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2024 Lobbyist Registration Form - 1960 Normandy DR (Alan Waserstein) �. I9�o Kocnw�+�4 D�`. 1 � �ocu5ign Envelope ID:SCSCSD6G1006-462fi-AEB&E4IDCBEB54EC I � � �� � - �Ffi ��_ G-� , � i � Offica of�he Gty Clerk ' ' ��' 1700 Convention Center Drive Miami Beach, FL 33�39 .: RFa(1H 305.6737411 ' . .. LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retainetl,whether paid or not, by a principal who seeks la encourage the passage, tlefeat or motlifca�ion of any ordinance, resolution, action or tlecision of any commissioner; any actioq decision, recommentla�ion of lhe City Manager or any Ciry boartl or commitlee: or any action, tlecision or recommendation o!any City personnel tluring the time period of t�e entire decisiommaking pmcess on such action, tlecision or recommendation tha� foreseeably will be heaM or reviewed by ihe City commission, or a City boartl or comminee. The term specificalty includes the principal as well as any employee engaged in lobbying ac�ivi�ies. The term"Lobbyists"has specific exclusions. Please refer to City Code Chap�er 2,ArtiGe VII, Division 3, en�itletl"Lobbyisis, for atltlitional infarmation. Instmclions: Please complete all seclions of this fortn antl submit the wmpleted fortn,with the applicable fee. to the Offce ot�he Ciry CIeM. It you need more space to comple�e an answer, use a separdte sheet(s)of paper. If you have nothing �o report in a particular section, you must wnte "none" or "n/a" in thal section. Any change ro any infarmation originalry fletl, or any additional City Commissioner or personnel who are also sought to be lobbied shall require that ihe IobDyis[(le an amentlment to the regis�ration form. The lobbyist has a continuing duty to supply information antl amend ihe forms filed [hroughout �he periotl ihat �he lobbying occurs. Separate registation fortns shall be requiretl for each pnncipal represen[ed on each specific issue. I. LOBBYIST INFORMATION: RodriQuezLaballero Nicholas NAME OF LOB9YIST (Last) (First) (Mitltlle Name) Bercow Radell Fernandez Larkin &Tapanes, PLLC 200 S. Biscavnc Blvd.,Suitc 300, bliami, FL 33131 LOBBVISTBUSMESSNAMEAN�ADDRESS (Num�erantlSlreep (Gy) (Stale) (ZiOCoda) 305-374-5300 nrodriQuezC�JbrzoninRlaw.com LOBBYISTBUSWESSTELEPHONENUMBER CELLULARTELEPHONENUMBER EMAILAD�RESS II. PRINCIPAL INFORMATION: Wascrstein Alan NAME OF PRINCIPAL (Lasl) (FUs�) (Mitldle Neme) JAKBAL LLC. 5901 NW 151 Street, N126 Miami Lakes Florida 33014 PRINCIPAL BUSMESS NAME AND AD�RE55 (Numbe�anE Slreel) (CIry) (Sla�e) (Zp Co�e) 786-703-1731 alanQleaseflorida.com PRINCIPAL BUSMESS TELEPHONE NUMBER CELLULAft TELEPHONE NUMBER EMAIL A�DRE55 Pursuant�o Ciry Cotle Section 2482(hHi)(a}. A principal ot any coryora�ioq paMership. or otbe�en�ity wh0 appea�s as a IObbyisl on behalf of�hal en�i�y,wi�M1ou�special compensa�ion o�reimbursement fort�e appearance,w�et�er tlirect,intlimd,or contingenl.lo express support of or opposi�ion to an ilem s�all regislerwitn��e Qed as repuiretl by tM1is subseclion�ut shall nol be required to pay any regislralion fees. ` If the principal is a Corporation, Partnership or Trust, the following information MUST be provided - pursuant to City Code Section 2-462(c): NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARV(if none,write N/A�: A. WaSBrStein NAME OF ALL PERSONS HOLDING,DIRECTLV OR INDIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(if none,wnte NIA): Plea'B Sec k�te akWC�led Page 1 of 5 �C � � � \ �p i .. . f �.