Liana M. Kozlowski - Alton Office Holdings II, LLC ) oMoblPt
RECEIVED
/' '\I AM I B EAC H Office of the City Clerk AUG 2 9 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:
Kozlowski. Liana M.
NAME OF LOBBYIST (Last) (First) (Middle Name)
Bilzin Sumberg, 1450 Brickell Avenu_e, Suite 2300, Miami, FL 33131
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) -(City) (State) (Zip Code)
(305) 350-2415 Iozlowski@bilzin.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Alton Office Holdings II, LLC ,� t-4 I"d l' (I s LJd- ✓1 e�
NAME OF PRINCIPAL (Last) ! I (First) (Middle Name)
1 0
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 in(7 •o•e E'i-T4tt'.Tr1 MB a:(;,1 Principe Cif i J corporation;partners p,Q7 of er ent ty ca O[pi:119n pD mil cif t al
entity,t compensation CO reimbursement for t,)n appearance,whether direct,indirect,(pcontingent,(rJ+(M7 support(Tor o••osition( '
• an item On uttinda the Eta3El3 QZ G37{In� Ji:'r•11 shall[1:13Lb re•uired(0(27 an re istration 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): 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 N/A):.
See attached.
Page 1of5
#9682522.2
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.AIton 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 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/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):
$725 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 lobbvina on'a present or pending bid for goods.equipment or services.or on a present or
pending:award forgoods,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'Citv'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
:represintative 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
'withln_the past electloncvcle?'lf yes.please)istthe Incumbent member(s).of the City Commission:.
_Yes XNo: ifVeSt qbas it been lessnthen 1 t+nnnths_stnc--ithe elected officlons) whomzvo provided campaign;
ponsuitin ce w a w+a"r ink
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 Commissionat a public meeting.
_YesXNo: 'Have You'provided campaign consulting services to an incumbent member of the City Commission,
within the past electlon.cvcie?If yes,please list the Incumbent members)of the City Commission:
_Yes XNo:• if'yes. were'you}pr'omi d or did•vau.receive'economic°consliieratlonrl 'exchance'f?rdjatrtpalgp•
'coonsttiti p servicesi
• - TO BE COMPLETEDD BY CITY CLERK'S STAFF ONLY (� 7
Annual Registration fee: [ I Yes[�Y}No Amount Pald a. `"c'° MCR ` 30 0 CC 1 Date Paid 61-�-L2
Lobbyist Registration Form received and verified by:
•F.e‘CLER\$AL1:1aFORMSiLOBBYIST FORMS.NLobbylstRegistratlon-Form.Revised 09-20-18 REG.doc Revised 09/20/2018
Page 3 of 5
i•
VI. SIGNATURES UNDER OATH:
ON FEBRUARY,e28 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•COMPENSATIONN DDURING THEREPORTI_NG PERIOD.'
Signature of Lobbyist: :61,1* P OZIOW�&/ Date 07/22/2022
Lia
na M: .oz ows r - - -- ---
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;Co.,and all rep. `ng.r,'aurae,ants.�;i
Signature of Lobbyist: . ' ,/ ' • - -•-.. -. bate o7/22/2022
I
ows f ; ._;w24/2:10284_
Signature of Principal„ � .° � . Date
VII. NOTARY SIGNATURE AND SEAL: -
LOBBYIST: PRINCIPAL
State of Texas State of C /o
County of: ELLIs County of: /RRN/CL/N ,
Sworn to(or affirmed:and:subscribed,before me .Sworn totor affirmed)'and subscribed before me
this 22nd day of oly- ,.20 2;by thitifeN0 of. AOguST' 20 22,by
Liana M.Kozlowski Brian Murphy
NAME OF LOBBYIST , NAME OF PRINCIPAL
-Produced ID DRIVER LICENSE ' _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
_ ^Personally Known ✓Personally Known
�D;of,Noia.IS gnature PA'lic. Signature of Notary Public
Abi Gutierrez
Name(*Wank Typed Printed-or'Stamped Name of Notary,•TypadjiRffnleA or Stamped
Nota;Izedon• 4et,sing.audio-video communication \��`\ p;Fia'A',L•,��!i-�
t~r w Abl Gutierrez ��`0
�!"' `.!i � \ i��q! '�OLIV.,R J REICHERT
�{ �1, A (NOTARY$�Aaj � �' NOTARY PUBLIC
:. : ID NUMBER •` ��.•' i
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tf°AP" COMMISSION EXPIRES S �� ;4'� -
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'The ": .. .. . .o ersons: � ' I ' '' \�� 06-26-2024
Expert witnesses who provide only scientific,technical or other specialized information or mpu y eetings;=any person who
only appears as a representative of a neighborhood association without compensation or relffeeuralent�llt.or 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
• MAMBEACH
City of Miami leach,1700 Convention Center Drive,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: Liana M. Kozlowski
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
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
,abut /.1: IE'ozlawski 07/22/2022
Signature of Lobbyist - Liana M.Kozlowski Date
F:ICLERI$ALLIaFORMSILOBBYIST FORMS1Lobbyist Registration Form Revised 09.20.18 REG.doc
Page 5 of 5
Alton Office Holdings IL 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
FAlsce&Isnaous Cash Receipt:CITY OF OF MIAMt BEACH
NO; 430099
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