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2024 Lobbyist Registration Form - 6360 N. Bay RD (Gabriel Plotkin) �36o N .�3�'Rd . .— DowSign Envelope ID�.CF01E]1D-OOSB-0153-B1��-9B92ID32BSE4 �".�CLF:�ULV ' � =� � �`�� Offce af the Ciry Clerk -',Y Ii 2 b 2�24 1700 Convention Center Drive Miami Beach, FL 33139 - f:4�qnl1� BEACH 305.6737411 � � ' � LOBBYIST REGISTRATION FORM Lobbyist means all persons emplayed or retaineQ whether paid or not, by a principal who seeks to encourage the passage, defeat or mo0ifcation of any ortlinance, resoWtion, action or decision o(any commissioner, any action, decision, recommentlation of ihe City Manager or any City boartl or wmmittee; or any action, tlecision or recommentlation of any Ciry personnel tlunng the time penatl of the entire tlecision-making pmcess on such action, tlecisian or recommentla�ion ihat foreseeably will be heartl or reviewetl by the Ci�y commission, or a City boara or committee. The tertn speci�calty inclutles ihe principal as well as any employee engagetl in lobbying activities. The term"Lobbyisis" has speciFlc exclusions. Please refer to Ciry Cotle Chapter 2, Article VII, Division 3, entitled "Lobbyists," for atltlitional information. Instmclions: Please complete all sec�ions of this form antl submit�he cample[etl fortn,with the applicable fee, lo the Office af lhe City Clerk. If you neetl more space to complete an answer, use a separate sheel(sj of papec If you have nothing ro report in a paM1icular section, you must wnte "none" or "nla" in that section. Any change to any information onginalry fleQ or any additional City Commissioner or personnel who are also sought to be lobbietl shall require that ihe lobbyis�file an amendment to the registratian form. The lobbyist has a continuing duTy ta suppy informa�ion and amentl the forms filed thmughout lhe periotl that ihe lo�bying occurs. Separate regist2tion forms shall be required for each pnncipal represented on each specific issue. I. LOBBYIST INFORMATION: Amster Matthew NAME OF LOBBVIST (Lasl) (Frst) (Mitltlle Name) Berrow Radell Fernandez Laikin&Tapanes, PLLC 200 S. Biscaync Blvd.,Svite 300, Miami, FL 33131 LOBBVISTBUSMESSNAMEHN�A��RESS (NumberantlSlreep (Gity) (Sta�e) (ZipCotle) (305) 374-5300 mamster�brzoninglaw.com LOBBVISTBlI51NESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILAD�RESS II. PRINCIPAL INFORMATION: Plotkin Gabriel NAMEOFPRINCIPAL (Lasp (First) (MiaaleName) North Bay Palm Trust 6360 N Bay Road Miami 6cach Florida 33140 PRINCIPAL BUSMESS NAME AN�ADDRESS (Number antl S�reep (Glry) (Stale) (Zlp CoEe) aabeCdtallwoodscao.com PRINCIPALBUSMESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILA��RE55 Pursuant lo City Cotle Sec�ion 2-482(h�(ij(a): A principal of any corporation, patlne5hip, or oNer en�iry who appears as a lo�byis� on behalf o!�hat en�iry.wilhou�special compensation o��elmbmumen�for�be appearance,wbelM1er tli�ecl, InOirec�,or contingent,�o express suppoh of o�oppos(on�o an i�em sM1all reglsler wi�h IM1e CIeM as�equired�y Ihis subsection bu�s�all not be requiretl lo pay any regislration fees. � If the principal is a Corporation, Partnership or Trust, the following information MUST be provided pursuant to City Code Section 2-492�c): NAME OF CHIEF OFFICER, PARTNER,OR 6ENEFICIARV(if none,write N/A�: Gabriel Plotkin NAME OF ALL PERSONS HOLDING, DIRECTLV Ok INDIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OH TRUST(it none,write NIA): Gabriel Plotkin,Tmstee and Beneficiary- 100% . .. . Page t of 5 ... . . . � � . _. . ....__. . � � � .eE,�s o„a�d , a9„o,b ,�B�ssezFan �III��[�11III �. DocuSlgn Envelope 10'CF01E]1D-005B-0153-9IDD-9B92ID32BSE4 III. ISSUE TO 8E 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. Dcvelopment Appiovals& Pecmitting Issucs, induding but not limited to the Histoxic Preservation Board, Design Review Board, Planning Board, Board of Adjustmcnt, Land Use Development,City Commission, and any City Workshops or Committees, if necessary,relating to the property located at 6360 N Bay Road in Miami Beach, Florida. IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-082(a)(4�, list 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 of the subject controctual relationship. Full Name of Intlividual and Contractual Relationship (ITyes,explain) VES NO Title of Person lo he Lobbied Staff for the Planning & Building Department None X Public Works &City AdmuustraHon, PB,HPB, BO None X DRB, City Commission, and Mayor as necessary None X Land Use&Sustainabili Committee None 7� 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 on the lobbyist registration form filed. i � List anY Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an j 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. 