2024 Lobbyist Registration Form - 1525 Lenox Ave (Eli Dadon) (2) ' \ 5ti5 ��x ���
OocuSign Envelope ID'. 1AEB001SEC9B-4391-9986-i8CA4]185391
� `���'� '�- ����I\,� � ���`�� ' v OffceoftheCityClerk
1700 Comention Center Drive
Miami Beach, FL 33139
305.673.7411
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employetl or retained, whether paitl or nol, by a principal who seeks to encourage ihe passage, defeat or
modification o(any ortlinance, resolution, action or tlecision of any commissioner; any action, decision, recommentlation of the City
Manager or any Ciry board or committee;or any action,decision or recammendation oF any Ciry personnel during the time period af the
entire decision-making process on such action, decision or recommendation that foreseeabty will be heard or reviewed by the City
Commission, or a City board or committee. The term specifically includes ihe principal as well as any employee engaged in lobbying
activilies. The term "LobbyisP'has speciFic excWsions. Please refer to Ciry Code Chap[er 2, Article VII, Division 3, entitled "Lobbyisis,"
for additional information.
Insimctions: Please complete all sections oF this form and submi[ihe completetl(orm,with the applicable(ee, to Ne Oftice of the City
Clerk. If you need more space to complete an answer, use a separate sheet(s)of paper. If you have nothing ro report in a particular
sec[ion, you must write rione" or ri/a" in ihat sectioa Any change to any information originalty filed, or any adtlitional City
Gommissioner or personnel who are also sought to be lobbied shall require ihat Ne lobbyist file an amentlment to the registratian form.
The lobbyist has a continuing tluty to supply information antl amentl the forms filed throughout ihe period ihat the lobbying occurs.
Separate registration forms shall be required far each principal represented on each specifc issue.
I. LOBBYIST INFORMATION:
Larkin Michael W.
NAMEOFL09BVIST (Les�) (Flrsp (MlddleNeme)
Bercow Ratlell Fernandez Larkin and Tapanes.PLLC 200 Sauth Biscayne Blvd., Suite 300, Miami, Fbrida 33131
LOBBVIST BUSME55 NAME ANO ADDRE55 (Number antl StreetJ (Glly) (Stale) (Zip Gotle)
305.377.6237 mlarkin@brzoninglaw.com
LOBBVISTBUSWESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILAD�RE55
II. PRINCIPAL INFORMATION:
Dadon EII
NAMEOFPRINCIPAL (Les�) (Rrst) (MlddleName)
M&E 3�3111fi22 Capital LLC 17070 Collins Avenue,#256 Sunny Isles Beach Florida 33160
PRINGIPALBUSINESSNAMEANDA��RESS (Numbarantl5ireep (City) (S�ete) (ZipCode)
(305)794-2724
PRINQPALBUSMESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILA��RESS
Pursuant to Ciry Code Section 2-482(hj(1)�a): A principal of any wrpora[ion, partnership,or o�her entity who aOPears as a lobbyisl on behalf o(t�at
entity,wilhout special compensation or reimbursement for the apPearence,whether tlirect,intlirecl,or conlingent,to express su0Por1 of or opposilion to
an item shall register with ihe Clerk as required by[his subsection but shall not be required�o pay any registra[ion fees.
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2-082(c):
• NAME OF CHIEF OFFIGER,PARTNER,OR BENEFIQARY(if none,wrile N/A�: E Dadon
� NAME OF ALL PERSONS HOLOING, OIRECTLV OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST(if none,wri[e NIA): �00% Eli Dadon
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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, invitalion to bid, or public hearing number.
Developmcn[ Approvals &Permi[[ing Issues, including but not limited [o [he Hism�ic Preservalion
Boacd, Design Review Board, Planning Board, Doard of Adjustment, Land Use Devclopmcnt, Ciry
Cominission, and any City Workshops or Committees, if necessaiy, relating to[he property locaied
a[ 1525 Lenox 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 lob6yist 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 contractual relationship.
