Laura Miller - 4350 Nautilus LLC M i AM I B E AC H Office of the City Clerk RECEIVED
1700 Convention Center Drive O C T 27 2022
Miami Beach, FL 33139
305.673.7411 CITY OF MIAMI BEACH
LOBBYIST REGISTRATION FORM OFFICE OF THE CITY CLERK
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:
2X Lcu.uro.
NAME OF LOBBYIST (Last) (First) (Middle Name)
1-k31 t,..) 2 c3 \A CNA c u R 3139
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
4015 -35Z- 51-43 1a xist.@-kexvt..VdQ-->d c-xs
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
NAME OF PRINCIPAL (Last) (First) (Middle Name)
43o LLC 431, LA) R2��o A }o-0r ,oaw\a 9ecicL FI_ A3139
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
LIaA - 357. ' 5 ' 4C163(A SL aurae ,Aseeq -coin
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL AD RESS
Pursuant to City Code Section 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): ij
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY(if none,write N/A): S.C�/ Mitt cµf c
• 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): N(1�
Page 1 of 5
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.
0 e,S\C \A
4 o -'1k., ii)Nc-
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
Oes'c tee _ try v L 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):
u1Pis
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):
) ) Ifl
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 jNo: 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 LNo: 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.
_Yest.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 (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&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 No: If yes, has it been less than 12 months since the elected officials) 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 KNo: 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_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 ONLY
Annual Registration fee: [ ]Yes[ ]No Amount Paid$ MCR# Date Paid
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 5
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: kUWW2-- Date ‘0‘ \``�
� 1 2-2
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. 11
Signature of Lobbyist: kalinaL Date 1 U IZ�-
Signature of Principal: ink W' Date 10 I 1 l ZZ
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of fco' d� State of c(4``�I
County of: ` .Qr4( County of: Oir
Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me,
by means of tkphysical presence by means of Ikphysical presence
or 0 onlipe notarization, or 0 o the notarization,r
this 14 day of 0 ci- ,202t, by this t4 day of 00 mid/ ,202Z by
LA1/411t\ (,If1 CAvIA � 1,1el
NAME OF LOBBYIST / NAME OF PRINCIPAL
Produced ID �1°`� r �f 1 P�( AAn _Produced ID 1 `It t i)iilla ,AA
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
_Personally Known _Personally Known
Signs ary P blic Signa ure of Notary/ Publ'c
Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped
(NOTARY SEAL) ��`; °�% RAUL CHAVARRIA (NOTAIF� E
COMMISSION#GG 953280 ?�e ; AUL CHAVARRIA
* * EXPIRES:March 6,2024 * * COMMISSION#GG 953280
riBonded Thru Budget Notary Services EXPIRES:March 2024
�'+ztlF f Bonded Thru Budget Notato ry Services
i
e term"lobbyist"specifically excludes the following persons:
Expert witnesses who provide only scientific,technical or other specialized inform ' nor 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
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: ..��ur 1 \ \\'?X"
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.
Lupo, Jw..ra2v, 10/27/2022
Signature of Lobbyist Date
F.\CLER\SALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc
Page 5 of 5
10/27/22,9:19 AM Detail by Entity Name
FLORIDA DEPARTMENT of STATE] DIVISION OF CORPORATIONS
DIVISION Of
5ti/ z CORPORATIONS
an official State of Florida website
Department of State / Division of Corporations / Search Records / Search by Entity Name /
Detail by Entity Name
Florida Limited Liability Company
4350 NAUTILUS LLC
Filing Information
Document Number L21000528084
FEI/EIN Number 87-4187254
Date Filed 12/15/2021
Effective Date 12/15/2021
State FL
Status ACTIVE
Principal Address
4350 NAUTILUS DRIVE
MIAMI BEACH, FL 33140
Mailing Address
431 W RIVO ALTO DRIVE
MIAMI BEACH, FL 33139
Registered Agent Name&Address
LAURADEV LLC
431 W RIVO ALTO DRIVE
MIAMI BEACH, FL 33139
Authorized Person(s)Detail
Name&Address
Title AMBR
LAURADEV LLC
431 W RIVO ALTO DR
MIAMI BEACH, FL 33139
Title AMBR
GOOSE DEV LLC
5825 LAGORCE DRIVE
MIAMI BEACH, FL 33140
Title AMBR
WAR DEV LLC
https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=4350NAU... 1/2
10/27/22,9:19 AM Detail by Entity Name
606 PINEGROVE AVE
JUPITER, FL 33458
Annual Reports
Report Year Filed Date
2022 02/07/2022
Document Images
02/07/2022--ANNUAL REPORT View image in PDF format
12115/2021 —Florida Limited Liability View image in PDF format
Florida Department of State,Division of Corporations
https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder--4350 NAU... 2/2
10/27/22,9:19 AM Detail by Entity Name
FLORIDA DEPARTMENT Of STATii DIVISION OF CORPORATIONS
DIVISION of
5:4116114Z CORPORATIONS
�,,,sy° "�► an official State of Florida website
Department of State / Division of Corporations / Search Records / Search by Entity Name /
Detail by Entity Name
Florida Limited Liability Company
LAURADEV LLC
Filing Information
Document Number L21000505229
FEI/EIN Number 87-4296974
Date Filed 11/29/2021
Effective Date 11/29/2021
State FL
Status ACTIVE
Principal Address
431 W RIVO ALTO DR
MIAMI BEACH, FL 33139
Mailing Address
431 W RIVO ALTO DR
MIAMI BEACH, FL 33139
Registered Agent Name&Address
MILLER, LAURA
431 W RIVO ALTO DR
MIAMI BEACH, FL 33139
Authorized Person(s) Detail
Name &Address
Title AP
MILLER, LAURA
431 W RIVO ALTO DR
MIAMI BEACH, FL 33139
Annual Reports
Report Year Filed Date
2022 03/07/2022
Document Images
03/07/2022--ANNUAL REPORT View image in PDF format
11/29/2021--Florida Limited Liability View image in PDF format
https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=LAURADE... 1/2
10/27/22,9:19 AM Detail by Entity Name
Florida Department of State,Division of Corporations
https://search.sunbiz.org/I nqu iry/CorporationSearch/SearchResultDetail?inqu i rytype=EntityN ame&directionType=Initial&searchNameOrder=LAU RADE... 2/2