2024 Lobbyist Registration Form - 1901 Alton RD (Marisa Galbut) l901 Al�n IZoa�}
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LOBBVIST REGISTRATION FORM
Lobbyist means all persons employed or retained, wfiether paitl or not, by a pnncipal who seeks lo enwurage the passage, tlefeat or
motli�cation of any oNinance, resolution, action or tlecision of any commissioner: any adion, tlecision, recommendation of the City
Manager or any Ciry boaM or wmmittee;or any action,tlecision or recommentlation of any Ciry personnel tlunng the time penotl of ihe
entire decisioo-making prxess on such action, tlecision or rewmmentlation ihat foreseeably will be heaN or reviewed by ihe City
commission, or a City boaM or committea The tertn specifcally includes the principal as well as any employee enga9ed in lobbying
activities. The term"Lobbyists" has speci(c eaclusions. Please refer to City Code Chapler 2,Atlicle VII, Division 3, entiHed'Lobbyists,"
for addilional infortnalion.
Instructions: Please complete all sections o!ihis form and submit the completed form,with the apPlicable fee, to the ORce of the Ciry
Clerk. If you need more space lo complete an answer, use a separdte sheeqs) of paper. If you have nothing to report in a particular
section, you must wnte 'none" or "n/a" in ihat sectiort Any change ro any information onginalry fletl, or any atltlitional Ciry
Commissioner or personnel who are also sought to be lobbied shall require Ihat ihe lobbyisl fle an amendment to the regist2�ion torm.
The lobbyist has a mntinuing dury to suppry information and amend the fortns fletl thmughout ihe period ihat the lobbying occurs.
Separate regisirdtion(orms shall be required for each pnncipal represenletl on each specifc issue.
I. LOBBYIST INFORMATION:
Baltei Emily K.
NAME OF LOBBVIST (Lasry (Flrsl) �Midtlle Name)
Bercow Radell Fernandez Larkin&"Papanes,PLLC 200 South Biscayne Blvd.,Ste.300 Miami,Florida 33131
LOBBVISTBUSINE55NAMEANDADDRESS (NumOeraMSVeet) (Ciry) (Stata) (ZipCOCe)
305)374-5300 ebalterC�brzoninglaw.tom
LOB6VIST BUSMESS TELEPHONE Nl1M9ER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Galbut Marisa
NAMEOFPRINCIPAL (Las�) (FirsQ (MitldleNama)
1901 Alton Pronertv LLC 2200 Biscavne Blvd., Miami Florida 33137
PRINCIPALBUSWESSNAMEANDNO�RESS (NumberanCSimeQ (Ciry) (State) (ZipCOCe)
(305)374-5700 mgalbut@crescentheights.com
� PRINCIPNLBUSWESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILAD�RE55
� Pursuant to Giry Cotle Section 2J02(�)(1)(a): A pnncipal of any wryoratioq patlnership. or other entriy w�o appears as a IobDylst on behalf ol iM1at
entity,wil�out special compensation or reimbursemeM for iM1e appearance,wM1et�er Eirect,inGirecl,w con�ingent to e�ress support of or opposilion b
. an ilem shall register wM the Clerk as raquiretl by Ihis subsedion Out shall nM�e required[o pay any regis[ration lees.
If the principal is a Corporetion, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2d82�c):
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARV(H none,wriM N/A�: Marisa Galbut
• NAME OF ALL PERSONS HOLDING, �IRECTLV OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPOR4TION,PARTNERSHIP OR TRUST(i7 none,write N/A�: Please see attached.
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III. ISSUE TO BE LOBBIED:
Desc�ibe with as much detail as is practical, including but not limited to a specific description where
applicable of a pentling request for proposal, invitation to bid, or public hearing number.
Development Approvals&Planning Issues, including but not limited to the Historic Preservafion 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 1901 Alton Rd
in Miami Beach, Florida.
IV. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2482�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, slating the generel nature of the subject contrectual relationship.
