Gregory Fontela - New Hosco Beach, LLC �7�35 gAILDNG A-uG.
M I AMI BEACH RECEIVED
Office of the City Clerk
1700 Convention Center Drive O C T 1 3 2020
Miami Beach, FL 33139
305.673.7411 Crry ,'1f!ijiVlBEACHBEACHLOBBYIST REGISTRATION FORM OFFICEOF OF THE ClITY CLERK
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:
Fontela Gregory
NAME OF LOBBYIST (Last) (First) (Middle Name)
Bercow Radell Fernandez Larkin &Tapanes, PLLC 200 South Biscayne Blvd., Ste. 850 Miami, Florida 33131
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 374-5300 gfontela@brzoninglaw.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Bastid'as Marco
NAME OF PRINCIPAL (Last) I (First) (Middle Name)
New Hosco Beach;LLC 1313 Ponce De Leon Blvd.,Suite 301 Coral Gables,FL 33134
PRINCIPAL BUSINESS NAME AND ADDRESSI (Number and Street) (City) (State) (Zip Code)
786-703-7704 marcobastidast@ritofa.com.ec
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
Pursuant CO Wig=
c � npri ci pa d�corporation, partnership,(Naar� appears tag p lobbyist CE-
behalf QW
MI%whout special compensation rei burse e t for( D.opeara oe, he he CIIRRA indirect,CR conti:gent,ft)C •i- o®o @QCQ o.0 osition I
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MEM Mftg521'En1219 Mph Elg Ga 0 ir:d al. IJI B bsection blea4tail li k)re o uiro d o a, Catv re o istration fittggt
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):
• 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 is practical, including but not limited to a specific description where
applicable of a pending request or 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 7835 Harding
Avenue 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 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
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):
$360 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 x 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":
_Yes x 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 X No: Are you representing a not-for-profit corporation or entity without special compensation or
reimbursement?
4) Pursuant to City Code Section 2481, 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 X 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 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 XNo: 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 XNo: If yes, has it I s faan 12 mon hs si e ;e )acts a ioal(s) whom you provided campaign
consul ing e r ices was swarm ina
6) Pursuant to City Code Section 2-I82(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 meeting.
_Yes XNo: 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 XNo: If Yes, ere ,bu pr.miised or .id io: ceive e-onamic"consideration in exchange for campaign
cns tltinq se :icesr:
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ ]Yes[V No Amount Paid$ +30\ ``' MCR# TIC) �. Date Paid
Lobbyist Registration Form received and verified by: _ l.k‹rr
CLER\SALL\eFORMS\LOBBYIST FORMS'Lobbyist'Reg istration Form Revised .09-2048.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.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 /0 ' O/• 10
VII. NOTARY SIGN URE AND SEAL:
LOBBYIST: PRINCIPAL
State of Florida State of r/DYi�G� /�
County of: Miami-Dade County of: /u/adf/ — bade
Sworn to (or affirmed)and subscribed before me, Sworn to (or affirmed) and subscribed before me,
by means of 0 physical presence by means off physical presence
or 0 online notarization, or 0 o ine notarizaj o`n,, � "
this day of , 20_, by this 7 day of ((2C�l U`dGls , 2000, by
Gregory Fontela i--r er® 4 . l�/
NAME OF LOBBYIST NAME OF PRINCIPAL l
_Produced ID _Produced ID `
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
_Personally Known Personally Known
Signature of Notary Public ignature of Notary Public
Xec,cil/lie a . GCa-ro
Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped
(NOTARY SEAL) (NOTARY SEAL) ;iAt►f.11/4 JEANNIEB.CLARO
• .,,, s;: MY COMMISSION#GG 329478
_�•4 a` EXPIRES:May 23,2023
Bonded Dm Notary Public Undetvattera
1 The term"lobbyist"specifically excludes the following persons:
Expert witnesses who provide only scientifc,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
!JUGUOIyt I CI iveiupe IU.VVC.1=ou-rcUO-'IU-r-/1O001 I IColivoOCC!D
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 C,QMPF4SATION DURING THE REPORTING PERIOD.'
