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2024 Lobbyist Registration Form - 1525 Lenox Ave (Eli Dadon) � s� sL=rdx �r�. . DowSignEnvelopelD' 1HE80015-EC9BJ3W-998648CAQ185391 ., ',,'J:_� 30 2d24 MIAMI BEACH o,��o,�he��Y��e�k 1700 Carnenlion Center Drive Miami Beach, FL 33139 305.67374t 1 LOBBVIST REGISTRATION FORM Lobbyist means all persons employetl or retaine4 wfiether paid or not, by a Orinci0al who seeks to enwurage the passage, tlefeat or motlification of any oNinance, resolWioq action or tlecision of any commissioner, any ac�ion, tlecision, rewmmentla�ion af lhe City Manager or any City bwrd or commitlee;or any actioq tlecision or rewmmentlation of any City personnel tluring ihe time periotl of�he entire tlecision-making pmcess on such action, tlecision or recommentla�ion �hat foreseeaby will be heartl or reviewetl by the Ciry Commission, or a City boartl or committee.The lertn specifcally indudes ihe principal as well as any employee engaged in lobbying activities. The tertn "LobGyist"has specific ezclusions. Please refer to CiTy Code Chapter 2, Atlicle VIL Division 3, enti0etl "Lobbyis�s," foratltlitionalinformation. Instmctions: Please wmplete all sec[ions of[his form antl submit the completetl form,wi�h Ihe applicable fee,ta the�ce of the Ciry Clerk. If you neetl more space to mmplete an answer, use a separa�e shee�(s)of paper. If you have nothing to repotl in a particular sedion, you mus� wri�e hone' or ri/a" in that section. Any change to any information originalry fileQ or any atlditional City Commissioner or personnel who are also sought to be lobbied sha0 require Ihal Ihe lobbyist file an amentlment to the registrdtion/orm. The lobbyis� has a continuing dury to supply infortnation antl amend ihe forms filetl �hmughout �he period ihat the lobbying occurs. Separete regisVation fortns shall be required tor each principal representetl on each speciFlc issue. 1. LOBBYIST INFORMATION: LaMin Michael W. NAME OF LOBBVIST (Last) (Flrsl) (Mitltlle Name) Bercow Ratlell Fernantlez Larkin antl Tapanes, PLLC 200 South Biscayne Blvd., Suite 300,Miami,Plorida 33131 LOBBYIST BUSMESS NAME AND ADDRE55 (NumberanC SVeet) (City) (Stale) (Zip CaGe) 3053��.623� mlarkin@brzoninglaw.com LOBBVISTBUSINESSTELEPHONENUMBER GELWLARTELEPHONENUMBER EMAILAD�RE55 II. PRINCIPAL INFORMATION: Dadon Eli NAME OF PRINCIPAL (Lasp (First) (MI401e Name) M8E 373V1622 Capital LLC 1]0�0 Collins Avenue,k256 Sunny Isles Beach Floritla 33160 PRINCIPALBUSMESSNAMEANOAODRESS (Num�e�antl5lree�) (CI�y) (Slale) (ZlpCotle) (305)]94-2724 PRINCIPALBUSMESSTELEPHONENUMBER CELLULARTELEPHONENUMBER EMAiLADDRESS Pursuan��o City Code Seclion 2-482(h�(1)(a): A principal of any coryoralion, patlnership,or otber entiry who appea5 as a IobCyis�on beM1alf of inat entily,wiUou�special wmpensa�ion o�reimbursemenl for Ue appearance,whe�her tllmc�,intlirect,o�contingenl,to express support of or opposi�ion�o - an item sM1all regisier with IM1e qerk as�epuire0�y t�is suEsxlion Out sM1all no[be requiretl to pay any regislretion fees. If the principal is a Corporation, 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,wnle N/A�: E Oadon • NAME OF ALL PERSONS HOLDING, DIkECTLY OR INDIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SUCH - CORPORATION,PARTNERSHIP OR TRUST(if nane,wrile N/A�: iC0%Eli Dadon Page 1 of 5 �� /\^ --_ ._. .. __. .-- ._ _ p_�q,�pryryy[[ __.r_/O � - �C� �� "� PaBe�0(00 G 6�BGBW55E ,III�{�y'yj�,l III f#1�1�4 DocuSign EnvelopelD'. 1AE8001SEC9B<39]-998618GA6]185391 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 public hearing number. Developmeu[Approvals& Pecmittiug Issucs, incWding but not limited[o[he His[oric Preservation Board, Design Review Board, Planuing Board, Board oC Adjustment, Land Use Developmen[, City Commissioq and any City Workshops or Commit[ccs, if oecessary,relating [o [he property located at 1525 Lenoz Avenue, Miami Beach, Florida. IV. CITY AGENCIES/INDIVIDUALS 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 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 generel nature of the subject contractual