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Florencia Montecchiarini - 7510 Harding Ave, LLC 75 , v14-circ 4-‘c. v, bra. RECEIVED I Af\A 1 b Office of the City Clerk 1700 Convention Center Drive APR ® 2027 Miami Beach, FL 33139 305.673.7411 CITY OF MIAMI BEACH LOBBYIST REGISTRATION FORM OFFICE OF THE CITY 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 "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: Montecchiarini Florencia NAME OF LOBBYIST (Last) (First) (Middle Name) 7510 Harding Ave, LLC 1162 NE 91 Street Miami FL 33138 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-904-9995 florencia@fpminvestment.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Montecchiarini Florencia NAME OF PRINCIPAL (Last) (First) (Middle Name) 7510 Harding Ave, LLC 1162 NE 91 Street Miami FL 33138 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305.904.9995 florencia@fpminvestment.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant toCity°Code Section 2-482(h)(1)(a): A principal ofany 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;itemshallregisler with Clerk as,required by thissubsectidn;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 N/A): 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): 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 Members of City Administration, Members of City Staff and Members of HPB, PB, DRB and BOA, City Commission and Mayor, relating to the property located at 7510 Harding Ave. 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 Historic Preservation Board (HPB), X Planning Board (PB) , Design Review Board (DRB) X • Board of Adjustment(BOA), 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 N/A): N/A 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): Lobbyist is a Principal 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 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 XNo: 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. _YesX No: 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 the past election cycle?If yes, please list the incumbent member(s)of the City Commission: Yes XNo: 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,XNgj 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: [ ]Yes(N,No Amount Paid$ MCR# ' ti1 St I� " ' Date Paid Lobbyist Registration Form received and verified by: �5 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.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 , I U- NG THE REPORTING PERIOD.' _Signature of Lobbyist: IDate O1 JII{12I I do solemnly swear or affirm that all o the foregoing facts, statements, and disclosures in this form are true and correct, and that I have read or am familiar wits he i rovisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and all re•i ing -quirements. Signature of Lobbyist: t Date CA IN121 , I! 1 Signature of Principal: �v- Date Uy 114/11 VII. NOTARY SIGNATUR -- I S AL: LOBBYIST: PRINCIPAL State of FloridaState of I0 r I dQ County of: Miami-Dade County of: morn1- t c d-e Sworn to (or affirmed) and subscribed before me, Sworn to (or affirmed) and subscribed before me, by means of Ehysical presence by means of Ehysical presence or 0 onling notarizationr�, or 0 online notarization, this f day of /'rpr I 0 , 20z , by this /14 day of r I � . 2021, by Florencia Montecchiarini Florencia Montecchiarini NAME OF LOBBYISTNAME OF PRINCIPAL rr 1/Produced ID uvi V2v'S itC.'thS-e 'Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION _Personally Known _Peerrs'onally Known ,„„2C-Ge....e 'h ....11(.4_.•e 7_,.P Signat of Notary Public Signaturi‘bf Notary Public Name of Notary, Typed, Printed or Stamped Name of Notarf, Typed, Printed or Stamped (NOTARY SEAL) ... (NOTARY SEAL) SEAL) ....... MERCYARCE <Ye?,''••. MERCYARCE 4 _.; =i' .. MY COMMISSION#HH 054416 _ E.A.s ; "' ;.; MY COMMISSION#HH 054416 :1:•of Pg' EXPIRES:October 18,2024 1-.74;41i-,* EXPIRES:October 18,2024 1 The term"lobbyist"specifi ••2'J ' Bonded Thru Notary Public Undentriters 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 f Y ARIA 1 {� i�. E eat L. s4� k, d City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov Office of the City Clerk Rafael E. Granada, City Clerk CityClerk@miamibeachfl.gov Tel: 305.673.741 1, Fax: 305.673.7254 NAME OF LOBBYIST: Florencia Montecchiarini 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 .urs ant to Section 2-482 of the Miami Beach City Code. 0411111'Z' Signat •f obb ist Date F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc Page 5 of 5 DISCLOSURE OF INTEREST 7510 HARDING AVE LLC NAME AND ADDRESS % of Ownership GM 7510 DEVELOPMENT LLC, a Florida limited liability 20% company Gustavo Masri 1162 NE 91st St, Miami, FL 33138 RUTO LLC, a Delaware limited liability company 20% Alvaro Castro 21500 Biscayne Blvd Suite 401, Aventura, FL 33180 ST HUSKY LLC, a Florida limited liability company 20% Emiliano Fernandez Balague 21500 Biscayne Blvd Suite 401, Aventura, FL 33180 ERA DEVELOPMENT TRUST 10% Beneficiaries: Fabio Humberto Attaguile Sergio Adolfo Ebert Jose Diego Reboredo 1162 NE 91st St, Miami, FL 33138 75 NB GROUP, LLC, a Florida Limited liability company 10% Alvaro Castro 1162 NE 91st St, Miami, FL 33138 GM JET INVESTMENT LLC, a Florida limited liability company 10% Gustavo Masri 1162 NE 91st St, Miami, FL 33138 ROSTOCK BLACK LLC 5% Jorge Andres Abraham 21500 Biscayne Blvd Suite 401, Aventura, FL 33180 WHITE ROCA LLC 5% Matias Ariel Maggiolo 21500 Biscayne Blvd Suite 401, Aventura, FL 33180 TOTAL 100% 2 DISCLOSURE OF INTEREST 7510 HARDING AVE LLC NAME AND ADDRESS % of Ownership GM 7510 DEVELOPMENT LLC, a Florida limited liability 20% company Gustavo Masri 1162 NE 91st St, Miami, FL 33138 RUTO LLC, a Delaware limited liability company 20% Alvaro Castro 21500 Biscayne Blvd Suite 401, Aventura, FL 33180 ST HUSKY LLC, a Florida limited liability company 20% Emiliano Fernandez Balague 21500 Biscayne Blvd Suite 401, Aventura, FL 33180 ERA DEVELOPMENT TRUST 10% Beneficiaries: Fabio Humberto Attaguile Sergio Adolfo Ebert Jose Diego Reboredo 1162 NE 91st St, Miami, FL 33138 75 NB GROUP, LLC, a Florida Limited liability company 10% Alvaro Castro 1162 NE 91st St, Miami, FL 33138 GM JET INVESTMENT LLC, a Florida limited liability company 10% Gustavo Masri 1162 NE 91st St, Miami, FL 33138 ROSTOCK BLACK LLC 5% Jorge Andres Abraham 21500 Biscayne Blvd Suite 401, Aventura, FL 33180 WHITE ROCA LLC 5% Matias Ariel Maggiolo 21500 Biscayne Blvd Suite 401, Aventura, FL 33180 TOTAL 100% 2