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Liana M. Kozlowski - Di Lido Beach Hotel Corp. .. r ty Clerk 160C.elln3, I611 Cod s /V\ I' `�I B EAC Office of the C i RECEIVED 1700 Convention Center Drive Miami Beach, FL 33139 305.673.7411 CITY OF MAY MIA1MI 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 "Na 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 requiredfor each principal represented on each specific issue. I. LOBBYIST INFORMATION: Kozlowski Liana M. NAME OF LOBBYIST (Last) (First) (Middle Name) Bilzin Sumberg, 1450 Brickell Avenue, Suite 2300, Miami; FL 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-350-2415 305-323-2685 lkozlowski©bilzin.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Granda Javier A. NAME OF PRINCIPAL (Last) - (First) (Middle Name) Di Lido Beach Hotel Corp, 10295 Collins Ave - 2nd Floor, Bal Harbour, FL 33154 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-728-8240 - javier@lionstone.net PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS •'ursuant CU Q (2Z:n Section 2-482(h)(1i)(a): a principal OM(ylittaltillab partnership,CV MEV GlIZISID appears Epp lobbyist(It tha -ntity,without pe I compensation 7 reimbursement fort G - =Do[ indirect,CP contingent toex•resssu•portd107 opposition t• n tRG(023EBr-.aired' Mfb subsection mein gri required(t)pay any re,istration g2t2a 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 NIA): Javier A. Granda • NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(if none,write NIA): Please see attached. Page 1 of 5 #94693•;1 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. 1 Lincoln Road Redevelopment of Site before City Boards 1669 Collins Redevelopment of Site before City Boards 1671 Collins Redevelopment of Site before City Boards • Negotiate a development agreement and possible code amendments with the City regarding Lincoln Road improvements and project development 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. Board of Adjustment, Dept. of Public Works x Historic Preservation Board X City Commissioners and Mayor X City Manager, City Attorney X Planning Board, Design Review Board X Building Department, Planning Department 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): $660 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 XNo: Are you lobbvinq 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 Citv'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 the past election cycle?If yes,please list the Incumbent member(s)of the City Commission: _Yes XNo: f Y�"e' !Ihaslit�beenile" thani1F2TritonthsTsinceTthT le'ct_ed[officialfsllw`hom you provided cmpa�n, onsuitinq services was sworn ini 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 lobbvina 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: f yes,were you promised or did you receive economic consideration in exchange for cameaign, con ultinq" services? TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]-Yes[�'Na Amount Paid 3 `�°' CR# Lt'J u 6),—) Date Pald 5"2-b Lobbyist Registration Form received and verified by: 3 ) 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 COMPENSA/ON DURING TH REP TING PERIOD.1 Signature of Lobbyist: e _ . Date /I RA 2_M. Kozlo ski 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�reporti qui ents. Signature of Lobbyist: - Date _5/i g/ naI. • = owski / Signature of Principal: //N/ Date 5/18I a2 - A. Granda,VP and General Counsel - VII. NOTARY SI_ i ATURE AND SEAL: LOBBYIST: PRINCIPAL r State of t�l(C Y1 CGS� -[n� ,w, State of FLO R I DP County of: �l,Gl VWl- --0 County of: MV O/A- tplkta Sworn to(or a rmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means ofphysical presence by means of rif physical presence or 0 on'ne notarizatio , or 0 online notarization, this Ic day of 20�;.by this day of MA`I 20?Z by NAME OF LOBBYIST Liana M. Kozlowski NAME OF PRINCIPAL Javier A.Granda;VP and General Counsel _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION .. 1 ers•,:r-��►.I own Personally Known -\1 c c IJY Signature of Notary Public /� Signature of Notary Public a nes !�"'.