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Andrew W. Burnett - MCZ/Centrum Flamingo II, LLC Is o ci5 Lc( DocuSign Envelope ID:497A9E97-90E1-4D94-BD54-8CD66E781EAA r RECEIVED MIAMI BEACH Office of the City Clerk O C T 29 2020 1700 Convention Center Drive Miami Beach, FL 33139 CITY OF NAM BEACH 305.673.7411 OFFICE(' F 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, resolutidn, action or decision of any commissioner, any action, decision, recommendation of the City Manager or any City board or committe;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 commititee.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: Andrew W. Burnett NAME OF LOBBYIST (Last) (First) (Middle Name) 2 South Biscayne Boulevard,Suite 1670 Miami,Florida 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305 482-8710 305 202-4974 andrew.bumett@stantec.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Hodges. Lee OF PRINCIPALCentrum Flamingo (List) (First); (Middle Name) MCZ/Centrum II,iLLC&MCZ/Centrum Flamingo III,LLC 4582 S.Ulster Street,Suite 1100 Denver,Colorado 80237 PRINCIPAL BUSINESS NAME AND ADDR=SS (Number and Street) (City) (State) (Zip Code) (954).998-8564 Lee Hodges@aimco.com PRINCIPAL BUSINESS TELEPHONE NU BER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pu jt.}t .. "48 j( -.: pri 'sal o WCOrpora ion, partil-rship,o othe end 40=12MMQ lob. ist 01)0211E11Wt.at Wit out p taipu - i In.urse$404for thz, l°' r h- a/di es. i i,O7contin. .%;,, • - p .-.. •�•rU11aro•y!c� 'oaar l 1i7 0 s sise ,ithIto >se.asr d(•. LEA'S' •--o evbtit`XtpJ .ui srst SL9f° If the principal is a Corporation, Partnership or Trust, the following information MUST be provided pursuant to City Code Section 2-482(c): Q • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write NIA): 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 WA): See Attached. LL Page 1 of 5 0, ,I m L/ aRpMpS,11Ba.� — —15-E6COAF90E4E8 I Page 1of6 1E6COAF90E4E8 I 'IIIj 'IIII DocuSign Envelope ID:497A9E97-90E1-4D94-BD54-8CD66E781EAA 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. Code Amendment and Associated Issues,Development Board Approvals and Permitting Issues for Redevelopment for the property Located at 1420 &1508 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 lobi?yist 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 Works &City Administration,PB,HPB, BOA None X DRB,City Commission,City Commission Committees,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 co be lobbied as identified on thI 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 W Ui W LL w 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): $232.00 per hour Page 2 of 5 rD DocVerify ID:9B215A40-01 F0-4469-A165-E6COAF90E4E8 I Page 2 of 6 2E6COAF90E4E8 I 'III� ,I III www.docvenfy.com DocuSign Envelope ID:497A9E97-90E1-4D94-BD54-8CD66E781 EAA 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 Apo: Are you lobbying on a pending application for a Development Agreement with the Citv_or application for change oftoninq map designation or change to.'the City's Future Land.Use Map? 3) Pursuant to City Code Sectio 2-482(h), any person (except those exempt from the definition of"lobbyist" as set forth in Section 2-481)who only appe� rs 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 Sectioi)� 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 neighlorhood 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 plroviding 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 speciatcompensation'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 zNo: Have you provided campaign consulting services to an incumbent member of the-City,Commission within the pastelection.cycle?Ifves;please liist:the incumbentinember(sl of the.CitvCommisslon: Yes_No: if .es, has it be ,n less than 12 mon s th Caen et�„ssi„_off:Lcial(s om vo._pro�rrded mAai 1 sultn seryl s .as sw n in? .. — 6) Pursuant to City Code Sectio 2-482(a)(4)a., a lobbyist who has within the past election cycle provided campaign consulting services to an incumbent mernber 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 theZity Commission ata public meeting. _Yes x No: Have you provided campaign consulting seririces:to=Incumbent member of.the City.Commission within the'bastelectiontvcie?If yes,.please Iist:thincumbent memberis)of the.City•Commissioni c N W —Yes_No: yes, e.