Jeffrey Bercow 2023 Fee Expenditure and Compensation Forms M I AAA I
OfH.e_st the City Cled:
January 12, 2023
Jeffrey Bercow
200 S. Biscayne Blvd, Suite 300
Miami, FL 33131
SUBJECT: Lobbyist Fee Expenditure and Compensation Statement
Dear Jeffrey Bercow:
Pursuant to City Code Section 2-485, entitled "List of expenditures; fee disclosure; reporting requirements,"
all lobbyists subject to lobbyists registration requirements shall submit to the City Clerk by February 28th of each
year, a signed Lobbyist Fee Expenditure and Compensation Statement, under oath, listing all lobbying
expenditures and compensation received for each issue engaged for the period of 01/01/2022 through
12/31/2022. The information shall be provided on the Statement(s) attached. A Statement shall be filed even if
there have been no expenditures or compensation during the reporting period. If you are an inactive lobbyist
and still have open issues, please complete the Lobbyist Fee Expenditure and Compensation Statement
and withdraw the issue. Please note that if you are inactive you are not permitted to do any type of
lobbying activity.
Pursuant to Section 2-485 (d), 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 all Statement(s)filed after February 28,2023. 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 30, 2023, 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.
• If you are no longer engaged on an issue, please complete the enclosed Statement(s)and check the box advising
you no longer represent the principal. If you need additional information regarding this matter, please do not
hesitate to contact this office.
Sincerely yours,
TI
Rafael E. Granado
City Clerk
REP:JS
Attachment: Lobbyist Fee Expenditure and Compensation Statement(s)
lullyr rvnarnr oeacn RECEIVED
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485 FEB 16 2023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
Expenditure report for period of:1/1/2022 through 12/31/2022
A statement shall be filed even if there have been no expenditures or compensation during the reporting period.
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive,
Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date. If you require any assistance,please contact this office at 305.673.7411 or atcitvclerk@imiamibeachfl.gov.
Lobbyist Jeffrey Bercow
PI incip2I . J 411 Michigan SOFT Owner,LLC(Alessandro Pallaoro)
, ISSUe, ,„Code amendment,development approvals,and planning issues;411-419 Michigan Ave and 944 5th Street
I
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $0.00
CATEGORIES OF EXPENDITURES
Food and Bevera:-:
Entertainment:
Research:
Communications:
Media Advertising: -
Publications:
Travel:
Lodging:
Special Events:
nCHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
0
OATH
State of Florida
u; County of Miami-Dade
i; I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
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SIGNATURE AND STAMP OF NOTARY:
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My Commission Expires Jan 24,2025 This 15 day of Feb 20 23
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Lobbyist Fee Expenditure and Compensation Form FEB 16 2023
City Code Section 2-485
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
Expenditure report for period of:1/1/2022 through 12/31/2022
A statement shall be filed even if there have been no expenditures or compensation during the reporting period.
-This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive,
Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date. If you require any assistance,please contact this office at 305.673.7411 or atcitvclerk@miamibeachfl.gov.
Lobbyist Jeffrey Bercow
Pr111Clpail' 5800 North Bay Road LLC(Kyle Klopfer)
• • Issue " Development approvals&planning issues;5800 North Bay Road
•
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $0.00
CATEGORIES OF EXPENDITURES
Food and Be - _•e:
Entertainment:
Research:
Communications:
Media Advertising: -
Publications:
Travel:
Lodging:
Special Events:
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
X DATE REPRESENTATION ENDED:
0
OATH
State of Florida
County of Miami-Dade
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
DocuSlgned by:
N hereto a ie true and correct. 1, v
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Yaeidy Montesino Perez
• x Commission#HH 084273 1 Sworn to and subscribed before me
t _Personally known rotary Public-State of Florida / This 15 day of Feb 20 23 �\
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Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485 FEB 16 2023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
Expenditure report for period of:1/1/2022 through 12/31/2022
A statement shall be filed even if there have been no expenditures or compensation during the reporting period.
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive,
Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date. If you require any assistance,please contact this office at 305.673.7411 or atcitvclerk(almiamibeachfl.gov.
Lobbyist Jeffrey Bercow
Principal David Alexander Bloch Irrevocable Trust(Marie-France Bloch)
Issue Development approvals&planning issues;420 W 51 St
i_ •
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $0.00
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
Communications:
Media Advertising: -
Publications:
Travel:
Lodging:
Special Events:
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
X DATE REPRESENTATION ENDED:
OATH
State of Florida
County of Miami-Dade
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
hereto are true and correct. DocuSignod by:
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SIGNATURE AND STAMP OF NOTARY:
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X Personally known fyotary Public-State of Florida This 15day of Feb 20 23
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Lobbyist Fee Expenditure and Compensation Form !!