Signature of Lobbyist. art-0r&AM& Date 10-9-2020
'—B1980729242A40B... i
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,Co etarnddia rept rting requirements.
Signature of Lobbyist. "'Nd F atkagt. Date 10-9-2020
`-81980729242A40B...
Signature of Principal: Date
VII. NOTARY SIGNATURE ANP 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 0 physical presence) by means of 0 physical presence
or El online notarization, or 0 online notarization,
this 9 day of October , 2020, by this_day of , 20_, by
Gregory Fontela
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
jg_Pers7.11.:W^^t.,.. _Personally Known
Signature of Notary Public Signature of Notary Public
Diana Ramos
Name_oiNotart,Ivoed..Ptinte4 cir.Ztaraq-d Name of Notary, Typed, Printed or Stamped
Diana Ramos
Commission#GG 308355 (NOTARY SEAL)
Notary Public-State of Florida
My Commission Expires Apr 10,2023
a ,
111:03-W-• ..,n„ c P .�' nna;m 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.
Page 4 of 5
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A Al 1 i U\1\k/ 1,[ B E ,AC H
City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granath), 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
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.
DocuSlgned by:
V 10-9-2020
32E12035509E8410...
Signature of Lobbyist Date
F:ICLER SALL1aFORMS\LOBBYIST FORMS1Lobby1st Registration Form Revised 03-11-20 REG.doc
Page 5 of 5
Page 6 of 8
DISCLOSURE OF INTEREST
CORPORATION,PARTNERSHIP OR LIMITED LIABILITY COMPANY
If the property that is the subject of the application is owned or leased by a corporation, partnership or limited liability
company, list ALL of the owners, sharleholders, partners, managers and/or members, and the percentage of ownership held
by each. If the owners consist of one or more corporations, partnerships, trusts, partnerships or other corporate entities, the
applicant shall further disclose the identity of the individual(s) (natural persons) having the ultimate ownership interest in the
entity.
NEW HOSCO BEACH, LLC.
NAME OF CORPORATE ENTITY
NAME AND ADDRESS %OF OWNERSHIP
New Hosco Investments Ltd. 100
Omar Hodge Bldg., 2nd Floor,
Wickham's Cay 1 , Road Town, Tort(
British Virgin Islands
NAME OF CORPORATE ENTITY
NAME AND ADDRESS %OF OWNERSHIP
•
•
If there are additional corporate owners,list such owners, including corporate name and the name,address and percentage
of ownership of each additional owner, on a separate page.
We ore committed to providing excellent public service and safety to all who live,work,and ploy in our vibrant,aopicol,historic community.
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That We, Marco A. Bastidas Yunes and Marco A. Bastidas Teran, Collectively
and as Managers of NEW HOSCO BEACH, LLC.,a Florida limited liability company,
have made, constituted and appointed, and by these presents do make, constitute and
appoint, JENNIFER A. MARQUES, lawful attorney for me and in my name, place and
stead, and more specifically in connection with the construction of the property to wit:
7835 Harding Avenue, Miami Beach, FL 33141
to execute any applications, letters, affidavits, and any other document necessary to
effectuate said construction and building, giving and granting unto, JENNIFER A.
MARQUES full power and authority to do and perform all and every act and thing
whatsoever requisite and necessary to be done in and about the premises as fully, to all
intents and purposes, as I might or could do if personally present, hereby ratifying and
confirming all that JENNIFER A. MARQUES shall lawfully do or cause to be done by
virtue hereof.
WITNESSES: NEW aSCO BEACH, LLC, - " orida limit••-d
liabilit. compa y
<� ^ `
Print: 111%eMAlif RI MA's A :ASTIDAS YUNES,;lndividually
and as Ma AV
Ati Print: , �/��% BY: ' ,011._
prMARC* :A 1ZAS TERAN, a•ividually
and as anager
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Notary' • • State of Florida
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My Comm.Expires 3,x2023
!6 Commission No.424398
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