2024 Lobbyist Registration Form - 411 and 419 Michigan Ave 944 5th Street (Alessandro Pallaoro) ! � � —1 � I U/ty I �� �i�i n ��e-.
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1700 Convention Center orive j EP 2 7 2024
Miami Beach, FL 33139
305.6737411 �ITY OF MIAI�lI E3EACH
LOBBYIST REGISTRATION FORM OFFICE OF rFIE Ci IY CL[RK
Lobbyist means all persons employetl or retainetl, whe�her paitl or no�, by a pnncipal who seeks �o encourege�he passage, tlefea[or
motlifica�ion of any ordinance, resolu�ion, action or decision of any commissioner, any ac�ion, tlecision, recommendaHon of the Cily
Manager or any City board or commi��ae;or any action,tlecision or recommendation of any City personnel tluring Ihe time period of the
en�ire decisionmaking pmcess on such ac[ion, dedsion or recommentlalion �hat foreseeably will be heard or reviewetl by �he Ciry
commission, or a Ciry board or committee. Tha term specifically includes the principal as well as any employee engaged in lobbying
activities.The term "Lobbyisls"has specific ezclusians. Please refer to CiN Gotle Chapter 2, ANcle VII, Division 3,entitled"Lobbyisis;
for atltlitional informa�ion.
Insiructions: Please complete all sections of ihis form and submit the completed(orm,with ihe applicable fee,to the Office of ihe City
Clerk. If you need more space lo wmplete an answer, uu a separate sheel(s)of paper. If you have no[hing to report in a parocular
section, you must write "none" or "n/a" in ihat section. Any change to any information originally fleq or any atltlitional Ci[y
Commissioner or personnel who are also sough�to be lobbied shall require�hal Ihe lobbyisl file an amendmen�to lhe regis�2tion (orm.
The lobbyist has a con[inuing tluty lo supply in(ormation and amentl the forms filed lhroughoul �he periotl Iha[ �he lobbying occurs.
Separa�e ragislre�ion forms shall be required for each principal represeNetl on each spacifc issue.
I. LOBBYIST INFORMATION:
Lazkin Michael W.
NAME OF LOBBYIST (Lasl) (Flrsl) (Mlatlle Name)
Bercow Radell Femandez Larkin &Tapanes PLLC 200 S. Biscavne Blvd.,#300, Miami, FL 33131
LOBBVISTBl1SINESSNAMEAN�ADDRESS (NumberantlSveet) (Clty) (Stale) (LiPCoda)
305$74-5300 mlarkini?-brroningla�v.com
LOBBVISTBUSINESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILADDRESS
II. PRINCIPAL INFORMATION:
Pallaoro Alessandro
NAME OF PRINCIPAL (LasQ (Flrst) (MlOtlla Name)
411 MichiQan SOFI Owner LLC 55 8ast 59 Street New York NY 1002
PRWQPALBUSINE33NAMEAN�ADDRESS (NumDerentlSlreet) (Q�y) (3te[e) (LpCotle)
977370-0467 pallaoro�bizzipartnerscom
PRINCIPAL BUSMESS TELEPHONE NUMBER CELW LAR TELEPHONE NUMBER EMAIL ADDRESS
- Pursuam m City Gvtle SecOon 2Jffi(h)(1)(a�' A principal of any mrpoa0on, paMers�ip, or olher entiry w�o appears as a lo��yist on �eM1att of Na�
en�ly,wi��oN spaclal compensation or reimbursemenl tor t�e appearance,vRiel�er tllrec�, InElrec0.o mn�ingenf,la express suppotl ol or opposition�o
an Item s�ell reg's�er wit�IM1e QeM as requiretl by�M1is subsection bul sM1ell nof be requiratl b Day anyrregislrafion fees.
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
, pursuant to Ciry Code Section 2-082�c):
. NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARY(if none,write NIA): A. �a11201'O
- . NAME OF ALL PERSONS MOLDING, UIfiECTLY OR INUIRECTLY,A 5%OR MORE OWNERSXIP INTEFiEST IN SUCH
CORPORATION, PARTNERSHIP OB TRUST(if none,write NIA�: PI acr vee t{te a[kaChefl
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III. ISSUE TO BE LOBBIED:
Describe with as much detail as is practical, including but no[ limited to a specific description where
applicable ot a pending request for proposal, invitation to bid, or public hearing number.
