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2024 Lobbyist Registration Form - 1509 and 1515 Washington Ave (Xaver Kriechbaum)�.' �say o.,a �sis was�.:�9�„ �� DocuSignEnvelope1�:20C1]ODi-A]PA-44BB-BAJ]-2]19920D3E26 J " ' ^ � .�°�� ; BEACN orrce onne ci�y cier� NPk 1 e 1024 1700 Convenlion Center Drive Miami 8each, FL 33139 . . . —�r�y 305.673.7411 �� LOBBYIST REGISTRATION FORM LobGyist means all persons employetl or relainetl,whether paid or not, by a principal who seeks�o encourage the passage, Cefeat or madification of any ordinance, resoWtion, action or tlecision of any commissioner', any aclion, aecision, recommentla�ion of the Ciry Manager or any City boartl or committee;or any action,tlecision or rewmmentlation of any Ciry personnel during the time periotl of Ihe entire decision-makin9 process on such action, decision or recommentla�ion ihat foreseeably will Ee heard or reviewetl by the Cicy commission, or a Ciry boaN or commi��ee. The term specifcalty includes lhe principal as well as any employee engaged in lobbying activi[ies. The term"LobEyists'has speciFlc exclusions. Please refer to City Code Chapter 2, Article VII, Oivision 3,entitletl"Lobbyists, for atltlitional information. Instmctions: Please complete all seclions of this fortn and submit t�e completetl(orm,with ihe applicable fee, to the�ce of the City Clerk. If you neetl more space to complete an answer, use a separate sheet(s)of paper. If you have nothing �o report in a particular section, you must wnle "none" or "nla" in that seclion. Any change to any information originaly fletl, or any additional City Commissioner or personnel who are also sought to be lobbietl shall require�hat the lobbyist fle an amentlment ro the regis�ration fortn. The lobbyist has a wntinuing tlury to supply information antl amentl lhe fortns filed lhroughout ihe periotl that ihe lobbying occurs. Separa�e regist2lion forms shall be required for each pnncipal represen�ed on each specific issue. I. LOBBYIST INFORMATION: Lazkin Michael 4V'. NAMEOFLOBBYIST (i-ast) (Firsl) (MitltlleName) Berrow Radcll Pemandez larkin&'fapanes,PLLC 200 South Biscayne Bfvd.,Ste.300 Miami, Flocida 33731 LOBBVIST BUSINESS NAME AND AD�RESS (Number antl SVeery (Giry) (State) (Zp CODe) (305)374-5300 mlarkin�brzoninqlaw.com LOBBYISTBUSMESSTELEPHONENUMBER CE�WLARTELEPHONENUMBER EMAILAODRE55 II. PRINCIPAL INFORMATION: Kriechbaum Xaver NAMEOFPRINCIPAL (Lasl) (Firsq (MitlaleNeme7 1515 Washin¢ton Acuuisition LLC 20803 BiscaVne Blvd 4th Flooe, Aventuca,Florida 33180 PRINCIPALBUSMESSNAMEANDAOORESS (Numbe�antlSVeeQ (Clty) IS�a�e) (ZipGotle) �2031 256-4041 xaverC�xkdevelopment.com � PRiNCIPAL BUSINESS TELEPHONE NUMBER CELWLAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant�o Ciry Cotle Section 2-082(h)(i��a): A principal of any corpora�ion. Oahnership, o�olher en�ity w�o appear5 as a lobbyisl On be�aK at Iha� ' entity,wi�hoW special compensation or reimburs¢menl(or Ne appearance,wM1e�M1er tlirect,Intllrect,or conlingenl,lo ezpress suppoh of or opposition to an ilem s�all register wltn�ne Qe�k as require�by Ibis su0section but shall nol�e repuiretl to pay any re9ist21ion fees. If the principal is a Corporation, Partnership or Trust, the following information MUST be provided pursuant to Ciry Cade Section 2-482(c): NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARV(if none,write NIA�: XaVCi K�i2Chbaum NAME OF ALL PERSONS HOLDING,DIRECTLV OR INDIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST(it none,wrile N/A): $ee a$aCh2(1. �. Page 1 of 5 �--� � � .... _ _ . _.