-E'V "a LUIS MESS Q Name of Notary,Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped (NOTARY SEAL) ro,,rPe% INESBERNAL (NOTARY SEAL) o101o//i Luis AdolfoMejia *� <.,�,) Commission °' e`i Comm.:HH 184366 9i•0,14 P Expires February 15,2026 ifS.. :`•= Expires:Oct.10,2025 I The term"lobbyist"specifically excludes the following persons: �'''a p° i„��`` Notary Public•State of Florida 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 MLM1'BEACH ' 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: Liana M. Kozlowski 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 $500.00 pursuant to Section 2-482.of the Miami Beach City Code. . SIi / Zz gn.. ure of L• ., •yisti.ana M. Kozlowski Date F:ICLERI$ALL1aFORMSLLOBBYIST FORMSLobbyist Registration Form Revised 03-11-20 REG.doc Page 5 of 5 EXHIBIT"A" Organizational Chart of Di Lido Beach Resort Parent LLC . _._ :--.. ,-7.---- -'' -e----- -:::---.7 ------..--t, '3,•--.EarsaRr°141Y114' ViiiiirljdO -Flai:Di Lic?", i, , ..,,tibiLit5iite DILido.,, 1-.0iiiiiiciiiiiiiiiiiii ':: f * EN09-Pet00114:cf _ . _. '.-,;,;....,,-;.,:ttlE171. ... . . . , pp-09til-g cctif,(0 Ventures Ltd:(F1.). ' -:: !IN.Lit MI: .-'-' - -.GP,Inc.:'(FL)... _ ' " (DE) '- : ' ., . ; ...:',•:':"-'.--: ., , i)• "" -%:._,, -, -,- - , , -/ '-: -::IL ; -- --L_4.2 ::: _ I:1_ !,:._: r • I , .67% 29.5% 35% 1.5% 31.66% 1167% :-71:"',_="t, ff.;::::.r::•-•-. ,;filliadjElEichllesiri,'. Managers of(i)Di Lido Beach Resort Parent LLC,(ii) Pa- -reittlie(DE):.. -. ' Di Lido Beach Resort Mezz LLC, (iii) Sobe Sky Development LLC,(iv)EBJ Sagamore U.0 and(v)Di ' Lido Beach Resort LLC: _ Lionstone Group: 100%I 100% 100% 1. Diego Lowenstein • .—-"4.-7'.,1-,:.-2^'.• .*'.'---_-v.r 7t41-4_-..--•,-:::.--=-:;1.•_ 2 JavierGranda - 7 A --4 . - - c beSNDiUdoleficiRettt - . Ealzagamore--,•':im-Dee:eiotinetit U.Ce,7, :..7,-e--.7.---ri- ------r.:.,- --,-;,:-,.• Kanavos Group: t-_,::,,,::Mpzzi.L,CIDE)1-;;.; •:.; :-.1-";::: 'tfit,:3"Y:,:7--:a.,, 1-!„.7-0 .7'.1(09,7*:, ,- 1. Paul Kanavos , ,7'_`.1"=-:'"?.,-..-'---;'-„': '-;:i '".':0 '...,-•'.:-'.... .:4 , ' ,-, -----;.. -01-'7;:f.:7 7', . 2. Dayssi Olarte de Kanavos N,-.1 '.;..! .1._z_.-4..-_-- 7..,,,,/ % - =.--,-,-._.-..J• Ben-Josef Group: 100% 1. Ron Ben-Josef _ 2. Ronen Ben-Josef ,.. Lionstone entities on page 2. • Kanavos entities on page 3. • Ben-Josef entities on page 4. :,,-:'/ _._ -- _, , _ _..., . ...._ -JOHN W.. BRUCR E CARLA FLAVIA PAULA - DIEGO ALFREDD.. Lionstone Group : ' COONEY ; v LAZAR LOWENSTEIN : • LOWENSIEIN ' . LOWENSTEIN LOWENSTE - _ BOANO 3.81%'- 3.81%,, 10.48% 10.48% 10.48% ' 10.48%.;'' 100% Lawenstein Famty,Ti iirst • . (Revocable)(8VI). 100% LoYestentt oldings Ltd. _ - - 100% • . ` UUonstone:Holdin ,:: -;(Barbados Elie 100% 50 4646 ' ,�onstone up trio: i - _ . 100% • Liin toilsg Lido LP LLC Lionstone DirLido GP1nc,t 35% 1.5% Kanavos entities on page 3; L.'>=DIYid kS dr`R R-`r.°, Ben-Josef entities on page4. y}- -"fie p t LI(4,_) . -` 2 Kanavos Group P��I PETER PAut /PE1E1t KANAVOS KANAVOS KANAV06 KANAvos 50% 50% 50% 50% 1i: -ag Ql tkld '= t • • UAN m(r Corp. . Comt LIG '' 11fC ' = KasgvazQynast�ri i, ; ,rvc, _i,,'fif- (oli�Nnr KAPrwi� T' • 2ou' fTnrstzou 4 f�Plf .67% 238866% 450328% 6.78% 12.39452% 5.05632% .93214% 2.25299% 2793632% 27.93632% :9:8081096 fit,--- �_ -?.-,. .3_..y.�� 4 A 293% Lionstone entities on page 2; Ben-Josef entities on page 4. opi th / .aResetl-ParertliG 3 Ben-Josef Group - - RONIT RON BEN- RONEN ' •• RAVIT NEUMAN , , JOSEF BEN-JOSEF . KRAUS 25% 25% - 25% 2596- - 25% 25% —""111111.1111 25% I I 1 I I I I I I I I I I 1 1 5 I . 7.-4B-kii:•iiiief Grow _ .1,Josetarici 1.1dla c••;'- ' ' Each of (i) Ronit Neuman, (ii) Ron Ben-Josef, (iii)' 1tTVOb1 • , Ronen Ben-Josef and(iv)Ravit Kraus are the trustees of The Edeed Ben-Josef and Lidia Ben-Josef - Irrevocable Trust. 100% 100% 14B.IrSagamotelli- ABJ1ofieit1iitint, (DEE ' '- 5,,1- 31.66% 1.67%, •- :6E1 iath , lionstone entities on page 2; ;Reisiirt PaliintLIC,f,- Kanavos entities on page 3. 4 • • ,'' Miscellaneous.Cash Receipt % CITY OF MIAMI.BEACH ., - • ;f ` No,_42862T k . p Cash C I Credit Cerd•.• Check#�. . 0 I. ,_' B ItIcycX { 20 �; s oe MCR"-2(1'22 ' r« ;.: ]2(1 Adrian narn�t��l�nn t. .4 R } _ ,` . r Fay 1 rlrrrvunC. ir;4UU,uu ' 4. 1 S ' ►s 4FORliu►TION MUST BF COMPLETED - ) r 00c a►fFu,anc -orr.ctor . rY t. .a,.F .. 1,t �4e c,« .t*e^..o'l.* �+w�uti.� ',s•a 3-:/r..�+i w... .�r.4✓r„•"•w' J1.N. 15 Y�.lr-.'• +�aT-r'.1,• i..v ...Ji r,...-.�.-. e.l.3y .r . �-i..-..,' i ar