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Graham C. Penn - 1100 West Investments LLC (ooWe* - RECEIVE APR 2� 2022 MIAMI " K Office of the City Clerk :;C("ry pFliAMl BEAC1-I 1700 Convention Center Drive COF,FICE OF THE Ci-n, ACH 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 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: Penn Graham C. 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 gpenn@brzoninglaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Liebowitz Michael NAME OF PRINCIPAL (Last) (First) (Middle Name) 1100 West Investments LLC 2200 Biscayne Blvd. Miami Florida 33137 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 374-5700 michael@m2afo.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant.to City Code Section 2 482(Fi)(1)(a)s,A principal,of any 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°item shall register with the Clerk as required by this subsection but shall,not be required'"to;pay any registrationfees,J 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): M. Liebowitz • 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 1100 West Avenue 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 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): $625 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 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 X No: 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 x No: If yes;'has.it been less than 12 months since theyelected 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 XNo: If yes, were you promised Or did you`receive econo'mic°rconsideration in exchange for campaign consulting services?: TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration'fee: [ ]Yes tyl No Amount Paid.$3Sz,' bD MCR# 611 1g(, ' L 0 ` . Date Paid' .0 ' 26• 2 t Lobbyist Registration Form received and verified by: - F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc Revised 09/20/2018 Page 3 of 5 • VI. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YEAR CH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A SIGNED STATEMENT UNDER O H LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, FOR THE PRECED 'G C•LENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENG• ' ED • BY. A.tATEMENT-SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPEN'•  HE REPORTING PERIOD.' Signature of Lobbyist: Date 41 2,c1 I do solemnly swear or affirm that all of the fo oing facts, statements, and disclosures in this form are true and correct, and that I have read or am familiar w• t rovisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and al require nts. Signature of Lobbyist: Date 2S I ?/2 Signature of Principal: Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Florida State of Florida County of: Miami-Dade County of: Miami-Dade Sworn to (or aff' ed) and subscribed before me, Sworn to (or affirmed) and subscribed before me, by m-- - of physical presence by means of 0 physical presence or-fg.nline notarization, or 13 online notarization, this n.S day of April , 2022, by this_day of April , 2022, by Graham C. Penn Michael Liebowitz NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID O ID NTIFICATION FORM OF IDENTIFICATION X Personally Kn n X Personally Known Signature of Notary P I Signature of Notary Public Diana Ramos Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped (NOTARY o$xl";•e��: DIANARAMOS (NOTARY SEAL) -,fri la% _ MY COMMISSION#GG 308355 "' 0 � EXPIRES:April 10,2023 '•.;;oF F�..' Bonded Thru Notary Public Underwriters 1 The term"lobbyis speci ica ly exc udes 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 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 0 TH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, FOR THE PRECEDI CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAG TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPEN ON DU THE REPORTING PERIOD.1 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 i Signature of Principal: bi4,./ Date of/O 0o- 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 I] physical presence by means of ihysical presence or M online notarization, or 13 online notarization, this day of April • ,2022, by this day of April ,2022, by Graham C. Penn Michael Liebowitz NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION X Personally Known x P rsonally Kno n P Signature of Notary Public Si to of No a u lic A Diana Ramos Name of Notary,Typed, Printed or Stamped Name of otary, Typed, Printed or Stamped (NOTARY SEAL) (NOTARY SEA$),••: Y'p$e..• DAYAMI AGUTAR ,>M _° ��.�� Notary Public•State of Florida 4. 9' o`€ Commission M GG 283448 •''�;oFfl. •' My Comm.Expires Mar 16,2023 1 The term'lobbyist'specifically excludes the following persons: Bonded through National Notary Assn. 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 AMAMI tE C 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: Graham C. Penn 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 • -ach year, and the fee for such annual registration shall be $500.00 purs , nt to -ction 2 482 of the iami Beach City Code. Signature of Lobbyist Date F:\CLERI$ALL\aFORMS\LOBBYIST FORMS Lobbyist Registration Form Revised 03-'1-20 REG.doc Page 5 of 5 SUPPLEMENTARY DISCLOSURE OF INTEREST Interests in 1100 West Investments. LLC Percentage of Interest 1100 West Investment Holdings, LLC 33.33% 2200 Biscayne Blvd. Miami FL 33137 MSL Hotels, LLC 33.33% 4400 Biscayne Blvd. Miami FL 33137 Carpe Hotels, LLC 33.33% 700 Broadway 8th Floor • New York, NY 10003 MONDRIAN MIAMI BEACH June29,2021 1100 West Avenue, Miami Beach, FL 33139 - Director' - Russell Galbut President: Shareholders" ° Sonny Kahn = Russell VV.Galbut 49.5% Menin:1998 100% LLC i Ronalee Galbut 49.5%° Interest Abraham&Nancy Galbut 1,0%, Personal Trust SONERICA CORP. Limited Partners a Florida corporation Sonny Kahn 26.433'a "RONRUSS - Elliot Elyhau Kahn 14'.56% Limited Partners MENIN INVESTMENTS I, LLC ' '' Joshua Daniel Jacob Kahn 14.56% CORPORATION' "Part- Directors:SonnyKahn 44:1% a Delaware limited'liability a Naomi Ruth Kahn V Kahn 1 a Florida corporation, ,Ronaiee Galbut " ' 441% , com'�anY- . Suzanne Passi Kahn- =- � _ Rather Wannah Yehudith.Kahn,14.56"/ - Avigail Devorah Chaya Kahn 14.56% Marisa Ann Galbut 5.52% Jenna Beth Galbut 5 28% 98%LP Interests General Partner General Partner. 1 ° 1% LP Interest 0 GP 0.77% N /99.23% 1% 990/0 EJNRA, LTD: RONRUSS PARTNERS, LTD.-. MENIN INVESTMENTS, !ll,P' a Florida limited , a Florida limited a Delaware partnership ,. partnership limited liability limited partnership 28.57% 64.29% 7.14% Manager 1.100 WEST INVESTMENTS HOLDINGS, LLCM Russell Galbut ---> aDelaware limited liability company • , - Registered in Florida' . 33.33% 1100,WEST INVESTMENTS,. LLC ,a Delaware limited liability company Registered in Florida 3 ; 1100 West Investments, LLC 33.33% MSL HOTELS LLC 100% MSL18 HOLDINGS LLC Liebowitz 2019 Michael Liebowitz Liebowitz 2016 Children's Trust- Revocable Trust- Nevada Trust-27.911% 67.182% 4.9070% Michael Liebowitz- Michael Liebowitz-Grantor Settlor/Grantor Michael Liebowitz- Matt Liebowitz/Alec Matt Liebowitz/Alec Grantor Liebowitz- Liebowitz- Matt Liebowitz/Alec Children/Beneficiaries Liebowitz- Children/Beneficiaries Children/Beneficiaries 1100 West Investments,LLC Carpe Hotels,LLC , _ 33.33% Carpe Hotels,LLC 33.33% Perry Weitz 2011 Trust, 100% David Weitz 33.33% Lauren Weitz 33.33% Justin Weitz 33.33% , • . . . . . . • . 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