+te i� i nF.t a9elol{ �. . tB6EBOFP2GP2 ����RYi������� ` O�CIF� DocuSignEnvelope10:5C5C5�6G4004-4626-AEBB-E4IDCBE854EC 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. Devclopment Approvals& Permitting Issues,including but not limited to the Historic Preservation Board, Design 2eview Board, Planning Board, Board of Adjushnent, Land Use Development, City Commission, and any City Workshops or Committees, if netessary,relaHng to the properh� located at 1960 Normandy Drive, Miami Bcach, Florida. IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(a�(4�, lisl the City Commissioner or City personnel sought to be lobbied, 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 af the subject contractual relationship. Full Name of Individual and Contractual Relationship(If yes,ezplain) YES NO Title of Person to be Lobbied Staff for the Planning & Building Department None X Public Works &Citv Administrafion, PB, HPB, BO None X DRB, City Commission,and Mayor as netessary None X Land Use &Sustainabili Committee None X Pursuant to City Code Section 2-482(g�, every registront shall be required to state the extent of any business, financial, familial or professional relationship, or other relatianship 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 registretion fortn filed. List any 8usiness, Financial, Familial or Professional Relationship, or other relationship giving rise lo an a earance of im ro riel 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. 2-485.3): : S 475.00 per hour Page 2 of 5 ��m�io s edzoc-+ocn seoro zcsa � � � ag,zor e�.ao.arzcn ������ ,�'����� � oo��s��s�e��eiooe io�.scscsoeciooa�aszs-neae-eaiocees5aec The following six(6)questions MUST be answered: 1) Pursuant ro Ciry Code Section 2-488,entitletl"Prohi�itetl CamOaign Contributions By Lobbyists On Pmcurement Issues": VesxNo: A I bb ' a t o d b'tlf u tl t a t r ce d' tl f ds eo 'p t serv'ce7 2) Pursuant ro Ciry Cotle Section 2-490, entitled "Prohibitetl Campaiqn Convibutions By Lobbyists On Real Estate Development Issues"' Ves X No: A V I bb ' A Pe d DI' C f D I p t A t 'th th CN ppl' F t h f P d F h t �h C'N' F t L d U M � 3) Pursuan� �o City Cotle Section 2-482�h�, any person (except those exempt from the definition of 9obbyisC' as set forth in Section 2-481)who only appears as a representative of a no4for-profi� corporation or en�iry wi[hout special compensation or reimbursement for�he appearance,whether direct or intlirect to ezpress suppart of or opposi�ion to any item,shall register wilh the ciry clerk as requiretl by Ihis section, bul shall not be requiretl�o pay any registration fees. VesXNo: A p ti q t( ![ po C EN 'th t o ' � ce f r reimbureemenl? 4) Pursuan� �o City Code Sedion 2-081, the term "IobbyisC specifically exclutles ihe following persons Expert witnesses who provitle onry scientifiq technical or other specializetl information or testimony in Oublic meetings; any person who only appears as a representalive of a neighGorhootl association without compensation or reimbursemen�for[he appearance,whether tlirect, intlirect or contingen�,to express support of or opposilion�o any item�,antl any person who onty appears as a representalive of no4for-pmfit community based organiza�ion far �he purpose of reques�ing a gran� withoW special compensalion or reimbursement far ihe appearance. Ves xNo: A 'd' I t'f t h ' I th ' I' d 'M f ' aoa a p Wti f 'qhb a d assoc'at'on w'thout scec'al comoensation or reimbureement or p [' q tf ft b tl ' f f th o f sCnq a nt without scec'al comoensation or reimbursement? 