2024 Lobbyist Registration Form - 6701 Collins Ave (David Martin) ��]oJ Goll �hs �l�e.
ryp [ /� RECEIVEU
1�'v' 1� ������� � DL/1� � oteceormec�iryc�erk j,:,i��( 21202d
1700 Convenlion Centet Drive
Miami Beach, FL 33139
305.673.7411 CITY Or MIAMI BEACH
OFFlCE O�THE CITV CLERK
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or reWineQ whether paia or not, by a pnncipal who seeks ro enwurage ihe passage, tlefeat or
motlifcation af any ordinance, resolution, action or decision of any commissioneq any actioq Oecisian, recommendation oi ihe Ciry
Manager or any City board or commi�tee;or any ac�ioq decision ar recommentla�ion of any City personnel tlurinq�he�ime penod of the
entire tlecision-making pmcess on such aclion, tlecision or recommentlation that foreseeably will be heaM or reviewetl by the Ciry
commission, or a Ciry board or mmmittee. The term specifcally inclutles the pnncipal as well as any employee engage0 in lobbying
activities.The term"Lobbyists"has specifc exclusions. Please reter to Ciry Cotle Chapter 2, HrtiGe VII, Division 3, entitled"Lobbyists,
foretltlitionalinfarmation.
Insimctions: Please complete all sections of ihis form antl submit the completetl(ortn,with the applicaDle fee, to ihe Office ot ihe Ciry
Clerk. If you neetl more space to complete an answer, use a separate sheet(s) of paper. If you have no[hing to report in a paNicular
section, you must write "none" or "nla" in that sec[ion. Any change to any information originally f1eQ or any additional City
Commissioner or personnel who are also sought to be lobbied shall repuire that lhe labbyist Flle an amendment ro the regishation foim.
The lobbyist has a continuing tlury lo supply information and amend ihe fortns filetl throughoW the period that ihe lobbying accurs.
Separa�e registralion forms shall be requiretl for each pnncipal represented on each speciFlc issue.
I. LOBBYIST INFORMATION:
Shulman Allan
NAMEOFLOB9VIST (LasQ (Flrsp (MitltlleName)
Shulman+ Associates 7300 Biscavne Blvd., #200 Miami Florida 33138
LOBBVISTBUSINESSNAMEAN�ADORE55 (Num�erandS�ree�) (Cily) (Sta�e) (ZipCode)
305-438-0609 allan@shulman-desi�n.com
L09BVIS?BUSWESSTELEPHONENUMBER CELLULARTELEPHONENUMBER EMAILAOORESS
II. PRINCIPAL INFORMATION:
Martin David
NAME OF PRINCIPAL (Lasp (First) (MiEdle Name)
TMG 67 Communitics LLC 3109 Grand Avenue, #349 Coconut Grove, Florida 33133
PRWQPALBUSMESSNAMEANDAODRE55 (Numberand5lree�) (City) (S�a�e) (ZipCotle)
305-47b-4556 dmartinQterragroup.com
PRINQPALBUSWESSTELEPHONENUMBER CELWLARTELEPHONENIIMBER EMAILAO�RE55
Pursuant�o Ci�y Gotle Section 2-082(M1�(t�(a�: A pnncipal o(any mryo�a�ion, patlnersM1lp, or WM1e�enOty w�o appears as a IOU�ylsl on beM1al/o(IM1aI
entiry,witM1oul special compensation or reimbu5ement for Ne appearance,whelM1er Oirec�,intlirect,or contingen�,�o express suppotl of or opposition lo
an Item sball register wi[�iM1e QeM1 as repuUed by ihis subsection but shall not be repuiretl to pay any regisValion fees.
If the principal is a Corporetion, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2-482(c):
• NAME OF CMIEF OFFICER, PARTNER,OR BENEFICIARY(it none,write NIA�: D Martin
. NAME OF ALL PERSONS HOLDING,OIRECTLV OR INDIRECTLV,A 5%OR MOftE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST(if none,write N/A�: Dd Vid MaI[in 100%
Page 1 of 5 O
Dow5lgn Envelapa ID�.000546EP-6R0dCAAE�110E]OE05101E8
III. ISSUE TO 8E LOBBIED:
Deacribe wilh as much detall as Is practical, Ircluding but not Ilmited to e specific description where
applicable of a pending requeat for proposal,Invltation to bid,or public hearing number.