Development Approvals & Permitting Issues, including bat 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 Cominittees, if necessary, relating to the property located
at 411 Michigan Avenue, 419 Michigan Avenue and 944 5 Street in Miami Beach, Florida.
IV. CITY AGENCIESIINDIVIDUALS 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 contrectual 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 da[e, stating the general nature of the subject contractual relationship.
Full Name of Individual antl � Contractual Relationship(If yes,explain) VES No
Title of Person to 6e Lobhietl �
Staff for the Planning& Building Department None X
Public Works & City Administration,PB, HPB, BO None X
DRB,City Commission, and Mavor as necessary None X
Land Use&Sustainabili Committee None X
Pursuant to City Code Section 2-482(g�, every registren[ 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
- a earance of im ro riet if none,write N/A :
" None
- V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a
- contingency fee is prohibited pursuant to City Code Sec. 2-085.3):
$850.00 per hour
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The followin9 six(6)quesliona MUST be answered:
1) Pursuan��o Ciry Cotle Section 2-488,enti�letl'Pmhibited Campaign Con�nbutions By LobbyisLs On Prwuremenl Issues":
Yes xNo: A I bb ' n t d' n b'tl T d o 'p t s or on a t
oend'na awartl(or aooas.eauioment or servire?
2) Pursuant to City Gotle Section Y-490, en�itled 'Pmhibited Campaign Coninbutions By Lobbyisis On Real Es�a�a Development
Issues":
Ves%No: A I bb ' d I' f f D I t A t 'lh th C'N I' f
f h T ' u D d f h 9 t th C'N' F t L d U M ]
3) Pursuan� �o City Code Saction &482�h�, any perwn (axcep� Ihose exemp� from �he tlefinifion of "lobbyisl" as se� fotlh in
Sac�ion 2-081)who only appears as a represen�a�ive of a no4for-pmft corporation or entity witliout special compensation or
reimbursemeN for Ihe appearance,whelhar direc�or indired lo express supporl of or opposition�o any item,shall regis�ar wiN
�he city derk as requiretl by[his section,bu�shall not be required to pay any registration(eas.
VesXNo: A f 9 4t - f'l C �'N lh t P � I C
�eimbursement�
4) Pursuanl to CiN �tle Section 2-481, Ihe �ertn "lobbyis�" spec�cally excludes tlie following persons: Enpeh wi�nesses who
provitla only scien�ifiq�echnical or other specialized infortna�ion or�estimony in public meetings;any person who only appears
as a representative o(a neighborhood association without compensalion or reimbursement for ihe appearance,whether direct,
indirac�or conlingent,[o ezpress support of oropposition lo any ilem;and any person who only appears as a represen�ative of
nobfor-profi� communi�y basetl organization for the purpose of reques�ing a grant wi[hoW spacial compensa[ion or
reimbursemeN(or lhe appearance.
VesXNo: A 'd' n I fT'c techn'cal or other soec'al'zed 'nTormation� aooearinn as a
WC t a ne'ahborhood assoc'at'on w'thoul soe¢'al comcensation or reimbursement ar
p t' 4t o('t b d f f th f f t lh t
soecial comcensation o�reimbursement7
5) PursuaN to Cily Code Section 2d91�1), no campaign wnsW�ant shall lobby the Gity Commission for a penotl of 12 moNhs
following �he sweanng in af any elecled official(s)for whom [he campaign consul�anl pmvitletl campaign consulting sarvices
wilhin the past elec�ion cycle. See Sec[ion 2<91 for more information.
