Christopher Fernandez - North Bay Road-H Trust and North Bay Road-W Trust 5986 torte itoc,,r4
DocuSign Envelope ID:688678F3-81E4-4674-B87B-13B3C3BBC205
RECEIVED
M I AM I BEACH Office of the City Clerk APR 19 2022
1700 Convention Center Drive
Miami Beach, FL 33139 CITY OF MIAMI BEACH
305.673.7411 OFFICE OF THE CITY CLERK
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 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:
Fernandez Christopher
NAME OF LOBBYIST (Last) (First) (Middle Name)
CFZ Design 36 NE 1 Street,Suite 936, Miami Florida 33027
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(239)898-7549 Chris@cfzdesign.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Masotti Marco V.
NAME OF PRINCIPAL (Last) (First) (Middle Name)
North Bay Road-H Trust and North Bay Road-W Trust, 1285 Ave of The Americas,New York, NY 10019
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(212)373-3034 mmasotti@paulweiss.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
Pt)suant to Gity€o•e Section '82 4h0 ,a) a principal of an corporation,part ershik, or other entity who appears as a obbyrst on behalf of thai
ent",, •v • • mi7tUttripoGgiimmagn for 5112.appearance dtal2013M1,indirect, •,1 • • nth to ex•ress s pport o 0 opposition to
an item shall register wi h the Gle as required by this subsection but shall pot be required to pay OY 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):
A f,
5 • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A): Sek,
• 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 attached.
Page 1of5
�IA seifly M.wdesinnPerez —)D-1CC10058CFE6 I Page 1 of 6 I 11CC10058CFE6 µ I 1111
,I III
DocuSign Envelope ID:688678F3-81E4-4674-B87B-13B3C3BBC205
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 5980 North Bay
Road 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
Land Use &Sustainability Committee 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
3 appearance of an impropriety, with any current City Commissioner or City personnel who is sought to
c,
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
SI appearance of impropriety(if none,write N/A):
None
w
LL
U
U
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):
$120 per hour
N
m
m
0 Page 2 of 5
Dwww.docverify.co669825.8913.412E-B93D-1CC10058CFE6 I Page 2of6 I 21CC10058CFE6 _I Ell g ,llll
•
DocuSign Envelope ID:688678F3-81 E4-4674-B87B-13B3C3BBC205
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.
_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: I# yes, halitifbeen IessTthan 1'1 monttssTsince'itheTetec#edfficial('s)Iwh.om yo provrded campaign
consulting services wa s s worn inr.
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:
O
—Yes XNo: If es, were you promised or die ,ou receive economic consideration in exchanq,- for campaign
consulting senvicesi:
U
U
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
(�
Annual Registration fee: []',a Yes["]No Amount Paid$ v �'c MCR# gv� O� Date Paid Olt�7-t7
Lobbyist Registration Form__received and verified by: J S
F:\CUR\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.d'oc Revised 09/20/2018
0 Page 3 of 5
Docverify ID;C8B69625-8913-012E-B93D-1 CC10068CFE6 Page 3 of 6 31CC10058CFE6 IIIIMEM11111
www.docverify.com
DocuSign Envelope ID:688678F3-81 E4-4674-B87B-13B3C3BBC205
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
D c Sg ed by: 3/24/2022
Signature of Lobbyist: C��(/ �z Date
2000BABFCC564A9..
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.
°°`"sign°°°" 3/24/2022
Signature of Lobbyist: V.Y4-6 Date
2C00BA,FCC504A9._Do 3/24/2022
a,s�B�.d by
Signature of Principal: CMerch V IMdcffi Date
DB730A810EC24133...
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 0 physical presence by means of❑ physical presence
or dconiine notarization, or Ekonline notarization,
this 24 day of March ,2022, by this 24 day of March ,2022, by
Christopher Fernandez Marco V. Masotti
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
X Personally Known X Personally Known „�
] (44
. i •
41
L
Signature of Not`iys" %rdri "'°'°° Signature of Notary Public
g
o Yeidy Montesino Perez Yeidy Montesino Perez
:0 Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped
W (NOTARY SEAL)1 Yaeidy Montesino Perez (NOTARY SEAL! Yeidy Montesino Perez
0 1 Commission#HH 084273 I 1 Commission#HH 084273
1 Notary Public-State of Florida 1 1 rotary Public-State of Florida
5 Oy Commission Expires Jan 24,2025 ; 1 Igy Commission Expires Jan 24,2025
0 1 The term"lobbyist"spe 1
N Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings;any person who
M , 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.