Legislafion and Devclopment Approvals&PermiHing Issues,in<luding but not limited to the HPB,
Uesign Review Board,Planning Boacd, Board of Adjustment,Land Use Development,City
Commission, and any City Workshops or Committees,H necessary,relaNng ro the property located
at 6701 Collins Avenue in Miami Beach,Flotida.
IV. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED:
Pursuan[to Ciry Code Sectlon 2-482�ap4), Ilet Ne City Commlasioner or City personnal aought to be
lobbied, and whether the lobbylat haa enterad into any contractual relaGonship (pald or unpaid) with
said City Commlealoner or Ciry personnel trom 72 months precetling such commencement of eervice
wi[h the CITy to the preaent date,stating[he general nature ot the aubJect conVactual relattonship.
Full N�me o(Intlivitlual antl Gontreetuel Rela[fonfhip(If yea,explain) YEB NO
Tltle oi Parson to ba LOGbiad
Staff for the Planning&Buildin Department None X
Public Works&City AAministration,PB, HPB,BO None X
DRB,City Commission,and Mayor as neceasary None X
Land Use&Sustainabilit Committee None X
Pursuant ro City Cotle Sectlon 2-482(g�, every registrant shall be required to state the extent oi any
buslness, financial, famlllal or professional relationship, or other relatlonnhip giving rise to an
appearance of an Impropriety, with eny current City Commlaeloner or City personnel who Is sought to
be lobbletl as Idantifietl on the lobbylst regiatration torm(Iled.
Llat any Busirreas, Finenclel, Famlllal or Profacalonal Relalionehip, or other relatlorrehip piving riee�to an
;; a earancaof Im ro dat Hnone wdla N/A : �
^ IVnne
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSA710N - Be Soecific. (Note that a
contingency fee is prohibited pursuant to Ciry Code Sec. 2•485.3):
3zs.on
, $ .00 per hour
Page 2 ot 5
__ .. _ . . . _. .._.. ........ . .__,.��.__. _ _. �.��.... _�p�,.p_�._. __
� o m o.n .v»,�:n<see auis ,a m.wasa ,III�IW[021�I��
�ocu518n EneelopelD:D005<6Et-6]P3-4CM�041}BE90E0518�48
The following six(8)que�tbne M�ST be anewarotl:
1) PureuenttoCiryGotleSadionf4BB,enlWed'ProhlbitetlCempegnCo^VibutionsByLob�yls�sOnProcurementlesues":
Ves x No: t tl' Eltl fo tl I t I a oreaent o�
— — pe al M 1 a 1 m M rvlce?
2) PursuaN to Ciry Code Sec�lon Rfi90,enitlletl'Pro�ibite0 Campagn ConVibutions By Lobbyisis On Reai Estete Oevalopment
IssuOb".
Ye�xNo: Ara � OEvI tll II tl �`^•^^"."'-"""�'•p � '�� CINor+oollcetlon
—' 'rqe of xonlna meo deelonetlon or chenae to ihe CIN'e FeLLn Lantl Wa Mao]
3) Pursuent �o Ciry Code Seclion 2J83�h�. eny parson (excepf ihase exempllmm ihe EeTnitian oi "bbbyisl' es ul forlh in
Seclion 2<81)who only eppean as a reproeantative oi a no4(or-proAt coryoratlon or entity wi�hout spaciel wmpensation or
reimburument for IDe appeamnce,whelhar tlirect ar intlired to express suppotl of or opPoalbon ro eny item,shall mBister wit�
Ihe cily cle�e ee require�by Nis section,but ahall no�be requiretl to pay any regietration kea.
Yea%No: tl t( fil Y tlN It� t itl canoenutlon or
— — i e anct
4) Purauent to Ciry Gotle Sectian 3JB1, Ihe�emi"IobbyisP speciAcelly exdutles tbe following penone'. Expart wilnesses who
provitle only acientifi0.tachniral or o�her specielizetl infortnation or�esfmony in pu�lic meelinga,eny person wM10 only appean
as a rapresen�a�ive of a naighbor�ootl easocietion witbout wmpensetion or reimburserrreol br I�e apPearance,whether Ciiacl,
InOirect or continpen�,to express supporl o(or opposition to any rtem',antl any Oereon who only appBero as a representative oi
no4(or-pmfit community besed o�ganizalion br t�e puryose of requesting e grent wX�out speciel mmpensetion or
reim�ureemen�for Ihe eppeerance.
