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2024 Lobbyist Registration Form - 1001 Collins Ave (Elliott Aintabi) , DocuSign Envelope1�:514DEEfi9-9114L9J69C42-D20A6F38A320 '���CCIVEG / 'a�V 022024 {��( " ` I BEACH " t � ��! V`� Offce of tlia CIty Clerk '. � I � ' � . , . ' � ,n 1700 Convention Center Drive 7�-� .. . �. � Miami Beach, FL 33139 3a5.6737411 LOBBYIST REGISTRATION FORM Lobbyis�means all persons employetl or reWinetl, whether paitl or not, by a pnncipal who seeks to encourage the passage, tlefeat or motliflcation of any ortlinance. resoWlion, action or tlecision of any commissioneq any action. tlecision, recommentla�ion of tha City Manager ar any Ciry board or committee;or any ac[ion,tlecision or recommentlation of any Ciry personnel tluring the time period ot ihe enfire tlecision-making prowss on such action, tlecision or recommentlation �hat foreseeably will be heaM or revieweG by �he Ci�y Commission. or a Ciry boartl or committee. The�ertn specifically inclutles the principal as well as any employee engagetl In IobEying activities. The term "LobbyisP' has speciFlc exGusions. Please refer to Ciy Cotle Chapter 2, Atlide VII. Division 3, entitled'Lobbyisis," for additional information. Inatmctione: Please complate ell sectlons of�his fortn antl submA tha aomplatetl form,wi�h lhe applicable fee. to the Offioe of Ihe Gity Cledc. If you neetl more space to complete an answer, use a separete sheet(s)of paper. If you have no�hing to report in a particular sec6on, you musl write "none" or "n/a" in Ihat section. Any changa ro any inbrmation originally (led, or any atltlitional City Commissioner or personnel who are also sought to be IabbieG shall require[ha�t�e IobEyis[file an amentlmen[ro�he regis��ation form. The lobbyist has a continuing tlury to supply information antl amentl �he fortns filetl �hroughout the period lhat Ihe lobbying occurs. Separate registration fortns shall be requiretl fo�each pnnapal representetl on eac�specific issue I. LOBBYIST INFORMATION: Aintabi, Elliott NAME OF LOBBYIST (Lesp fflrsp (MldGle Neme) Essex House Collins, LP 1001 Collins Avenue, Miami eeach, FL 33139 LOBBVISTBUSINESSNAMEAN�ADDRESS MumbereMSVee�) (Glfy) (SYate) RipCOJe) 514375-3751 eainfabi@jesta.Com L099YISTBUSMESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILADDRESS II. PRINCIPAL INFORMATION: Aintabi, Elliott NAME OF PRINQPAL (Les1J (Frsp �Mltldle Namal Essex House Collins, LP 1001 Collins Avenue, Miami Beach, FL 33139 PRINGIPALBUSINESSNAMEAN�ADDRE59 (Numbe�antl5lrae�) (Clly) (Sta�e) (ZlpCotle) 514-3753751 eaintabi@jesta.com PRINCIPALBl151NE55TELEPHONENUMBER CELWIARTELEPHONENUMBER EMAILAD�RE55 Pursuent to Cily Cotle Secllon 2482��)(1J(e)_ A ptlnclpal of any corpora�ion,partners�ip, or oNer enpry wM10 aD�ears es a Iob�ylsl on OeM1att of I�a� entiry,wl�M1out special compensa6on o��elmbursemen�for Uie appearance,whetM1er tlired,intlirect o con�ingent.to express sup0otl o�or opposi�ion to an I�em sball iegislerwith I�e Cle�k as requlretl by tMs subsectlon butshall nd be reQutreG lo pay afry regisVation fees. If the principal is a Corporation, Partnership or Trust, the following information MUST be providetl pursuant to City Code Sec[ion 2-482(c): Eric Aintabi,Judah Bendayan, • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A�: Sylvain Brossard • NAME OF ALL PERSONS HOL�ING,DIRECTLV OR INDIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(i(none,wrife NIA�: Ellion Ainfabi and Gilbetl Bitton Page 7 of 5 � �V Doa5lgn Envelope ID'.514DEE699114-094E-9C42-020A6F38A320 III. ISSUE TO BE LOBBIED: Descri6e with as much detail as is prectical, including but not limited to a specific descriptlon where applicahle of a pending request for proposal, invitation to bitl, or public hearing numbe�. Site olan aoolication under the Live Local Act for the Clevelander(1020 Ocean Drivel and Essex House (1001 Coliins Avenue) hotels and issues related thereto IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to CiTy Code Section 2-482(a)(4), list the City Commissioner or City pe�sonnel sought to be lob6ied, and whe[her the lobbyist has enteretl into any contrac[ual relationship (paid or unpaid) with said City Commissioner or City personnel from 12 months preceding such commencement of service with the City to[he presen[date, stating the general nature of the su6ject contrac[ual relationship. Full Name of Intlividual antl Contractual Relationship Qf yes,explain) �ES NO Title of Person to be Lobbietl City of Miami Beach Committees antl Board � X City ot Miami Beach Atbmeys ORice antl Administration �( Ci�y of Miami Beach Mayor and Commissioners X �.. .