5) Pursuant to City Cotle Section 2-497(1), no rampaign consWtan� shall lobby the City Commission for a penod of 12 months (ollowing the swearing in of any eledetl oKcial(s)for whom Ihe campaign consWtant provitletl campaign consWting services within ihe pas�elec[ion cycle.See Section 2-49� for more information. Ves zNo: H �tl d It" t n 'n umbenl member of the C'N Commission 'th' [h o t I F 1 71f I I' tlh 'ncumbentmemberfslottheC'NCommission: Yes x Nm � �a% h 't b I th 72 nths s'nce the elected o(fc'allsl whom vou orovided campaian consultina services was sworn in7 6) Pursuant to City Coae Sedion ]d82(a�(4�a., a lobbyist who has within the past election cycle providetl campaign consulting services to an incumbent member of the Ciry Commission(which lobbying ac[iviry is no�otherwise pmhibitetl by Cotle section 2-491) shall disclose such particular service on his/her lobbyist regisVation form and shall orallv d'sclose such oarticular b f I bb � th CNC � o bf f Yes X No: H v a �d d o �u o Il' q 'ces to an 'ncumbent member ot�he CiN Commission 'th' [h o t I C v I '+If ol I' tlh 'ncumbentmember(sloftheCiNCommission: VesxNo: If � tl dd 'v economc cons'deration 'n ezchanoe tor camoaiqn consultinq services? TO BE COMPLETED BV QTV GLERK'S STAFF ONLY o� �1 '� Annual Regis[rotion fee: [ ]Yes� No Amom[Paltl S�, ISQ MCR#��3�Gf h Date Paitl K� LobbyistRegisVatio Pormreceivetla tl e�reaey�!-1 F, --,:� . . r�x�. sr=.^.vm. .'�_ c.y�: ��-a. Fo:mxev�isea ov�m-ieaea,Joc Revised09/]0/]018 ; Page 3 of 5 r �ao���. , �.,.,.. ,. �< . =ae�omc .or..eora�zcrc ,III�. ��,IIII� DocuSign Emelope 10'.SGSGSDfiC4004-4626-AEB&E4IDCBE654EC VI. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITV CLERK A SIGNED STATEMENT UNDER OATH LISTING LOBBYING EXPENDITURES AS WELL AS COMPENSATION RECEIVED FOR THE PRECEDING CALENOAR 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 COMP �A1�FI! URING THE REPORTING PERI00! SignaNre of Lobbyist: N�o�-S ,�. �d —""'�'6 Date 4-24-2024 I tlo solemnly swear or affrm lhal all of ihe foregoing facts, statemenis, and disclosures in lhis form are lme and correct, and that I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code and all rep rtir�neqvp'e^mentIs1.,,•��. • (,��-1I.�, Signature of Lobbyist �.%�u••ee�� ���5 J• ��`"'�"7��`""""Uete 4-24-2024 Si nature of Principal: Q�" �as����� Date 4-Z4-2�z4 9 �.�+r�,� VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State ot Plorida State oi Florida County oE Miami-Dade Counry of: Miami-Dade Swom to(or affrmed)and subscribed before me, Swom to(or aHirmed)and subscribed before me, by means of 0 physical presence by means of O physical presence or 0 online notarization, or� online notarization, this 24 day of April P024, by lhis 24 day of APril 2024, by Nicholas Rodriquez-Caballero Alan Waserstein NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID _Pmduced ID — F FO x personally Kn � � x Personally Know � � ` SignalureofNotary �GBiic"� '-�'� SignatureofNotary diic '"'-'�"' Veitly Montesino Perez Veidy Mantesino Perez Name of Notary, Typed, Printed or Stamped Name of Nota , T ped, Printed or Stamped Yaitly Montesino Perez Yeitly Montesino Pe�ez Commission#HH 0042]3 Commission p HH OBG2]] - NolaryPublic-S�afeotFbrida NotaryPublio-Stateo(Floritla = My Commission ExOires Jan 24,2025 My Commission Expires Jan 24.2025 � ' Th 9 Persons_ . . ,._._ ..,.,.. - Expert wM1nesses who provitle only scien�ifF lechnical or other specialized informatian or tes�imony in public mee�ings;any person who only appears as a represenla�ive of a neighborhootl association without compensation or reimbursement far the appearance,whether - direct, intlirect or contingent, lo express support of or opposition to any item; antl any person w�o only appears as a representative of naFfor-proft wmmunity basetl organizalion for t�e purpase of reQuesting a grent wi�hout special compensation or reimbursemenl For �he appearance. Page 4 of 5 � ,�i�.