2024 Lobbyist Registration Form - 94 Palm Ave (Jamie Mandel) ��� �'a)�„ d� �,e
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�ECEIVE�
° . ' BEACH
;
on��eannea�ycierk AUG 302024
1700 Convention Center Drive
Miami Beach, FL 33139 CITV OF MIAMI BEA�,H
305.673.7411 OFfICE OF7HE CITV CLFRV
LOBBYIST REGIS7RATION FORM
Lobbyisl means all persons employetl or ra�ained, whether paitl or no�, by a pnncipal who seeks to encourage the passage, tlefeat or
motlifcalion o(any ordinance, resolu�ion, aclion or decision of any commissioner, any ac�ion, tlecision, recommentlation oF the City
Manager or any Ciry boartl or committee;or any aclion,decision or recommentlation of any City personnel tluring Ihe�ime periotl of�he
en�ire tlecisionmaking pmcess on such adion, decision or recommentlation that foreseeably will be heard or reviewed by Iha City
commission, or a City board or commi��ee. The term specifically inclutles�ha principal as well as any employee engaged in lobbying
ac�ivities ihe�erm "Lobbyis�s"has specific exclusions. Please refer�o City Cotle Chap�er 2, Arlicle VII, Division 3, en�i�lad"Lobbyis�s,"
for atlditianal in(ormalion.
Insimctians: Please comple�e all sec�ions of this form antl submi��he completetl fortn,wilh[he appliwble fee, to�he Office of the City
Clerk. 1(you need more space lo wmple�e an answer, use a separeta sheel(s)of paper. If you have no�hing to report in a particular
section, you mus� wn�e "none" or "n/a" in �hat section. Any c�ange �o any informa�ion originally filatl, or any atltli�ional Ci�y
Commissioner or personnal who are also sought ta be lobbietl shall require that ihe lobbyis�file an amendment to ihe registralion fortn.
The labbyis� has a coNinuing duty to supply informa�ion and amentl �he fortns (latl �hmughou� the penotl �hat [he lobbying occurs.
Separa�e regislra�ion forms shall be requirea for each principal represented on each speu(c issue.
I. LOBBYIST INFORMATION:
Larkin Michael W.
NAMEOFLOBBYIST (Lest) (Fim) (MitltlleName)
Bercow Radell Fernandez Larkin &Tapanes, PLLC 200 S. BiscaYne Blvd., Suite 300, Miami, AL 33131
LOB9YISTBUSINESSNAMEANDADORESS (Numberantl5hee�) (City) (S�ate) (ZipCoae)
(305) 374-5300 mlazkinObrzoninQlaw.com
LOBBYIST BUSMESS TELEPHONE NUMBER CELLULHR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Mandel B. 7amie
NAME OF PRINQPAL (Last) (FLs�) (Midtlla Name)
Palm Island Residence Trust 94 Palm Avenue Miami Beach Florida 33739
PRINGIPALBUSWE53NAMEANDADDRESS (NumberanOS�reel) (Qty) (Sla�e) (ZlpCotle)
(7861535-1066 bmand 118�gmailcom
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
_ Pursuan�to City CoOe Sec�ion 2J82(h)(1)(a): A pnncipal of any mryomtion, paMarsM1ip, or o�he�en�ily w�o appears as a lobbyis�on Lehalf of t�at
- entiry,wi�M1out special wmpensation or relmbursemen�for IM1e epPearence,wM1el�er direct,inEirect o ontingenl,�o express suppori W or opposition to
- an item s�a0 ragis�erwi�M1��e CIeM1 as repui�etl Gy�his subsec�ion but s�all not be�epui�etl b pay anyrregis�a�ion fees.
' If the principal is a Corporetion, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2-082(c):
- • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARV(i7 none,wri[e N/A):�amie U.hlandel,Authorized Porsnn
- . NAMEOFALLPERSONSHOLDING, UIRECTLVORINUIRECTLV,A5%ORMOREOWNERSHIPINTERESTINSIICH
CORPORATION,PARTNERSXIP OR TRlIST(iT none,write N/A): See atlachetl
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III. ISSUE TO BE LOBBIED:
Describe with as much detail as is prectical, including but not limited to a speciRc description where
applicable of a pending request for proposal, invitation to bid, or public hearing number.
Development Approvals & Permitting Issues, inclvding but not limited to the Historic Preservallon
Board, Design Review Board, PlanninR Board, Board of Adjustment, Land Use Development, City
Commission, and any City Workshops or Committees, if necessary, relating to the property located
at 94 Palm Avenue in Miami Beach, Florida.
