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Matthew G. Amster - Villa Uno, LLC 72.3 d- 715 °Zhg %et{ DocuSign Envelope ID:2520CE32-2B1B-4870-AACB-722E3963440B RECEIVED fv\I Am BEACH APR -7 2022 Office of the City Clerk 1700 Convention Center Drive CITY OF MIAMI BEACH Miami Beach, FL 33139 OFFICE OF THE CITY CLERK 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: Amster Matthew G. 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.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Aguera Gimeno Jose Luis NAME OF PRINCIPAL (Last) (First) (Middle Name) . Villa Uno, LLC 848 Brickell Ave Suite 300 Miami Florida 33131 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305) 331-4707 jlaguera@surinvest.cl PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant ft)t >e e&gam 2-482(hX(t� p nerpal e2 corporat on partners ip,eF G(ni`T-. C-UL$V -e e gi lob ey a CW behalf CQ( e i .1llaCafi special Le(gHtezAkTAINCE ei burse e,t MID appearance,Cyr CIMI,[WIG%CP cent nge (t)@ 3 .e o CS/CIF V,I, e (g an item shall egister ,ith the Clerk as required by thi s bseetion but shall rjto be tequired to pay an registration fees. N If the principal is a Corporation, Partnership or Trust, the following information MUST be provided LL pursuant to City Code Section 2-482(c): • NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARY(if none,write N/A): Jose Luis Aguera Gimeno • 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): See attached. Page 1 of 5 (,,eidy ILLMd¢silibPal¢z 9-A9A1A083F1F1 Page 1 of 6 1A9A1A083F1F1 I III M 'I III pt'S Li ,sq.eo,zmzoaaa r:l,;.aaw 6F.kAlar DocuSign Envelope ID:2520CE32-2B1B-4870-AACB-722E3963440B 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,permitting,licensing and potential legislation 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, for property located at 727 and 735 2nd Street 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 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 None LL LL V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a M contingency fee is prohibited pursuant to City Code Sec. 2-485.3): $600 per hour Page 2 of 5 Li Dwwwdo elrfy.Bcom84298-2374-4A41-B339-A9A1A083F1F1 I Page 2 of 6 I 2A9A1A083F1F1 I ,11113M (.'IIII DocuSign Envelope ID:2520CE32-2B1B-4870-AACB-722E3963440B 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 x No: 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 X No: 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, has it been less than 12 months since the e ected official(s) whom you provided campaign consulting se rkvices was sworn 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. in _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: LL Yes X No: If yes, ere you promised or did you receive economic consideration in exchange for campaign consulting servicesf. TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration. fee: [ ]Yes[1.]No Amount Paid$ SO'� MCR# 1 .1 b3 Date Paid �kt 07 Z'Z co Lobbyist Registration Form received and verified by: -� F:\CUR\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist.Registration Form Revised 09-20-18 REG,doc Revised 09/20/2018 Page 3 of 5 Docverify ID:32A04298-2374-4A41-B339-A9A1A083F1F1 Page 3 of 6 I 3A9A1A083F1 F1 I 'lll..na 'I II I www.dacverif.cam DocuSign Envelope ID:2520CE32-2B1B-4870-AACB-722E3963440B 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.' e—DocuSigned by: 4/6/2022 Signature of Lobbyist: w R.w t Date `-65C416A70DBF4ID... 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. �Docu Igned by: 4/6/2022 IlilVSignature of Lobbyist: ` "" Date DocuSigned b'65C416A70DBF41D.. Signature of Principal: S Date 4/6/2022 a cs pAw ra Ct,l1a c6D1DF213AC124A5... 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❑ physical presence by means of 0 physical presence or II online notarization, or❑Xonline notarization, this 6 day of April , 20 22, by this 6 day of April ,2022, by Matthew G. Amster Jose Luis Aguera Gimeno NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION x Personally Known X Personally Known 0.. _______LIft . ] 6? (1i4 -1 Signature a uraiy Fiffem1t- Signature o 'IVofary Putilic o Yeidy Montesino Perez Yeidy Montesino Perez g a Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped N ,, ' . 