City Code Section 2-485 FEB 1 6 2023
CITY OF MIAMI BEACH
Expenditure report for period of:1/1/2022 through 12/31/2022 OFFICE OF THE CITY CLERK
A statement shall be filed even if there have been no expenditures or compensation during the reporting period.
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive,
Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date. If you require any assistance,please contact this office at 305.673.7411 or atcityclerkCilmiamibeachfl.gov.
Lobbyist•' Jeffrey Bercow
principal David Martin(Terra Group)
I Issue' ' Development approvals and permitting issues relating to the property located at 7925-8700 Collins Avenue and
' • 226 87 Terrace, Miami Beach,FL
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $0.00
CATEGORIES OF EXPENDITURES
Food and Beverage.
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel:
Lodging:
Special Events:
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
OATH
State of Florida
7 County of Miami-Dade
- I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
hereto are true and correct. o°`°S`gnedby
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Lobbyist Signature
Fr SIGNATURE AND STAMP OF NOTARY:
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x Notary Public-State of Florida 23
Personally known This 15 day of Feb,20_
My Commission Expires Jan 24,2025
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Lobbyist Fee Expenditure and Compensation Form I�
City Code Section 2-485 2023
CITY OF
FEB MIAMI6 BEACH
Expenditure report for period of:1/1/2022 through 12/31/2022 OFFICE OF THE CITY CLERK
A statement shall be filed even if there have been no expenditures or compensation during the reporting period.
This statement is to be signed, notarized and returned to.the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive,
Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date.If you require any assistance,please contact this office at 305.673.7411 or atcitvclerk@miamibeachfl.gov.
Lobbyist ;Jeffrey Bercow
Principal ; David Martin/Terra Group.
- Issue 8701 Collins Ave.
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $0.00
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
Communications:
Media Advertising: •
Publications:
Travel:
Lodging:
Special Events:
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
•
OATH
State of Florida
County of Miami-Dade
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
0 DocuSigned by:
N hereto )re true and correct.
p CA2E8CDA48FB3455...
Lobbyist Signature
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SIGNATURE AND STAMP OF NOTARY:
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Produced ID q `Leidy Montesino Perez
Form of Identification
Qommission#HH 084273 > Signature of Public Notary—State of Florida
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Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485 FEB 1 6 2023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
Expenditure report for period of:1/1/2022 through 12/31/2022
A statement shall be filed even if there have been no expenditures or compensation during the reporting period.
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive,
Miami Beach, FL 33139 by February 28th.A fine.of$50.00 per day,per issue,shall be assessed for statements filed after the due
date.If you require any assistance,please contact this office at 305.673.7411 or atcityclerk@miamibeachfl.gov.
Lobbyist Jeffrey Bercow
PrinClpa'1'' ! Fontainebleau Miami Beach Hotel
Issue Fontainebleau Hotel
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $0.00
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel:
Lodging:
Special Events:
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
OATH
• State of Florida
7, County of Miami-Dade
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
N hereto are true ands urea. ..-OocuSigned by:
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Lobbyist Signature
• SIGNATURE AND STAMP OF NOTARY:
Produced ID
Form of Identification < eidy Montesino Perez Signature of Public Notary—State
<commission#HH 084273 g ry—State of Florida
• x `Notary Public-State of Florida Sworn to and subscribed before me
Personally known d lgy Commission Expires Jan 24,2025 This 15 day of Feb 20 23
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Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485 FEB 16 2023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
Expenditure report for period of:1/1/2022 through 12/31/2022
A statement shall be filed even if there have been no expenditures or compensation during the reporting period.
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive,
Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date. If you require any assistance,please contact this office at 305.673.7411 or atcitvclerkt miamibeachfl.gov.
Lobbyist Jeffrey Bercow
!P:rincipaI Gumenick Family Investments No.2(Randy Gumenick)
Issue Development approvals and planning issues;959 West Ave
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $0.00
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel:
Lodging:
Special Events:
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
OATH
• State of Florida
• County of Miami-Dade
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
N hereto are true and correct. Doc Signed by:
Lobbyist Signature
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SIGNATURE AND STAMP OF NOTARY:
• Produced ID
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Form of Identification Signature of Public Notary State of Florida
L Teldy Montesino Perez 1 g Y—
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Icy Commission Expires Jan 24,2025 n
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Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485 FEB 16 2023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
Expenditure report for period of:1/1/2022 through 12/31/2022
A statement shall be filed even if there have been no expenditures or compensation during the reporting period.
