Juan Azulay - Raphael Zibi DocuSign Envelope ID:1EA910E2-9446-4444-A349-438F9B6B2FFB RECEIVED
NOV -8 2022
MI AM I EAC H' Office of the City Clerk CITY OF MIAMI BEACH
1700 Convention Center Drive OFFICE OF THE CITY CLERK
Miami Beach, FL 33139
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:
Azulay Tuan
NAME OF LOBBYIST (Last) (First) (Middle Name)
MTTR MGMT 212 NW 73rd St Miami FL 33154
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(310)497-7303 Juan@ma77er.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Zibi Raphael
NAME OF PRINCIPAL (Last) (First) (Middle Name)
Brizi Capital LLC 19790 W Dixie Highway,Suite 506 Aventura Florida 33180
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-965-2926 raphaelzibi@gmail.com
0 PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
o •
IREEra m :o NI / principal cg Ea corporation, partnership Q7 aft an appears QE IJ lob is t Q L J th-t
1fQe '*octal compensation u a{ p(62 ap.eara Ce,1 wng b indirec',ar contingent.to' 0 0 0 co ciwzgcmt
BB magi c nicag,Go=pig,raga zrj1:20Mipatmam arl Lorec aired tt712-76E9re.istration tag,
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): R. Zibi
LL
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): Please see the attached.
LL
OJ
co
Page 1 of 5
vi DocVerify ID:93E8E338-381F-41C1-A564-F29C78BOODB9 r Page 1 of 5 _1F29C7BB00DB9_1 ,III M'I III
www.docverify.com •-- — — — ---
DocuSign Envelope ID:1EA910E2-9446-4444-A349-438F9B6B2FFB
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.
Development Approvals &Planning 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 property located at 7418 Harding
Avenue in Miami Beach,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.
e List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an
appearance of impropriety(if none,write N/A):
None
0
0
m
U
m
LL
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):
$ 250.00 per hour
Page 2 of 5
DocVerify ID:93E8E33B-381F-41C1-A564-F29C7BB000B9 Page of 5 2F29C7BBOODB9 I ,III �tl II I
www.docverify.com IF�9£FYR�
' DocuSign Envelope ID:1EA910E2-9446-4444-A349-438F9B6B2FFB
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 x No: 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 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 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 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, has it been less than 12 months since the elected offcal(s) whom you provided campaign
consulting services was sworn n?1
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
8 within the past election cycle?If yes,please list the incumbent member(s)of the City Commission:
O
g _Yes X No: f yes, were you promised or did you receive economic consideration in e—c ra:qe for c.mpa'q
consulting S icesi.
0
LL
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
4 7
Annual Registration fee: ['gip Yes[ ]No Amount Paid$ c� MCR# ��s'v�®6 Date Paid ( I s%'2-.0
Lobbyist Registration Form received and verified by:
m ti W;a:y _ ,L0a8.1'1 1'FC.F 5, 10,.St Mtgistr-teen Fool iiEvicc i t -20=t 'W.1-3,doc Revised 09/20/2018
w -
Page 3 of 5
wwwdocvenf 93E8E33B-381F-41C1-A564-F29C7BB000B9 Page3of5 3F29C7BB00DB9 'I
ll igi i�E,llll
www.docverify.com '- -- ----- ------ ----- ----------' 'p !3
' ' DocuSign Envelope ID:1EA910E2-9446-4444-A349-438F9B6B2FFB
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!,DyRIKG THE REPORTING PERIOD.1
Signature of Lobbyist: [ L4MA //0)1Afaui Date November 7,2022
F4EDD38F1 DAD4OF...
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 a dareorting requirements.
Signature of Lobbyist: C. , 11/514.b L Date November 7,2022
D.,,..,Signed by.
F4EDD38FIDAO40F...
Signature of Principal: �1'
�"" e " Date November 7,2022
�`
4D21C0C5320046F...
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 El online notarization, or® online notarization,
this 7 day of November ,2022, by this 7 day of November ,2022, by I
Tuan Azulay Raphael Zibi
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
X Personally Known X Personally Known, m.-•.
8 , i,,. ...a1 � I .
Nt sgmemzvunf.vr m-w'anaw �54 mx¢snwio¢cemam
o. Signature of Notary Public Signature of Notary Public
0
Yeidy Montesino Yeidy Montesino
"s Name of Notary,Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped
N
m (NO '''-"' w, -- - ,. .*------ - - - e " .. ..._ . .
