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Monika Entin - 5830 NBR, LLC • 593®/5%`tb ,J r4-k. (• �a • IV\.I A/V\I BEAC Office of the City Clerk F�8 ,A To 1700 Convention Center Drive • iF�0.3eCO` Miami Beach, FL 33139 ,� ®F ' ' \ 305.673.7411 GOO10 .OF LOBBYIST REGISTRATION FORM Lobbyist means all persons employedor 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 es 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 "nla" 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 prindpal represented on each specifib issue. I. LOBBYIST INFORMATION: Entin Monika NAME OF LOBBYIST (Last) • (First) (Middle Name) • • Bercow Radell Fernandez Larkin&Tapanes, PLLC,200 South Biscayne Boulevard, Suite 850,Miami, FL 33131 • LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City). (State) (Zip Code) 305-377-6237 • 305-542-3445 MEntin BRZoningLaw.corn LOBBYIST BUSINESS TELEPHONE NUMBER • CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL.INFORMATION: • Cohen Felix NAME OF PRINCIPAL • (Last) (First) (Middle Name) 5830.NBR, LLC 1111 Kane Concourse, Suite 210 . Bay Harbor Island_ FL 33154 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-790-0419 . oxy 101®aol.corn PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS CodeMEEIMit(bin e-ode @ORM 2-482(h)(1)eDpprincipal CQem corporation, partnership,C2o GM an appears®ei lobbyist a bsfitik2at --dwithout special compensation j'mi oursement or tlf`u appearance,whether direct,indirect a ccntingenti to ha,oirc a suo o ort G?CQ Ott o osition 1 MI D 1(A reoisterwith the RIMreo iredEvab subsection butshall; CeXareouired(b Jreoistration¢ -• If the principal is a Corporation, Partnership or Trust, the following information MUST be provided pursuant to City Code Section 2-482(c): C • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY(if none,write.N/A): Se.Q. • 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 as ispractical, 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 and permitting issues, including, but not limited to the Historic Preservation Board,:Design Review Board,Planning Board, Board of Adjustment, Land Use and Sustainability Committee, City Commission, any City Workshops or Committees, and City Departments, if necessary relating to the property located at 5830 and 5840 North Bay Road, 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 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 Department, Building Department None. X Public Works, and City.Afministration, PB, HPB, BOA None. X DRB, City Commission, and Mayor as necessary None. 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 belobbied 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. None. V. DISCLOSE RATE.AND AMOUNT OF.LOBBYIST COMPENSATION - Be Specific. (Notethat a contingency fee is prohibited pursuant to City Code Sec. 2-4853): $525.00 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 toany item, shallregister 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 onlyappears 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 XNo: Are you providing only scientific; technical or other specialized information: appearing as a representative of 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 of 12 months following the swearing in of any elected official(s):for whom the campaign-consultant providedcampaign 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? Ifyes,please list the incumbent member(s)of the City Commission: Yes_No: If yes, has itbeen less than 1r2 months since the elected official(s)whom you provided campaign consulting services was swam ns. 6) Pursuant to City Code Section 2-482(a)(4)a., a lobbyist who has within the past election cycle provided campaign consulting servicesto 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 member(s)of the City Commission: Yes No: f es w-re ou rosined o did < receive e ono ic •nsi;=ratio i . _ chan e f' c• ai onsultin services? TO BE COMPLETED BY CITY.CLERK'S STAFF ONLYy - Annual Registration fee: [ ]Yes t1]No Amount Paid$ MCR# 1� '� ( "1 Date Paid r 1 1 l Lobbyist Registration Form received and verified by: .)450-1 ' u'T F:\CLER1$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc 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: tL..