O Page 4 of 5
DocVerify ID:C8B69825.8913.412E-693D-1CC10058CFE6 www.docverify.com Page 4 of 6 41CC10058CFE6 ,III ,I III
,y
DocuSign Envelope ID:688678F3-81E4-4674-B87B-13B3C3BBC205
MIAMI 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 CiyClerk@miamibeachfl.gov
Tel: 305.673.7411, Fax: 305.673.7254
• NAME OF LOBBYIST: Christopher Fernandez
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
0
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.
LL
[Dx�SlsnaG by:
�� 3/24/2022
PCOOBASFCC58dA9the
...
Signature of Lobbyist Date
F:ICLER\$ALLtaFORMSILOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc
rn
0 Page 5 of 5
DocVerify ID:C8B69825-8913.412E-B93D-1CC10058CFE6
Page 5 of 6 51CC10058CFE6 ,III �I II
vnvw.dacverify.com P
DocuSign Envelope ID:688678F3-81E4-4674-B87B-13B3C3BBC2O5
Disclosure of Interest
North Bay Road-H Trust and North Bay Road-W Trust
TRUST NAME
•
NAME AND ADDRESS %INTEREST
Marco V. Masotti, Esq.,Trustee 100%
MB Miami Properties LLC, Beneficiary 100%
do Paul, Weiss, Rifkind, Wharton&Garrison LLP
1285 Avenue of the Americas
New York,NY 10019
O
O
N
U
m
0
U
U
O
m
w
CO
CO
DocVerify ID:
U
wwww.docverfyc8m69825-8913-412E-693D-1CC10058CFE6 [ Page 6of6 61CC10058CFE6 1111
METRE 111
E E111
•
docv'erify
O�CVER��
Lobbyist Registration Form - C. Fernandez - Marco V. Masotti.pdf
• DocVerify ID: C8B69825-8913-412E-B93D-1 CC10058CFE6
Created: March 24, 2022 13:53:29 -8:00 •
Pages: 6
Electronic Notary: Yes/ State: FL
This document is a DocVerify VeriVaulted protected version of the document named above.It was created by a notary or on the behalf of a
notary,and it is also a DocVerify E-Sign document,which means this document was created for the purposes of Electronic Signatures and/or
Electronic Notary.Tampered or altered documents can be easily verified and validated with the DocVerify veriCheck system.
Go to www.docverify.com at any time to verify or validate the authenticity and integrity of this or any other DocVerify VeriVaulted document.
•
•
E-Signature Summary
E-Signature Notary:Yeidy Montesino Perez(ymo)
March 24,2022 13:58:28-8:00[C9B7169D31.D8][162.244.152.118]
ymontesino@brzoninglaw.com
11111
•
I IIIIIII IIII IIIIII IIII IIIII IIIII IIIII IIIIII IIII IIIII IIIIII IIII IIII IIII
•
DocVerify documents cannot be altered or tampered with in any way once they are protected by the DocVerify VeriVault System.Best viewed with Adobe Reader or Adobe Acrobat.
All visible electronic signatures contained in this document are symbolic representations of the persons signature,and not intended to be an accurate depiction of the persons actual signature
as defined by various Acts and/or Laws.
DocVerify IDCSa69825.8913-412E-B93D-1CC10058CFE6 EMPRGenerated Cover Page 1CC10058CFE6 ,III 'I III
www.docverify.com
•
•
LL
Miscellaneous pt
Cash Receipt
CITY OF:MIAMI,BEACH
No 429983
L7.Cash Q Credit G r ' : .
and- CCheck#,
a..
4 4416 �O� , "� �$ 'i q a"ors € > , - / s
Miscellaneous; MCk -
Pavnient Amount r
' 1,800 00 1
. 44[.;Cs• n'HMJ INFORMA71ON�MUST 8E COMPLETED) , Cri Of F Dincta •
� v
-;?cc 1 By
A lin•NwAbilr'r' i` •L� 1 � ` " �' ( _ '
n