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2024 Lobbyist Registration Form - 1509 and 1515 Washington Ave (Xaver Kriechbaum) Isoq ana is�r Waa�,:..�,.� . Doa5lgnEmelopelD.3E98ID2fi-�]DEA199�B829-EOCGA54199B3 ���v� � " „ � � ' BEACH � ,� �o �oz4 Office ofthe City Clerk 1700 Convention Cenler Drive Miami Beach, FL 33139 "Jil �F�,(;H 305.6737411 �. LOBBYIST REGISTRATION FORM Lobbyist means all persons employetl or retained whether paitl or not, by a principal who seeks to encourage the passage. defeat or motlifca�ion of any ortlinance, resolWion, action or decision of any commissioner any action, tlecisioq recommentlation of the Ciry Manager or any City board or commi��ee;or any aclion,decision or recommentlation of any Ciry personnel tluring the time period of��e entire tlecision-making pmcess on such action, tlecision or recommendation that foreseea0ly will be heaM or reviewetl by the Ciry commission, or a Ciry boaN or committee. The term specifically inclutles ihe principal as well as any employee engaged in lobbying activities.The tertn"Lobbyists' has speciFlc excWsions. Please refer to Ciry Code Chapter 2,Article Vll, �ivision 3,entitled`Lobbyisis, for atltlitional informa�ion. InsWctions: Please complete all seclions of t�is form and submit�he compleletl form,wit�the applicable fee, �o[he OHIce of�he Ciry Clerk. If you need more space ro complete an answer, use a separate sheet(s)of paper. If you have nolhing to report in a particular seclion, you must wn[e "none" or "n/a" in Ihat section. Any change to any information originally �IeQ or any atlaitional City Commissioner or personnel who are also sougM to be lobbied shall require that ihe lobbyist file an amendment ro the registration form. The lobbyist has a continuing duty to supply information antl amend ihe forms (iletl throughoW the periotl lhat �he lobbying ocwrs. Separate regist2tionlorms shall be requiretl for each pnncipal representetl on each specific issue. I. LOBBYIST INFORMATION: Fort Brescia Bemardo NAMEOFLOBBVIST (Lasp (Firsp (MIOtlIeName) Arquitectonica 2900 Oak Avenue Miami Florida 33133 LOBBVISTau5WE5SNAMEANOHDORESS (NumOeraneSlreet) (CIry7 (stale) (zipCotle) (305)372-1812 aiqbPo�arquitectonica.mm LOBBVISTBUSWESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILADDRESS II. PRINCIPAL INFORMATION: Kriechbaum Xavcr NAME OF PRINqPAL (Lasp (Flrs�) (Mitldle Name) 1515 W ashinQton AcquisiHon LLC 20803 Bistavnc Blvd 4th Floor, Aventura, Florida 33180 PRINQPHLBUSWESSNAMEANDAODRESS (Num�e�anCSheet) (Clty) (S�ate) (ZipCotle) � (2031256-4041 zaver�xkdevelopmentcom PRINCIPALBUSMESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILAD�RESS Pursuant to Clry Cotle Secllon 2-482(h�ry)(a): A pdncipal of any corpo2lion, patlnership, or o�her anti�y wM10 appeers as a Io�Gylsl on behalf of Iha� enlily,wlthoN special compensa�ion or reimbmsemen�fo�lhe appeaance,wM1elM1er tllrect Intlirect.or contingenl,to express support of or op0osl�lon�o an Item sM1all registerwi�h tbe Clerk as required by Ihis subsection but sM1all not Oe requiretl�o pay any regis�ralion fees. If the p�incipal 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(iT none,wrile N/A�: XdVei KIIeC�tbaum ' NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST(if none,wriM N/A�: Sce dI[2C�led. -, Page 1 of 5 �� /\O _�J� �0 5-no-s+_ . s.ce�o,c _. r,ee�o�e � iwErece�ooce ����Fr�Fa^fC'�r����� � . DocuSign EnvelopelD'.3E981D26-D]0E-0199-B824EOCCA54]99B3 111. 