--/ 2 \. Date E:)3 1 1 ao3D 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.:provi ions contained: Chapter 2,Art VII,Division 3; entitled "Lobbyists" of the Miami Beach.City Codeand all repo • rq irements. 0 Signature of Lobbyist: `� i _ _. Date 0a-1 l fr Signature of Principal: ` ri . . Date -/ 2 Zb 2 0 1 _ _ VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of 'Florida . . State of County of: Miami-DadeIAA(A County of t,1,t — Sworn to(or affirmed)and subscribed before me Sworp to(or affi d and subscribed before me this `Do day. of 1�2LX1Jtt 2020 by this %d day of r-CbrUCei .4 2020.by Ll(frk,t`II-11 . E-14-41/1 Felix Cohen NAM OF LOBBYIST. NAME OF PRINCIPAL Produced ID Produced ID FORM OF IDENTIFICATION 1P-rso FORM OFEIDNFICAIION Person. Knowrially Known �•Al, . 41/iced_ •. 1�/%% Siinatur= • notary.Public S-anatur- • otary Public U-sir-e416tett Ll-eAr r ', Name of NotaTyped, Printed or Stamped Name of N ry,Typed, Printed or Stamped (NOT I,�' )MY COMMISSION t 75999 (NOTARY S ISA...•. BETTY LLERENA i� EXPIRES:March 5,2022 ' :*; ' 1.1 MY COMMISSION GO 175999 '•Fp,'FF'•• BoridedTrruNotary PubGCUndertnliers Ste: �`,. EXPIRES:March 5,2022 0 t " fct�''� Bonded Thru Notary Public Underwriters 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 CHy of Miami ueacn,.I TUU Lan vennon Center urive,Miami Beach,Rorida 33139,www.miamibeachfhgov. Office of the City Clerk . . Rafael E.Granado,City Clerk CityClerk@miamibeachfl.gov .Tel:305.673.7411, Fax:305.673 7254 NAME OF LOBBYIST: Monika Entire 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 thatmay 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, 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 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 thefee for such annual registration shall.be $500,0, -pursuant to Section 2-482 of the Miami Beach City Code. 0 / lava° Signature of-Lobbyist--- , Date F:ICLERI$ALL1aFORMSILOBBYI ST FORMSILabbyist Registration Form Revised 09-20-1 B REG.doe Page 5 of 5 5830 NBR, LLC Name and Address % of Ownership French North Bay Road, LLC 50% 1927 NE 118 Road. North Miami,FL 33181 Aguacero,LLC. 25% 1111 Kane Concourse, Suite 210 Bay Harbor, FL 33154 Diluvio, LLC 12.5% 1111 Kane Concourse,Suite 210 Bay Harbor,FL_ 33154 Tormenta, LLC 12.5% 1111 Kane Concourse,Suite 210 Bay Harbor, FL 33154 Aguacero,LLC Name and Address % of Ownership Moris Tabacinic 100% 1111 Kane Concourse, Suite 210 Bay Harbor, FL 33154 Diluvio, LLC Name.and Address % of Ownership Michael Tabacinic 100% 1111 Kane Concourse,Suite 210 Bay Harbor, FL 33154 Tormenta, LLC Name and Address % of Ownership Eli Tabacinic 100% 1111 Kane Concourse, Suite 210 Bay.Harbor, FL 33154 French:North Bay Road, LLC Name and Address % of Ownership Felix Cohen Revocable Trust 100% 1927 NE 118 Road North Miami, FL 33181 Felix Cohen Revocable Trust Name and Address % of Ownership Shayne Cohen 16.6% 1927 NE 118 Road North Miami,FL 33181 Romain Cohen 16.6% 1927 NE 118 Road North Miami, FL 33181 Jacques Cohen . 16.6% 1927 NE 118 Road North Miami, FL 33181 Julian Cohen 16.6% 1927 NE 118 Road North Miami,FL 33181 Stephane Cohen 16.6% 1927 NE 118 Road North Miami,FL 33181 Marlon Cohen 16.6% 1927 NE:118 Road North Miami,FL 33181 . • w ' Miscellaneous Cash-Receipt CITY OF MIAMI BEACH ° , ::--:-.k.0"42573,4 . © Cash Cred it Gard '� Cheak#. 4 $ t ., R Ived of I. 1,_x. --0,4;y .. S a ' i\rc.� t `tr 'sr' , ° ,,',., I Miscellaneous ,:-, t- !1u. ...,. C){� q } r p �g 7 / • ��� _.�,r' s.., •' � �� to t.' �j�:�i��� f'J <`�k���� :gid_ -"Y �� �� ti..L:��J.l�<S ri ... , f,Lri:.:' [ i 1 i Payment Amount: '` 1050 QO '° ' X425734. (THIS INFORMATION MUST BE COMPLETED)` Office of Finance Director By ra Account Number 1 .:$,.0(.-2'0-.:,. -, l i L 1 ' t i r Prepare!: R Dept: EXT: ! . 3 < foe .' ? . X. te.<X3. � �4 to 4. . 7"„ t� *t i , .. . s .'- ^