__ _ _ .. . Pursuant to CiTy Code Section 2-482�g), every registrent shall be required to sWte the extent of any business, financial, familial or professional relationship, or other relationship giving rise to an appearance of an impropriery, with any current City Commissioner or City personnel wha is sought to be lob6ied as identified on the lobbyist registration form filed. List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an a earance of im ro rie it none,wrile N/A : N/A V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Soecific. (Note that a contingency fee is prohibited pursuant to City Code Sec. 2-485.3): NIA Page 2 of 5 DocuSign EnvelopelD:5140EE69-911<J94E9C42-020A6F38A320 T�e iollowing siz(6)queations MlIST be answeretl: 1) Pursuan[m Ciry Cotle Section N88,enqtletl'Pra�ibi�ed Campaign ConVi�utions By Lobbyists On Proturement Issues''. _Ves�No: Are vo I bb ' t di E'tl f tl t ( tll rGf tl i t " 9 2) Pursuarn�o Clry Cotle Sedion 2d9U, entitled"Prohibitetl Campaign ConMbuGons By Lobbyists On Real Estate �avelopment Issues' _Yes�No: Are vou IobO ' d I' t' ( � I t A t 'ih th C'N 1' t' for chanae of zon'na mao tles'anaYon or ch a [ th C'N' F t L tl ll M 7 3) Pursuant to City Cotle Section 2-083(h�. any person (except those exemp[ from Ue definition of"IobbyisC as se� fotlh in Sec�ion&4B1)who only appears as a representa�ive ofa no4for-pmfit corpora�ion oren�ity without special wmpensation or reimbursement for the appearance.whether tlirect or intlirect to express support of or opposi�ion ro any Item,shall register with ihe city clerk as required by ihis section, bu[s�all not be reQuired to pay any regis�retion kes. _Yes✓�No: Are y E 4f - flt [" TN th t " I f reimbureemenq 4) Pursuan� ta City Cotle Sec�ion Sd01. Me [eim "IobbyisY' specifically exGutles ihe following persons�. Expert wi[nesses who pmvitle only scientifiq lechnical or othe�specialiretl infortnation or tes�imony in public mee�ings�, any person who only appea�s as a represenWtive of a neighborhood associalion without mmpensation or reimbursement for�he appearance,whether tlirec( intlirec�or contingent.to express support of or opposition�o any item�, and any person who only appears as a representa�ive of not-lar-proB� mmmunity basetl organization for Ne purpose of requesting a granl without special compensa�ion or reimbursement for the appearance. _VesONo: Are vou orovidna onN sc'enCfc techn'c I ih ' I' d ' � H I re0�esen�a4ve ot a ne ahborhootl a ' ti 'th t ' I t' ' b t reP f ffi ft b d U f th f f t with t soecial comoensaLon o��e'mbursemenl'+ 5) Pu�suant ro Clfy Cotle Sec[ion Y}91(1�, no campaign consultant shall la�by ihe Clty Commisson for a period of 12 monMs following the swearing in o(any elec[etl oHcial(s) for whom lhe campaiqn consultant pmvitled campaign consulting services wi�hin ihe past election cycle. See SeMion 2-091 for more intorma�ion. _Ves�No: Mave vou oroviEetl camoa'an consulfno serv' t b t b f th CN C wi�hmthe t I f I �If 1 I' tth ' b t b ! 