2024 Lobbyist Registration Form - 1509 and 1515 Washington Ave (Xaver Kriechbaum) � . )Soq ac� Isir Wosl,:n9�n
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1700 Convention Center Drive
Miami Beach, FL 33139 � ' ^-'�i,H
305.6737411 �
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employetl or retaineQ whether paitl or wt, by a principal who seeks ro encourege�he passage, defeal or
modifica�ion of any ordinance, resolution, action or decision o(any commissioner; any action, decision, rewmmentlation of Ihe City
Manager or any Ciry boartl or committee;or any actioq tleasion or recommentlation of any City personnel tluring the time periotl of ihe
en�ire tlecision-making process on such action, tlecision or recommenda�ion �hat foreseeably will be heartl or reviewetl by the City
mmmissian, or a City boaN or commi��ee. The�erm specifcally inclutles �he Orincipal as well as any employee engaged in lobbying
adivities. The term"Lobbyists"has specific exdusions. Please reter ro Ciry Code Chap�er 2,AM1icle Vll, Division 3, entitled "Lobbyists;
far atltlitional informa[ion.
InsVuctions: Please complete all sedions of lhis fortn and submit ihe completed fortn,with lhe applicable fee, �o the Office W ihe City
Clerk. I(you neetl more space to wmplete an answer, use a separate shee�(s)o(paper. If you have not�ing to report in a particular
section, you must write "none" or "n/a" in �hat section. Any change to any informa�ion originalty fled, or any atltlitional City
Commissioner or personnel who are also sought to be lobbied shali require Ihat the lobbyist file an amentlment to the regis�ration fortn.
The lobbyist has a continuing dury to supply information antl amentl the forms filetl IhroughoW the periotl �hat ihe lobbying occurs.
Separate regist2tian fortns shall be required(or each pnnapal represen�etl on each specific issue.
I. LOBBYIST INFORMATION:
Balter Emilv K.
NAME OF LOBBVIST (Wsp (Firs�) (MiOale Name)
Bermw Radell Ferna�dez Larkin&Tapanes, PLLC 200 South Biacayne Blvd.,Ste.300 Miami, Plorida 33731
LOBBYIST BUSME55 NAME ANO AOORESS (Number antl S�reet) (Clty) (S�ate) (Zp COJe)
(305)374-5300 ebalter�b�zoninQlaw.com
LOBBVISTBUSWESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILAO�RE55
II. PRINCIPAL INFORMATION:
Kriechbaum Xaver
NAMEOFPRINGIPAL (Lasl) (First) (MI�tlleName)
1515 Washineton AcquisiHon LLC, 20503 Biscavne Blvd,4th Flooq Aventura Florida 33180
PRWqPALBUSMESSNAMEANDAODRESS (NumberantlSVeel) (Ciry) (Stale) (ZipCotle)
�03) 256-4041 zaverQxkdevelopmentmm
PRINCIPALBUSWESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILA��RESS
Pursuant�o City Cotle Section 2-082(M1)(1)(a�' A principal of any co�po2lion, patlnersM1lp, or olhe�entity wM10 appears as a lobbyis�on bebalf of[M1at
- enliry,wil�out special compensa�ion or reim�ursement tor(M1e appearance,whether dvec(intlirect,or conlingent,to express supPort o(or opposilion to
an Item sM1all register wilb I�e Clerk as required by Nis suCseclion but shall nW�e require0lo pay any�egisVa�ion tees.
� 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 CHIEF OFFICER, PARTNER,OR BENEFICIARV(if none,wrile N/A�: XdVei K�'lechbaum
NAME OF ALl PERSONS HOLDING,DIRECTLV OR INOIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): See aftaChed.
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III. ISSUE TO BE L08BIED:
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.
Devclopment Appcovals & Planning Issues,including but not limited to the Historic PreservaHon Board,
Design Review Board, Planning Board, Soard of Adjustment, Land Use Development,City Commission,
and any City Workshops or Committees,if necessary,relaHng to the properHes located at 1509 and
1515 Washington Avenue,in Miami Bcach, Florida.
IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-462(a�(4), list the City Commissioner or City personnel sought to be
lo6bied, 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 Coniractual Relalionship (H yes,explain) VES NO
Title af Person to be Lob6ied
Staff foz the Planning& Building Department None X
Public Warks &City Administrafion, PB, HPB, BO Nonc X
DRB,City Commission, and Mayor as necessary None 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 an the lobbyist registration form filed.
