Raimundo A. Fernandez - Bradley Colmer \)/k"? 4. -k- -ct ,
RECEIVED
M I A\tV'\I B E i\C Office of the City Clerk MAR 17 2020
1700 Convention Center Drive
Miami Beach, FL 33139 CITY OF MIAMI BEACH
305.673.7411 OFFICE OF THE CITY CLERK
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: •
Fernandez Raimundo A.
NAME.OF LOBBYIST (Last) (First) (Middle Name) •
Bermello Ajamil & Partners 2601 S Bayshore Dr#1000, Miami, FL 33133
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
• 954-248-3844 RFernandez@bermelloajamil.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
•
II. PRINCIPAL INFORMATION:
Colmer Bradley
•
NAME OF PRINCIPAL • (Last) (First) (Middle Name)
. Sunset Land Associates, LLC/SH Owner, LLC 1691 Michigan Ave Miami Beach. FL 33139
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-749-0921 • bradley.colmer@decocapital.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
Pursuant to City.Code Section 2-482(h)(1)(a); A principal of any corporation,partnership, or.other entity who appears as.a lobbyist on behalf of that
entity.without special compensation or-reimbursement for the appearance,:whether direct,indirect,or contingent,to express support of or opposition to
an 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 NIA): Please see attached.
• 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):.Please see attached.
•
Page 1 of 5 i
r
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&permitting issues,.including,but not limited to Members of City Administration,Members of City
Staff and Members of PB, DRB and BOA,City Commission and Mayor,relating to the properties located 1752 Bay Rd
(folio 02-3233-012-0550),1738 Bay Rd(folio 02-3233-012-0530)1759 Purdy Ave(folio 02-3233-012-0540),
1747 Purdy Ave(folio 02-3233-012-0520),1743 Purdy Ave(folio 02-3233-012-0500),1733 Purdy Ave(folio 02-3233-012-0480),
1724 Bay Rd(folio 02-3233-012=0490)and 1730 Bay Rd(02-3233-012-0510).
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.
Full Name of Individual and Contractual Relationship(If yes, explain) YES, NO
Title of Person to be Lobbied .
Members of City Administration and Members City Staff X
Members of Planning Board (PB) , Design Review X
Board (DRB) and Board of Adjustment(BOA) X
City Commission and Mayor 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 NIA):
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):
Hourly $350.00
Page2of5
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 ,,No: 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":
YesLNo: Are you lobbying on a pending apoilcation 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 definilion of"lobbyist" as set forth in
Section 2-489).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 INo: 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 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/No: 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 01 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 Z.No: Have you provided campaign consultingservices to an incumbent member of the City Commission
within the past election cycle?if yes.please list the incumbent member(si of the City Commission:
_Yes No: , If yes; has'it been less than 12 months since the•elected-official(s).whom you provided campaign'
consulting services was sworn In? :
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 meebnq.
—Yes ZC 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: If yes, were you promised or did you receive.economic consideration in exchange for:campaign
consulting services? .
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: rp Yes[ ]No Amount Paid$ MCR# 4 2s7-73 Date Paid 03' ��'W
b
Lobbyist Registration Form received and verified by:______,--)k5 J.al S .A.v .r.,
F:\CLER\SALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc . . , 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 PRECED! -CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
. LOBBYIST HAS BEEN.ENGAG r D TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE_OR COMPENS DURIN3 THE REPORTING PERIOD; I
tiki
Signature of Lobbyist: /1_ ' Date_ '.,-7 Z 2y
IM/
I do solemnly swear or affirm tljat alr-.ftihe foregoing facts, statements, and disclosures in this form are true and correct,
and that I have read or am fatiiIiar with the provisions contained in Chapter 2, Art.VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Cod- a. =portin tequirements.
Signature of Lobbyists ' 'tl Date 2 21 2e,2'0.
•
Signature of Principal: Date
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of t /—C'k- (d F\ State of
•
County of: County of:
Sworn to(or affirmed)and subscribed before me Sworn to(or affirmed)and subscribed before me
this A7J71 day of FEBW AL'/ ,20-by this_day of ,20 , by
il bo 61- -2�c1/nhlL —
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
Personally Known Personally Known
Signature of Notary Public Signature of Notary-Public
too/2-i) S C -7740 E...o .
Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped
• ,�Q10,..... 4, LOURDES E THUROW
(NOTARY SE _ *MY COMMISSION#GG 095504
:0! V?or_ EXPIRES:August 18,2021 (NOTARY SEAL)
rvedonded Thru Budget Notary Services
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
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: Date
Signature of Principal: Date frao
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of State of hFL O d�J3 r
County of: County of: 11 1 A
Sworn to (or affirmed) and subscribed before me Sworn to (or affirmed)lland subscribed before me
this day of , 20_, by this 2g,day of Fe , 20 ,by
&- t1ltlkia gra cei i- L
NAME OF LOBBYIST NAME OF PRINCI AFLi4, LtV Q (.2C.EwSt
_Produced ID l/produced ID G 45b- 679 -79 -.3i1.3--b
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
_Personally Known _Personally Know.
' -- __
Signature of Notary Public Sig ature of Na ary
KA 61 A
Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped
(NOTARY SEAL) (NOTARY S - YP,, PAMELA JACKSON
MY COMMISSION#GG 160789
EXPIRES;December 17,2021
",?FA•••ro? Public Underwriters
OF F1,. Bonded ThN Notary
I 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
A/\ IAMI BEACH
City of Miami Beach, 1700 Convention Center Dnve,Miami Beach,Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E.Granado,City Clerk CityClerk@miamibeachfi.gov
Tel:305.673.7411,Fax:305.673.7254
NAME OF LOBBYIST: Raimundo A. Fernandez
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 ofa 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 30t' 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
corn -acing October 1 ofeach year, and the fee for such annual registration shall be
$,10.00 pursuant to Section 2-482 of the Miami Beach City.Code.
`Weir • 2. 2 7.7.,,2
Arifr of Lobbyist Date
FaCLEMSALL1aFORMSILOBBYIST FORMSLobbyist Registration Form Revised 09.20.18 REG.dac
Page 5 of 5
EXHIBIT "A"
DISCLOSURE OF INTEREST
Interests in Sunset Land Associates, LLC
Percentage of Interest
Sunset Harbor Holdings, LLC 100%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Interests in SH Owner, LLC
Percentage of Interest
Sunset Harbor Holdings, LLC 100%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Interests in Sunset Harbor Holdings, LLC
Percentage of Interest
Deco Capital Investments, LLC 10%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
RWNIH-REP Sunset Harbor, LLC 90%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Interests in Deco Ca•ital Investments LLC
Percentage of Interest
Brad Colmer 5.41%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Dan Marinberg 9.90%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
M-1752 Deco Investor, LLC 5.01%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Michael Beattie 4.84%
do Deco Capital Group
1691 Michigan Ave., Suite 510 Miami
Beach, FL 33139
Frederic Khalil 8.87%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
David Neithardt Beaumont 12.19%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Douglas Silverman 10.19%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Boris Marinberg 1.70%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Deco Capital Group, LLC 4.69%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Ralph Bekkevold 19.32%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Joseph Furst 1.7%
do Deco Capital Group
1691 Michigan Ave., Suite 510 Miami
Beach, FL 33139
Max and Roger Leifer 5.82%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Christopher Roe 1.46%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Gloria Canasi 5.54%
do Deco Capital Group
1691 Michigan Ave., Suite 510
GJ Toggle Holdings LLC 3.12%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
DCP Sunset Harbour LLC 0.24%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Interests in RWNIH-REP Sunset Harbor LLC
Percentage of Interest
RWNIH-REP,LLC 95.9588%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Ari Shalam 0.4822%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Joshua Shapiro 0.0698%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Barry Kringstein 3.4892%
do Deco Capital Group
1691 Michigan Ave., Suite 510 Miami
Beach, FL 33139
Interests in RWNIH-REP LLC
Percentage of Interest
Marc Rowan and Carolyn Rowan, 98.5603%
as Husband and Wife
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Ken Glassman 1.2972%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Mary Harada 0.1299%
do Deco Capital Group
1691 Michigan Ave., Suite 510 Miami
Beach, FL 33139
Ari Shalam 0.0126%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
M-1752 Deco Investor, LLC
Percentage of Interest
Camilo Miguel 100%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
Deco Capital Group, LLC
Percentage of Interest
Brad Colmer 100%
do Deco Capital Group
1691 Michigan Ave., Suite 510
Miami Beach, FL 33139
I Miscellaneous Cash Receipt
' -CITY OF MIAMI BEACH
No. 425773
Cash Credit Card Check# $ v{ �' -
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THIS INFORMATION MUST BE COMPLETED) Office of Finance Director j
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