• you.premised o rd yo r,cei a economdc o:�> bTi • for ca ^•i fs M.r n"'gTser' ..1es7A — W TO BE COMPLETED BY CITYCLERK'S STAFF ONLY Q °.. V2ios c1 a Annual Registration fee: [�Yes[ .)Ni Amount Paid$ --v - MCR#.: t T G ��`Date Paid _ •- Lobbyist Registration Form received and verified by:. 3:I rJ:3M-11.447.9a---6' - Fi eLER\aALCNaFORMS,\CpeaytST EORtNSALobbyl$tg glOtiOon Foam Revised 09-207113 REG.doc - _Revised'0020/2018 c _ _ Page 3 of 5 Doc Verifyft' 6215A40-01F0-4469-A165-E6COAF90E4E8 www.docveririf.nom I Page 3 of 6 I 3E6COAF90E4E8 I ,III=Mil III DocuSign Envelope ID:497A9E97-90E1-4D94-BD54-8CD66E781 EM VI. SIGNATURES UNDER Or4TH: ON FEBRUARY 28 OF E CH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A SIGNED STATEMENT DER OATH, LISTING LOBBYING EXPENDITURES. AS WELL AS COMPENSATION RECEIVED, FOR THE R CE a Gi CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN EN. • ►, 7O LOBBY. A ST ` NT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR CO P N' 'ON DU THE R P II $ERIOD.1 Signature of Lobbyist: Date /e)/—O //b4-6 I do solemnly swear or affirm that all o the 'o -•oing facts, statements, and disclosures in this form are true and correct, and that I have read or am familiar wi h th• . . sions contained ia C er 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and all rep•rti g : MIAMEBACH 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: Andrew W. Burnett 1) LOBBYIST FEE EX'ENDITURE 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 suspel ded from lobbying until all fines are paid, unless the fine has been appealed to the Miarni-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 - - •erstand annual registration of all lobbyists shall be required for each 12-month period om j• - •cing October 1 of each year, and the fee for such annual registration shall be $501.00 •ursuant to Section 2-4 of the Miami Beach City Code.- �.� October 14th, 2020 Signature of Lobbyis Date F:ICLER\$ALL\aFORMSILOBBYIST FORMS1Lobbyist Registration Form Revised 03-11-20 REG.doc Page 6 of 5 Apartment Investment and Management Company (a.publically traded Maryland corporation NYSE:AIV) EXHIBIT B (EIN84-1259577)., A._. Non Aimco Owners [comprised of 100% 2,689 limited partners, none of Aimco Holdings QRS, Inc. '. 100% 100% whom have an interest greater than (a Delaware corporation) ; (EIN 84-1324766) — ._..._..._... — — — — — 0.43%and none have any Aimco-GP, Inc. Aimco-LP Trust — — , (a Delaware corporation) I (a Delaware trust) . management control over the (EIN 84-1299715) ; (EIN 84-1299717) ! partnership] I 1.03%GP I 94.4%LP fi 4.57%LP Aimco Properties, L.P. (a-Delaware-limited-partner-ship)-(EIN-84 1275621). ._ �. e� �_ 100% 99%LP 100% 99%LP Aimco LA ORS, Aimco GP AIC REITAimco LP Inc(a Delaware corporation LA, L.P. Properties LA, LP ) (a Delaware LLC (a Delaware (EIN 75- 1%GP1 3019653) limited (a Delaware limited partnership) limited liability partnership) [1%GP 100% (EIN 75- company)(EIN (EIN 75- 3019672) 95-4718975) 3019665) Aimco Subsidiary REIT I, LLC (a Delaware limited liability company)(EIN 81-4657073) 1%GP 84.8%LP 2.93%LP 11.27%LP LAC Properties Operating Partnership, L.P. (a Delaware limited partnership)(EIN 95-4716685) Series-A 98%LP 2%GP S h h l d r 0% 97.8667% ---._.....--------._.._..----------------------- — ......