Yes XNo: H 'tl E If t bent member ot the CN Comm as'on
'th' th t I f I ?It ol I' t the'ncumbent membarls)ot the C'tv Comm'ssion:
Ves X No: ��os h 't be I th n 12 monlhs s'nce the elected oH"c'al(sl whom vou orovitletl camoaiun
consult na services was sworn in7
6) Pursuan��o City Code Sec�ion 2-482�a)�4�a., a lobbyis�who has wi�hin �he pas�elac�ion cycle pmvided campaign consul�ing
services to an incumbent member of�he Ci[y Commission(which lobbying activi�y is no�o�herwise pmhibited by Code sec�ion
2-491) shall tlisclose such patlicular service on his/her lobbyis� regislralion form and shall orallv dsclase such oahicular
� b f I bb - ih CNC t bl' f q.
Yes x No: H 'd A Il' a t 'ncumbent member of the C'tv Comm'sa'on
lh' th � I �' I 71t I f t ih ' be t membeAsl o(the C'N Comm ss'on'
Ves X No: If d tl'tl u rece've econom'c cona'derat on 'n eachanae tar camoaian
- consultino senices7
- TO BE COMPLETE<D BY CITY CLERR'S STAFF ONLY
- /�nnualRegiatra�lonire: [ �Yesy�'No NnourrtPaitlS � > V MCRM `-133�iG7 pg(ePaltl � Z7 �
' \ IZ_G r�Oc.�
- Lobbyisl Ragiatmtion Form received and verlfletl by:
PAQFFASALLAaWRMSVLOBBYI.SLFORMSVlpbbVis\RegiptrallonPonnRcai5etl0¢20.]BREG.tlo[ RlVI6ldOSI2OI2�18
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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, iOR 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.'
�. ��� 9/19/2024
SignaWre of LobbyisC �a ��'ti Date
I do solemnly swear or affrm that all o(ihe foregoing facts, stalements, and disclosures in Ihis form are Irue and correcl,
and ihal I have read or am familiar wilh !he provisions contained in Chapter 2, Arl. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Code and all r�oAing requirements.
SignaWre of Lobbyisl', ��a'^��w� ��w Dale 9�19/2024
��
SignaWreofPrincipal: � �,� Da�e 9�Z4�ZOZ4
�o,�e.ao.�
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
Sta�e of Florida Stale of Florida
CountyoP. Miami-Dade Coun�yot: Miami-Dade
Sworn b(or aHirmed)and subscribed before me, Swom lo(or affirmed)and subscribed before me,
by means of 0 physical presence by means of O physical presence
or�online notarization, or C�online nolarization,
this_day of osizanoza 2� , by ihis_day of . 20_, by
Michael W.Larkin Alessantlm Pallaaro
NAME OF LOBBVIST NAME OF PRINCIPAL
Produced ID _Pwduced ID
FORM OF IDENTIFICATION FORM OF I�ENTIRCATION
_
�Personally Kno � X Personally Kn �
Signature of Notary Public SignaWre o(Notary Public
� Diana Ramos Diana Ramos
� Name of Notary, Typed, Prinled or S�amped Name of Nota , Typed, Printed or Slamped
- Diene Ramon ( Diana Ramm
Commisaion%HH 3869]] Commisslon M HH 38692]
- NotaryPublic-Sla�eotFloritla NolaryPu�lic-S�ateofFlontla
My Cammission Expires Apr 16.20P My Commissian Expires Apr i6.202]
- ' Th ng Persons: ,„,..A.m..n..., �.,....,
_ Expert wi�nesses who pmvide only scien�ific,�echnical or other specialized infortna�ion or�es[imony in public meetings;any person who
- only appears as a represen�ative of a neighborhood assacialion withou[mmpensation or reimbursemen�for�he appearance,whe�her
tlirect, intlirect or mntingent,to express support of or opposition to any item;and any person who only aOPears as a represenlative of
� no4forpmft community basetl organization for�he purpose of requesting a gran�without special compensa�ion or reim0ursamen� (or
�he appearence.
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Dowsign Envelope IP.43568DiA-051C-0C]1�A6N9-56fQ95AB4010
Ciry of Micmi beach, V00 Convemion Cemer Drive,Mlomi Beach, Florida 33139,www.miomibeochll.gov
Offica of ihe Ciy Glerk
Rafael E Gmnadq Ciry Clerk CityClerk@mlomi6eochfLgov
Te6. 305b73741I, Fax�. 305.6737254
NAME OF LOBBYIST: Michael W. Larkin
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�85.1, a fine of $50.00 a day shall be assessed for Statements filed after the
due date. The City Clerk shall nolify the Miami-Dade County Commission on Ethics and
Public Trust of the failure of a lobbyist (or principal) to file the Statement or pay ihe
assessed fines after no[ification.