List any Business, Financial, Familial or Pro(assional Relationship, or other relationship giving rise to an
a earance of im ro riet if none,write N/A :
Nonc
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�:
5535 per hour
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The tollowing six(6)questions MUST be answered:
1) Pursuant to City Catle Section 2d88,en�itled"Prohibi�ed Campaign Coniribulions By Lobbyists On Procu2ment Issues"�.
_Ves xNo: Are I bb ' t d' b'tl t tl [ t
oenqingawartlforqootls eouiomen�orservice'+
2) Pursuant ro City Code Section 2�490, entitled 'Prohibited Campaign Contributions By Lobbyists On Real Estate Development
Issues":
_Yes x No: Are vou lobbvina on a oentlina aoplica[ion tor a Development Aore¢ment w'th the C'N or apol'cat'on
( h f o d ' f h � th C'lv' F t L d ll M �
3) Pursuant to Ciry Cotle Section 2d87�h�, any person (except those exempt from the tlefinition of "lobbyist" as set forth in
Sectian 2-481)who onry appears as a representative of a not-for-profi�corporation or entiry without special compensa�ion or
reimbursement for the appearance,whether direc�or indirect�o express support of or opposition to any item,shall register with
ihe city cleM as reQuired by this seclioq but shall not Ge required ro pay any registwlion fees.
YasxNo: Are vou representino a nobtor-oroft corooration or entiN without soecial comoensaCon or
reimbursementi
4) Pursuant to City Cotle Section 2d87, ihe term "lobbyist" specifically ea�clutles t�e (ollowing persons Experl wi�nesses who
provitle only scientifq technical or other specializetl information or testimony in public meetings; any person who onty appeare
as a representative of a neighborhootl association withoul compensation or reimbursement�or Ihe appearance,whether direct
indirect or mntingent,�o ezpress support o(or opposition to any item;antl any person who only appears as a representative oi
wLtorvpmft mmmuniry based organiza�ion for �he purpose of requesting a grant wi�hout special compensation or
reimbursement for ihe appearance.
Y¢sxNo: Are vou orovidina onlv scientific. tachnical or other scecialized intormation� aooear'na as a
reoresentative oi a neiohborhootl association without soecial comcensal'on or re'mbursement or
raoresentina a not-for-orotit based oroanization for ihe ourpose ot reouest'no a oranl w'thout
special comoensation or reimbursement9
5) Pursuan�to City Cotle Section 2-497(1), no campaign consul�ant shall lobby lhe City Commission for a period ot 12 mon�hs
following Ihe sweanng in of any elected oificial(s)for whom the campaign consultant pmvided campaign consulting services
within t�e past election cycle. See Section 2-491 !or more Information.
_Ves xNo: Have vou orovitletl camoaian consultina services to an incumbent member of[he CiN Commission
within th¢oast election cvcle?N ves please list the incumbent memberlsl o/th¢Citv Comm'ss"on�
_Ves X No: If ves. has it been less than 72 months since the elected oHiciallsl whom vou orov'detl camoa"nn
consultina senices was sworn in?
6) Pursuant to City Code Section 2dBP�a�(4�a., a lobbyist who has within the past election cyde provitletl rampaign consNting
services to an incumbent member of�he City Commission(which lobbying activiry is not otherwise prohibitetl by CoCe section
2-491) shall tlisclose such particular service on his/her lobbyist regislration form antl shall orallv tlisclose such oarticular
service before lobbvino the Citv Commission at a oublic meetina.
Vas z No: Have vou orovitletl camoaion consultina services lo an incumhenl member af Me Cilv Commission
within the oast election wcle?If ves.olease list the incumbent memberfsl of the CiN Commisaion:
yey z No: If ves. were vou promisetl or did vou r¢e¢ive economic consideraCon 'n exchanae for camoa'qn
consultino urvices?