1 tih C'NC _Yes�No: It yes, has it been less than 12 manths s'nce Ne elect tl H' ' I( 1 h "tl tl i consullina services was sworn In7 6) Pursuant m Ciry Cotle Secaon 2-082�a)�O�a.. a IobbYisl wha has wi�hin the pasY elec�ion cycle pmvided campaign consWting services ro an incumben�membe�of�he Ciry Commission (which lobbying activiry is nol otherwise pmhibltetl by Catle section 2-491) shall disclose such particular service on hislher lobbyis� registra�ion form antl shall orallv dsclos h rt I s ry b f I �b ' th Cb C t bf f _Vea�No: Have vou orov'Oetl nmo on consulfno e [ b [ b f�h CN C wilhintha [ I f al '+If I 6Blitth ' b [ b I1 fth C'NC _YesONo: If yes were vou orom'setl or Eltl vou rece've c n I 'tl tl I h f consultina s¢rvices'+ TO 6E GOMPLETED BY CITY CLEftK'3 STAFF ONIY Annual Regi5lmtion he [ �Yes[ ]N A ounl Pa tl S MCR# Date PaiO Lobbyisl Reg s[atlon Po� cei a0 antl e fieJ by Fqut¢•ca,��� in .. . enhs* �un_ �icv.ise ,cac .. -caP _ -.n:ecuo Revised03/11/2030 Page 3 0(5 DocuSign EnvelopelD'.514�EE69-9114-094E-9G42020A6F38A320 VI. SIGNATURES UNDER OATH: ON FEBRl1ARV 28 OF EACH YEAR EACH LOBBVIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A SIGNEO STATEMENT UNDER OATH LISTING LOBBYING E%PENDITURES AS WELL AS COMPENSATION RECEIVED FOR THE PRECEDING CALENDAR VEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED TO LOBBY A STATEMENT SHALL 8E FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD' Signature of Lobbyist . � �ate December 29, 2023 Co.��.,_»., I do solemNy swear or affrm that all of Ihe foregoing Facts, sta�ements, and disclosures in this form are hue and correcl, and Ihat I have read or am familiar with �he provisions containetl in Chapter 2, Art. VII, �ivision 3, entitled "Lobbyists" of the Miami Beach City Code antl all reporting requirements. Signature of LobbyiSC ( ��� Date oecember 29, 2023 Signature of PnncipaC [�, oA ^N.^y Date oecember 29, 2023 ��II. 40TARY SIGNATURE AND SEAL: LOBBYIST' PRINCIPA S�ate of ����/� State of GAn- ,� Coun�yot:��� CountyoC ��E Swom to (or ffrmetl)and suhscribed before me, Swom to(or affrmed)antl subscribed before me, 6y means of�physical presence 6y means of�physical presence or 0 online notariz ion, or 0 online nolari tion, � ihis�tlayof�EGi_Al� 20�by this�Qda o! 2 �/l;� �f A��,�b; �//,�a� N�6�� �bY NAME OF L06BVIST NAME OF PRINCIPAL _Protluced ID Protluced ID RM�F I�ENTIFlCATION FORM OF I�ENiIFICHTION Personally K� � ersonally E +✓' E � Signatu f I otary Public / Signature o!Notary Publiy S�� � ��G�,� Jn� Name of Not i�f�f �d, PdTI�mvfYapq�p Name of Notary, Typetl. Printed or Stamped . NotaryPoblioAaearrWnaa ' �;�'� ? commisnanpxN�ovae� (NOTARY '" �� (NOTARVS ��qM1� MyComm.ExD�resOctf],1036 ,� '_, STFVENEOW�ROMCNEFF ����BontletlthrouphNltlq�alNOUryNm. .: Notary4ublic�541eafFloMi �� 'r Cammisslan i HX 3099C� �?rn./ MYComm.ErPIrnORq.30I6 "���BonEMMrou NatlOnelNWaryAvn. 'The term"lobbyist'specifically excludes the lollowing pereons�. M Expetl wi�nesses who pmvitle only scientific,technical or ot�er specializetl info�mation ot[estimony in public mee�ings; any person who only appears as a representative ot a neighborhaotl association without compensation or reimGursement for the appearence. whether tlirect intlirect or contingent. to express support of or opposition to any item�. antl any person wha only appears as a representative of noLfor�profil communiry basetl organization for the puryose o/requesting a grant withom special compensafion or reimDursement br ihe appearance. Page 4 of 5 �acuSignEnvelopel0'.514�EE69-911A-090E-9C42-020A6F38A320 Cily of Miomi Beaoh, V00 Canvemion Cen�rDrive,MivmiBeoch,Florida 33139,www.miomibeachFl.gov Oflice of ihe Gry Clerk Rafael E.Gmnado,CiyClerk CityClerkQmiamlbeachfl.go� 1e1: 305.b73 7411, Fox: 305.673.7254 NAME OF LOBBYIST: E��iott Ain�abi 1) LOBBVIST 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 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 ile 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 ihe Miami-Dade County Commission on Ethics and Public Trust. I hereby acknowledge that on February 28 of each year, I shall submit to ihe City Clerk a signed Statement under oath listing all lobbyist expenditures, as well as compensafion received, for ihe 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 thai issue, I shall immediately file a Notice of Withdrawal with the Office of the City Clerk. 3) ANNUAL LOBBVIST 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 ihe Miami Beach City Code. C� � December 29, 2023 Si�gnafuie of Lobbyist Date F CLEIiVtLuaFOPN5CO8BYiA�OPNSLOLrym Pealerenon com Feri[e� NJ.2�PEG ooc Page 5 of 5