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 public hearing number. Development Approvals& Planning Issucs, induding but not limited to the Historic PrescrvaHon Board, Design Review Board, Planning Board, Board of Adjustrnent, Land Use Development, City Commission, and any City Workshops or Committees, i£necessary, relating to the propertics located at 1509 and 1515 Washington Avenue,in Miami Beach, Fbrida. IV. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(a)(4�, list the City Commissioner or City personnel sought ta be lobbied, and whether the lobbyist has entered into any controctual 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 Intlividual and Con�ractual Relationship (If yes,explain) VES NO Title of Person to be Lobbied Staff£or the Plannuig&Building Department None X Public Works&City A3ministraHon, PB,HPB, BO None X DRB, City Commission, and Mayor as necessary None X Pursuant to City Code Section 2-482�g), every reqistrent 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 relatianship giving rise to an a earance of im ro rie if none,write N/A : None j 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): ��a -NOAtltlitionalCompensation. Page 2 of 5 — .�__ ' , . _ _ ._ _. ._ . . . . ._ rdn„ C �OFSOC nC61ooCA „ge�„6 �B,EnC600CB �III��[�IIIII � . DocuSiqn Envelopel��.3E981026-0]�E-4199-B829-EOCCA54]99B3 The following six(6)questione MUST be answeretl: 1) Pursuant to CiTy Cotle Section 2-488, entitletl"Prohibitetl Campaign Convibutians By Lobbyists On Pmcurement Issues"' Ves %No: A I bb " [ d b"d f tl a � t r serv'ces or on a oresent or p d' n df rq d entorservice7 2) Pursuant to Ci�y Code Section 2-490, entitled 'Pmhibited Campaign Contributions By Lobbyisis On Real Es�ate Development Issues": VesxNo: A I bbv' o d g f t f D I p tA t 'lhth Clv f C f h f ' q d ' t' h u � Ih C'N' F t L d U M p> 3) Pursuant ro City Cade Section 2-482�h), any person (except �hose exempt (rom ihe definition of "lobbyisf' as set forih in Sec[ian 2-481)wM10 only appears as a represen�alive af a not-for-pmfit corporetion or en�ity wilhou�special compensa�ion or reimbursement for Ihe aOPearance,whether tlirect or indirect to express suOPOM1 ot or opposition to any item,shall regislerwith the ciry derk as required by this section, but shall wt be requiretl to pay any regisVa�ion fees. VesxNo: A v t a ti o fl f CN �th t o ' I f reimbureemen@ 4) Pursuant to City Code Section 2�487, ihe tertn "IobbyisP' specifcally exclutles �he follovnng persons Expert witnesses who provitle only scientifiq lechnical or other specialized informalion or testimony in public meetings; any person who only appears as a representalive of a neighborhood association wi�hout compensa�ion or reimbursement for the appearance,whether direct, intlirect or mntingent,to express support of or opposition to any item�, antl any person who only appears as a representative of not-for-profit communiry based organization for the purpose of requesting a grant withoW special compensation or reimbursement for ihe appearance. YesxNo: A 'd' I t'f' t h ' I th " I' d ' f t' ' aoce � p tat f ' hb h tl ' C 'th t ec'al com safon or reimbureemenl or p f q t f f't b tl ' tl f th o m f estinn