O
m
'reidy Montesino Perez yeidy Montesino Perez •
m Commission#HH 084273 Commission#HH 084273 •
N notary Public-State of Florida Rotary Public-State of Florida
1 The term oy Commission Expires Jan 24,2025 Ons: oy Commission Expires Jan 24,2025
L.
o Expert witn—r—,--a._7.-..: ----..--:--.`:- .-- .-=^.,' `Esther specialize& ::._.:^^°.°" .__.'-_';•:-;::.:-:`.=-__":;te:"sny person who
LL 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
W the appearance.
n Page4of5
• DocVerify ID:93ESE336-381F-41C1-A564-F29C7BBOODBg IIII M"III L
..e www.docverify.com Page 4 of 5 4F29C7BBOOD69
DocuSign Envelope ID:1 EA910E2-9446-4444-A349-438F9B6B2FFB
MIAMIBEACH
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: Juan Azulay
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
io
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.
o 541A,
ocuSigned by:
g�1,��
" ( November 7,2022
4 4 ULJJbF I DAu'OF...
Signature of Lobbyist Date
5
v
OJ
m F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc
w
Page 5 of 5
' DocVerify ID:93E8E338-381F-41C1-A564-F29C7BBOODB9 Page 5 of 5 5F29C7BBOODB9 'III III
www.docverify.com
BRIZI CAPITAL LLC
DISCLOSURE OF INTEREST
RADAZI,LLC:
RAPHAEL ZIBI— 100% Owner
5170 LA GORCE DR, MIAMI BEACH,FL 33140
ALEXANDRE ZIBI:
5170 LAGORCE DR,MIAMI BEACH,FL 33140
BRECOM,LLC
JACQUES BRIMA— 100%Owner
19790 W DIXIE HWY,AVENTURA,FL 33180
E
RADAZJ,LLC(FL) Alexandre_MI BRECOM,LLC(WY)
33.33% 33.33% 3333%
Brizi Capital,LLC
100%
•
7418 Harding Ave
RECEIVED
NOV —8 2022 •
co/` -°
docv'erify , .B
tCITYOF MIAMI BEACH oA•' 4.
(OFFICE OF THE CITY CLERK °OVER
Lobbyist Registration Form - JA Executed.pdf
DocVerify ID: 93E8E33B-381 F-41 C1-A564-F29C7BBOODB9
Created: November 07, 2022 06:05:20 -8:00
Pages: 5
Electronic Notary: Yes / State: FL
This document is a DocVerify VeriVaulted protected version of the document named above.It was created by a notary or on the behalf of a
notary,and it is also a DocVerify E-Sign document,which means this document was created for the purposes of Electronic Signatures and/or
Electronic Notary.Tampered or altered documents can be easily verified and validated with the DocVerify veriCheck system.
Go to www.docverify.com at any time to verify or validate the authenticity and integrity of this or any other DocVerify VeriVaulted document.
L l
•
E-SignatUre Summary
•
E-Signature Notary:Yeidy Montesino Perez(ymp)
November 07,2022 06:08:20-8:00[FB57734BFE1D][74.220.90.117]
ymontesino@brzoninglaw.com
t1J1I
r1111111111111111111111111111111111111IIIIII IIIII IIIII IIII IIIIII III IIII
DocVerify documents cannot be altered or tampered with in any way once they are protected by the DocVerify VeriVault System.Best viewed with Adobe Reader or Adobe Acrobat.
All visible electronic signatures contained in this document are symbolic representations of the persons signature,and not intended to be an accurate depiction of the persons actual signature
as defined by various Acts and/or Laws.
_' DocVerify ID:93E8E33B-381E-41C1-A564-F29C7BBOODB9 ,III Gh 'I II
www.docverify.com Generated Cover Page F29C7BBOODB9
•
..,,,,...,,,,..„.„---,,-,__ : -,,a-,".1 •,,,' f,,,,..,,•., ',..,-.., •.•
..„,,, -'1"-!,,,-7-; .',Y,'"': ,.',;',-;-!- :-::'-'-'''.- ' :
_____ „...,,,:<;----7*,i.,:f;':: - , ,„:,4".",;.--e,s ':::;'-''' ''''-- :--- ..-, •'- . %.c",:i'' -6 E .-
MBF
--,-,--,,,---',-'',;-! ' - ',-- ..- .' . -n ,‘.> 'IT G•
City Hall -r
V.