relationship. Full Name of Indivitlual antl Contractual Relationship (If yes,ezplain) VES NO Title ot Person to be Lo66ied Staff for[hc Planning& Building Departmen[ None X Public Wocks &City Administratioq PB, HPB, BOA, RB None X Ci[ Commission, and Ma or as necessa None X Land Use & Sus[aivabili[y Committee 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 cuvent City Commissioner or City personnel who is sought to be lobbied as identified on the lohbyist registration form filed. List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an 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): $850.00 per hour - Page 2 of 5 e . o�.coins+sse.+saoa>eascFcoacim�+F � � ��p�� Pege2o120 2CF6oBC6�]i5E h mm �f� OocuSign EnvelopelD'.1AE8001bEG8BJ39]-998G1BCA41185391 The following six(6)questions MUST Ee answered: 1) Pursuant�o City Cotle Seclion]dBB, en�i�letl"Prohibiletl Campaign Contributions By�abbyists On Pmcuremen[Issues": _Ves x No: Are you lobbvinu on a oreaent or oentlinp bitl (or gqotls, equipment or services, or on a oresent or e�ntling awartl tor goods,equipment or_aervice7 2) Pursuant to Ciry Cotle Section 2-490, entitletl'Prohibited Campaign ConUibutions By Lobbyists On Real Estate Development Issues"'. Yes 'No: Are vou lobbvinn on a oentlinq apoliwtion for a Development Agreement with the City or appliea[ion Tor channe of zonina map tlesiunation or chanae to the Ciry's Fu[ure Land Use Map7 3) Pursuant to Ciry Cotle Sec[ion 2-482�h), any person (excepl lhose ezempt from �he tlefinition of "IobbyisC as set forth in Section 2-481)who onry appears as a represen�ative of a na4far-profit corporation or entiry without special compensation or reimbursement for the appearance,whether tlirect or intlirect to ecpress support of or opposition to any item,sha0 registerwith the city clerk as required by ihis section, but shall not be requiretl to pay any registration fees. _Ves xNo: Are you representing a nobtorprofit cyrporation.or enliN without s0ecial com0ensation o[ reimbursement? � 4) Pursuant ta Ciry Code Sectian 2d81, the term "IobbyisP specifcally exclutles the following persons Expetl witnesses who provitle only saentifc,txhnical or other specializea information or testimony in puDlic meelings;any person who only appears as a representative of a neighborhootl association without compensation or reimbursement for�he appearance,whether tlirec�, intlirecl or con�ingent,to ezpress support of or oppositian to any item;and any person who only appears as a representative of not-for-proft mmmuniry basea organization for the purpose of requesting a grant without special compensa�ion or reimbursement for ihe appearance. _V¢s xNo: Are you providing anly scientiFlq technical or o[her speeializetl information; appearinp as a re�tative of_a_ne_ig�borhwG association wiNout special wmpensation or reimbwsemen[ or representing a nof-for-pmfi[ based organization for.the purpose_of_re2uestinn_a nrant_withoul Qecial compensa�ion or reimbursement? 5) Pursuant to Ciry Cotle Section 2�491�1), no campaigm m�sultant shall lobby ihe Ciry Commission for a perioC of 12 mont�s following ihe swearing in o!any eledetl oBicial(s)for whom the campaign consultant pmvided campaign consWting services within the past eledion cycle.See Section 2-491 for more information. _Ves xNo: Have you prov_itletl camoaian consultino services ta an ineumbent member of the City Commission within the past eleclion�?If yas,please lisl the incumbent member(s)of the City Commission; _Ves xNo: H.yes has it been less than 72 monlhs since iha aleclad offcial(sJ whom you provided camoai�n consultinn services was sworn in7 6) Pursuant to City Cotle Section 2-082(a�(d)a., a lobbyist who has within the past election cycle provitletl campaign wnsul�ing services to an incumbent member of lhe City Commission(which lobbying activity is no�alherwise pmhibiletl by Cotle seIXion . 