Ye�%No: Itli I I llii t h i I th I II eC ' f Uo � �ooearina at 1
— o� ' - - ` r�oad aesocb0on without eoec4l comoenaelion or relmbumemanl4r
sen�na a not�or-oroflt bew0 oraentratlon br Aia ouroove ai reaue tl n t wiNOW
I I tl �o�mlmbumameniT
5) Purauent to Ciq Code SaCion 3191(1�, no cempeign conaultanl shell IOCby ihe Ciry Canmission tor a periotl o112 mont�a
lollowinp Ihe sweannq in of eny eledetl officiel(s)br wfiom the campeign consWtant promdatl cempaign consulGng services
wi�hin ihe pest election cyGe.See Seclion]-491 lor more infortnation.
Vee xNo: H ItloA I Iti ! If [ 1 b t mbero(ihe qN Commb�lon
t�lnth nlelectlonevcleilfves.oleaeelleUhelncumbenimemheHelollheCllvCommb�100�
Vee x No: I( h It be I �M1 12 N � �h � lod MI ' II 1 h v u orovitlatl cem eo lan
— — InT
fi) Pureuent to City Cotle Section tA82�e��1N�.a lobbyist wM10 M1as witMn ihe past eieclion cycle provitletl campaiqn wneulli�g
servicBs lo an Incumben�mamEer of�M1e Gity Commission(which IObbyug dCbvi�y is not o�M1enuix p/O�ibi�etl by Cotla seclion
2�491) shall tlisclose such pertiwler sarvice on �is�her lobbyisl xgistretion brm d h II II d� I tli rt I r
5 paf I bE � Ih Gt C t bl' etin .
Yee x No: Itl tl I Iq I t b t b 1 M CIN Commlealon
� — - - I II t�� I be t baN 1 t lh C N Commiselon.
Vee%No: If le tl tliC I 1 Itle tlon In ezcM1anoe lor cempelp�
� n4Ullln9 8lrvlG¢BT
� TOBECOMPLETEOBYCITYCLERN'BSTAFFONLY ___.._ _--
R utlftpglfl ll lee:�� ]Y � ]No R tP �tlS MLR� OelePelJ
LobLVktFopl trall n Fom��ecN W� E ariMJ W .��n rvo n a .ctl uy.e� : t .�� RevheE U9/10/3018
"1L[Ppg FO -�L006YSil�0.�n5\ nM1bye .__
Page]o(5
� _ . ,�X��4m'���� r..
' a�n .,.amM1nr�� � � �y.nm�s e�os.am
OocuSign EnvelopelD'D00546E2�fit22-JCM-8410�BEJOE05181<B
VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH VEAR EACH LOBeYIST SHALL SUBMIT TO THE OFFICE OF THE CiTY CLERK A
SIGNEO STATEMENT UNDER OATH LISTING LOBBVING EXPENDITURES AS WELL AS_COMPENSATION
RECEIVED FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIPIC ISSUE ON WHICH THE
LOBBVIST HAS BEEN ENGAGED TO LOBBV. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
E%PENDITURE OR COMPENSATION �URING THE REPORTING PERI00.'
SignatureofLobbyist _ _ Dafe
I do solemnly swear or aflirm �hat all o(�he foregoing fac�s, statemanis, and disclosures in Ihis form are�rue and cortect,
and that I have read or am familiar wi[h �he provisions contained in Chapter 2, Art VII, Oivision 3, enti�led "LobDyisis" of
the Miami Beach City Code antl all reporting requirements.
Signature of Lobbyist Date /1a 1g�J
Signature of Principal: Date w �l Y l
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
Stateof Florid� Slateof Florida __
County oE Miami-Dade Counry o[ Mimni-Dade
Swom to(or affirmed)and subscribetl before me. Swom to(or aK etl)antl subscribed bePore me,
by means of O physical presence by means of physical presence
or�online notarizalion, or�online no�arizapop,..� ��
this_tlayof 2�_, by Nis�dayof ��uM 20�y
Allan Shulman Dxvid Martin
NAME OF LOBBYIST NAME OF PRINCIPAL
Produced ID Praduced ID
FORM OF I�ENTIFICATION / FORM OF IOENTIFICATION
/
_Personally Known �Personallv Knnwn
SignaWre of Notary Public Sig Nre of Notary Public
]� n .�'�-
Name of Notary, Typad, Printetl or Stampetl Name of Notary. Typed, Printed or Stamped
NOTARY SEAL
(NOTARV SEAL) ( ) �..., , ��. i � . I�
. ... . � ,���
....__..__ - __ . .