Full Name oi lndividual and Contractual Relationship (If yes,ezplain) YES NO
Title of Person to be Lobbied
Staff for the Plannine &Building Departmcnt None X
Public Works &City Administra[ion, PB, llPD, BOA, RB Nonc X
Cit Commissioq and Ma or ns necessa None X
Land Use& Sustxinability Committcc Nonc 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 current City Commissioner or City personnel who is sought to
be lobbietl as itlentified on the lobbyist registration form filed.
List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise [o an
a earance of im ro riet if none, write N/A :
None
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specifia (Note that a
contingency fee is prohibited pursuant to City Code Sec. 2-485.3):
$850.00 per hour _ ._
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The following six(6)questions MUST be answered:
1) Pursuan��o City Code Sec�ion 2d88,enliHed'Pmhibited Campaign ContribWions By Lobbyists On Pmcurement 15sues":
Yes x No: Are vou lobbvinq on a presen[or oendinq bid (or qoods equipment or services or on a presenl or
p¢fltliflq dWdfd fOf qOOtlS ¢qUlplfl¢fl�Of 52rvIC27
2) Pursuant ta City Code Sec�ion 2d90, entiHed "Pmhibited Campaign Conlribulians By Lobbyists On Real Eslale Develapment
Issues":
Ves KNo: Are Vou lobbY��9 on a pendinq application for a Oevelopmen�Aqreemen�with the City or applicalion
�or chanqe of zoning mao desiqnation or chanqe lo the Gilv's Future Land Use Mao9
3) Pursuant ro Ciry Code Section 2�482�h�, any persan (except ihose exemp[ from the definition of "IobbyisP' as set (orih in
Section 2-481) who only appears as a representative of a no4For-profit corporation or entity without special compensation or
reimbursement for the appearonce,whether tlirect or intlirect to express support of or opposilion to any ilem, shall register wiN
ihe city clerk as requiretl by this section,but shall noc be requiretl to pay any registration fees.
_Yes xNo: Are vou representinq a nobtorprofil mrooration or entity without special comDensation or
reimbursement?
4) Pursuantlo Gity Gotle Section 2-487, the term "lobbyisC' speci�calty exclutles ihe following persons: ExpeA witnesses who
pmvide only scientific,lechnical or other specialized informalion or les�imony in public meetings;any person who only appears
as a represen�a[ive of a neighborhood associa[ian withaut compensatian or reimbursement for Ihe appearance,whether direct,
indirect or contingent, to express support oF or opposition to any item;and any person who only appears as a representative of
no6Por-pmfit community based organization for the purpase af requesting a gran� withau[ special compensation or
reimbursemenl far�he appearance.
_Ves 'No: Are you providing only scienlific, technical or_ oth�ecialized in(ormation� apoearinq as a
representative of a neighborhood association without special comoensation or reimbursement or
rearesen[in4 a not-for-arofit based orqanization for the ourpose of requestinq a qrent without
SpELidl LOfflp¢OSdtl00 Of f211fIbUf52ff1Eflf?
5) Pursuant to City Code Section 2-491(7�, no campaign consultant shall lobby the City Commission for a periotl of 12 months
(ollowing the swearing in oF any elected oHicial(s) for whom ihe campaign consultanl provided campaign consWting services
within ihe past election cycle. See Section 2-491 for more information.
Ves xNo: Have Vou provitletl campaiqn consul�inq services to an incumbenl member o(ihe City Commission
wilhin ihe oast eleclion cvcle?If ves please list the incumbent member(sl of ihe Ci[v Commission:
Ves �No: If yes has it been less than 12 monlhs since the elected official(sl whom Vou provitletl campaiqn
consulting services was sworn in?
6) Pursuant ta Ciry Code Section 2382(a)(4�a., a lobbyist who has wilhin Ihe pas� election cycle pmvided campaign consWting
services to an incumben� member of the City Commission (which lobbying activity is not o�herwise pmhibited by Code section
2-491) shall tlisclose such particular service on his/her lobbyist registration form and shall oralty disclose s_uch oarticular
service before lobbvinq Poe GiN Commission at�ubllc meetino.
