Michael Larkin - Gumenick Family Investment No. 2 959 L FA-
RECEIVED
A/\"\I. BE1A1C H Office of the CityClerk FEB 12
2020
1700 Convention Center Drive
Miami Beach, FL 33139 CITY OF MIAMI BEgCH
E CII
305.673.7411 OFFICE OP TH °CLERK
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by a principal.who seeks to encoura9e 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 principalas 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 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 mlarkin@brzoninglaw.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Gumenick 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
Riumaiat (§147 Code Section 2-482(h)(1n t principal CR eifiy corporation, partnership,CI7 cano Cts ND appears E p lobbyist Cp l X.EIP Mg
�)�,- _,without special compensation CO reimbursement for SEG- appearance,vaDD2PCOMia,indirect,GP contingent,(t]C£i 3 3 OWdap o••osition it)
jdllegnzifibR9(c Ep re.aired[ IM subsection nom. =CP re•uired(b 7 9 re•istration
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 �y
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..
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 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 Citypersonnel.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 Individualand 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 Mayoras 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 otherrelationship giving rise to an
appearance of an impropriety, with any current City,Commissioner or City personnel whoissought 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 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 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 bythis 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 associationwithout 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 organizationfor the purpose of requesting a- grant without special' compensation or.
reimbursement for the appearance. . '
Yes 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 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 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: If yes, has it been less than 12 months since the elected official(s) whom yourovided campaign,.
consulting services was sworn inr
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 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 members)-of the City Commission:
Yes xNo: If yes, were you promised or did you receive economic consideration in exchange for campaiq r,
p dltinqTe'r:vicesi?
TO BE.COMPLETED BY CITY CLERK'S STAFF ONLY
-51 !
Annual Registration'fee: [ ]'Yes[' )No Amount Paid$ .. MCR# Date Paid 0 '2'CZ - °
Lobbyist
(Z-
Lobbyist Registration Form received and verified by: ^
iF\tTLIEETa kft10.51iYISTIFGr 6595 trahNnst, .g str tine;Form ReAi5eci 09-20-14 itE{s;dos 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 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 and all reporting requirements.
Signature of Lobbyist: 'Date '
Signature of Principal:. Date O'2fr/'2�
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State.of State of PLQ auto
County of: County of: . a
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 'r213NOi rq , 201.7by
Michael.W. Larkin Indo)ph .eurrtef 'GC--
NAME OF LOBBYIST NAME OF PRINCIPAL
Produced ID _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
x Personally Known. personally.Known.
CSakCIL- 1—jaA.46
Signature of Notary Public Signature of Notary Public
Soli 1 1C(dje-C
Name of Notary, Typed,Printed or Stamped Name of Notary, Typed, Printed or Stamped
(NOTARY SEAL). (NOTARY SEAL) i'" ;;,.i,*0.&•• . sAIDE MLAYES
�: Notary Public:State of Florida
X11[,,j1; Commission k GG 211957
ff or ii.c" My Comm.Expires Apr 29,212I
Bonded through National Notary Assn,
1 The term"lobbyist"specifically excludesthe following persons:
Expert witnesses who:provide only scientific,technical or otherspecialized information or testimony in public meetings; any person who
only appears as a representativeof a neighborhood association without compensation or reimbursement for the appearance, whether
direct, indirect or contingent, to express supportof or opposition to any item; and any person who only appears as a representative of
not-for-profit community based organization for the purpose ofrequesting a grant without special compensation or reimbursement for
the appearance.
Page 4of5 .
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 1
Signature of Lobbyist: ✓ Date a-I3 A
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 repo ing requirements.
Signature of Lobbyist: Date g 13)ad 7..6
Signature of Principal: Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of ,�Vi a� State of
County of: V�iamc �t�t;, County of:
Sworn to(or affirmedland subscribed before me Sworn to(or affirmed)and subscribed before me
this 3 day of ,20 by this_day of , 20_, by
CAICte Lill-
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID _Produced ID
FORM OF IIFICATION FORM OF IDENTIFICATION
X Personally Know _Personally Known
Signature of Notary Publ c Signature of Notary Public
Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped
° ;; DIANA RAMOS
(NOTARY S: I.1) MY COMMISSION#GG 308355 (NOTARY SEAL)
EXPIRES:April 10,2023
Bonded Diu Notary Public VIIdeIMRit9fS
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
MIAMIBEACH
City of Miami Beach, I NO Convention Center Drive,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.
D-J) &0a0
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 PC'
U
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:
Members:
J&R Holdings,LLC(100%)\
Co-Managers: J Jeiy H.Gumenick,Randolph S.Gumenick
Jeffrey H.Gumenick L- and Walter F.Witt,Jr.,as Trustees under the
Jeffrey H.Gumenick Family Trust Agreement
Randolph S.Gumenick �lb (&( 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�5` l ,ddre
1-019 g X56 f,5"- de/3f ue, , 6r .3,
C,.—tp-d /
(d (AO- o f Free-f cvoo l Sc- od r v is icl+
recorded 2a-ail
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%)
°
1/0 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%)
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 Jeiliey 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 IL 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
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