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Rory Bret Greenberg - Todd Rosenberg /S7I Col I s Avre. RECE /\/\IAMI B EAC H FEB 6IVED 3 202 Office of the City Clerk 1700 Convention Center Drive Miami Beach, FL 33139 305.673.7411 CITY OF MIANII BEACH 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 "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: Greenberg Rory Bret NAME OF LOBBYIST (Last) (First) (Middle Name) Maxwelle Real Estate Group 333 SE 2nd Ave Suite 3588 Miami Fl 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-951-1136 rory@maxwelle.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Rosenberg Todd NAME OF PRINCIPAL (Last) (First) (Middle Name) 1501 Collins, LLC 7900 Glades Rd., Ste 540 Boca Raton Fl 33434 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 561-430-3113 1501@pebbcap.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS ttAllt(Mg @AM 2-482(h ( (a): A Oloievil dfm]corporation, part ership,c'0310Qj$'J VOL)tiomo ma lobby st •a behalf ii$Ja Qspecialcomoensatfono rei bursemen '" nQ7p-appearance zulninGQCOM,indirect, o o-j„iO3 ••e dla'oo osition(go. no 111E011011 migfigralloillerauftied Ixiilifi s.-YeIstl m•iliiatU�"e Ib e e®t]Ime7 -• _ ° 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): • 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 attached. 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. Development approvals & permitting issues, including, but not limited to Member of City Administration, Members of City Staff and members of HPB, PB, DRB, and BOA, City Commission and Mayor, relating to the property located at 1501 Collins Ave for file number HPB22-0559 and PB23-0572 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 Members of City Administration and Members City Staff X Members of Historic Preservation Board (HPB), X Planning Board (PB), Design Review Board (DRB) X Board of Adjustment (BOA), City Commission and Mayor 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): 0hr 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": _YesXNo: 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. _YesX_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 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. _YesXNo- 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: _YesXNo: If yes, has it aee less than 12 months since e elected official(s) whom you provided campaig consul ing serrvices was sworn MI. 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. YesXNo. 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: _YesX_No. If yes, were you promised or did.you eceiye economic consideration in e change or cam"ale n consulting Servicesr. 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 THE REPORTING PERIOD.:: Signature of:Lobbyist : :: Date' i S . :bZ 1 l I do solemnly swear or a irm that all:of the oregoing: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::al ing requirements. Si nature ofLobb ist: • Date /1q/ j g Y . Signature of Principal• - • Date. : • VII. :NOTARY SIGNATURE AND SEAL: : • - LOBBYIST: PRINCIPAL . State of . .. 4— t cf-N : : State of • _• •County of: Aa- `=. County.of • : Sworn to.(or affirmed)and subscribed before me, Sworn to (or affirmed)and subscribed before me, • by means.of.thysicalpresence. by:means Of ID physical presence or 0 online notarization • or 0 online notarization, . this ..1c�_ ..day of .NuU1..^1 201. by: this day of i 20 , by.. . ::Rory.Bret Greenberg : .. Todd Rosenberg :: . • NAME:OF LOBBYIST :NAME OF PRINCIPAL • • _Produced ID: - 'Produced ID : FORM OF IDENTIFICATION FORM OF IDENTIFICATION. • :_Personal y Known • Person Hy Known . • • • :Signature of Notary Public.. Signature of Notary Public • Name.of Notary;:Typed; Printedbr Stamped : Name of Notary,:Typed, Printed or Stamped (NOTARY SEAL) (NOTARY SEAL-) ' ,;a�►Ililrp�ir. ::David Barge; . A?'P . Gomm.:HH 285804;�_ - '. . �i`l ibb fP cl II -8'2028 s the following ersons:� � 1 • �� bF ��.��I�©t ,ryFu iic.- al of ri - p .- :Exper4 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. .. . Page 4of5: . : 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: Date Signature of Principal: Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: • PRINCIPAL • State of State of 0 0(i County of: County of: ) rr) ?eCCGf) Sworn to(or affirmed) and subscribed before me, Sworn to (or affirmed) and subscribed before me, by means of 0 physical presence by means of physical presence or❑ online notarization, or 0 o i ine notarization,' this day of _ , 20_, by this {R day of c,(1 , 20 Q3 by Rory Bret Greenberg Todd Rosenberg NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION _Personally Known te<iersonally Known Signature of Notary Public Si ure of Notary Public Name of Notary, Typed, Printed or Stamped Name ofc1lotary,Ty ed f c ted or Stamped_ , — tat i"•. MEGHAN DUGGINS (NOTARY SEAL) (NOTARY SEAL) 9• l Notary Public-State of Florida • t; �Q` Commission#HH 240601! .,•pF ti '` My Comm.Expires Apr 2.2026 Bonded through National Notary Assn. '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. Page 4 of 5 • MIAMIBEACH . . . . - ' •.'