-ri
.: ,. , ,..':' -,... --,.'....k,----,.,". ..7.1 '21 , , ' 71, ' .. 14
'`::,,,,,,,z`,"",-,S:;-- 't.::-.• ,--.-. 'n .'',7.- -,,'a. Of'-'-f,-. 27-..-- . ..- , - -I '-.— , - ' ' .7-7 , „••,•
1700
':"2.-----:- - ‘--.;:„,:-,- ‘-',-.11'-: ','-- '2, ''-cl,'-a -
heath '
Convention
h Center:13 '1:9i '
Miami _7420 ..,..--, , ../.-:;,:',,, '--,-..--,-11.:',;'o,()'17) '.-j, -'-,,a, --,.- :n•-- g-=.
f,,,,!----,%, .'-:-;., .,': -.'::C
305-813
‘t-,-. -2'.,-! _,:,,.., ,,,-- -,,-,,a ,-,,,a*,-k.,.',z' ,."..2 -"•'-e") ,,' ,, - ,
Welcome
;.. 1-,-',..:.:'-,'‘'--F--..'.---,--'',-.-7-., o ,-,,7 73 .3;:,-c-y- --,- ! ,--.,c,..)--•,---.. ,. ._„ 0:.,
2 08:4°AM
V. 11/08/2°2
Carmen
z.- :--. -,,, , , \--(7) ".>:.,•.. 2.'.':-,.'-,: , 1,-,:.,) -,- , ,. .., —
)5784-M°1
:;.: :% ' ' ', ,..".„!, :J,,'-,--,,j-,-2,',-,-.1,-",b....!.1 '- -",.-.•c.,-, „ :, '4,..,--, -%
;:::'''!''-:' , -.., ';g ': ) - .
scEll ANE01-18__,R430800 7:"-,•,,1.- .:,....:•:4;-:l'S --,2'-2-g° ..,' Fs-s ,",'.- ' '- ',---,- „(,,, • ,--`15s...,. ---- ,--•
I - 1: MC
',;-,-,-,,',' - ' - ",-.7- g „ P.,, ,-,..2 ,.,,,;-, -: , "' :. ;--i-
Ref erence
mcR 0pEN (Hui°
2023 Item: MCP
850.00
1 @ 85°'" 'mCR)
mcR 0pEN (-
-,-i_--,,,. ..17„. - -„,, ,--. .. - , -,, -,,:11,-
_...,
850.00 ''' , , -- ,.',.' ..,.-..-,, . , - P ' - . : - .,,c, . •,,,,„ ,......, ,.‘'' '-.":“'
850.00 1.., ,;:,,, : %,, : _ - --,...r.:- -.....". ' --; -,---,..
,-;,-,,,,..-:-.......:&,:),,',..,-, -.. —2 „,-,--.-.-
850,00 ,..-- :...-,',-,..,--:,,,g,-.2:,
Subtotal
Total
850.00 i'.;:.,.,- ';;-,-"-;,': .•' ;,"' , i.',:,-,-,:,',
,..-."'..----,,,- -, -,,,,,--,..i,-• '.?,,,,.,.;.p " ,-, ,.-;,,, .,-,„, .‘,..',---.1•,.., , :, ..: • : , . ,ck •,•,., . • ,,,, - ,,,,, .,:
CHECK
0.00 ; ..„ . , - r . -..„ -,-----.:‘,..; ,,,--, '-,' • - _ - ,,
Check Humber00007816
Change due
LARKIN -'---,: '„,:.''' 7:4•:- ,;,:- Si :' -:.,_ ' ,'• :, -' ,''' ..'",„/ "•• ' ' ' 9 . ,.:,; , s
pw RADELL FERNANDEZ 8` el...
. ,
4 „
Paid by: BERCPW , '. -:
,
. , .
-
IMBIlLi...1.1_111MI_MINR111101111
"__---------•'•fiff . yt - ',.:-..,-,,;,,,::,„,:_ . - --. , 1 ,,. .
Nat:frriaks---
„-.. m
...ka“,..k.....
„.. ....
•
:7:::'".?!..;'•'„:::i•'',', `...‘:::::'.•,-'' ":''''''', iti ....''..'. ,.':. - „:..-:' -.- ' .,.': ' '': 0', ' ' :-.• : ,; l
-,
,, , '.'.. - ' ' -
- ,
..._
for yoUr
Thank You
payment
CUSTOMER COPY