6 - - - -- -- A - - --- 1 1 Yeidy Montesino Perez eid Montesino Perez LL (NOTARY SEAL Commission#HH 084273 (NOTARY SEAL C, Y 273 o Notary Public-State of Florida Commission#HH 0of Floridary Notary Public-State of Flo a 1 iyjy Commission Expires Jan 24,2025 IVIy Commission Expires Jan 24,2025 cn 1 The term"lobbyist"sperm.,,___ _Ns.„ Q.,,,,_——_ m w.rsumv�aauwoua.s as. —r— asc.T.— m euri su.nswsmwu,u.s a• Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings;any person who a 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 co not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for Q the appearance. co Page 4 of 5 L DocVerify n ID: 2A04298.2374-4A41-6339-A9A1A083F1F7 Page 4 of 6 4A9A1A083F1F1 'III n 'I ill • DocuSign Envelope ID:2520CE32-2B1B-4870-AACB-722E3963440B 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 CityClerk@miamibeachfl.gov Tel: 305.673.7411, Fax: 305.673.7254 NAME OF LOBBYIST: Matthew G.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 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 $500.00 pursuant to Section 2-482 of the Miami Beach City Code. LT_ LT_ DocuSigned by: Cii � am 4/6/2022 a M Signature of Lobbyist 65C416A7ODBF41D... Date ;. rn F:ICLERI$ALL1aFORMSILOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc Page 5 of 5 DocVerify ID:B2A04298-2374.4A41-B339-A9AIA083FIF1 Page 5 of 6 5A9A1A083F1F1 'III 1S 'I III www.docverify.com ue •DocuSign Envelope ID:2520CE32-2B1B-4870-AACB-722E3963440B 4 Disclosure of Interest "Villa Uno, LLC" tt , N ;• —. Florida Casa LLC 100% 848 Brickell Avenue,Suite 300,Miami FL 33131 '(4.,".31r4Y9'Y u"n- Montesur Investments LLC 50% Amicitia Investments,LLC 25% Sasep Overseas Ltd 25% 848 Brickell Avenue,Suite 300,Miami FL 33131 Kennedy 7900 of.301,Vitacura,Santiago,Chile Kennedy 5454 of.1701,Vitacura,Santiago,Chile 1Sor °,.:'r:.)1,seM_{''ie - 65". C`0.,.. SCE-%'.'r _ill,- ',Tee i'..5Pso-i c,t HPDM USA Inc. 90% Oviedo Investments LLC 10% Mount Hood 51.98% Elta Inversiones SpA 22.02% Lunctus SpA 26% Jorge Selume Zaror 100% Avenida Presidente Riesco 1300 S Miami Ave, Holding Del Inca 4421 dp. Camino La Vina Kennedy 5454 of.1701,Vitacura, No.5711 Santiago,Chile STE.3604,MIAMI,FL Investments,Corp. 161,Las Condes, 12.025 Casa 4,Las Santiago,Chile 33130 Santiago,Chile Condes,Santiago, Chile 6b.116"F517.7,,5' f}j.",;,,„;,, n,.saac.%' + Inmobiliaria e Inversiones 100% Oviedo USA SPA. 100% ,;, cc,ery ,V, << 'fit 4,.pc w,.,t v,41; L. „4..y4..°,Is,L; Pie de Monte Ltda. 1300 S Miami Ave,Ste. Marisa Lubiano 50% Avenida Presidente Riesco 3604,Miami,FL 33130 Luis `Enrique �r+r'3 Enzo 42Lubiano 100% g Luis Enrique 100% Del Inca 4421 dp.161 Camino La Vita No.5711 Santiago,Chile Hasbun Las Condes,Santiago, 12.025 Casa 4,Las Chile Condes,Santiago, Chile M r ;.;., Juan Fernando 50% o Cr?,2....r7,ti+;+j.;,... c.. , r 51.4 „", r:' ...,.,,�y{u=„5.`.,. Lafuente o Jose Luis Aguera 100% N • .r.v,:`i.- .4[..,. 1300 S Miami Ave, Camino La Vita csi Maite Zabala Meruane 34% Ste.3604,Miami, 12.025 Casa 4,Las Avenida Presidente Riesco FL 33130 Condes,Santiago, LT_ No.5711 Santiago,Chile Chile M Pilar Zabala Meruane 33% a a Avenida Presidente Riesco a No.5711 Santiago,Chile Mariela Zabala Meruane 33% m Avenida Presidente Riesco q No.5711 Santiago,Chile M N 0, m N a O Q Cl m DocVerify ID:B2A04298.2374.4A41-B339-A9A1A083FIF1 Page 6 of 6 6A9A1A0B3F1F1 1111 VA 'I III w www.docverify.com RECEIVED �y c< . doc 'erify. APR ( (--7 2022 CITY OF MIAMI BEAN'.'cyER�``-' Lobbyist Registration Form - MA - Villa Uno LLC.pdf OFFICE OF THE CITY CLER' DocVerify ID: B2A04298-2374-4A41-B339-A9A1A083FI F1 Created: April 06, 2022 13:43:13 -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. f E-Signature Summary E-Signature Notary:Yeidy Montesino Perez(ymo) April 06,2022 13:47:49-8:00[A46C28F474A3][162.244.152.118] ymontesino@brzoningtaw.com ti I L 5 + '+ F 1111 I IIIIIII till IIIII IIIIII IIII IIIII IIIIII IIII IIIII 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. I DocVerify ID:B2A04298.2374-4A41-B339-A9A1A083F1F1 ra er IIII M-511 II I i www.docverify.com Generated Cover Page A9A1Ao83F1F1 - -. rr "1 Miscellaneous Cash Receipt , CITY'OF MIAMI BEACH , No�429.963 t 3 Cash E7 Credit Card _ Check# Miscellaneous GR.-2022 : fleet- .—E4rrrrvzz-Fr. . Fat ..'' ?1 1:, 7. 4 1't`a'' ' / e`^..a^ WIT",.. Payment' ount ur ; -: . 350 00 4 } t rests$FO RMAT ON'MUST BE COMP . L.ERED) ` c�of Ftnanw Dl�ncta' Account Number 2 F # Y i , ., ,1A #} •y . -,`=" ^ *. A:4'm,..as , i w ra,, ?;<': .,.,,�,,.3 � , .�.'�..=..0 i.,` �' w, .......W.. w, • d' 0