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Matthew G. Amster - Winpol 2020 Trust 50v-a. fo RECEIVED MIAMI BEACH Office of the City Clerk AUG 1 7 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 "Lobbyist" 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: Amster Matthew G. NAME OF LOBBYIST (Last) (First) (Middle Name) Bercow Radell Fernandez Larkin&Tapanes, PLLC 200 S. Biscayne Blvd., Suite 850, Miami, Florida 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305)374-5300 mamster@brzoninglaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: NAME OF PRINCIPAL (Last) (First) (Middle Name) Winpol 2020 Trust 60 Allay Cresent Toronto Ontario _Canada M2L 1C7 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (416)483-3409 (561)270-9162 andy@premiumgroup.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS "ursuant(t)(§% a• Section 2-482(h) 1)(a): A. I I..i(2E1g corporation, partnership Cr Elk)appears 03 a lobbyist©behalf CiltitEC o without special compensation CR reimbursement for t1119 appearance,zig2E0aTali2a indirect,(F contingent,10 e.4.4. y a®. (2a o s•osition 1t an RUE C ng @Ram re.uiredLI7 ntl&subsection1 gl arg reeairedt9 1 39e re.'station ftDa 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): Andrew Pollack • 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): Andrew Pollack,Trustee and 100%beneficiary Page 1 of 5 • 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&Permitting Issues, including but not limited to the Historic Preservation Board, Design Review Board, Planning Board, Board of Adjustment, Land Use Department, City Commission,and any City Workshop or Committees, if necessary, relating to the property located at 5242 North Bay Road 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. 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 Work&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): $540.00 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 lobbvinq 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": —YesX_No: 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 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 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 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: —YesX No: f yes, has it been less than 112 months since the elected official(s) whom you provided campaign onsulting services was sworn ina. 6) Pursuant to City Code Section 2-482(a)(4)a., a lobbyist who has within the past erection 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. —YesX_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: YesX_No: If yes, were you promised or did you receive economic consideration in exchange for carmpaiq consulting seruicesi. TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[' ,']No Amount Paid$ MCR# Lt'L- 3' Date Paid i x'25- Lobbyist Registration Form received and verified by: J A) F<5Ci.iii ALL\aFOit.MS5LOBsYZST FORMSiL obbyis-t Registration Form Revised 03-11-20 REC.doc Revised 03/11/2020 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 COMPENSATI• DURING THE REPORTING PERIOD.1 Signature of Lobbyist: ,l// Date Y7//2 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 al ,-porting requirements. 7l/(/ Signature of Lobbyist: f/' Date CJ Signature of Principal: Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of -FLO('lob State of County of: t"llCkMtNkAe County of: Sworn to (or affirmed)and subscribedbefore me, Sworn to(or affirmed)and subscribed before me, by means of 02/physical presence by means of❑ physical presence or 0 online notarization, or 0 online notarization, this I day of ALL ��� . 2Q,X, by this_day of L 20_, by t-1theoer- NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION '!Persona ly Kno _Personally Known Signature oo 'Iota r, �ic Signature of Notary Public N-me o Notary, Typed, Printed or Stamped . Name of Notary,Typed, Printed or Stamped �ZARY Yeidy Montesino Perez (NOTARY SEAL) Q ;NOTARY PUBLIC (NOTARY SEAL) STATE OF FLORIDA • Comm#GG065548 12 I The term"lobbyist"specifically exCfuIes tt�e'�(ItS Vi g 24perso021ns: 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.' 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: 4417 Date w5 l 6 1191-4:2 VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: P,,RINCIPAL /odhce-- J State of Florida st of U1.`7?rr1 a County of: Miami-Dade of: 7.5i-,,"--(-27 Sworn to (or affirmed) and subscribed before me, Sworn to(or afjrmed) and subscribed before me, by means of 0 physical presence by means of Gd physical presence or 0 online notarization, or 0 online notarization, this day of , 20_, by this Oth day of Ani , 20Z' , by Matthew G.Amster Andrerw Pollack NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID 'Produced ID dV;ve,S i cei.ce— FORM OF IDENTIFICATION FORM OF IDENTIFICATION _Personally Known _Personall nown Signature of Notary Public Signature of Notary Public ��I-• k((;ot— RA.nSe- Gooht 4vk Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped (NOTARY SEAL) (NOTARY SEAL) 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 reimbufsement 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 ' 1 • 1 N MI A/Mt BEACH 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: qcdt..kao Arn,cer 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 $500.00,pursuant to Section 2-482 of the Miami Beach City Code. 0P///20 . - Signature of Lobbyist Date. F:ICLERI$ALL1aFORMSLLOBBYIST FORMSlobbyist Registration Form Revised 03-11-20 REG.doc • Page5of5 p^^+rn,.v-.nc,�.�..-.••,.-rn+."..`NT a,w......w-+ ,,x .......*e,. .ew ......,,..., ,w.,.w.Akem^.�M .......«aar-.w ,-�- L 3 Miscellaneous Cash"Receipt CITY OF MIAMI BEACH ' No,426350 Cash C Credit Card ECheck# $. tY :ZS': 20 . R Ivedof ,r)D fi, X4. . , 4 , y .)t} 14,�ti f � � 1 , .,> t �r�.; r Miscellaneou -1CR> 2020 UV�� T L)852 1 ffa �>' Cir)V rV 1 •AVV;k ..} ` FOR OPEN S - 73 31 { \ r) r‘37-0, P Payment=Amount: 1,050.00 =(THIS INFORMATION MUST BE COMPLETED) Office of Finance Director Account Number: .all 4 000, 6::`1. .• w preparers 3i: ° _.>, .. _. Dept:: EXT•'J`t ± j •