Michael W. Larkin - Setai Hotel Acquisition LLC RECEIVED
MI
4 e APR 262021
AAA �E � � �� Office of the City Clerk CITY`'r" OF MIAMI BEACH
1700 Convention Center Drive OFFIC ; ,-i1EE CITY CLERK
Miami;Beach, FL 33139
305:673.7411 11-3 D I c._-
LOBBYIST REGISTRATION FORM r 'J Z 1_�cc iV l d f 13 2,I—®(12_6,
Lobbyist means,all persons employed or retained,whether paid or not, by a'principal who seeks to encourage`ttie 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 allsections 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 tosupply 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.
1. LOBBYIST'INFORMATION:
Andrade, Rafael.E.
NAME OF LOBBYIST (Last), (First) (Middle Name)
Law Offices of Rafael E. Andrade, PA, 1688 Meridian Avenue, 7th Floor, Miami Beach, FL 33139
LOBBYIST BUSINESS.NAME AND ADDRESS. (Number and Street) (City) (State) (Zip Code)
(305) 531-9511 ralph@randradelaw.com
LOBBYIST BUSINESS TELEPHONE NUMBER' CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
11. PRINCIPAL INFORMATION:
Mounayyer, Salem
NAME OF PRINCIPAL (Last) (First) (Middle Name)
Setai Hotel Acquisition LLC 2001 Collins Avenue Miami Beach FL 33139
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(646) 467-1399 salem@jordache.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
Pursuant to City Code.Sections2 482(h)(1)(a): A;principal.of any corporation, partnership, orother 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'shalf.tegister'wRh:the Cleric:as required bythis'subsectionbut:shaii'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 2482(c):
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A):SALEM MOUNAYYER,MANAGER
• 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 ORGANIZATIONAL CHART
Page 1 of 5
fiiir14*-
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III. ISSUE TO BE:LOBBIED:
Describe:with as muchdetail 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.
Zoning matters in RM-3 District & 2/-o V2 y6
J
IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code 'Section 2-482(a)(4), list the City Commissioner or City personnel sought tobe
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.
Mayor and City Commission and all boards X
City Manager, City Attorney and all City staff 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 thelobbyist 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):
Not applicable:
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):
$5,000.00 per month
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":
YesXNo:• 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 Xtdo: 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 XNo: Have you provided campaign consulting services to an incumbent member of the City Commission
within thepast election cycle?If yes,please list the incumbent member(s)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 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 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: [ ]Yes4No Amount Paid$ 7 50 MCR# 427 6g ' Date Paid 61,/--C,4724
Lobbyist Registration Form received and verified by: 12 .
:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.tiac 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 COMPENSATE RING THE REPORTING PERIOD.'
Signature of Lobbyist: t Date 0b
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 re••-•':g requir,ents.
Signature of Lobbyist: Date VZ-
Z1
Signature of Principal: At Date 04/19/2021
OPPr
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of 1,O�\i 'r
State of r-1t ISO If i d A
County of: 1 �'1A\1 --1 e. County of: !v l i A.In -�OLCI e'.
Sworn or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me,
by means ortli physical presence by means of Kphysical presence
or 17 Rnline notarizati n, , or 0 online notarization,
this G. day of eAt- ,20 `1, by this Pi day of Ar I , 2021, by
(ZAMA._ N'all'Ai-E *de,w, ffleRmiaO
NAME OF LOBBYIST NAME OF PRINCIPAL f I
_Produced ID. _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
Perso y Known x Personally K kialk.
/ IS
'
Signature of Notary Pu lic Signature of ry •ublic
e t A.N`bp, s l (AA Ate.xavuj e€tr Pt IA",
Na - ► • •-. - • -. - 1"-d - Name of Notary, Typed, Printed or Stamped
FERNANDASILVA . _., ..,b. .._. .
(NO A ;., -tALNYCOMMISSION#GG230013 (NOTARY SEAL) . ,,)Ilt,p ALEXANDER PINA ,'
�• -, off: EXPIRES'August27,2022 ,9 Tip *_State of Florida-Notary Public •
"' ? '`''. BondedfiNNctaryPubr�cUnderwrPters ,l.,F Commission#GG 148094 ires
,/, ,q, My Commission Expires ,
"nio \ October 03.2021
'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
SETA! HOTEL—ORGANIZATIONAL CHART
Joseph Nakash Avi Nakash Ralph Nakash
2005 Trust 2005 Trust 2005 Trust
33.34% 33.33% 33.33%
Nakash Setai Hotel
Properties Acquisition
LLC
LLC 100% (DE)
(DE) Managing
Member
p,A r ew
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:305.673741 1, Fax: 305.673.7254
NAME OF LOBBYIST: Rafael E. Andrade
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 failsto 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, l 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.
472--/
Signature of Lobbyist Date
F:CLER1SALL1eFORMS1LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc
Page 5 of 5
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH ,
NO,;427688
Cl Cash 3 Credit Card .. C.3 Check# = $ t
, - t- 20
id Otc" 6/-77,
Misce laneous _.,= _
O r r .
I. • • z n
For ,s
■Yt�
Pa}rment Amount: . 350.00 f
Tests INFORMATION MUST EE COMPLETED)
Office of Finance, Director
°'? - Vob,' -00-3'07-339
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Pr ; r`�� ;.e• . Dspr .:, <' EXT: t-Preprint
MBF
City Hall
1700 Convention Center Dr.
Miami Beach , FL 33139
305-673-7420
Welcome
004764-0033 Maria A. 04/26/2021 11:42AM
MISCELLANEOUS
Reference 1: 427688
2021 Item: MCR
MCR OPEN (MCR) 350.00
350.00
Subtotal 350.00
Total 350.00
MASTERCARD 350.00
Ref Number4619/478263
Change due 0.00
Paid by: rafael andrade
Thank you for your payment '
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