__ ppp{�� p�{'��y D V �!Y C5C91�!]B 0 �<35P� �.. .. .•••. . _ . .— PBelalfi ,III��C:�LYtiIIIII � � tF]OO6Eli25P� �ocuSlgn Emelope ID:20C1]0�1-AZAAJ488-BA4]-2]1992�O3E26 III. ISSUE TO BE LOBBIED: 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 pu6lic hearing number. Development Approvals& Planning Issues, including but not limited to the Historic Prescrvation Board, Design Review Board, Planning Board, Board of Adjustment, Land Use Development,City Commission, and any City Workshops or Committees, if necessary,rclating to the properHes bcated at 1509 and 1515 Washington Avenue, in Miami Bcach, 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 date, stating the general nature of the subject contractual relationship. Full Name of Individual and Contractual Relationship (If yes,ezplain) YES NO Title of Person lo be Lob6ied Staff fox the Plannuig & Building Department None 7� Public Works&City Administration, PB, HPB, BO None X DRB,City Commission, and Mayor as necessary None X Pursuant to City Code Section 2-462(g), every registrent shall be required to state the extenl of any business, financial, familial or professional relationship, or other relationship giving rise to an appearonce of an impropriety, with any current City Commissioner or City personnel who is sought to be lob6ied as identified on the lobbyist registration form filed. List any Business, Financial, Familial or Professional Relationship, or olher relationship giving rise lo an a earance of im ro riet it none,write N/A : i IVonc V. DISCLOSE RATE AND AMOUNT OF L0B8YIST COMPENSATION — Be Specific. (Note that a contingency fee is prohibited pursuant to City Code Sec. 2-485.3): . $F325 per hour _ Page 2 of 5 ._--_. . .._— ,—_. .-_—.. ._ .-- - -�.[. �y.�y DrcVe�h LS-C91dA]B 'OBfi 1J25A1 Gega2o�fi F20%N0]5Al ��gylY(i6Q�� eaca ifrl-l•T�•a � DocuSign EnvelopelD'.20C1]OD1-A]PA-449B-BA4]-2]1992�03E2fi The following six(6)questions MUST be answered: �) Pursuant to Ciry Code Section 2-GBB,entitletl"Prohibited Campaign Conhibutions By Lobbyis4s On Procurement Issues"�. Yes x No: A I bb ' t d' b'd f p tl t or on a t ce d d for n C ' ment or service� 2) Pursuan�to City Code Sec�ion 2d90, entitletl "Prohibited Campaign Contributions By Lobbyisis On Real Estate Development Issues"'. Yes x No: A Y I bb ' u pe d' f [' f D I D t Ag [ "[h[h C'N ool' f f h q f d 'q t n r chanqe ro ihe C"iv's FuNre Lantl Use Mao7 3) Pursuant to Ciry Code Section 2d8](h�, any person (except those exempt fmm the tlefnition of "IobbyisP as set forth in Section 2-48�)who anly appears as a representative of a noFfo�-profi�corpora�ion o�enti�y withoul speGal compensa�ion ar reimbureemen�tor the appearance,whe�her direct or intlireci to express suppoh of ar opposition to any item, shall register with �he city clerk as required by ihis section,bu�shall not be requiretl to pay any registration fees. Ves xNo: A a F t( a ft oo f CN 'Ih t ' I pe f reimbursementT 4) Pursuant to Ciry Code Section 2387, ihe term "IobbyisP' specifcally eacGudes lhe following persons Expert witnesses who pmvide only scientitiq�echnical or olher specialized information or testimony in public meetings; any person who only appears as a represen�ative of a neighborhood association wi�hout compensation or reimbursement(or Ihe appearance,whether direcl, indirect or contingent b express suppoh of or opposition to any i�em�, antl any pereon wha only appears as a representative of not-for-pmft community based organization for the purpose of requesting a gran� without special compensation or reimbursemen�torthe