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Luis Revuelta - 7200 Collins Holding, LLC 1111v Ct���niAve • Jok 05 /V\I, "' v '►.I. B A_ Office of the City Clerk CO), ���2 1700Miami Beach, FL 3313vention Center grive OFF/FOF�IAGq/l9/B 305.673.7411 Hoc/TCA RK 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 "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 "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: Revuelta Luis NAME OF LOBBYIST (Last) (First) (Middle Name) Revuelta Architecture International 2950 SW 27th Ave, Suite 110, Miami, FL 33133 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305.590.5000 LuisRevuelta@Revuelta.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Rosenthal Robert NAME OF PRINCIPAL (Last) (First) (Middle Name) 7200 Collins Holding, LLC 152 West 57th Street, 55th Floor, New York, NY 10019 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 9,12. — SI1 _ 4 PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant it)RV Code Section 2-482(h)(1i)(a): Q• I •.l CQeav corporation, partnership,ITT CQS tTitl j zap .•• m O lobbyist CM LigkEtgd that entity, 9 compensation Cp reimbursement or 09 tw�•rxiaaa�xa=Do catiga,indirect,CIT contingent,(t)GERM e.• Cal?oe•osition to an item shall register with the elerk as required by this subsection but shall not be required to pay an 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): • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A): Robert Rosenthal • 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): _ rac-01411,44 Page 1 of 5 DocuSign Envelope ID:64DAADED-AFEF-4046-B499-605075148582 Ill ISSUE.TO BE LOBBIED: Describe-with as much detail as is practical, including btit not limited to a specific description where. applicable of a pending request for proposal, invitation to bId, or public hearing iiiiinber. Development approvals &planning issues, including but not limited to the historic preservation board,,, design.review'board, Planning board, board of adjuatMent, land use development,city cominisisiort and any city workshops or committees, if necessary, relating to the property located at7j4t CollinaAvenue in IViiairil Qeach FL . IV,CITY,AGENCIES/INDIVIDUALS TO BE.LOBBIED: Pursuant to.City Code Section *2-481(04 list the,Pity Commissioner ortity 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 thesubject contractual relationship. Full Name of Individual and Contractual Relationship(If yes,explain) YRS NO Title of Person tO be Lobbied Staff for the Planning& Building Department -None Public Works& City acImin, PB, HPB, BOA None X DRB., City Commission & Mayor, as necessary None X Lend 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 it sought to. be lobbied as identified On the lobbyist reaistration 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'Soc. 2-485.3): (•40kle./ Pagel:of 5 DocuSign Envelope ID:64DAADED-AFEF-4046-8499-605075148582 The followin0 six(6)questions MUST be answered: 1) Pursuant to City Code Section:248.8;entitled"Prohibited-Campaign Contributions By Lobbyists On Procurement Issues': Yes XfNo: .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 Yes XNo: Are you lobbying on pending for a Development Agreement with the City application , . nda, for Change of zoning map designation orzhancieto 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 enoWqr.:prefit 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 teluired by this'section',but shall not be required to pay any registration fees Yes XNo: Are you representing r 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:ptibtie.ineetinge;any person who bnlY appears as o:repreOantatiVe of neighborhood association without compensation or reimbursement for theappeatance,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 organizationi for the, purpose of requesting a; grant without. special compensation or reimbursement for the appearance. _Yes No: Are you Providing only scientific, technical .or other specialized infOritiatiOn!,.appearing at a representative of a neighborhood.association without special compensation or reimbursement or terwesenting a not-for-profit based organization:1ot the purpose of requesting".a grant 'without special compensation Orreimbursement7 5) Pursuant to City Code Section'2-4910), 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 No: Have you provided campaign consulting services to an incumbent member of the City Commission within the past election cycle?If please list the incumbent iriember(s)of theDityfCOMMietien: . _ . . Yes XNo: If ireiebiii:•iebeeivieeeAhartIZinonthe:iiiige,the-eleeted,,officialigYVhoMciftia arevidad.carnpaiqn consulting services was sworn in? 6) Pursuant to.'City Code Section:,2482(a)(4)a., a„,lobbyist Whe 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 27491) shall disclose such particular service on his/her lobbyist registration form and shall Orally disclose such particular service before lobbying-the City Comm iesion,at e 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 economic consideration in exchange for campaign boasaltiniiiserlikei7 TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Registration toe: J Yes[ I No Amount Paids • ;mca..