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 fne 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 oa[h listing all lobbyist expenditures, as well as compensation
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 I am no longer lobbying on
that issue, I shall immediately fle a Notice of Withdrawal with lhe Offce of the City Clerk.
3) ANNUAL LOBBYIST REGISTRATION FEE
� I understand annual regislration 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.
' �swMa er: II1
�lA� 1N. I,AY�IIn. 9/19/2024
l
- Signature of Lobbyist Date
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EXHIBIT B
Disclosure of Interest for 411 Michigan SOFI Owner LLC
411 Michigan SOFI Owner LLC
55 E. 59TH ST., 24TH FLOOR
NEW YORK, NY 10022
411 Michigan 1V LLC 100%o
411 MichiganJV LLC
55 E. 59TH ST., 24TH FLOOR
NEW YORK, NV 10022
SREI SOFI LLC 78.2%
411 Michigan Sponsor LLC 20.42%
SREI SOFI LLC
500 Winstead Building
2728 N. Harwood Street
Dallas, TX 75201
Eric and Wendy Schmldt 100%
555 Bryant Street, #347
Palo Alto, CA 94301
471 Michiaan Sponsor LLC
SS E. 59TH ST., 24TH FLOOR
NEW YORK, NY 10022
SK411 Michigan LLC 50%
411 Michigan BP LLC SO%
SK 411 Michigan LLC
520 West 27th Street, Suite N° 302
New York, NY 10001
Sumaida + Khurana
SS 411 Michigan LLC 50%
EXHIBIT B
Disclosure of Interest for 411 Michigan SOFI Owner LLC
AK 411 Michigan LLC 50%
417 Michigan BP LLC
55 E. 59TH ST., 24TH FLOOR
NEW YORK, NY 10022
Bizzi & Partnea Realty LLC 25%
Alessandro Pallaow 25%
55 411 Michigan LLC
5 Park Lane, West Harrison, NY 10604
SaifSumaida 50%
AK 411 Michigan LLC
Amit Khurana 50%
520 West 27th Street, Sulte N° 302
New York, NY 10001
Attn: Amit Khurana
Sumaida + Khurana
Paramdeep Singh 50%
7 Roads End
Brookville, NY 11545
Bizzi & Partners Realry LLC
55 E. 59TH ST., Z4TH FLOOR
NEW YORK, NY 10022
Davide Bizzi 100%
2 Kohtu Street Apt. #3 Tallinn, 10130 Estonia
^��
.
I� Mise€Ilaneous Cash Receipt �i
�TITY OF MIAMI BEACH No. 433964
t
. � ❑Cash ❑CreditCard �CheckN ' $
20
Received of
�
Address ��� `
For � '��-' � -
�. � - I � ��i j . -
'. Glty ot Miaml Beach
. Miscellaneous-MCR-2024
00J360.0052 Maises G..09272�24 0323PM ��
MCR OPEN fMCR) Office of Finance Director
Paymen[Amount'. 35G.�]0
(THIS INFORMATION MUST BE COMPLETED) By
� Account number. � " � � �
Preparer. � Dept ��— � � �`" EXT.�
i
,
.
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CiTy of Niani Beach
City Nall
7700 Conventian Center Dr.
Mia�1 Beach , FL 33139
305-fi13-1420
Welcome
09l21/2024 03:'23PM Maises C.
0013fi0-0032
MISCELLANEWS
Reference 1 : MCR4339fi4
MCR OPEN (MCR)
2024 Rem: MCR
1 � $350.0000 $350.00
MCR OPEN (MCR)
----------
5350.0�
� Suhtotal 5350.00
Total 5350.00
CHECK $350.00
Check Numher001371
� ----�--�.00
Chanee due
Patd hv: BERCOW RA�ELL FEkNANDEZ LARKIN &
TAPANES PLLC