appearence. V¢sxNo: A 'd' p I ' nFf'c techn'cal or other scec'al'zeG intormation: aocearina as a p t f t 'nhb h tl asoe'a['an w'thout soec'al compensalion or reimbursement or p C a t f -o f't b G ' 4 f th m f f a p t w'th ul ' I omo t' � rre'mbursement� 5) Pursuant to City Code Section 2<91(1), no campaign consultant shall lobby�he Ciry Commission for a periad of 12 monihs (ollowing the swearing in of any elec[etl official(s)for whom ihe campaign consultant provitled campaign consulting services within ihe pas�elec[ion cycle.See Sectian 2-491 (or more information. Ves xNo: H v p 'd d o 'n If o t n 'ncumbenl member of the C'N Commission 'th' th t I C v 1 �If pl f tth ' b t be f 1 f Ih C"N C mm'ss'on� Ves x No: f �^� h 't b I lh '12 ih lhe elec[etl off'i allsl whom vou omvided campaian GOnsult'l1A 52fV G¢3 wds sw0lO ifl? fi) Pursuant ta City Cotle Section ]d8P(a��4�a., a lobbyist who has within the past electian cycle provitletl campaign consNting services�o an incumbent member of the Ciry Commission(which lobbying activity is not otherwise prohibitetl by Cade section 2491) shall tliscbse such partiwlar service on hislher lobbyist registralion form antl shall orallv d'sdose such oarticular = b f I bb ' th CNC � bf t V¢s x No: H p 'd d o 'a It o t an 'ncumbent member of the C'N Commission 'th' th ast I f v I �If ol I'at the'ncumbent memberlsl of lhe Citv Commission: y¢sx No: If ' d d'tl rece've econom'c cons"derefon in exchanne for camoaiqn " consultina services7 �PtY:OV � TO BE COMPLETEO BV GTV GLERK'S/SjT�AFF ONLJY/� Annual Regisha�ion fee: [ ]Yes N]No Amount Paitl E�Sa w MGR,Y y��-/ Da[e Paid � � LobEy t Regis[rahon Form receivetl antl ve fletl by.� r, .oaevsr=o s maev:ee o5-loaexec.mc Revised09/30/2018 Page 3 of 5 _-- ___.. . .--_... ---.. _—_—.., - � - � oc ei e ooeus�a<ra .louse�azs<r >g sab oczoess arzrsn. ,III�`��'I III � o v ry � DocuSign EnvelapelD:20C1)OD1-A]AA-04BB-8A41-211992D03E26 VI. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YEAR EACH L0BeV15T SHALL SUBMIT TO THE OFFILE OF THE qTY CLERK A SIGNED STATEMENT UNDER OATH LISTING LOBBVING EXPENDITURES. AS WELL AS COMPENSATION RECEIVED FOR THE PRECEDING CALENOAR VEAR 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.' Signature of Lobbyist �U __ _ . Date 4-�o-zo2a 95�EE<W I do solemnly swear or aRirm that all of the foregoing facts, stalements, and disclosures in this form are Vue antl correc�, and thal I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, enlitled "Lobbyists" of the Miami Beach City Code ond all reporting requirements. SignaWreofLobbyis�: I /UO(��nr� e�nv(.�. __ Date 4-�0-2024 �e=� eiseeae oo��s'vm SignaWreofPfincipal: o � . Date 4-10-2024 ocsseEecu�vew. VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Florida State of Florida Counry of: Miami-Dade Counry oP. Miami-Dade Swom to(or affrmed)and subscri6ed before me, Swom to(or affrmed)and subscribed before me, by means of� physical presence by means of� physical presence or� online notarization, or� online notariza�ion, this �� dayof APril 20z4, by lhis �� dayaf APril 20z4, by Michael W. Larkin Xaver Kriechbaum NAME OF LOBBVIST NAME OF PRINqPqL ProOuced ID Produced ID FORM OF IOENTIFlCATION FOR x pyrsonally Know n��0 x Personally Know�� w�aa. � Signature of Notary -- � Signalure of Notary �tiiic - Yeidy Montesina Perez Yeitly Monlesino Perez Name of Notary,Ty ed, Printed or Stam ed Name of Nolary,T ped, Printed or Slamped Yeidy Mon�esino Perez Veitly Montesino Perez Commission#NH OBC]]3 Commission#HH 0842I9 Notary Public-State of Floritla No�ary