2491) shall tlisclose such particular service on his/her lobbyist registra�ion form and shall orally disclose such particular service before_I_ob�n�e City Commission a�a publlc meeting. _ _Ves x No: Hav�u_�ov_iGetl cpmpaign consul[ing services to an inwmbent member of the City Commission within the pasj election cy_cle?Ityes,�le_a_s¢list Ihe incumbent member(s)of�he City Commission: _Ves x No: If yes were you pmmised or did you receive economic consitleration in ¢xchange tor campaign consulting services? TO BE COMPLETEO BY CITY CLERK'S STAFF ONLY 1 r�av� �9`5 � �,.� p / Annual Regis�n fee: [ ]Ves[ No Amounl Paitl S1 ' J V—MCR M��J 6�� Date PaIN — 3 d — � Lobbyisl Regis[mlion Po�m receiveE antl vetlFletl by',�,�M � - nau�zoa�eo� Revisetl03/11/3030 Page 3 of 5 .myi � zeens<oce sc nc� ...� e�eaorrza xwoacewssr ��k?2Fu'±It`ai�� «,rr Dow5lgn Envelope ID:1HE80015-EWBJ39]-998648GA4]iB5391 VI. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YEAR, EACH LOB8YI5T SHALL SUBMIT TO THE OFFICE OF THE pTV CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES� AS WELL AS COMPENSATION RECEIVED, FOR THE PRECEDING CALENDAR VEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBVIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPE I�gFDI�fiING THE REPORTING PERIO_D_.� Slgnature of LobbyisC �� ' Date ov2erzoza I do solemnly swear ar affrm lhat all of�M1e foregoing fac�s, slatemen�s, and disclosures in this form are Irue and correcl, and Ihal I have read or am familiar with the provisions con�ained in Chapler 2, Art. VII, Division 3, enlitled "Lo6hyisls" of the Miami Beach City Code and all reporting qairemeM�s�.�/ SignatureofLabbyist oo�mI1q�me��. �� /"�r��'�' Date mnenroa SignaWre of Principal: � 1/� Date ovzsnoza VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of Florida __ _ _ State of Florida County of: Miami Datle Counly of: Miami Datle Swom lo(or aKrmed)and subscribed before me, Swom to(or affrmed)and subscribed before me, by means of 0 physical presence by means of O physical presence or�online no�ariza�ion, or�online notarizatioq this day ot ov2v202a ,20_, by this day of _ _ p�pg�py�_ _ __. _,20_, by Michael W. Larkin Eli �adon NAME OF LOBBVIST NAME OF PRINCIPAL Produced ID Praduced ID F FORM � x Personally Kn � x Personally Known � � Signawre of Notary Public � SignaWre of Notary Public � �� - Diana Ramos Diana Ramos Name of Notary, Typed, Printed or Stamped Name of Nota ,T�ped, Printed or Stamped Olana Ramos Diana Ramos Commission#HH]8692] Commission p HM 38692] Nolary Public-S�ate of Floritla Notary Public-S�a�e of Floritla My Commission Expires Apr 16,202] My Commission Expires Apr 16,202] ` �The persons' Expert�witnesses who provide only scientifc, technical or other specializetl information or testimony in public meetings; any person who onty appears as a representa�ive bf a neighborhootl associa�ion wi�hoW compensation or reimbursement for the appearance, whether direct, indirect or contingent, ro ezpress support o(or opposilion to any item;antl any person who only appears as a represen�ative of nobtor-profit community basetl organiza�ion for Ihe purpose of requesling a granl withaut special compensa�ion or reimbursement(or Ihe appearance. Page 4 015 _. _._.. . _ .._— _ _ _�<��oe e,e , ... yeaorzo croeceo-s�e �� ,�`�� - DocuSign Envelope ID'.tAE8001&EC9Bi399-998G18CAN185391 l�� i r Ciry ol Miami Bsoch, I�00 Comenilon 4nrer Drl.e,Mloml Bcach, Flonda 33139,www.mlamlbea<hA.gov Office of the Ciy Clerk Rafael E. Granodo,Cily Clerk CltyClark@miamibeachfl.gov Tel: 305.6737411, Fax�. 305.6737254 NAME OF LOBBYIST: n�7ichae�w.�arkin 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 that 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 principal) to file ihe Statemen[ 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 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 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 - wmmencing October 1 of each year, and the fee for such annual registretion shall be $500.00 pursuant to Section 2-482 of the Miami Beach City Code. - �r�`^^""'ou"'r��"�' 01291202A Signature of Lobbyisf�� Date - r,c�eA�anuaroemsioeens,roems�oeevi.weg�.�m.�o�ae.neani,soaEceo� .� Page 5 of 5 ,�rio � s.sEas.eos� .�—�.. _. . _.___. ._. _.. o F�JhCe� '� Pege5ol2o �FBD�B�].�r �III�F�IIIII