2-485.3): � S750.00 per hour Page 2 of 5 . _ __—.. . .-- .___. . _.._ ..-__ .._ ,��6:�R��'�� pWN ec ye. a� aee<rs o 06JBPFBII 9e2o15 DBO]B2FP�i �J� oocus�q�e��eiooeio�.cwie�io-oo5e�isa-eioo-sasaioazasea The following sia(6)quea[ions MUST be answeretl: 1) Pursuant to City Cotle Sec[ion 2-488, entitled"Prohibitetl Campaign Contributions By Lobbyisis On Procurement Issues": Ves xNo: A I bb ' q t o d b'tl f d t rv'ces or on a nt or p d' q tl( d3 ¢0 �p i N C¢7 2) Pursuant lo Ciry Cotle Section 2-490, entitled "Pmhibited Campaign Contributions By Lobbyisis On Real Estate Developmen[ Issues': Ves X No: A I bb ' p d' oDl' f f D I p t A t 'th th C'N oPf t' � h f ' a P tl F h t lh C'N' F t L d U M '+ 3) Pursuant to City Cotle Section ]-4BP(h�, any person (encept those exempt from Ihe defni�ion ot "IobbyisP' as se� Forth in Section 2-481)who onry appears as a representa�ive of a no4for-pmfit corporation or entiry without speGal compensalion or reimbursement for the appearance,whether direct or indirect to express support of or opposition ro any item,shall register wiN the ciry clerk as required Gy ihis section,but shall not be requiretl to pay any registretion fees. VesxNo: A v a C n lt ft o t' fN 'lh t o ' I f reimGursement9 4) Pursuant ta Ciry Cotle Seclion P387, the �erm "IobbyisC specifically exclutles ihe following persons' Expert witnesses who provide onry scientific,technical or other specializetl information or teslimony in public meetings; any person who only appears as a representative of a neighborhootl association withoW wmpensation or reimbursement for the apPearance,whether tlirecl, inairect or wn�ingent,m express support o(or opposition to any item;antl any person who only appeare as a representative of noFfor-Oroft community basetl organization for ihe purpose of reques�ing a grant withoW special compensation or reimbursement for the appearance. YesxNo: A 'tl' I t'F t chn'eal or olher soec'al'zetl infortnation� aocearina as a p t [' f ' hb h tl ' t' 'th t ' I omo t' n r r¢'mbursement or p ti n lf ft b tl n ' F t [h p of ren f rent wit�out soec'al comoensa[ion or reimbursement7 5) Pursuant to Ciry Cotle Seclion 2-491�7�, no campaign consWtan� shall lobby the Ciry Commission �or a period of 12 months following the swearing in of any elected offcial(s)tor whom the campaign consultant provitletl campaign consul�ing services within the past election cycle.See Section 2-491 for more informa�ion. Ves XNo: H o o 'tl tl 'a If a rv'ces ro an 'ncumbent member o/ihe CiN Commission 'ih' th p t I f 1 71(v I f tN ' mbentmemberlslottheC'tvCommission: Ves X N¢ � �^e h 't be I th n 12 monihs s'nce the eletled offc'a11s1 whom Vou orovitled campaiqn consulfna services was sworn in? 6) Pursuant to City Cotle Seclion 2<82(a�(bJa., a lobbyist who has within ihe past elec�ion cycle provitletl rampaign consul�ing services to an incumbent member of the Ciry Commission(which IobDying activity is not otherwise prohibitetl by Code section 2-491) shall tlisclose such particular service on his/her lobbyist regisiration form antl shall orallv dsclose such oarticular bM I bb ' o th C'� C t bl'C meefno. Ves x No: H o 'tl tl �a It' n rv'ces lo an 'ncumbent member ot�he CiN Commission 'th' th p t I C v I �If ol I' t th 'ncumbent memberfsl of lhe CiN Commission: _Vesx No: If o d d'd 'v econom'c cons'dera['on 'n exchanoe tor camoaion cOO5111tI0A S¢rvICeST TO BE COMPLETEO BY CITY CLERK'S STAFF ONLV �/ Annual Registra0on fee: � ]Ves[ �No Nnount Pa1E 5�n _MCR#�� /f oate Paitl �� Lobbyist Regishation Fortn reccved antl verifeC by: �• /S ' t��uea�>au�aroaMs��oeensrwams _ .:zxgisnaeioavo�mae.�,eauszniaaeamc Revisetl09/20/P018 Page 3 of 5 �o v �ryio .+ �.-+��. ,a, ., � aaee>m- veoovaaaen ��E�� DocuSign Envelopel�:CFOtE]1D-OOSBA153-B10D-9B921D32BSE6 VI. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH VEAR 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 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.' Dxu9pne4 - SlgnaWre of LobbyisC ��y,�lRu„ Q.,,st __ Dale 4-1&2024 I do solemnly swear or a�rm that all of the foregoing facts, slalements, and disclosures in this form are hue and cortect, and that I have read or am familiar with lhe pmvisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyisis" of the Miami Beach Cily Co5��5��dgporting reQuirements. SignalureofLobbyisC � �'�"' � Date 4-�9-Z�z4 Signatureo(Principal: 65Ca16P'OOeF�,o I �Ln��n Date 4-19-2oza C�BCP3Ced65tl03 VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State oi Florida State of Florida Counry oC Miami-Dade Counry oP. Miami-Dade Swom to (or aHirmed)and subscribed before me, Sworn �o(or affrtmed)and subscribed before me, by means of� physical presence by means of 0 physical presence or� online notarization, or�online notarization, this �9 day of April ,20�4, by this 19 tlay Of April 2024, by Matthew Amste� Gabrie] Plotkin NAME OF LOBBVIST NAME OF PRINGIPAL Produced ID _Produced ID FORM ^ FORMO x Personally Known � � x personally Known ' �]j� r v� � _...._ " Signature of Nolary Pu ic�� Signalure of Notary Public Yeidy Mon�esino Perez �eitly Montesina Perez Name of Notary,Typed, Printed or Stamped Name of Nolary T ed, Printed or Stam ed Yeitly Montesino Perez Yei�y Montesino Pe�ez Lommission#HH 0042I3 Commisslon p HH 084213 Nolary Public-State of Fbritla Notary Public-State of Florida - My Commission Expires Jan 24.2025 My Commission Expires Jan 20,2025 ;' — - ' Th 9Persons �.,......,.,.__... ....... d Experl witnesses who pravide onty sciemifi0.technical or o�her specialized informa�ion or�estimony in public meelings', any person who onty appears as a representative of a neighborhootl association wiIDout campensation or reimbursement for the appearence, whether tlirecl, indirect or con�ingenl, to express support of or opposition lo any i�eml antl any pereon who only appears as a represenlalive of ` no4for-pmf[communiry based orqanization for the purpose o!requesling a granl wi�hout special compensa�ion or reimbursemen[for � �heappearance. Page 4 of 5 ��ooaerym.sw000aznx�.�raa-ozciaeooc�azw.� pageams a3eooc�ezFar� �� `�,'�� DocuSign Envelape ID'.CF01E]ID-005B-0153-BID�-9B921p32B5E4 Ciy of Miami Bea�h, 1]00 Co��enlon Cenrer Dri�e, Mloml Beach,Flarida 33139,www.miamibeochfl.go. Offl<e of rhe Cly Clerk Rofael E. Granadq Gy Cle�k GryClerk@mlomibea�hH_go� TeL 305.673 741 1, Fo.: 305 b73 7254 NAME OF LOBBYIST: Matthew Amster 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 (Sta[ement). 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 fled after the due date. The City Clerk shall notify the Miami-Dade County Commission on E[hics and Public Trust of the failure of a lobbyist (or principal) to file the Statement or pay the assessed fines after notificalion. 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 fine 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 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 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 8each City Code. - m�.sie�:eev: �jry„��w, (�,s(w 4-19-2024 _ Sig +e�ef�Q�obbyist Date e�c�Emv.uaFoausuoaeris voameuooer�n r+esi�auo�vo�a�� oau-m Re�ao� Page 5 0(5 - oos�a,F=�� vas=sms aeooeanzran ,IIIh:2.6`➢sY.,2t1llll 9 ' �.�,,.�eop.�osr evi�et.itr,o-v_�� Miscelianeous Cash Receipt CITV OF MIAMI BEACH No. 433248 ❑Cash ❑Credit Card ,�Check# � $ 20 � Received of ' Address F� �' � ` � For �'. � � � 'i ,. r. City of Miami Beach Miscellaneous- MCR-2024 006951-0�02 Moises C...04/26/20240636AM Mca oPeN�nnce� Office of Finance Director Payment Amount: t 550.00 (THIS INFORMATION MUST BE COMPLETED) By Account number. � � � -� Preparer: Dept: � � � EXT: �� 17(q Cunverrtiun Center �r. Miaml Beach , FL 33139 . . 305-613-7420 Welcnme I 04/26/202q 7U:36AM Moises C. � 006951-0002 HISCELLANFOUS Reference 1: MCR433248 MCR ONEN (MCR) 2�z4 Item: MCR � � $1,550.0000 � MCR OPEN (Mf,R) $I,5W.00 � $1,SSD.W Subtotal $� 5� � Tntal $1,550.00 CNECK Check NumberC7010G2 �L550.00 � --------- � Chan9e due G t0.00 ` 6'aid 6y: 6EkC014 RpOftL FERNANf)EZ LARKIN & r TAPANES FLLC 4 IINII'111111111191NUIIIINIIIIqIWla61111111611n111!NIIIIIII � �