Michael Larkin - James Knall ?ox t .° reve
DocuSign Envelope ID:83F5355F-37C1-42F6-ABA9-D818A45BF4EF
RECEIVED
M I AiV I E C HMAY 14 2020
Office of the City Clerk
1700 Convention Center Drive CI1V OF MIAMI BEACH
Miami Beach, FL 33139 OFFICE OF THE CRY CLERK
305.673.7411
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 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 S. Biscayne Blvd.,Suite 850, Miami, FL 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:
Knall James
NAME OF PRINCIPAL (Last) (First) (Middle Name)
ILR LLC 802 W Dilido Drive Miami Beach Florida 33139
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
jamesknall@gmail.com
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PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
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Code EagEift 2-48201(1n A principal dl Effei corporation, partnership.(•p cagy Cay Tan.®A . 63a lobbyist @E klieffif dad
MGM 4sialE special co pensatia+()Tait:11E2mM forft 1t1 appearance,Stailar direg.indirect.OP conting-at,(17 w•• m(ap o•*coition(It*
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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): ,___12 L Ck �cS \4i \
• NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP
AI'NTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST(if none,write N/A): �N1L� "' L--
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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 802 W Dilido
Drive 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 such commencement of service
with the City to the present date, stating the general nature of the subject contractual relationship.
I 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
,000 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
N
appearance of impropriety (if none,write N/A):
None
U
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 p/h
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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 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 reporting requirements.
Signature of Lobbyist: Ali Date .442,4-9167 '
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Signature of Principal: Date
14)9/6
VII. NOTARY SIGNATU Illy AND SEAL:
LOBBYIST: PRINCIPAL
of �d�
State of State of n , • /, •
County of: County of: �' 494' ; _
Sworn to (or affirmed) and subscribed before me, Sworn to (or aff ed) and subscribed before me, le
*,,,•'
�I
by means of 0 physical presence by means of Yphysical presence
or 0 online notarization, or 0 o ne notari do , g ro o
this dayof , 20_, bythis.` "lda of C► 1 ,
� Y , 20_, by � sm � •
� �'
(;)
Michael W. Larkin James Knall3, O
. a _. z.
NAME OF LOBBYIST NAM OF PRINCIPAL P.8 :
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_Produced ID _Produced ID ' Dt-K640153'L8•1co-d W
FORM OF IDENTIFICATION FORM 0' IDE TIFICATION 1
_Personally Known _Personally Known / (a •. �' .
1A�„i • I
Signature of Notary Public Signature of Notary Publi
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Name of Notary, Typed, Printed or Stamped Name of N - --- !..j).0,.
DIANA AMOS
(NOTARY SEAL) (NOTARY :ie`� ,~ c`Q #GG 089 5 2g 4 i
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1.
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.
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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 COMPENSA N,D RING THE REPORTING PERIOD.1
Signature of Lobbyist: C/ v Date 04/29/2020
32B2B355D9E6410...
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 apd_gU- reporting requirements.
Signature of Lobbyist: V Date 04/29/2020
Signature of Principal: Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State;of Florida State of
County of: Miami-Dade County of:
Sworn to(or affirmed) and subscribed before me, Sworn to (or affirmed) and subscribed before me,
by means of D physical presence by means of 0 physical presence
or Cgl online notarization, or 0 online notarization,
this 29 day of April , 2024 by this day of , 20_, by
Michael W. Larkin
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
X Personally Known _Personally Known
0
Signature of No� .. Signature of Notary Public
Diana Ramos
Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped
m 1 Diana Ramos (NOTARY SEAL)
0 1 Commission#GG 308355
Notary Public-State of Florida ({
Icy Commission Expires Apr 10,2023
1 The/ g 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.
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DocuSign Envelope ID:83F5355F-37C1-42F6-ABA9-D818A45BF4EF
AA.1AMIBEACH
City of Miami Beach,1700 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
N 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.
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Signature of Lobbyist Date
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