Full Name of Individual and Contractual Relationship (Ityes, explain) VES No
TNIe of Person to be Lobbied
Staff for the Planning&Building Department None X
Public Works &City AdministraHon, PB, HPB, BO None X
DRB,City Commission,and Mayor as necessary None X
Pursuant to City Code Section 2-482(g�, every registrent 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 fortn filed.
List any Business, Financial, Famllial or Professional Relationship, or other relationship giving rise to an
a earance of im ro rie if none,write N/A :
None
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Soecific. (Note that a
� contingency fee is prohibited pursuant to City Code Sec. 2-085.3):
$535 per hour
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The following six(6)questiona MUST Ee anaweretl:
i) Pursuant lo City Code SeMion Pd88,entitled"Pmhi6ited Campaign Caninbutians ey LobEyiste On Pmwremen�Issues"'.
Ves xNo: A v I bb ' t d b'tl f d t 'c s or on a t r
oendina award for aootls.eauioment or s¢rvice7
2) Pursuant to Cily Code Sedion 2-090, entitled"Prohibited Campaign Contnbutions By Lobbyists On Real Estate Development
Issues":
Yes x No: A I bb ' a tl' 1' C f D I t A t 'ih the C'N ol' t
f h n f d ti h t �h CkY F [ L d U M T
3) Pursuant to Ciry Code Section 2�82(h�, any pereon (ezcept those exempt from t�e tleFlnition a("lobbyisl' as set (orth in
Section 2-081)who onry appeare as a represenfalive o(a no4for-pmFlt corpora�ion or entiry wit�out special compensation or
reimbursement for ihe appearence,whether direct or indirect to ezp2ss support of or opposition lo any item,shall register wi�h
the city clerk as required by lhis section,but shall not be required to pay any registration tees.
VesxNo: A t' bf - ![ t' t'N ith t ' I tl
reimbursement?
6) Pursuant to Ciry Cotle Section 2d87, the term "lobbyisC' specifcally exclutles ihe following persons: Ezpert witnesses who
provitle only scientifq technical or olher specialized information or testimony in public meelings', any person who only appears
as a representa�ive of a neighborhood association withwt campensation or reimbursement for the appearance,whelherdireM,
indirect or con[ingent,to ezpress support of or opposition to any item;and any person who only appears as a representative of
no4(or-pro6t wmmuniry �asetl organization for ihe purpose of requesting a grant without special compensation or
reimbursement for the appearance.
Ves x No: A v'd'n nl selenCfe techn'cal or oth¢r sceeial'zetl 'nformalion' aocearina as a
D ese t t f ' hb rh d assoclat' 't� t ' I como t ' b r ment or
o t' a ob� - Tt E d ' Yo f M t esY e t 'th t
soeclal eomoensation or reimbursement7
5) Pursuant to Ciry Cotle Section 2191(1�, no campaign consWtant shall lobby the Ciry Commission for a penod of 12 monNs
following the sweanng in o(any elecled official(s)for whom ihe wmpaign cansultant provitletl campaign consulting services
within the pasl elec[ion cycle.See Section 2-491 for more information.
Ves xNo: H 'd d o ' Iti i t ba t b f th C'N C ' n
ith' th t I f 1 7 I( I I' t th ' b t be 1 1 f th C'N Comm'ss'on�
Yes x No: If ves has 't been less than 72 monihs since the ekc[e0 oKcialfsl whom vou orovitletl camoaian
consuM'na services waa swarn in?
6) Pursuant to Ciry Code Section 2d82(a)(4�a., a lobbyist who has within the past election cycle provided campaign wnsulting
services to an incumbent member af the Ciry Commission (which labbying activity is not otherv+ise prohibitetl by Cotle sectian
� 2-491) shall disclose such particular service on hislher lobbyist registration fortn and shall oralN disclose such oarticular
seri ce be(ore lobbv no the C'N Comm ss on at a�ublic meetino.