— — Aimco Holdings, L.P. Aimco/Bethesda Holdings, Inc. (a Delaware limited partnership) (a Delaware corporation)(EIN 74-2967629) 2.1333% ,, (EIN 84-1325999) L �6.5611%LP 92.1374%LP .3015%GP: 1%LP Morton Towers Apartments, L.P. Flamingo South Beach- (a Delaware limited partnership)(EIN 84-1433026) North Tower-042913 A _ 1508 Bay Road Miami Beach, FL 33139 100% MCZ/CENTRUM FLAMINGO II, L.L.C. (a Delaware limited liability company) (EIN 20-4380477) June 2017 EXHIBIT Apartment Investment and Management Company B (a publically traded Maryland corporation NYSE:AIV) (EIN 84-1259577) A --......---.........__...._...._..._..............................._........._...._......... _._....._.._.._....--- A A Non Aimco [Owners [comprised of 100% 2,689 limited partners, none of Aimco Holdings QRS, Inc. 100% 100%: whom have an interest greater than (a Delaware corporation) — - -- (EIN 84-1324766) .- — ----_-- l 0.43%and none have any Aimco GP, Inc. Aimco LP Trust - — , (a Delaware corporation) I (a Delaware trust) management control over the (EIN 84-1299715). I (EIN 841299717) partnership], 11.03%GP 194.4%LP I 4.57%LP Aimco Properties, L.P. (a-Delaware limited:-partnership)-(EfN-84-1275621) -- ________________ __ 100% 99%LP —......_100°° 99%LP i Aimco LA QRS, • Aimco GP I AIC REIT Aimco LP I` Inc(a Delaware LA, L.P. Properties LA, LP corporation) (a Delaware LLC (a Delaware (EIN 75- 1%GPlimited (a Delaware limited 3019653) partnership) limited liability partnership) ',1%GP (EIN 75- company) (EIN (EIN 75 r 100% 3019672) 95-4718975) 3019665) 1 _..__.... .. I Aimco Subsidiary REIT I, LLC A A A -- (a Delaware limited liability company) (EIN 81-4657073) 1%GP 84.8%LP 2.93%LP 11.27%LP A LAC Properties Operating Partnership, L.P. (a Delaware limited partnership)(EIN 95-4716685) Series-A 98%LP2%GP ShHoldings,0% 97.8667% _...— Aimco Holdings, L.P. Aimco/Bethesda Holdings, Inc. (a Delaware limited partnership) (a Delaware corporation)(EIN 74-2967629) 2.1333% (EIN 84-1325999) 6.5611%LP 92.1374%LP. .3015%GP- 1%LP Flamingo South Beach- Morton Towers Apartments, L.P. Center Tower-042914 (a Delaware limited partnership)(EIN 84-1433026) , Common Area-042915 A 1504 Bay Road,Suite 2 ° Miami Beach, FL 33139 100% MCZ/CENTRUM FLAMINGO III, L.L.C. 1 (a Delaware limited liability company) (EIN 20-4241267) June 2017 MBF City Hall €:: c 1700 Convention Center Dr. t .- `- o :/. CI Miami Beach , FL 33139 -, f'-') ' - i 305-G73-74z0n Welcome t, ti -el .; t ' . )04615-0023 Maria A. 10/29/2020 11:52AM 1 dam' . • i �'`.4, 1ISCELLANEOUS Z 4. _ c '. Description: MCR OPEN i (MCR) v :) Reference 1: 427051 �' '�a fi` MCR OPEN (NCR) '? •: �, A�' 2021 Item: MCR '` 1 P 1,000.00 .: v MCR OPEN (MCR) 1,000,0 c� 1 .1 , 5 (3 ,i_,,,,,-; , ', Subtotal 1,000.00 4t �� Total 1,000.00i` , c c �'- w') CHECK 1,000,00 tt33 Check NumberU632915 Changs due : .0 ZV t _ 0 4 = 1 3 �"= Paid by: stantec . tj `"' r.. . . X , .:,---r , c f) • c, i 1111111111111111111111111111111111111111111181111111111111111111 I ` . 1 a � bboMcc vw _ 'f lA ' + t, • 0:-.' i i ' ( - FAY '^"'•."*"...^jO"MH ^'na4uNataafaw r*V W1Wara. 11 t1? O U.. U ral 01' ,W,6d'q��4g1{B ____ _ , - u3 R`h sad Thank you for your payment CUSTOMER COPY .4 .- lg ' , ri -, z '4.2! - 1 N. p! MBF Icity Hall ` s, . E:,,,,,‘ n No , 11, i 1700 Convention Center Dr. f ;� `�'';a, �'°�.` Miami Beach , FL 33139 . 305-673-7420 E- Welcome ! `� -■ 004615-0024 Maria A. 10/29/2020 11:54AM N 1 . MISCELLANEOUS a � � Z. Description: MCR OPEN �. (MCR) © . Reference 1: 427052 MCR OPEN (NCR) ' ' 2021 Item: MCR °— , 1 t 700.00 2 . MCR OPEN (MCR) 700.00 7 - r`= f �f 700.00 ,)'. Subtotal 700.00 Total 700.00 MASTERCARD 700.00 a `" Ref Number4722/033120 Change due' 0.00 h o Paid by: ELEANE NAVARRO ,:- ' ' ; '' „ ' ' c--,..,4 (:) :,. ‘41, ' ,„ i V111111111111111111111111111111I11111IIIIII IIIIIIIIIII . .� Thank you for your payment c CUSTOMER COPY sr