Public-Slate of Flonda My Commission Expires Jan 20,2025 My Commission Expires Jan 24,2W5 " �Th _,....9 Pereons' Enpert witnesses who pmvitle only scienti(iq technical or olher specializetl informa�ion or[estimony in public mee�ings; any person who only appears as a representative of a neighborhootl associa�ion without compensation or reimbursement(or the appearance, whether � direc[, intlirect or contingent,to express support of or opposition to any item; and any person who onry appears as a represenlalive of nobfoo-pmfit community based organization for the purpose of requesting a gran�wi�hout special compensation or reimbursement tor - Ihe appearance. .. Page G of 5 �Oow�ocr�r��C 4_LiiasB0.Bd'ER00fiEIJ2:A� pa9e4a�6 �FpOtl6H<25R] ��gVyCyµ�',y�� 1 if�: a��Y DocuSign Envelope 16.20C1]OD1-AIAA-446B-BA4]-2]19920WE2fi Ciry of Miami Beaah, I700 Comenrion Cemar Dd.e,Mlaml Beach, Fbdda 33139,www.mlamibeachfl.go� Office of the Ciy Clerk Rafoel E. Granado, Ciry Clerk CiyClerk@miamibeachfl.gov Te1: 305.6737d11, Fa.: 305.673J254 NAME OF LOBBYIST: Michael W. Larkin 1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT Pursuant to City Code Section 2-485(d), the Ci[y 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 2-485.1, a fine of $50.00 a day shall be assessed for Statements filed after the due dale. The City Clerk shall notiry 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 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 [he fine has been appealed to the Miami-Dade County Commission on Ethics and Public Trust. I hereby acknowledge tha[ 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 wi[h regard [o 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 fle a Notice of Withdrawal with the Office of the City Clerk. 3) ANNUAL LOBBYIST REGISTRATION FEE I understand annual regisUation 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. ��e��w a-i o-zoza SignaW�e o�o byist Date F 6LER`SNLLUF[JPMSlO00YI5i LORMSLLoh�yls�Reglsuallon Porm Pevlse0 Ob1LID REG Doc .. Page 5 of 5 r IV„O CSC9 <, B B6E i,SP] PaBe5a6 SF,OBfiE1,z.P] �III��IIIII I ' DocuSignEnvelopelD'.20C1]OD1-A]M-4dBB-8A6]-2]1992�O3E26 DISCLOSURE OF INTEREST 1515 Washington Acquisition LLC NAME OF CORPORATE ENTITY NAME AND ADDRESS %OF OWNERSHIP Keyah Real Eslate Gmup LLC 100% 20803 Biscayne Blvd,4th Floor,AvenWre , FL 33180 NAME OF CORPORATE ENTITY NAME AND ADDRE55 %OF OWNERSHIP Keyah Real Eslate Group LLC _ Xavier Kriechbaum 66.33% 20803 Biscayne Blvd, 4lh Floor,Aventura , FL 33180 - GavinCrescenzo 3333% 20803 Biscayne Bivd,4th Floor,Aventura , FL 33180 _... _.._—— ---_—.. . _.-- � oWWvaoryPo�.csa�oocs<s+aara oeselassn. vageaore srmesemzur ,III�`y��`'IIII ' ibE Cfty of Miami Beach � � � o � `? T p clly Hd�l � 3 " o 170o Conventiun Center Or. 1D ^ _ �° o m d ^ � a � d =� � wc m 3 v a � 3 �. � ii Nfami Beach , Fl. 33139 � � Z � z � � 3. � � � O 1D 305-573-7420 � � � � � " o ❑ 3 � Welcome . 3 A � x � � � A y c 3 � A n 3 04/16/2024 02:47PM Carmen V. '�° y < v n m d 006916-0021 Z � P d D � a NISCELLANEOIIS c�o � � Reference L MCR433240 y � s . .o MGR OPEN (MCR) � 2024 Ttem: MCR � � ; 1 B $1 ,050.00Ol7 p tt MCR OPEN (MCR) $1,050.00 ; � __"-___--__'__ y 51,050.00 0 Subtotal i1,050.00 Total 51,05U.OU p 9 CHECK $1,050.00 Check Numher00009393 < � ------------ Chan6e due �.� o Peid hy�. BERCOW RADELL FERNANDEZ LARKIN a � � ? TAPANES PLLC Q, W T W IIIIIII�IIllllll�llilllll�lllllplllllllllllllllllllllllllllllllllllllll m � o O H � �,�.; .. G ..,�,�' '...".. rwnr� '" I m ��: .,_a.--- '—.�_l; � ° �_ �. Thank you far your payment CUSi�MER CCPY