.City;of.Miami Beach,"1700 Convention Center Drive,.Miami. . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . Beach,.Florida 33.139,"www.miamibeachfl.gov . •• . •Office:of the'City Clerk: : • • • • • • "" • •:: Rafael E:Granada;City-Clerk : . : : : : • CifyClerk@miamibeachfl:gov . .' :Tel:305.073.74.1 1., Fax 30.5.673:7254' ' - .. . . Rory:Bret Greenberg,,: . : • . . - " . - NAME�OF:LOBBYIST .� .. .� . . . . • • �' �� . ' 1): . .LOBBYIST.FEE':EXPENDITURE AND.COMPENSATION.STATEMENT: • • .: : - . . .: - • Pursuant to City••Code: Section 2-485(d) the .City _Clerk shall notify lobbyist (or : :: • any y -:. : :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.shalll notify.the Miami-Dade;County'.Commission onEthics: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•Notite::of Withdrawal with the Office of:the City Clerk: : : ..•3) .: :ANNUAL LOBBYIST.'REG.ISTRATION.:FEE.• :: •; : .. . . . . - :: •.- :' • ': I understand annual registration of all:lobbyists.shall be.required for each 124month•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.::.. -.: -. : .: . . . :iii ' • ' .: • • • :• • •• •'(. ' 1.1411.:• ' - • • ' . . :/' . . ' .. :: . .. • : - .. :: : .. . .. . i : .. . . :: . . - Signatur= of. obbyist - . : . : Date . - - . - . : : F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doa . • ' • . • - • : Page 5 of 5' : . . . . 1501 COWNS AVENUE ORG STRUCTURE AS OF 02-08-2022 BENEFICIARIES: BENEFICIARIES: BENEFICIARIES: Barbara Rosenberg 33.33% Fars Horowitz Todd Rosenberg Fara Horowltl 33.33% Todd Rosenberg 33.33% Pod Welrrbdr Ryan WSraA, Todd Rosenberg Bvbn%orenbera 2016 in4nl Fors Noro.Ru2e1arlwt Todd Poambers241516mt 1124012691) 00012621) FL FL it E26 50E65500 FIN:23-6113815 D6:506555125 3,750,000 1,250.003 1.350,000 250.003 650,000 75.096 25.016 0.0% 60.0N. 20.0% 20.0% Managing Member I T Non Member Manager PCM Holden LLC Todd Rosenberg DE EIN:87-1390663 2,250,000 100.096 0.0% Manager No additional members ar indirect beneficiaries own 5% or more of the Property Owner George Mrelmrm Pebb Capital Management,LLC Venom Employee; • (1nahmaaq DE (IwNWad) EIN:46.5680624 3,003,000 2,250,000 ISoaaa 100.0% 90.0% 260% Maaaging Member_ No members or Indirect No additional members or beneficiaries of RanRuss awns 5% Indirect beneficiaries own 5% or more of the Property Owner or more of the Property Owner 1501 Beach,LLC Ron0uss investments 1,LLC Nlkea,LLC All other Limited Members 1501 Beach,LLC 1501 Collins Pebb Manager,LLC DE FL NV Varbm Mph nn worth DE DE EIN:87-2165015 EIN:47-2342968 RN:46-4376836 htlMdmb EIN:87-2165015 E16:87-1697900 2,500,000 2,500,000 3,000,000 1,6513,000 2,500,000 2,500,030 50.0% 50.0% 64.5% 35.5% 50.0% 50.0% Major Decision Member Managing Member / No additionalmembers Indirect beneficiaries own 5% or more of the Property Owner Ocean Flve Beach,LLC 2501 Collins Pref Equity,LLC AB other Limited Members 1501 Collins Manager,LLC DE FL formed 6/8/2071 VMomhah nnwarth DE EIN:874132149 Inedduaa EIN:87.1431270 5,000,000 4,550,003 7,350,000 5,000,000 22.73% 21.14% 33.41% 22.72% Managing Member 1501 CBllIns Holdings,LLC DE LIN:87-1404713 22,003,000 100% 1501 Collins,LLC DE EIN:N/A Pa tonhrough MBF City Hall 170o Convention Canter Ura y y - ; Miami Beaatt , FL 33139 3G6!673-7420 , I We1Coroe n �, . v ❑ ! )5742-Oo11 Ebani `C, 02/05/2023 02;51PM , o `o '` a , 7 I .� s D3 m8CD c,. s Q m :SrrE�.Lar�Ecius '� ' P o L ''! $ "' ❑ g ' ielerefice 1 , MCR_431276 �Y. c �, , �_� ! -•, .y o 1�CR OPEN (MCR) • `g v -� . a Q. y ` I 2023 Item: MCR -� o ,o �- '�' , a! 'oo , 1 @ 1,050.00 �. c, ;m MCR OPEN (MCI;) 1,0a0,0oc. ` �: �, _ , C o ` w � ,*`�. - cD 1,0�0.0 t``.. v j, ,- [ (�(� n abt0tal 1 ,050.0 daf t 1-} O rtal 1,050.00 \, iEGK 1,050.00 3 m . . �. Check Nuinber0000000306 o -14" lame due 0.00 yid by: 1501 COLLINS LLC 4 ' � !lllf Ilillllllllllilllll! 1111111161illllill�Il MI MI y `, ` wt o ,�t c.lprs,L(.G y o aua iert,OM nyco>O/li/ao�a r am:e�i,,vCc.pw•� C•-- ••••:�a vticaaeyn s.st nae condo r�%1.%tsJ ��,k p,, r LJ _ � _._.�_.. X rt # ...... •-� , q - Thank you for your payment ' : ° :` -, CUSTOMER COPY