�i� J'P a1/3I TO BE COMPLETEO 6Y CITY QERK'S STAFF ONLY
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Lobbyis�Regisha�ion Form receivetl antl verifietl by:�l"I
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VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR. EACH LOBBYIST SHALI SUBMIT TO THE OFFICE OF THE CITY CLERK A
SIGNED STATEMENT UNDER OATH. LISTING LOBBYING EXPENOITURES AS WELL AS COMPENSATION
RECEIVED. FOR THE PRECEDING CALENDAR VEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAGEO TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENOITURE OR COMPENSATION DURING THE REPORTING PERIOD.'
(� .e cv:
SignaWreofLobbyist: ��Q�(���(�r _ _ Date 4-10-2024 .
I do solemnly swear or aKrm that all of the foregoing facts, s�atements, and disclosures in �his fortn are hue and correct,
and Ihat I have read or am familiar with lhe pravisions contained in Chapter 2, Art. VII, Division 3, enlitle0 "Lobbyists" of
Ihe Miami Beach City Code�n�all repoAing requiremenls.
Signature af LobbyisC �¢�i(u^I�Jp�f1,Y Dale 4-10-2024
/19neEEY'
SignaWre of Principal: �„ � Date 4�0-2oza
DC559E684P35f9A.
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of Fbrida State of Florida
County oC Miami-Dade County of�. Miartti-Dade
Swom to(or affirmed)and subscribed befoie me, Swom to(or affrmetl)and subscribed before me,
by means of� physical presence hy means of O physical presence
or� online notarization, or�online notarization,
this �o dayof Aprii 20z4, by this �o dayof April pp2a, py
Emily K. Balter Xaver Kxiechbaum
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID Produced ID
F FORM��
x Personally Kn � � x personally Known � � �„� �
I �'�
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- Signa�ure of Nolary Nubllc Signalure o(Notary Publlc
Veitly Montesino Perez Veitly Montesino Perez
Name of Nolary, iyped, Printed or Slamped Name of Notary,Typed, Printed or Slamped
(NOTA reiaymontezinorere: (NOTAR �eitlyMan[esinoPerez
Commission K HH 0862]3 �ummission#HH 086]t3
Nolary Pu�lic-Slale of Floritla Notary Public-S[ate of Floritla
My Commission Expires Jan 24,2W5 My Commission Expires Jan 20,2025
' Tne term••lob
Expe�vntnesses who pmvitle only scientific,technical or o�her specialized information or testimony in public meetings;any person who
onry appears as a representative of a neighborhootl association without compensation or reimbursement for ihe appearance, whether
tlirec�, intlirect or contingent,to express support of or opposilion to any item�, and any person wha only appears as a represenlative of
nobfoo-profit community based organization for ihe purpose of reques�ing a gran�wi�hout special compensation or reimborsemen�for
�he appearance.
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Ciry of Miami eea�h, 1]00 Convemian Cen�er Dd�e,Miami Beoch, Flonda 33139,www.miamlbeachfLgo.
Office of ihe Ciry Clerk
Rafael E Granodo, Ciy Clerk CiyClerk@miamibeachfl.gov
Tel: 305.673741 7, Fax: 305.673J254
NAME OF LOBBYIST: Emily K. Balter
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 Stalement
(Statement). In addition to any other penalties thal may be imposed as provided in
Section 2-485.1, a fne of $50.00 a day shall be assessed for Statements filed 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 principaq to file the Statemen[ or pay the
assessed fines after notification.
Any lobbyist, who fails to file 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 [o 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 Notice of Withdrawal with the Offce 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 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.
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DISCLOSURE OF INTEREST
1515 Washington Acquisition LLC
NAME OF CORPORATE ENTITY
NAME AND ADDRE55 % OF OWNERSHIP
Keyah Real Esta[e Group LLC 100%
20803 Biscayne Blvd,4th Floor,Aventura , FL 33180
NAME OF CORPORATE ENTITY
NAME AND ADDRE55 % OF OWNERSHIP
Keyah Real Estate Group LLC
Xavier Kriechbaum 66.33%
20803 Biscayne Blvtl,4th Floor,Aventura , FL 33180
Gavin Crescenzo 33.33%
20803 Biswyne Blvd,41h Floor, Aven�ure , FL 33180
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Thank you for yuur peyment
OUST�MER GOPY