The lerm"Iobbylst"speciflcally axclutles ihe tollawing persons: , �,_ „ � „ . _ �:�`
Expatl wi�nesses who pmvitle only scien�ifiq technical or other sper.ialized in(orma�ion or testimony in pu�lic meetings�,any person who
only appeare as a represen�a�ive oi a neighborhootl associa�ion wit�out compensation or reimbursement Po�Ihe appearance,whelher
direG, Intlired or conlingenl,to exprass supputl of or opposition�o any ilem�, antl any person who only aOPears as a represenlaUve of
nobfor-pmFlt community basetl organizaliun br the pmpose of�equesting a grant wilhout special compensalian or reimbursemenl for
Ihe appearanca.
Page 4 0/5
Docu5lpn Envelope IU:WOS�6E2�8122JCA40413-6E3DE0518NB
VI. SIGNATURE5 UNDER OATH:
ON FEBRUARV YB OF EAGN YEAR EACH IOBBYI3T SHALL SUBMIT TO TXE OFFICE OF TXE CITY CLERK A
SIGNE� STATEMENT UNDER OATM. LIS77NG LOBBYIN6 EXPENDITURE9. AS WELL AS COMPENSATION
RECEIVED, FOR THE PRECEDING CALENDAR VEAR WITH REGARD TO 7HE SPECIPIC ISSUE ON WHICN THE
LOBBYIST HAS BEEN ENGAGED TO LOBBY A STATEMENT SXALL BE FILED EVEN IF THERE HAS BEEN NO
E%PENDITURE OR MP N IN NG NE REPORTING PERIO !
SiquaWieotLabbyisL _ Q�'�" ��0.W _ _ �e�e a3l2�rzo2a
I Co solemnly swear or affirm that all o(tha lore9oing lacts,aletemenls,and tlieGosures in this Porm are Uue end conecl,
end ihat I have reatl or am femiliar with ihe provisions con�ainetl in Chapter 2,Art.VII, Division 3, entitled"Lobbyi5le"of
Iha Miami Beach Ciry Cotle and mgmaqWrements.
SipneWre of LobbyisC Q�"' S�a"' _ Oa�a_ . oan�rz02a
SignetureoiPnncipel: _ �ate _._
VII. NOTARY SI6NATURE AND 3EAL:
LOBBYIST: PRINCIPAL
Stetaof Florida Steteof Fbrida
County of: Miami-Dade ,._ Counry of: Miami-Dade
Swom to(or aRrmed)end subscribed betore me. Swom ro(or aHrmeG)end subecnbed be(ore me,
by meens of 0 p�ysicel presence by meens ot�physicel presence
or[�online notanzalioq or O online notedzation,
�hla_tley of 20_,by �his_dey of 20_,by
Allan Shulman David Martin
NAME OF LOBBYIST NAME OF PRWCIPRL
ProducetllD _Protlucetl ID
FOR (}� � F�RMOFIOENTIFICATION
_rPersonally Krrow �' Personelly Known
..........,.,..,,._
SigneWre oi Notary Public Sig^a[ure o(Nolary Pu ic
Diana Ramos
Name of Notery,T petl,PdnteG or Slempetl Neme of Notery,Typed,Printetl or Stemvetl
Dbm N�mo� (NOTARV SEAy
tomminien x nH acean
naa�y c�euc-suie o�no�ae
My Cammisalan Explre¢Pyr tQ 20D
'The ...... Persons'.
._..__...„ ,...
Expetl wllnansee wM10 proNtle only scientl9C�echnicel o�other specielizeC Inbrmalion or tea�imony in public meetinge;eny panM w�o
only apDeem as a represenW�iva ol e neig�borhoo0 essocietlon wllM1out comDensalion ar reimbureement br tbe eppeamnce,whetM1er
Eimc�,intlirec�or conOngan�,m expreae euppoit o�or op0osi�ion lo eny nem;e�any pereon who only appeere ea e repreeanlalive al
noblorproN communiry baseE orqenizetion for Ne puryose of requeslin8 e prent w�hou�npecial componeetion or rolmEursemeM for
�he eppeeinxe.