� Yea x No: H id tl n Ifn serv'cea�o an 'ncumGent member of�he Citv Commisnion
'th' th t I Y I 41f I I" tlh ' b � be I loith CItvC mm'u'on'
� Ves x No: If v ou o o 'sed d'd caive econom c cans'de�atlon 'n eachanae tor camoaian
conaultinu services7
TO BE GOMPLET BV QTY CLERK'S STAFF ONLY
Annual Regishation tee: [ ]Yes �No Amount Pa'}itl��(�,� .35d�MCR# 3� � oate va+d 3 oZ �LJ
Lobbylst Registratlon Form receivetl antl veriiled by'�/� \
a�.r.ierz�.sau�,aroans',�oenv�srreuns�.�ueuc��s�ars�zi�anocc .��,kevicaenn.toaaa=_o.mc Revised09/20/3018
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VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR EACH LOBBYIST SHALL SUBMI7 70 THE OFFICE OF THE CITV CLERK A
SIGNED STATEMEN7 UNDER OA7H LISTING LOBBYING EXPENDITURES AS WELL AS COMPENSATION
RECEIVED FOR 7HE PRECEDING CALENDAR YEAR WITH REGARD TO 7HE SPECIFIC ISSUE ON WHICH 7HE
LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPEN ATION DURING THE REPORTING PERIOD.'
Signalure otLobbyisC �i Date 3-222024
e�niA,..ase..ee
I do solemnly swear or aKrm that all of the(oregoing tacls, statements, and disclosures in lhis form are true and correcl,
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.
�o«�sa•.eev:
Signature ot Lobbyist: py�y 3-22-2024
r--
�un�..essue 3-22-2024
Signature of PrincipaC e � �1.aYlSa �R�" Date
IFPW988Bf9dn1A..
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of Florida State of Florida
County oC Miami-Dade coumy oi: Miami-Dade
Swom to (or affrmed)and subscribed before me, Sworn to(or affrmetl)and subscribed before me,
by means of 0 physical presence by means of O physical presence
or 0 online notarization, or�online notarization,
this 22 day of March 202a, by this�tlay of M h 202q by
Emily K. Balter Marisa Galbut
NAME OF LOBBYIST NAME OF PRINCIPAL
Produced ID _Produced ID
FORM OF IOENTIFICATION. FO �
x Personally /��� x Personally Kno /�' `{�'
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� Signature of No , - .-d_.=,-� Signature of Nota ,.u��„ �°^�^
Veidy Mon�esino Perez Veitly Montesino Perez
�� Name of Notary, Typed, Printetl or Stamped Name of Nolary,Typetl, Printed or Stampetl
N Yeitly Monlesino Gerez (NOT Yeltly Montesino Perez
( Commisslon p HH 0842'I� Commission#HH 0802I�
No�ary Public-S�a�e of Fbriaa No�ary Pu�lic-State of Flontla
- MyCommissionExpiresJan24,2025 MyCommissionExpiresJan242025
' The ter rsons:
- Expert witnesses�who provitle onty scientifc, technical or other specialized information or teslimony in public meetings;any person who
onty appears as a representative of a neig�borhood associalion wilhout compensa�ion or reimbursement for the appearance,whelher
' direct, indirect or con�irgent,to ezpress support of or opposition to any item', and any person who only appears as a representative of
noFfor-pro(t communily based organization for the purpose of requesling a grdnt wilhout special compensation or reimGursement for
�he appea2nce.
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' QE=ACH
Cify of Miami Bwch, V00 Co�va�tion Cenrei Dr�ve, Mloml 6eoch,Florida 33139,www.m�amibeachA.gov
ONice of fhe Oy Clerk
Rofael E. Granado, Ciy Clerk CltyClerk(�miamibeachfl.gov
TeL 305.673741 I, Po.� 305 673725d
NAME OF LOBBYIST: Emily K. Balter
7) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
Pursuant to City Code Section 2-085(d), lhe City Clerk shall notiTy 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 fled 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 fle the Statement or pay the
assessed fnes after notification.
Any lobbyist, who fails to fle the required Statement by April 30'" 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 ralendar 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 Nolice 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 Oclober t 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.
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03/25/2024 11:22AM Carmen V, N � ' � � � '0
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Reference 1: MCR433225 ° ` � _
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Thank you for your payment
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