IV. CITY AGENCIESIINDIVIDUALS 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 contrectual relationship (paid or unpaid) with
said City Commissioner or Ci[y 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 ot Individual antl Contrectual Relationship (Hyes,explain) vE5 No
Title of Person to be Lobhied
Staff for the Planning& Building Department None X
Public Works & Citv AdministraHon,PB, HPB, BO None X
DRB,City Commission, and Mayor as necessary None X
Land Use &Sustai�abili Committee None X
Pursuant to City Code Section 2-482(g), every registrent shall he required to state the extent of any
business, financial, familial oi professional relationship, or other relationship giving rise to an
appearance of an impropriety, with any wrrent City Commissioner or City personnel who is sought to
be lobbied 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 riet if none,write NIA :
< None
= V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a
" contingency fee is prohibited pursuant to City Code Sec. 2-085.3):
` S850.00 per hour
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The following six(6)questions MUST be answeretl:
1� Pursuan��o City Cotle Sec�ion 2-488,enYtlatl"Pmhibi�ed Campaign Conlnbutions By lob�yis�s On Procuremen�Issues":
_Ves x Na: Are I bb ' c t d' u b'd i tl o 'o t t
centlina award tor aoods.eau'oment or sery ie?
2) Pursuan�[o City Cotle Sec�ion 2<90, enti�letl"Prohibitetl Campaign Contn�utians By Lobbyists On Real Es�ate Development
Issues^.
_Ves X No: Are vou lobb ' tl' I' f f D I t A [ 'th th C'N I' C
f h i d f h t ih C'W' F t L dU M i
3) Purouan� to Ciry Coae Sec�ion 2-082(h), any person (excapl Ihose exempl from Ue tlefinilion of "IobbyisP' as set fohh in
Seclion 2<81�who only appears as a represen�aliva o(a nohforvpmft corpora�ion or en�ity wi�hoN special wmpensa�ion or
reimbursemeM for�he appearance,whether direc�or intlirecl to ezpress suppotl of or opposition�o any i�em,shall register wi�h
ihe city clerk as requiretl by Ihis section,but shall not be required to pay any registration(ees.
_VesXNo: Are vou reoresentino a no4tor-oro(it comoration or entiri w'thout soeial romoensafon or
reimburaement4
4) Pursuant to Ciry Code Section 2-481, �he lertn "lobbyis�" specifirally excludes Ihe following persons Expetl wi�nesses who
pmvide only scientifc, tachnical or a[her specializatl intortna�ion or�es�imony in public meetings;any person who only appears
as a rapresen�ative oi a neighborhootl associa�ion wi�hou�mmpensa�ion or reimbursemen�for the appearance,whe�her tlirect,
intlirect or coNingen�,�o express suppotl of or opposilion�o any i�em;and any person who only appears as a representa�ive of
no4forpmfit communily based organiza�ion for Ihe purpose of requesGng a grenl wi�hout special compensation or
raimbursemen�for the appearance.
_VesXNo: Are vou orov'E'nn onlv scenCic technbal ih ' I' d ' f �' ' fl
r¢ Wt' f ' hbo h tl � t 'ih t ' I t' ' b t
reoresentina a no�-tororofit based oraanization tor ihe ourooae oi reauest'na a aront w[hout
soecial comoensa�ion or reimbursement]
5) PursuaN to Cily Code Section 2�97�7�, no campaign consW�ant shall lobby the City Cammission /or a penod of 12 mon�hs
following �he sweanng in of any elecleG official(s)for whom the campaign consultan� pmviaetl rampaign consulting services
wi�hin the pas�elec�ion cycle. See Seclion 2<97 for more in(ormalion.
_Yes xNo: Have vou orovided camoainn consultina services ta an incumbent member of the C'tv Comm'as'on
within the oas[eleetion cvclei If ves.nlease list ihe incumbenl memberlsl ot the C'N Comm'ss"on'
_Ves x No: It ves has 't been less ihan 72 months s'nce the al t tl oH' ' II 1 h 'tl tl
consultina services was awarn ini
6) Pursuant to City Cotle Section 2d82(a)�4�a., a lobbyist who has within ihe past election cycle pmvitlatl campaign consulting
services lo an incumben�member of Ihe City Commission(which lobbying activiry is no�otherwise prohibi�etl by Cotle seclion
2<91) shall disclose such patliwlar service on hislher lobbyist regis�retion form and shall orallv tlisclose such oahcular
servica before IobbWno the CiN Commissbn at a oubfc meefno.