Pege 4 of 5
- .. � � .,.��un„� ..�,i .�r ��.��,,,.,., Pw�uwu u.vm�,5neze �II�p:WFRi�L�����
o«uspo Enww.io�.000saseze�zz-�cea-eaia-eeaoeosieiae
. ,, 'rj %�1(._. 1 �
Ciry ei Miamileaah, V00 Conwmiw Cenie�Duve,Miam��aoc4 Fbnda 3J139,uww.m�amibmchll yw
OfHce of�ha Gry Clark
Rafvel E.Gm�ado,Clry Clark CtryClerk�mlamlb�chlLgo�
Tel�. J05.6]JJdi I,Fov: 905b]3J25n
NAME OF L0B8YIST: Allan Shulman
7) LOBBYIST FEE EXPENDITURE AND COMPENSA710N STATEMENT
Pursuant to Cily Code Sectlon 2-485(d), the City Clerk shell notify any lobbyist (or
principal)who fails to fle timely a Lobbyist Fee Ezpenditure and Compensation S1a[ement
(Statement). In addition to any o[her penalUes ihat may be imposed as provided in
Section 2-485.1, a flna of$50.00 a day shall be assessetl for Stetements filed efter the
due date. The City Clerk shall notify the Miami-Datle County Commission on Ethics and
Public Tmst of the failure of a lobbyist (or princlpal) to fle the Statement or pay the
assessed flnes afler notification.
Any lobbyist, who fails to Flle the required Statement by April 30'^ of each year, shall be
automatically suspended from lobbying until all fines are paid, unless ihe fine has been
appealed to the Miami-�ade County Commission on EMics antl Public Trust.
I hereby acknowledge that on February 28 of each year, I shall submk to Ihe City Clerk a
signed Statement under oath listing all lobbyist expenditures, as well as compensetion
received,for the preceding calendar year with regard to the specifc issue on which I have
been engaged to lobby.
2) LOBBYIST WITHDRAWAL
Once an issue I have registered to lobby has concluded or 1 am no longer lobbying on
that issue, I shall immediately file a Notice of Withdrawal with the Offce of the City Clerk.
3) ANNUAL LOBBYIST REGISTRATION FEE
I understand annual regisiration of all lobbyists shall be required for each 12-month period
commencing October 1 of each year, antl the fee for such annual regist�ation shell be
$500.00 pursuanl to Section 2-482 of the Miami Beach City Code.
�o wimmIr��:I
�ww. �WNMNn. oarzvsoza
Signature of Lobbyist Date
FMLEIN0.LYFOPM6LLOBBVI6iFOFMSLLTWY1NqnnYonFwmPrvnM 0].IIAOPE6M
Pege 5 of 5
- os . ,.�,� .�� � „�.� rw. nam �y..e,�,we.� 1���4,0R�Ff4t,���� .
City of Niani Beach
CitY Hal lr -o ^ �, � �,: "
1700 Conventian Center CTr. 9 D �y A .. o a � ❑ � 3
Miami 9each , FL 33139 � a � n� o o w '�-- n � d � N
305-673-7420 01 T n m - _ ��N Z '' p m
Welcome f° � � `� m � ' - n � T u
� 0 = �+ a � `„' ° n 3 'm
03/25/2024 02:59PM Carmen V. 3 � x ,�'� � 3 a o
OC6850-0016 � D ��� a 3 �
� :, n m w
MISCELLANE0115 z, � ` � D �
Reference 1: MCR433223 g � � °' ? m
MCR O�EN (MCR) � �g � � m
2024 Item: MCR � � a
1 d $1,2�0.0000 O1 � fD
MCR �PEN IMCR) $1,������� ^� "
n
s u
3
-�---._._- v �
i1,200.00 y '
m
Su6total 31,200.00 � �
Total i1,200.o0
CHECN $350.00 � . '
Check Num6er00009350 �'
CHECK $85U.00 ,m . _
Check Number00009351 � . �
Chan9e due i0.00
? � z
'n o
Paid by: BERWW RA�ELL fERNANDEZ LaRNIN & � � _ �� �
TAPANES PLLC �, W
�
N
� N '.3 W
I������������I���i������H�N�����������1�����������U������������� � o �f �
(`.�'�•. "" � „ I
,.��..� ^
�- .. »
- _._ o
_ I ,
, ...
i _ ...__,.__..,..._._. . —_��i� ��
� �,... �--__
�:�.:..w ..��_� �
� �.� _...,_..--�- f�—I�
Thank yoi. fo� vour uaymant
C115i0MER C�PY