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive,
Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date.If you require any assistance,please contact this office at 305.673.7411 or atcityclerk@miamibeachfl.gov.
.Lobbyisti Jeffrey Bercow
•
- Principal . Lincoln Center Associates,LLC(Melvyn Schlesser)
Issue • Development approvals and permitting issues;670 Lincoln Road
.
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $0.00
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel:
Lodging:
Special Events:
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
OATH
State of Florida
7 County of Miami-Dade
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
°°°°S'e^�bY
hereto are true and correct.
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Lobbyist Signature
N SIGNATURE AND STAMP OF NOTARY:
_Produced ID
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v Form of IdentificalionSignature of Public Notary—State of Florida
< Xfidy Montesino Perez
Sworn to and subscribed before me
N <-gommission#HH 084273 1
x Personally known ffotary Public-State of Florida This 15 day of Feb,20 23
IlAy Commission Expires Jan 24,2025
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�.ny qui rvndrnr oaacn RECEIVED
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485 FEB 16 2023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
Expenditure report for period of:1/1/2022 through 12/31/2022
A statement shall be filed even if there have been no expenditures or compensation during the reporting period.
This statement is to be signed, notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive,
Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date. If you require any assistance,please contact this office at 305.673.7411 or atcitvclerk(camiamibeachfl.gov.
Lobbyist Jeffrey Bercow
principal " M-524 Jefferson Owner,LLC(Camilo Miguel)
Issue Legislative lobbying regarding proposed 6th Street Overlay District
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $0.00
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel:
Lodging:
Special Events: •
X CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
OATH
State of Florida
County of Miami-Dade.
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
s hereto are true and correct. "S'8""'by`
NA2E6C0A40F133455..
Lobbyist Signature
SIGNATURE AND STAMP OF NOTARY:
Produced ID •
Form of IdentificationYeidy Montesino Perez
-Commission#HH 084273 Signature of Public Notary—State of Florida
LL Ootary Public-State of Florida Sworn to and subscribed before me
M X Personally known I9y Commission Expires Jan 24,2025 This 15 day of Feb 2023
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RECEIVED
a.ny Ui ivudrna oeduf
Lobbyist Fee Expenditure and Compensation Form FEB 16 2023
City Code Section 2-485
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
Expenditure report for period of:1/1/2022 through 12/31/2022
A statement shall be filed even if there have been no expenditures or compensation during the reporting period.
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive,
Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date.If you require any assistance,please contact this office at 305.673.7411 or atcitvclerkCalmiamibeachfl.gov.
Lobbyist Jeffrey Bercow
:principal r Marina Park,LLC(David Martin)
Issue I Lease amendment,extension,and related matters regarding Miami Beach Marina located at 300-344 Alton Road
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $0.00
CATEGORIES OF EXPENDITURES
Food and Beverage: •
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel:
Lodging:
Special Events:
x CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
OATH
State of Florida
County of Miami-Dade
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
LOooSondb
hereto are true and correct.
A2E6CDA40Fa3455...
Lobbyist Signature
N SIGNATURE AND STAMP OF NOTARY:
Produced ID
Form of Identification eidy Montesino Perez
Signature of Public Notary—State of Florida
commission#NH 084273 Sworn to and subscribed before me
Notary Public-State of Florida
X Personally known rgy Commission Expires Jan 24,2025 This 15 day off 20 23
x,mre.m�,�.wnen:.navPcr
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www.docverity.com
rvnanu oeaGrl RECEIVED
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485
FEB 16 2023
CITY OF MIAMI BEACH
Expenditure report for period of:1/1/2022 through.12/31/2022 OFFICE OF THE CITY CLERK
A statement shall be filed even if there have been no expenditures or compensation during the reporting period.
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office, 1700 Convention Center Drive,
Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date. If you require any assistance,please contact this office at 305.673.7411 or atcitvclerk@ymiamibeachfl.gov.
Lobbyist :Jeffrey Bercow
PrihcIpal „ Miami.Beach Marina Associates,LTD(David Filler)
issue Lease Amendment and Extension and related matters regarding 300-344 Alton Road in Miami Beach,Florida
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $o.00
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
•
Communications:
Media Advertising:
Publications:
Travel:
Lodging: •
Special Events:
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
X DATE REPRESENTATION ENDED:
OATH
State of Florida
County of Miami-Dade
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
DaeuSlg W by:
hereto are true and correct. �?
N CA2E6CDA4OFB3455csi
...
Lobbyist Signature
SIGNATURE AND STAMP OF NOTARY:
A
.