_Yes x No: Have vou orovitled camoaian consultina services to an incumbent member o(the C'N Comm'as on
within ihe oast elec[ion cvcle?ITves.olease liat the incumbent memberfsl aTthe Civ Comm'ss cn'
- _Yes X No: If vn were vou orom'setl or d'd vou rece've e o 'A C h �
COOsultill9 aerviCC57
. ' (' V IOVB TO BE COMPLECTED BY CRY CLERK'S STAFF{ONl�Y1
AnnualRepiatratlonfx: bllYes[ �No AmounlPaltlS-��U MCR,1 /'�/v ) o�vaia� 30 �C
Labbyist Reqiatration Form recalvatl and vMfiatl py:�
F�I�REF\SALL\aFORMS\10B9YI5TFOXMSLLobLyis�Rcgisha[ionFormPovhoel �4-30-IBRfG.tloc RlVI6[E09/20/2018
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VI. SIGNATURES UNDER OATH:
ON FEBRl1ARY 28 OF EACH YEAR EACH LOBBYIST SHALL 5UBMIT TO THE OFFICE OF THE CITY CLERK A
SIGNED STATEMENT UNDER OATH LISTING LOBBYING E%PENDITURES AS WELL AS COMPENSATION
RECEIVED. FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAGEO TO LOBBV. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR CO Nfi�IAE1I0N DUI �R�,I�NG THE REPORTING PERIODJ
SignaWreofLobbyisf. ��`�' �' �0'e�u' Date oa�2a2oza
I do solemnly swear ar aflirm Ihat all of the Foregoing facis, statemenls, and disclosures in this form are hue and correct,
and that I have read or am familiar wilh the provisions contained in Chapler 2, Art. VII, Division 3, enti11e0 "Lobbyists" of
Ihe Miami Beach Cily Co �HveportIin�g�,�requiremeMs.
SignalureofLobbyisf. �� w' �e��' .as�� Date o�2er2w4
SignatureofPrincipaC '—' �J�`� Da�e 08/2BIzo2a
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
Stale ot Florida State oF Florida
Countyof�. Miami-Dade CountyoE Miami-Dade
Swom to(or affimed)and subscribed before me, Swom b(or affrmed)and subscribed before me,
by means of 0 physical presence by means o/O physical presence
or� online notarization, or 0 online notarization,
�his_day of nnnnnroa . 20_, by �his_day of nnnw�roa . 20_, by
Michael W. Larkin Jamie 6. Mandel
NAME OF LOBBYIST NAME OF PRINCIPAL
_Protluced ID Produced ID
FORM OF IOENTIFlCATION FORM OF IDENTIFICATION
xPersonally K x p¢�sonally K
— __. —
,......�...,. .....L ..-::.-.... �
Signature of Notary Public SignaWre of Notary Public
Diana Ramos Diana Ramos
- Name of Nofary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped
Diana Ramoc Diana Ramos
Commisslon p HH 1e69E] Commlaslon M HH 98692]
- NotaryPublic�5ta�eofRonda NotaryPublic-S�ateofFlonOa
My Commission Expi�as Apr i6.2029 My Commission Expires Apr 16,202]
- ' Th g persons:
" Expeh wi�nesses who pmvitla only scien�ific'�echnical or other spacializedLinforma�ion or tes�imony in publicemeelings;any person who
- only appears as a representa�ive of a neighborhooa association withoW campensa�ion or reimbursamen�for fhe appearance,whether
tlirec�, indirect or con�ingen�, to express supporl o(or opposi�ion�o any item; and any person who only appears as a represenla�ive of
no4for-profi�communiry basetl organiza�ion for(ha purpose of reques�ing a grant wi�hou�special compensa[ion or reimbursemen� !or
�he appearance.
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Ciy ef Miami Bea<h, V00 Convenuo�Ce��er Dd�e,Miom�Beach, Flodda 33139,www.mlamlbea<hfl.go�
Office of rhe Ciry Clerk
Rafael E. Gmnada, Ciy Qerk CiryClerkfamiamlbeachfl.gov
TeL 305.6737411, Fax: 305.h737254
NAME OF LOBBYIST: Michael W. Lazkin
1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
Pursuant to City Code Section 2-485(d), the City Clerk shall notiTy any lobbyist (or
principal)who fails to fle timely a Lobbyist Fee Ezpenditure 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 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 file the required Statement by April 30'" of each year, shall be
automatically suspended from lobbying until all fnes 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 with regard to the specific issue on which I have
been engaged to lobby.
2) LOBBYIST WITHDRAWAL
Once an issue I have registered lo 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 annual registretion shall be
� $500.00 pursuant to Section 2-482 of the Miami Beach City Code.
� �I�" W, �1� p8/282024
Signature o��o��yist Date
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Disclosure of interest for"Palm Island Residence Trurt"
Palm Island ResiAenca Trusl
TRUST NAM[
NAME AND ADDRE55 %INTEREST
Palm Island Holdinos LLC as Trustee 0%
251 Little Falls Drive.Wilmington, DE 19808
Benefciarias:
David Ceniner 50%
Laila Cenmar 50%
3921 Atton Road,i1465. Miami Beac�, FL 33140
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