# •.. • pate;fajo, Lobbyist Registration Oorio:reColVed 61,01ER4ALQa000.4s‘to.6.0Ytgi FOliMS‘tobbYistRegfarki&niPtiiiii Revised",0 ,41:1‘20*.00;i*'.-:' : :keviegida3/11/ O*Y•• Page 3,of 5 DocuSign Envelope ID:64DAADED-AFEF-4046-B499-605075148582 . VI. SIPNATURESAJNDER•OATW , 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 ' ,: .: _ Date06/31Q/20.22.. . . . . 1,.de.solemnly or affirm,that all of tho foregOino'Wig),statements, and diglOIPSOrPS in,.this form aro true:an 'Prfect, and.that I.have read or am familiar with'.the oroviaions contained in•Chapter 2 -iet..VII, Division 3, entitled''Lobbyists Of theiNiiemi BE ecti:City Code and all•:reporting req "ternents. „ '' -,• - ' ''' .; iocoit:‘ - :0618012012 'Signature;of 4oltyiat, Date' ' . ., . . Signature of Pttncipal: . - : • . ' : elpf.o. . 06i606/30/2022 6/30/2022 DocuSigne4 y: Romjaat • leblitri- lebS Vii. NOTARY SIGNATURE A, BSEME,3473... • LOBBYIST:. ! PRINCIPAL FtOV;LQijt_ State,of,. ' ' ‘:: ' ,,-:,' , . . . State of TPYA 5 VOIAAtiliad .::, it- Pourity of . , ‘ _ ,,.. - , - - •', , . ., County ot . Harris .., .._,,,,.,, .,.. , '$Wbtri to(or affirm end SUbsOribed befote tner : Sworn to(or affirmed)end subscribed before rne, by rneane,of rEiOySical presence ,- by,rnetariS oto physical:presence dr:El o,njiA notankatiOrt, • „.. .,. or 'online notarization, Ucav of ,1 LA4.K, 2c24by this 1st day of I,ti 20,2 :by , 0 W. 0 ithtliti2211 Robert Ro enthal • NAM /OF LOBBYIST • NAME.OF PRINCIPAL • Produced [ID V . . Produced ID DRIVER LICENSE • FORM OF'IDENTIFICATiON : FORM OF IDENTIFICATION . , er$Ort'IIV"Knowr / • POrP9,..!VIIY:Known +1'.':''1*,.1., ,:.:: :plona,ure Of i'lit Public , i SignatUrevervelaty-PUbliC '_ 0'... --'-•: - - Ai Notarized online using audio-video communication , ...., -• : :-.: jia,jwinag;f÷17,-!egmf' • ;: . Joshua Jones. .Notary Public,State of Texas of , pl(;),w,,I: .+,1!--,•,:f'itrdiatp or Stamped Name of Notary;Typed,Printed or Stamped — :. if.1; 'ttrOmissial It Gq 310611... , ombhio4, :ARAlOfforippYtiflokitit,2023 (NOTARY 8EA0 ,t.frl..i!kt Joshua Jones 140fidpilAhrougWtfationaCNotartkin. , . .., • " " ' 4 ir1 ID NUMBER 132035778 --• eao- COMMISSION EXPIRES 1'the term"'lobbyist?spisOoally excludes following persons: 'No„,,,,,o June 3,2023 EXPert,WitneaseS:Who prOYide only SOientiff0;teCtini0a I OrOthet SPOCielize0 friforMati011 ertestir0OhY in o.uhti -meetings 411TOOr$,P.000. only appears as a representative of a neighborhood;association without OOMperiSatiOn or reimbursement let the appearance whether direct indirect or contingent to express support of oppoSition to any item::and any person who only appears as a representatiyecf, novforlprofit community ID-ased organization for the purpose,Of requesting a grant without special compensatiOrt or reimbursement for the,apili.e4r4Pce, 1:):a§&4 Oft DocuSign Envelope ID:64DAADED-AFEF-4046-B499-605075148582 Miami8eaCk:1/S)0'Convention Cenier"6rivei Miare1304;HoridaZ 0,9,.w*ve.mia!Atztoclifl.got Offiee,of:16,CityClerk, Rafael E Granada,City Clerki'gfty:00k@nitarriiheadik.gpy 0.1,673..Z411,Fax: 16702254 NAME OF LOBBYIST: Luis Revuelta 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 ExpenditLire,and Compensation Statement (Statement). In addition to any other penalties that may be imposed as provided in Section 2-486.1, a fine of $60.00 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 Ttut 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 ibbby has concluded or I am no longer lobbying on thatissue, I Shall immediately the 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-rnohth 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: • pAp., . 06/30/2022 Si nature f Lobbyist Date, MiEfOSALLUIFORM-SIOBBSIST FORMSILobbyist Rogistratirm Form tioviiecl 03-1140 REG.ckm Page 5 of5 DocuSign Envelope ID:CF3BE666-4A88-42B1-9496-199D1952C7B6 Page 6 of 8 DISCLOSURE OF INTEREST CORPORATION, PARTNERSHIP OR LIMITED LIABILITY COMPANY If the property that is the subject of the application is owned or leased by a corporation, partnership or limited liability company, list ALL of the owners, shareholders, partners, managers and/or members, and the percentage of ownership held by each. If the owners consist of one or more corporations, partnerships, trusts, partnerships or other corporate entities, the applicant shall further disclose the identity of the individual(s) (natural persons) having the ultimate ownership interest in the entity. 7200 Collins Holdings, LLC NAME OF CORPORATE ENTITY NAME AND ADFAIZE edby: %OF OWNERSHIP Witt f au Robert Rosenthal 100% occ a47A2or3473... 152 West 57th Street 55th Floor New York, NY, 10019 NAME OF CORPORATE ENTITY NAME AND ADDRESS %OF OWNERSHIP If there are additional corporate owners, list such owners, including corporate name and the name, address and percentage of ownership of each additional owner, on a separate page. We are committed to providing excellent public service and safety to all who live,work,and play in our vibrant, tropical,historic community. . . • • . . . • 4:17,-.,.'..',7-7,7'.7,...„',...,.,,,',' '..7',.f.,„7:'-ff-,..,...' , . „::',..:,- ,,-•,:,-,.'„...,-.• - ,,.-.' 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