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Julio Bautista - Di Lido Beach Resort LLC I L t 1') u 4 I L- 7I CO1I1 DocuSign Envelope ID:C2F44846-D872-4BE1-9BC3-130369F78A1 FD RECEIVED MAM I BEAC H Office of the City Clerk OCT 2° 2022 1700 Convention Center Drive C11 y 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 "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: Bautista Julio NAME OF LOBBYIST (Last) (First) (Middle Name) Lehrer Cumming 4500 Biscayne Blvd., Suite 110 Miami Florida 33137 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Strew) (City) (State) (Zip Code) 786-360-9447 jbautista@lehrercumming.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Granda Javier NAME OF PRINCIPAL (Last) (First) (Middle Name) Di Lido Beach Resort LLC 4100 NE 2 Avenue,Suite 202 Miami Florida 33137 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-728-8240 javier@lionstone.net PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant to City Code Section 2-482(h)(1)(al: 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 N/A): J. Grande • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST(if none,write NIA): Please see the attached. Page 1 of 5 //ss�� U v,. 1 I 1_t4)M82A2-S81 t-4�L1 81 t t 1 E82218CADO Page 6 o124 6EE82218(,AMO ,III Kamm II r�t�' DocuSign Envelope ID'C2F44846-D872-4BE1-9BC3-B0369F78A1FD 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. Lincoln Road Improvements, Development Approvals&Permitting 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 properties located at 1 Lincoln Road and 1671 Collins Avenue in Miami Bead,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 NIA): 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): $350.00 per hour Page 2 of 5 DocVerlty ID:E50D02A2-58E0-49DE-81EE-FE82218DAD05 ,III ,I II www docveury coin Page 7 0124 7F E02210(:ADOS • DocuSign Envelope ID:C2F44846-D872-4BE1-9BC3-B0369F78A1 FD The following six(6)questions MUST be answered: 1 I Pursuant to City Code Section 2-488,entitled"Prohibited Campaign Contributions By Lcbbyists On Procurement Issues _Yes 2LNo: 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 x No: 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 x No: 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 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 x No: 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, were you promised or did you receive economic consideration in exchange for campaign consulting services? _ / TO BE COMPLETED BY CITY CLERK'S STAFF ONLYg "l x r Annual Registration fee: (\/t,Yes[ I No Amount Paid$ 5 0-'r' MCR# 3 - ° I V` Date Paid I ef-21`2t Lobbyist Registration Form received and verified by: F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc Revised 03/11/2020 Page 3 of S Uocverrty iuv onUU%A%-griU t- 49111--ft1F I-I-I-H17110AD05 Page 8 o124 BFE0221BCAD05 ,III 'I III vrv�w 7oc vni�Iv con, L)oc))Sig),Envelope IL):C2F44846-D8(248E1-9BG3-b03b91-7RA1I-i) 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.' 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: _, DocuSignodby Date Signature of Principal Date 10/19/2022 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❑ physical presence or® online notarization, or® online notarization, this day of October . 2022, by this 19 day of October ,2022, by Julio Bautista Javier Grande NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION x Personally Known x Personally KL Signature of Notary Public Signature of Notary Public Diana Ramos Diana Ramos Name of Notary, Typed. Printed or Stamped Name of Notary, Typed, Printed or Stamped (NOTARY SEAL) Diana Ramos 1 Commission tl GG 308355 •Notary Public-State of Florida ' The term"lobbyist"specifically excludes the following persons: My Commission Expires Apr 10,2023 Expert witnesses who provide only scientific, technical or other specializes"':t.'':°':'.Z.7',., ' , :.. :: y :�':1y 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 r www cvri) E5000L1V SSk0-09UL->;1kk-F EB'IPIBCAUOS ,III 'IIII Page 9 u114 9F EB221 BCAD05INNI DocuSign Envelope IL).DLBEU9A3-L)39E-4B12 B-do-EL(04B656B82 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 COMPEMSAW44lNiDURING THE REPORTING PERIOD.' Signature of Lobbyist: Jwub �at�{tSfa Date 10/18/2022 g y t-4GDdf4,4eIrr,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 treeftr..Tniitting requirements. Signature of Lobbyist: tb }°jau{tSfa Date 10/18/2022 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 affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me, by means of ID physical presence by means of❑ physical presence or fXonline notarization, or El online notarization, this ,x day of Ontnher 20 22, by this_day of , 20_, by Julio Bautista Javier Granda NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION X Personally Knot _Personally Known Signature of Notary Public Signature of Notary Public Diana Ramps Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped (NOTARY SEAL) 1 Diana Ramos 1 Commission#GG 308355 1 Notary Public-State of Florida 4 My Commission Expires Apr 10,2023 I. ' T ding persons: Exridii wnneaaus woo pIuvlue ullly suer ILII IL, Le.,!ullcal 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 IDocVenty IV LBAA333B-BOC9-40C0-A4AL.341BsC05F/6! ,III 1IIII i':WW:LO(V,:I IIV,:(,Ift fate 9 r,I lO 9.740t70i,17:,1(lit DocuSign Envelope ID:DEBED9A3-D39E-4B12-BFBD-CC704B656B82 M1AM BEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeochfl.gov Office of the City Clerk Rafael E.Granada,City Clerk CiyClerk@miamibeachfl.gov Tel: 305.673.7411, Fax: 305.673.7254 NAME OF LOBBYIST: Julio Bautista 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 301h 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. /--Doc Signed by. Arkt10 ba1 tSIA 10/18/2022 l ACO174C46C77.107 Signature of Lobbyist Date F.ICLEMSALL1aFORMSILOBBVIST FORMSlLobbyist Regret-Man Form Revised 03-11-90 RFC doe Page 5 of 5 IUocVenty ID LBAA333B-BUC9-4000-A4A 3-34088COSF/B7 wwn aocviiN ,nn Page 10 of 27 103408BC05F7B7 'III III I DocuSign Envelope ID:C2F44846-D872-4BE1-9BC3-B0369F78A1 FD EXHIBIT "A" Organizational Chart of ERI Sagamore LLC 1 Ni ° F'_...D[L t3 Di lido ttorumone 01 Llde i —�11 , MU P•ma t m,LLC i c c ;�) 1 Ventures,\ i i � ) Ltd_in) j Le.UC(a) j ( GP.Ire.(FL)Caroler Dl Me ME) �� ivttt Mg I _ , j ` ) .67% 29.f,% 3516 1_S% 31.66% L67% I i j Oil Ude begets itetont i Managr-rs of[I)Di Udo Beach Resort Parent LIC,znd i I palerk UC (n)EBJ Sagarnore LLC lionstone Group: L Diego Lowenstein 10076 2. Javier Grande / • Ir Kanavoa Group: iJd 1. PaulC.Kanavos i 2. DaysoOlartedeKanavat L J Ben-Josef Group: 1. Ron Ben-Josef 2. Konen Ben-Josef Wester*entities on page 2. - Kanavos entfties on page 3. • Ber Josef entities on page 4. e N DocWrify ID-E50D02A258E0-49DE-81EE-FE8221FCAD05 —` wwH J,.H-vtN cornPage 21 of 24 21FE82218CADO5 III 'I II I DocuSign Envelope ID:C2F44846-0872-48E1-96C3-B0369F78A1 FD ,olw w....-- ` �aP,�E E\\ EC ) FIA,� , ,+ � tionstone Group /"J ' I,DWPM5TE1� U71/YFNSTFIN- �CQWEKVE1N J ��� SC1 +O / 3.81% 3.81%` 10.481 10.48% / 10.48% 1048l6 10D96 1 1 Lowenstein n Far7n+st � I (Revocable)gm) r 100%c L ®stect rloldnes tee� . I / 10Q% �. / : lionxE nkstinkit teArsodosllyd 100% S0.46% lion stone Cam'bac t 00%E LierstoneDllidoLPl1C tkost.m.e1. U Ei"inc 35% I 1S% Kanavos entities on page 3; Di Ude re-?zr}s Rr,=savc Ben-Inset entlties on page 4. I Parrn^2 LLC( .E) Docverify ID:E50002A254 EO-49DE-etEE-FE82218r_ADOS III mina„III Page 22 of 24 22FE82216CAD05 mum fifi «ww d,n,innN corn DocuSign Envelope ID:C2F44846-D872-4BE1-98C3-B0369F78A1 FD Kanavos Group /PA1xG� ems P7 u.C PEER i 'tuao ce ICwnvos / KR.R ons \ Kil teas , // 5o%t-i SU% Sp% J 50% r 1 f i " • \, DArs5;an a1 wo I aMtf 234 Redly Sheldon tows ''' ' Loam Funding. Diane de ; • ri ! CernPKsy U.0 ; oe tivattan d I Lit I 1 ov tr 1 V us.lat !uw [xa,rr ? PRutG PFicR�P4.1 MT) Ted �I•` fn.) J, K t2011II` Trust 2011 I fliirl lR) Ccxw+Es o£ 1 1 WuvbS � rAwrros .67% 238866% 4.60328% i 5.7896. 1239452%; 5.05532% 93214% 225294% 27,93632%1 27.936321E) 3.801110%1 j ' r IrkeiDlUde Venture.Ud. PAM 295% lionstoce en1 ties on pay,2: Berlosef entMes on page 4 a lido wd► Moot Port lu MI L / DocVeriy ID.E50D02A2-58E0-49DE.I IEE.FE82218CAD05 _ vrxw AMv�rlly•:nm Page 23 of 24 23FE82218CAD05 ill ,I 1I I el DocuSign Envelope ID:C2F44846-D872-4BE1-9BC3-B0369F78A1FD OenJosef Group / TONR `` �� P.CM BEN- 1 RONEN '\ ( RAv{T `` NEUMAN J fiEr f BEN-JosEF )(anus J ZS% ?S% 25% 25% --- 25% 25% zsss IThe.Edeed den- 1 / --�1 Josef and Lidia Ben- ; Ben-Josef Grow Each of(1) Ronk Neuman, (i) Roo BenJosef. (hi) Jose`Irrevocable ( HoldingsliC Ronen Ben-Josef and(Iv)Ravtt Kraus are the trustees \. Trust ) (NY) of The Edeed Ben-Josef and Bdla Ben-Josef Irrevocable Trust 100% 100% 1 1 EBJ Properties,LLC E315oloraerRJV (DE) lliC i ME) I 31.66% 1.67% 7. DI 1 Lionstnne entities on page 2; Lido Duds Kanavos entfies on page 3. I anon Pocono 1AC ( i , DocVerify In F50n02A2.58F0-49fr-81FF-FF8721Ar.An05 �p� Page 24 of 24 24FE82218CADO5 III gM MISIII II I WAN!U -1,cv, IN on, �1.'� [i�- Miscellaneous Cash Receipt CITY OF MIAMI BEACH No 430781 ❑Cash ❑Credit Card ❑Check# $ 20 Received of Address For MBF Miscellaneous-MCR-2023 005751-0009 Adrian V... 10/21/2022 11:32AM MCR OPEN(MCR) Payment Amount: 1,900.00 (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director Account number: t'4 -''C(.>O By Preparer: Dept: EXT: , -f