Ves xNo: Have vou orovitletl camoaiqn consultinq services lo an incumbent member of Ihe City Commission
w'th'n the past elecCon cvcle?It ves please I'sl the'ncumbent member(sl ot ihe Citv Commission:
Yes "No: If ves were vou prom'setl or d'd vou receive economic consideration in eachanqe for campaiqn
consWtinq services?
TO BE COMPLETED BY CITY CLERK'S STAFF ONL1V
A'nua R�Va[ionfS [ ]Ves[�No AmounlPa'}i�tl$�j=MGR#��3�/� DatePaitl —'����
Lob�yist Registation Form receivetl antl verifietl by:Y�
. �=�. ��.;- �� . . . �. � � ;�, :mc Revisetl03/11/2020
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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 WHICH THE
LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPE Sld10 68i RING THE REPORTING PERIOD.'
Signature of Lobbyist� ��' ���' Date ovzsizoza
dC6FdOC
I do solemnly swear or affirm 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 the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach Ciry Code and all reporting eqearwoiaaq1s-.�,�
SignatureofLobbyist: �=ee.: �� �"'e��'�' Date nvn4mroa
Signature of Principal: �����' � Date ov2si2oza
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
Stale of Fbrida State of Floritla
COUnty of: Miami Dade ._ County Of: Miami Dade
Swom to(or affrmed)and subscribed before me, Swom to(or affrmed)and subscribed before me,
by means of O physical presence 6y means of 0 physical presence
or�online notarization, or� oNine notarization,
this_day of mrovvo>a . .�20_, by lhis_day of mroenma �20_, by
Michael W. Larkin Eli �atlon
NAME OF LOBBVIST NAME OF PRINGIPAL
Pmduced ID Pmduced ID
— _ _—
F FORM
x Personally Kn � x Personalty Known �
._.._....:.. . . .,�...._....,, ...
Signature of Notary Public Signature of Notary Public
Diana Ramos Diana Ramos
Name of Notary, Typed, Printed or Stamped Name of No�ary, Tiped, Printed or Stamped
Diana Famos �iana Namos
Commission p HH 38692] Commission#HH 386921
No�ary Public-S�ate of Florida Notary Publlc-S�ate of Florida
My Gommissian Expires Apr t6.20D My Cammission Expires Apr 1 fi.202�
� The Persons: ,,...., _......
Expert�...,<.,,......:.,,.. .,......
witnesses who provitle onty scientific, [echnical or other specialized information or[estimony in public meetings; any person who
only appears as a representative of a neighborhootl association without compensation or reimbursement for Ihe appearance, whether
direct, indirect or mntingent, to express support of or opposition ro any item; antl any person who onty appears as a representative of
no[-forproft communiry based organizalion (or the purpose of requesting a grant without special compensa[ian or reimbursement for
Ihe appearance.
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Ciry of Miami Beach, 1]00 Convenrion Cemer Drive,Miami eeoch,Florida 33139,www.miamibeach0.gov
Office of ihe Ciry Qerk
Rofael E. Granodo, Ciiy Clerk CilyQerk@miamibeachfl.gov
Tel: 305.673.7411, Fax: 305.673.7254
NAME OF LOBBYIST: Michae�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 faiis to file timely a Lobbyist Fee Expenditure and Compensation Statement
(Statement). In addi[ion 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 Ethics and
Public Trust of the failure of a lobbyist (or principal) to file the Statement or pay the
assessed fines after notifcation.
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
commencing October 1 of each year, and the fee for such annuai registration shall be
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
�n.o��s�e��aer
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ace mcaeemava .
Signature of Lobbyist Date
EVCLER�SPLLVeFORM9ROBBYISi PoRMSLLob�rcLRegislralion Po�m Renaea P4IAP➢REGaoc
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MCR OPEN(MCR) Office of Finance Direaor
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(THIS INFORMATION MUST BE COMPLETED) By _ _
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