�o�. e�F��io�. vaeaame aeesaoraacsz �����R��`����� � �ocuSign Envelopelp'.SCSCSD6C-1006-4626-AE80-E0IDCBEB54EC Ciy of Miami Bea�h, 1]00 Convemion Cemer Drive,Mlami eeach, Florida 33139,www.miomibeach0.gov Office of the Cly Clerk Rafael E. Gmnado, Ciy Clerk CiyClerk�miamibeachfl.gov Tel: 305.6737411, Fax�. 305.673725d NAME OF LOBBYIST: Nicholas Rodriguez-Caballero 1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT Pursuant to City Code Section 2-485(d), the City qerk shall notify any lobbyist (or principal)who fails to file timely a Lobbyist Fee Expenditure and Compensation Statement (Statement). In addition to any other penal[ies 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 date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist (or principal) to fle the Sta[ement 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 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 oath listing all lobbyist expenditures, as well as compensation received, for the preceding calendar year wi[h 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 fle 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. �AfC�o�ai �. �e�vv�ut�y—(,al�aU+a"o a-za-zoza - Signature of Lobbyist Date - ifCLER�SNL\aFORMSLOBBV19iFORMSLLo�hylslftegLsta4onFoimPevlse409�11-40FEG.dw , Page 5 of 5 � 0 Jnub-A6 . . rvviiC9e Page5ol6 SBfSBOFEIIC92 ����gpyp/tq������ .` •f+rLS:LbS oo��s�g�emeiooe io�scscsosciaoa-aers-neee-eamcaeesaec a.o.sne QLXLQSUREOiINfEREST CORPORATION.FARiNER5X1►00.11MIfFD l!AlRRY COMPANY If Me propeiry thar i� the sv61� ol the opplicotion is avned or lemad by a mrpomlion, pannenhip or Ilmired liobllly mmpo�ry, liu ALL of Poe ownxs,shamholders, po�man,monagers ond/or memhms,and�he percenroBa o�ownership hdd by each. II the avmm m�sisl of one or moro cwpomrions, parmenhipf,wm, panrerahips a othu cwpomre<mities,the appl'canr shall(�riM�dxbu�Fe idenliry ol�he individwl�s��naNml pxfons�haring the uhimole ownership inhres in�he erny. JAKEAL LLC IUME Oi CORVOMTF FMRY NAME AND ADDRE55 %OF OWNEBSHIP ANn Wasanbin 5901 nw 151 sl k148 Mumi Lakp,F13301d 100X � N11M!O�COVOMTE EMIR' NAMEANDADDRE55 %OFOWNERSHIP �� � � � 1 m � � e H Ihaa on oddlHam�w�pda�e m�*ms,IiY auch wvners,iMludi�g co�porole iwmv and Ihs name,oddna and ps�cmkga u1 owrwnhip d soch addinonal owner,on a wporaro puge. o em�} .����.�-�e. . a. n._ � �eeeme eeesao5�icn �����R������� �. f,iLs' �f 19iam1 6eauh CitY Hall � :" � � � ❑ 170o Conventi��n Ceuter Ur. � � _� � p ; �` a c m �n y 3 Miami Beach , Fl. 33139 a � �n z v "' � z � � T � � 305-673-7420 m a - <' O _ N » Z3 z m � 3 N N r Welcame 3 T o � �� � � a � 3 � � 0= � o m 3 � � A3 � ^ � D �°c D4/24/2024 12:45PM Carmen V. � D = " n 3 OOfi942-0018 � � "�' n m a Z p � w D T NISCEIlANEOUS � 3 o p �- _ � Reference 1; MCR433246 0 ^ MCR OPEN (MCR) y� o p �' 20'14 Item: MCR m p � 1 � $350,0000 � a x MCR OPEN (MCR) $350.OU � -- 'x 9 """_. _""". __ � m $35U.00 m 0 Su6total 3350.OU � Total q50.tl0 0 CNECK $350.00 a Check Num6er00009411 Q, < Chan9e due E0.00 Paid 6y: BERCOW RApELL FERNANGEZ LARKIN & � �^ z TAPANES PLLC m ° °. w T W I����I�������I��I����I����N���I�����I�������������������M������� m ' o o� x �n .....v.�.s.��iw..,. rwin� �___..�_I y p � ...�` ....�.--_'_ E�Um I� l 9'—I II o Thanl, you Por your payment cusiaMeft COPY