 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:
Larkin. ' Michael W.
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 miarkin@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)'
r;?umenick@mac:com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
ursuant ItJ Section 2-482(h)(1)(a): • l I. Cfriffp corporation, partnership,OT appears ED El lobbyist CIa)h `- €f
ntity,without special compensation or reimbursement for he appearance,whether direct, indirect,or contingent,to exeress support of or opposition t+
tiMil shall re•ister with the Clerk as re.uired b this subsection but shall not be re.uired to •a an.' re.istration 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 ' .
HI. ISSUE TO BE LOBBIED:
Describe withas much detail as is practical, including but not limited to_a.Specific descriptionwhere
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 suchcommencement 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 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):.
$675.00 per 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 lobbyingon a.present.or pending bid for goods; equipment or services;or on a present or
pendinq award for goods,equipment or service?
2) Pursuant to City Code Section 2490, 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 2481) 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 anyperson who only appears as a representative of
not-for-profitcommunity 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
representativeof 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 sof 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 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 XNo: If'yes, has it been less than 12 months since the elected official(s) whom you provided campaign.
()milting services was s imn
6). Pursuant to City Code Section 2-482(a)(4)a., a lobbyist whohas within the past electioncycle provided campaign consulting
services to an incumbent member of the City Commission (which:lobbyingactivity 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 .
servicebefore 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 yes, were you promised or did you receive economic consideration in exchange for campai i
onsultin IT rvicesP' .
TO BE.COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee [ ,]Yes No Amount Paid$ 70 ` MCR# if1,51 I `! Date Paid C1�- ,.210
Lobbyist Registration Form received and verified by:
IEVIIER'�t$,�ALLWR,r;KS1liLO RY[SrFO,;R1M ALlph,byist
IRe+gis ratign.FrAr m Rewise,g 09-,20-117,FSE5.09c 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 COMPENSATION DURING THE REPORTING PERIOD.?
Signature of Lobbyist 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 withthe 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 02l''7?.
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
•
State of State oft,DI1dC1
County of: County of: c.,_ . .
Sworn to (or affirmed)and subscribed before me Sworn o,(or affirmed) and subscribedbefore rrle
this day of ,20_, by this day oftebrOGIAJ 20by
Michael W. Larkin 93i ldQ1 p�
NAME OF LOBBYIST NAME OF PRINC AL
Produced ID _Produced ID
FORM OF IDENTIFICATION. FORM OF IDENTIFICATION
X Personally:Known: Personally Known
CSOdb
Signature of Notary. Public . ' Signature of Notary Publi
Mlac s
Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped
(NOTARY SEAL). (NOTARY SEAL). .'rr'u SAIDE MLAYES '
t�.';�4. Notary Public-.State of Florid
* Commission GG 211957
?lc My My Comm.Expires Apr 29,2022 V
IondeC through National Notary Assn. 0
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 of or opposition to any item; and any person who only appears as a representative of
not-for-profit community based organization forthe 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.1 Signature of Lobbyist: Date /3/Na
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 II re ing requirements. 13/Signature of Lobbyist: Date O
Signature of Principal: Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: r- PRINCIPAL
State of `0 `� State of
County of: NA,xUP1,`��Aik County of:
Sworn(or affirme and subscribed before me Sworn to(or affirmed)and subscribed before me
this day of IT Win , 20 by this_day of , 20_, by
1\11 CM IA VAn
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID Produced ID
FOR • OF IDE TIFICAT ON FORM OF IDENTIFICATION
X Personally Kno • _Personally Known
\�,Signature of Notary P Signature of Notary Public
Dtav VADA
Name of Notary,Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped
(NOTARY DIANA
OS
MY COIMMISSION GGG 308355 (NOTARY SEAL)
SE
�.o`,� EXPIRES:April 10,2023
�~.�`OdF" Bonded ThruNotary Pubic Und0nirdle3
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
MIAMI BEACH
City of Miami Beach, 1/00 Convention Center unve,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: Michael W.Larkin
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
commencing October 1 of each year, and the fee for such annual registration shall be
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
p-f3b.68,6
Signature of Lobbyist Date
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form 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(100%)\ Members:
Co-Managers: /{ Jeffrey H.Gumenick,Randolph S.Gumenick
Jeffrey H.Gumenick �- and Walter F.Witt,Jr.,as Trustees under the
Randolph S.Gumenick� COIfb -Jeffrey H.Gumenick Family Trust Agreement
6�� dtd 6/20/07
And
Jeffrey H.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
L - -( Odd
to l S {-'cV5CT ((S /1.(10-6/31V42,� gi
1 cc�e ,
�
0 .•-ceded pf0.4 a Ffee�waod 1 Sc.401rvrsA,
ca.S recorded n e6 ?e-1�(
1
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' +
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