Produced ID
Form of Identification
`eidy Montesmo Perez
d Commission#HH 084273 Signature of Public Notary—State of Florida
X votary Public-State of Florida Sworn to and subscribed before me
_Personally known My Commission Expires Jan 24,2025 This 15 day of Feb,20 23
DocVerIfy ID: 4853-9A73-8882A687220F T Page 11 of 14 T r118882A88-7-*F j ,III ,I II I
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a,ny yr rvudnu ordure RECEIVED
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485 FEB 16 2023
CITY OF MIAMI BEACH
OFFICE OF THE CITY CLERK
Expenditure report for period of:1/1/2022 through 12/31/2022
A statement shall be filed even if there have been no expenditures or compensation during the reporting period.
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive,
Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date.If you require any assistance,please contact this office at 305.673.7411 or atcitvclerk@miamibeachfl.gov.
Lobbyist Jeffrey Bercow
Principal MT2 Properties,LLC(Dana Treister)
Issue ! Development approvals&Planning issues;1554 W 25th Street
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $0.00
CATEGORIES OF EXPENDITURES
Food and Beverage.
Entertainment:
Research:
Communications:
Media Advertising: -
Publications:
Travel:
Lodging:
Special Events:
X CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
OATH
State of Florida
7 County of Miami-Dade
I,the undersigned lobbyist, do hereby depose under oath and affirm that the information disclosed herein and any attachment
o DocuSigned by:
hereto are true ar.d correct.
/'l�ii
A7F6CDA4OF@3455
Lobbyist Signature
1,2 SIGNATURE AND STAMP OF NOTARY:
_Produced ID Yaeidy Montesino Perez
co Form of Identification Commission#HH 084273 Signature of Public Notary—State of Florida
Rotary Public-State of Florida
Sworn to and subscribed before me
My Commission Expires Jan 24,2025
X Personally known I This 15 day of Feb 20 23
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Lobbyist Fee Expenditure and Compensation Form RECEIVED
City Code Section 2-485
FEB 16 2023
Expenditure report for period of:1/1/2022 through 12/31/2022 CITY OF MIAMI BEACH
A statement shall be filed even if there have been no expenditures or compensation during the reporting period FFICE OF THE CITY CLERK
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive,
Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date.If you require any assistance,please contact this office at 305.673.7411 or atcitvclerk@ miamibeachfl.gov.
Lobbyit- - Jeffrey Bercow
• Principal Southgate Towers,LLLP(Randy Gumenick)
IIssue•. • Development approvals and planning issues;910 West Ave
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $0.00
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel:
Lodging:
Special Events:
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
OATH
State of Florida
7 County of Miami-Dade
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
N Ccusign,d by:
hereto are true and correct.
O F6I A4DFR3455
Lobbyist Signature
SIGNATURE AND STAMP OF NOTARY:
Produced ID
— Xeidy Montesino Perez .,m is
.a.,A��
Form of Identification Commission#NH 084273 Signature of Public Notary—State of Florida
Rotary Public-State of Florida Sworn to and subscribed before me
X Igy Commission Expires Jan 24,2025 Feb 23
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Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485
FEB 16 2023
CITY OF MIAMI BEACH
Expenditure report for period of:1/1/2022 through 12/31/2022 OFFICE OF THE CITY CLERK
A statement shall be filed even if there have been no expenditures or compensation during the reporting period.
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive,
Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date.If you require any assistance,please contact this office at 305.673.7411 or atcitvclerk(almiamibeachfl.gov.
Lobbyist Jeffrey Bercow
Principal', Terra Group(David Martin)
Issue ,i Miami Beach Convention Center Hotel;1901 Convention Center Drive
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $0.00
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel:
Lodging:
Special Events:
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
OATH
• State of Florida
County of Miami-Dade
i; I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment
• hereto are true and correct. —°°`"B,e"ed"Y'
' —2ESCDA4OFB3455..
N
Lobbyist Signature
SIGNATURE AND STAMP OF NOTA Y:
�(eidy Montesino Perez r •Vy�s
4 Qommission#HH 084273
Produced ID
4 Notary Public-State of Florida
Form of Identification 4 l y Commission Expires Jan 24,2025 Signature of Public Notary—State of Florida
LL a o Sworn to and subscribed before me
X Personally known w �y�� �� -2-- This 15 day ofJ 20 23
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City of Miami_Beach_Expenditures_JB.pdf
DocVerify ID: 4796C063-2FC6-4853-9A73-8882A687220F
Created: February 15, 2023 10:13:18 -8:00
Pages: 14
Electronic Notary: Yes / State: FL
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E-Signature Summary
E-Signature Notary:Yeidy Montesino(ymp)
February 15,2023 10:17:29-8:00[C92381A76B75][74.220.90.117]
ymontesino@brzoninglaw.com
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