rant w'thou[ s ' I sationorreimburoemenP 5) Pursuant�o City COCe Sectian 2-491(1�, no campaign wnsWtant shall lobby the Ci�y Commission for a penotl of 12 months following t�e swearing in ot any elec[etl offcial(s)for whom the campaigm m�sultant proviaetl campaigm m�sul�ing services wi�hin the past elec[ion cyde.See Section 2-491 for more information. Ves xNo: H v 'd tl p ' Il' q rv'ces to an 'ncumbent member oi ihe CiN Commission 'th' th o t I C I 7 If v I f Hh 'n mbent member(s)of the CiN Commission: Yes X No: � ••^� ^ 't b I th 72 [h 'n e [he elecled offc'allsl whom vou provided campainn consultino services was sworn in? 6) Pursuant ro Ciry Cade Seclion 2-487�a)(4)a., a lobbyist who has within the past election cycle pmvidetl campaign consulting services to an incumbenl member of the City Commission (which lobbying activiry is not olherwise pmhi�itetl by Code section 2-491) shall tlisdose such particular service on his/her lobbyist registration form and shall orallv d'sclose such oarticular b t I bb ' th CN C � o �f t a. Ves x No: H v n �tl tl p 'n c If q ry ees to an 'ncumbenl member of Me GiN Commission 'th' lh p t I C V I '+If ol I' tthe'ncumbenlmembeAslofNeCiNCommission: Ves X Na: If v v tl d'd �011l L COOS d¢fdl OO �O ¢xChdflAE f0! CB�IIOdIAf1 consNtina services? T G"��.J:W b TO BE COMPLETED BY CITV CLERK'S STAFF ONLY � -�^ oa j /—�.�� ,J AnnualRegi5Va4onfee: [ ]Ves�No Amoun�Paitl$.1`�' �' MCRpy_S.S�L�Oa[ePaiE J f L bby st RegiSVa[on Fo�m receivetl anC verifed by �1� - n�a.v�..en na�20-18HEGaoc R¢Vised09/20/3018 Page 3 of 5 o v ir � ... ..�, �, � ..,o=�a caee,.o�e �eaesace�ouce �����k'��w?����� �..,,..aa-.�. .� � OocuSlgn Emelope 1�:3E981D26-D]DE4199-8829�EOCCASJ]9983 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 FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICN THE LOBBY15T HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FIIED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENSATION DURING THE REPORTING PERI00.' SqnetlEy Slgnature of LobbyisC ��Mn�� �a� 4-18-2024 — eoe. .�9<s� I do solemnly swear or affrm that all of the foregoing facts, statements, and disclosures in this form are true and correct, and that I have read or am familiar with ihe provisions contained in Chapter 2, Art. VII, Division 3, entilled "Lo6byisls" of ihe Miami Beach City Cod oa��vala neporting requirements. //q// ��, � � � Date 4-is-zoz4 Signature of LobbyisC �/YW�6/�/ Signature of Principal: �/.I�✓ Date 4'16-2a24 VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Florida State of Florida Counry aE Miami-Dade Counry ot: Miami-Dade Swom lo(or aPormed)and subscribed before me, Swom to (or affrmed)and subscribed before me, by means of 0 physical presence by means of� physical presence or 0 online notarization, or�online notarization, this�5_day of Aonl .20 2A by this�day of Aon . 