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Matthew Amster - Ferrado Lido, LLC • t1 js� , RECEIVED nV .!I AIV\I B H Office of the City Clerk CITYd,F ' 7^ Qr- lJSS ,.JII AC{ 1700 Convention Center Drive OFFICE C;-TH,;CITY CI EHE Miami Beach, FL 33139 305.673:7411 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 ofthe 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 lobbiedshall require that the lobbyist file an amendment to the registration form. The lobbyist hasa continuing duty to supply information_end'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 1 Matthew NAME OF LOBBYIST (Last) (First) (Middle Name)• Bercow Radell Fernandez Larkin:&Tapanes,PLLC 200 South Biscayne Blvd.,Ste. 300.Miami,Florida 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) ' (State) (Zip Code) (305)374=5300. mamster@brzoninglaw:coni LOBBYIST BUSINESS TELEPHONE NUMBER.' CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II.PRINCIPAL INFORMATION: Barnett Andrea NAME OF PRINCIPAL (Last) (First) (Middle Name) Ferrado Lido;LLC: 20411.SE Birch Street Newport Beach CA 92660. PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) • (City) (State) • (Zip Code). ' (949)474=9884 .. . andr eabarnett@ferrado-us.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS • "ursuant Qj l l 2-482(h)(1En a principal G2criv corporation, partnership,cp( dk .•• Epp lobbyist @fl i caeff entity,without special compensation CPGr�li,�• -u for(11(;)appearance, �,' indirect,CB contingent,QAC ••• circp o•.osition(la HD=OS glpise the@k43re.uiredMEM subsection l I 1lR [b re.uiredq 0109 an re.istration{ 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): Andrea Barnett • 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): Please see the 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 for 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 40 Island Avenue m 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 enteredinto 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): $550 per hour Page 2 of 5 The following six(6)questions MUST be answered: 1) Pursuant to City Code Section 2488,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues": Yes XNo: Are youlobbying on a present or pending bid for goods, equipmentor services,or on a present or pending award for goods,equipment or service? 2) Pursuant to City Code Section 2490, entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": — Yes XNo: Are you lobbying ona pending application for.a Development Agreement with the City or application for change of zoning map designation orchange 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 requiredto pay any registration fees. 'XNo: Are. you. representing a .not-for-profit corporation-or entity without. special. compensation or. __Yes 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 specializedinformation 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 orother 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 toan incumbent member of the City Commission within the past election cycle?If yes,please list the incumbent members)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 ins • 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 (whichlobbying 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 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 X No: If yes, were you promised-or did you receive economic consideration in exchange for campaign consulting senrices?I • TO BE.COMPLETED.BY CITY CLERK'S STAFF ONLY. • tea._` `�� 1 r Annual Registration fee: [ ]Yes[ No Amount Paid$ - MCR# '✓ i- O Date Paid ©U-2-15-ZI Lobbyist Registration Form received and verified by: c F:\CLER\BALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 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 COMPENS ON DURING THE REPORTING PERIOD.1 /IRSignature of Lobbyist: r��� � Date (1)V2s12 k 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 re 'rements. 1 Signature of Lobbyist: Date LO 1221 9 Y Signature of Principal: Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of P O Ck0... . State of County of: -Jell e County of: Sworn to(or affirmed and subscribed before me Sworn to(or affirmed)and subscribed before me this Z. day of acne ,202, by this_day of ,20_, by NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION X Personally Known _Personally Known ‘00.1.0ibk Signature of Nary Public Signature of Notary Public Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped (NOTARY SEAL) .00.* Notary Public State of Florida (NOTARY SEAL) eft, Maidoty TNleria, My Conunia+ion GO 359452 Noof Expires 07/2812023 1 The term'lobbyist"specifica ly exc udes he of owing 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 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: Date 0 3 VII'. "NOTARY SIGNATURE AND SEAL:. • LOBBYIST: PRINCIPAL State of _Florida. State of Florida County of: Miami-Dade County of: Miami-Dade Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of IN physicalpresence by means of j physical presence or 0 online notarization, or 0 online notarization; this day of . 20z1., by this :day of -11m-e, ,2031.,by Matthew Amster Andrea Barnett • NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID Produced.ID CA-: t I, ll rhv C3711'414'10 FORM OF IDENTIFICATION FORM OF IDENTIFICATION x .Personally Known sonally K ilown Signature of NotaryPublic -I•ature of '.`R-: -ubll T:01144411/1 M bI'4 Name of Notary,Typed,:Printed or Stamped Nam of Notary;Typed;'Printed or Stamped (NOTARY SEAL) (NOTARY SEAL) • ,�`°t r, BENJAMIN DAVID JIMENEz �• �. Notary Public•California z J :::L',. .'13.4;;;•• Orange County >, The:term"lobbyist"specifically excludes the following persons: '� T`I'i Commission#230649.9 My Comm.Expires Sep 23,2023 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 onlyappears asa representative of not-for-profit community based organization for thepurpose of requesting a grant without special compensation or reimbursement for the appearance. Page 4 of 5 MIAMIBEACH 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:305.6 73.7411,Fax:305.6 73.7254 NAME OF LOBBYIST: Matthew Amster 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 wellas 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. <0\2 \2, Signature of Lobbyist Date F:\CLERLSALL1aFORMS\LOBBYIST FORMS1Lobbyist Registration Form Revised 09-20-18 REG.doc Page 5 of 5 Sandra Ortega Mera •NMarcos Ortegaita 17 Mera Plaza Maria Pita 17 Plaza Maria P La Coruna 15001 Spain La Coruna 15001 Spain J 89.24% t. 10.76% nL e °ft:{ Rospa CbrAa .Sp nishfor a ion . t „elit„ F. a 4 Plaza:ciVlarla Pita 17 i b LTa°@Corura`15`001°Spain , 100% erado inmsuebles ”::: '(Spanisah Corporati°o`n) ; Plaza tlla°ria.Pita fi7 a ;La„.Caruana 500 atn , 4 100% F+�rrado Prop� rtfe�s,,irc 4 F2041.1 74 ;SIA./ Birch,Streetiytel S`ui e 3600;-, Newport Beach, CA 9266 a .4.,g ff .a'„, , . p _° 100% x �: �A Ferrado„Li`do; LLC � . 20411 SW Bi'rcch Street,°Suite 360',pI ,� . Ne ortBeach CA 92660 .” • Miscellanea Cash=Rece&pt : . CITY 4F MIAMI BEACH ,. No, 428150.. . • pChedc `` ��� Ch a c cam, ,,-,'„ Will'''. . „� AAisce!anew§- tii —Gu , r ,. u S s n Paymen Amours: - ' 1,200.00 T. (THIS=WIFORMATION:MUST'BE COMPLETED)`, Officeofsnae Director / N L[ l{ it f^' EXT: : .