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Shamim Ahmadzadegan - Alton Office Holdings II, LLC jcW k{4eiIIt-€L AUG 2 9 2022 MIAMIBEACFI CiN Office of the City Clerk OFFI OF MIgMI 1700 Convention Miami Beach,FL Center Drive CE OF THE CITY 9 CA H RK 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: Ahmadzadegan, Shamim NAME OF LOBBYIST (Last) (First) (Middle Name) Gensler- 545 NW 26th Street, Suite 250, Miami, FL 33127 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-372-8367 Shamim Ahmadzadegan@gensler.corn LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Alton Office Holdings II, LLC NAME OF PRINCIPAL (Last) (First) (Middle.Name) Alton Office Holdings II, LLC 1691 Michigan Avenue, Suite 445, Miami Beach, FL 33139 PRINCIPAL-BUSINESS NAME=AND ADDRESS (Number and Street) (City)' (State) (Zip Code) 614-221-0101 Brian@boich.com PRINCIPAL BUSINESS TELEPHONE NUMBER, CELLULAR TELEPHONE NUMBER EMAIL ADDRESS 'Pursuant to:City Code Seaton 2-482(h)(1)(a): 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 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 NIA): Brian Murphy• NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(if none,write NIA): See attached. Page 1 of 5 #9710517.1 • 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. Zoning, land use & development issues/approvals on property located at 1920 Alton Road, Miami Beach, FL 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 City Attorney's Office X City Manager's Office X Planning & Zoning Department• X Mayor& City Commissioner X Design Review Board X Planning Board 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 flied. 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): $375 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 XNo: Are you lobbying on a pending application fer: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-far-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•electlon cycle?If yes,please listthe incumbent members)of the City Commission: Yes XNo: If yes, has it been less'than 12 months since the elected 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 eleotlon cycle?if ves,please'llat the incumbent number's)(Atha City Commission: _Yes XNo: - )f yes: Were`you promised or did you.receive economic consideration in exchansia.for campaign conaultinaaet9ices? TO BE-COMPLETED BY"CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes�Ci]No Amount Paid_$35�` MCR# -"1 30 O c Date Paid O% �Q-�2 Lobbyist Registration Form received and verified by:. ._. • r:\CUR\01.1.%0014,1tikl.otfl►Ylsr FORMS\looht yist Registration Form Revised 09-211-18 REG.dnc Revised 09/20/2018 • Page 3 of 5 VI. SIGNATURES UNDER OATH: ,ON.FEBRUARY•213 OF EACH YEAR:,EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK-A SIGNED STATEMENT UNDER OATH. LISTING L988YING 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 ORCOMPENSAT1011.1URING THE REPORTING-PERIOD.1 Signature of Lobbyist: _ . Date . . ;12 2 Shamim Ahmadzadegan -- 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 uLobbyists" of the Miami Beach City Code and all reporting requirements. , . INV, Signature of Lobbyist: - • Date ,c28 •e:e.e.-ia • atp Signature of Principal: ;•_Asir Date46404r/2001/4>" .7. •- • _ • VII. NOTARY SIGNATURE AND S LOBBYIST: PRINCIPAL State of Florida State of 0///0 County of:,reitarrii I:30dt County of: _'6-2AA#L Swprrytolqr,effirmedlarid subscribed before me SwornWOraffirme.0),and,subscribed before me this day of NU9‘,W1. 2022,b this 1e.Uay of Si 2O. ,by • y Shamim,AhrilaciOdegatt Brian Murphy NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION Personally Known Personally Known . . _ , • SlnatU of Notary Public Signature of Notary Public . . Rte.-awe\ kutiiitt. Name of Notary,Typed,Printed or Stamped Name of Notary,TYpectAirite48r Stamped 4.1V:04 AIOLAN WEBB d sZ.''.R.•;. 1 J REICHERT (NOTARY SEAL) PirAk's Nor*pliblIC-Stale orfi. (NOTARYBBAg) ; • ConifilliiiCilt 'NH 27iw" S- NOTARY PUBLIC MiCOMmissionif Exp 176 ••77.7----"7r."4.40.1i100; ESTATE OF OHIO Jun0.05.'2026 ;me-- Comm. Expires 443.1co, The term"lobbyist"specifically excludes the following persons: '1Jvitt• 06-26-2024 • LP' gn • '0- •A• %.\\ % Expert witnesses who provide only-scientific,,technicatorather specialized Information-0r tosillyartifepame)3tIngs;any person who only,appeafS,AS,a represehtative0a neighborhood association without compensation or(aim lifttementie 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 . , '\.'\ '• _ µW City or Miami seam, I iuu Lonvenrlon Lenter unve,Miami Beach,Florida 33139,www.miamibeachfl.gov Office of the City Clerk Rafael E.Granada,City Clerk CityClerk@miamibeachfl.gov Tel:305.673.7411,Fax:305.673.7254 NAME OF LOBBYIST: Shamim Ahmadzadegan 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. 1. r ;D o3 2oz�. Signature of Lobbyist Shamim Ahmadzadegan Date F:ICLERISALLIaFORMBILOBBYIBT FORM81Lobbylat Rogletradon Form Rovlaod 09-20.18 REG.doc Page 5 of 5 Alton Office.Holdings II, LLC Ownership Chart • • WMB Resources LLC (33.33%) 6641 Dublin Center Dr. Dublin,OH 43017 Wayne M. Boich (100%) • Edge Park Realty LLC (33.33%) 135 Park Avenue Greenwich,CT 06330 • • Andrew Mathias(100%) • Beachbox Holdings II,LLC (33.33%) 30 Hudson Yards—73rd Floor New York,NY 10001 ■ Bruce Beal,Jr.(100%) MIAMI 9692612.1 81754/301450 ...,. , , . . . .. .... . :,..,.. ,.. . , .• . - Mleco,NlaneousCash•Recelpt. ,.. ..„. . .. . CITY OF MIAMI'BEACH No 400973 . .. .„,. . ... „ - „..... . . ... ,. ..- - , . --• .. . . . - . . , •, •, -. . ,..., .„ ,, - • .. , . ....,, .. . , , . . , , . . , . , . Cash. -0 -reddCard- - f ' '. , - - . - • ' •- '• C . al Check ii dc 1‘10',)6.- ' '' •'' ' ' i : OL‘').''.''' :li'''•.:.'•'•' . '''..•'':4 ••• . 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