2024, by Bernardo Fort Brescia Xaver Kriechbaum NAME OF LOBBVIST NAME OF PRINCIPAL Produced ID _Produced ID FOR F � x Personalty Know /11 �(�T' � x Personally Kn � �l�Vl = Slgnature o(Noiary rio ��' - Sig^a�ure of Nota �uofic�" � � - Veidy Montesino Perez Veidy Monlesino Perez � Name o o P i e o r ' e tl Yeitly Montesino Perez Yeitly Montesino Perez (NOT Commission#HH0042]3 CommiuionpHHO80Y]J Nolary Public-Stale of Florida Nolary Public�State o(Flonda My Commission Expires Jan 24,2025 My Commission Expires Jan 24,2025 5 �.: �Thelerm" . .. . , . . . ns�. .._..._.....,... . ...._.. Expert witnesses who provitle onty scienlific,technical or other specializetl information or testimony in public meetings;any person who only appears as a representalive of a neighborhootl association withaut compensalion or reimbursement for the appearance,whelher tlirect, intlirecl or contingent, ta express supporl af or opposition ta any item; and any person who onty appears as a representative of nobiar-pmfit communiy based organization (or the purpose of requesting a grant without special compensation or reimbursement for ��e appea�ance. Page 4 of 5 � o v,�q ��.sor>ne . .=«aiooee ase=ame aavEreesiooce �������'�?����� � � DocuSign Envelope ID'3E981026-0]DE-0199-8824EOGGA54]9983 Ciy of Miemi eeach, I�00 Comennon Ce�re�Dd�e,Mlaml Beach, Flodda 33139,w.vw.mlamibeachfl.go� Office of ihe Ciy Clerk Rofael E.Gmnodo, Ciry Clerk ClyClerk@miamibeachfLgov Tel'. 305.6737411, Fax: 305 6737254 NAME OF LOBBYIST: Bernardo Fort Brescia 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 ihat 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 date. The Ci[y Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist (or principal) to file the Statement or pay the assessed fines 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 fnes are paid, unless the 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 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 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 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. i ry� � �ee��'�f�-- ' a-is-zoza Sign�4u��b�'Yobbyist Date FCLERlSPLLUFORMSIOBBVl6i FOFMBLLo�Oylei Reg@IreLon Porm Renseel d]-I4ID RE�tloc � Page 5 of 5 � Page5o19 5BJE53G61�oCB ,III&V.S�6�'llll t venpm.cc os.nors<csa-eors.aoeucciooce � � �.,.�.��aan��� ra��s i . OacuSign Envelope I��.3E981026-0]DEA199-682&EOCCA56]99B3 DISCLOSURE OF IN7ERE5T 1515 Washington Acquisition LLC NAME OF CORPORATE ENTITY NAME AND ADDRE55 % OF OWNERSHIP Keyah Real Estate Group LLC 100% 20803 Biscayne Blvd,4th Floor,Aventura , FL 33180 _ NAME OF CORPORATE ENTITY NAME AND ADDRE55 % OF OWNERSHIP Keyah RealEslate Group LLC Xavier Kriechbaum 66.33% 20803 Biscayne BNd,4th Floor,AvenWre , FL 33180 Gavin Crescenzo 33.33% � „ 20803 Biscayne Blvd,4th Floor, Aventura , FL 33180 I I 1 — , . �}�2�+ _— oe�v.�.�v =�ofir - -enEsxcc�oocs �� eae ee�sxcc�ooce ����hi46'„E['a������� Ciiy of Miami Beach � v � o ? o CitY Hall 9 0 =� p e o o a m n� ^ 3 1700 Canventiun Center Dr. N , o m v � a ,^p °' � « Miami Beach , FL 33139 � » Z �n z o 0 3 „ � � o = 305'fi73-7420 � O � o v � v o p 3 ,�, Welcome . 3 A �� A 3 p „ a o � 3 n 3 N Uq/16/2024 02:47PM Carmen V. . � � y (f W b 00691fi-0021 O e^, D �. Z ' ' a n A MISCELLANEOUS = i° 3o q "m Reference 1 ; MCR433240 m �o MCR OPEN (MCR) � s�� » 2024 Item: MCR � � �' m n I V $1,OSO.00OO f1 D F p � tt MCR OPEN (MCR) �1,050.00 � � ___""___'_"_ m � 61,OSO.Oo 0 Suhtokal :�•���� r Tatal 51,050.00 p a CHECN $1,050.00 Check Number00009393 < — ---- Chanpe due �•�� p � � z Paitl hy: BERC04! RADELL FERNAN�EZ LARKIN & � ? TAPANES PLLG � W T W iIHIIII�IIIIII,II�IIB�II�IINIII��IIIIII�YIII�II�I'I�IIIIII4IIIIIII m = o 0 x �o _ ~ � _ . ..�.....�. ..�rw t�um� " 'm ���,�,r-."'__"���—II, o � N�— ..�... Thank you for your peyment ClJS10MER CaPY