2024 Lobbyist Registration Form - 3009 Pinetree DR (Tomas Philipson) 3009 t°'• ns.��e�e. Dc.
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HECEIVED
, " ' BEACH
oa�ce or me c�ry ae�k SEP 1 7 2024
� 1700 Conventian Center Drive
Miami Beach, FL 3313s CITY OF MIAMI BEACH
305.6737411 *JcpICE OF rHF CITY CLEFK
LOBBYIST REGISTRATION FORM
Lobbyis�means all persons emplayed or re�ained,whe�her paid or no�, by a pnncipal who seeks lo enmurage �he passage, tlefea�or
modifca�ion of any ordinance, resoWtion, action or tlecision of any commissioner, any ac�ion, decision, recommenda�ion o( �he Gi�y
Manager or any City boartl or mmmitlee;or any ac�ion,decision or recommenda�ion of any City Oersonnel tluring�he Iime periotl of Ihe
entire decisionmaking process on such action, tleasion or recommentlation that foreseeably will be heartl or reviewetl by the City
commissian, or a Ciry �oard or commitlee. ihe [erm specifically includes�he principal as well as any employee engaged in lobbying
aclivi�ies.The tertn "Lobbyists" has specific exclusions. Please refer�o GiN Code Chaplar 2, Article VII, Division 3, en�illed "Lobbyists,"
for additional informa�ion.
Insiructions: Please comple�e all sec�ions of lhis fortn and submi��he completea fortn,wi�h lhe applicable fee, to�he Otfice of the Ci�y
Clerk. If you need more space to camplata an answer, use a sepa2�e shee[(s)of paper. Ii you have no�hing to report in a particular
section, you must wrile "none" or "nla" in ihat sec[ion. Any change to any information originally (latl, or any additional City
Commissioner or personnel who are also sougM ro be lobbietl shall require ihat the lobbyist file an amentlmen[to the regisiretion form.
The lobbyisl �as a continuing tluty to supply information antl amend tha fortns filed Ihroughout ihe period that Iha lobbying occurs.
Separate regislation forms shall be required for each principal represented on each specific issue.
I. LOBBYIST INFORMATION:
Lazkin Michael W.
NAME OF LOBBVIST (Lasl) (Flrst) (Mitldle Name)
Bercow Radell Fernandez Lazkin &Tapanes PLLC 200 5. Biscayne Blvd.,#300, Miami,FL 33131
LOBBVISTBUSINESSNMAEANDAODRE% (Num�erentl3heet) (Clry) (Stele) (ZpCode)
305374-5300 mlarkinObrzoninglaw.com
LOBBVISTBUSINESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILAD�RESS
II. PRINCIPAL INFORMATION:
Philivson Tomas
NAME OF PRINGIPAL (Les�) (FIrsQ (Mitltlle Nama)
TJP FL Residence LLC 3009 Pine Tree Drive Miami Beach Florida 33140
PRINCIPAL BUSINE55 NAME AND ADDRESS (Numeer antl Shee�) (Ci�y) (S�a�e) (Zlp Cotle)
773-502-7773 tomasjphilipson:��gmail.com
PRINGIPALBUSINESSTELEPHONENUMBER CELLULARTELEPHONENUMBER EMAILADDRESS
Pursuan�to Cdy Coee Sec�ion 2�482(�)(1)(a): A principal o�any mryoratioq partners�ip,or ot�er en�iry w�o appears as a lobbyist on ba�alt o(Ihat
en�i�y,wi��oul special compensalion o��eimbursemen�br IM1e appearance,whe��er Girect,Intllrec�,orwnfingent,b evpress suppotl W or opposi�ion�o
an I�em sM1all regater witM1 IM1e Qe�k as requiretl by IM1is subsedion Eul sM1all not be reQuireE to pay any regls�ration fees.
� If the principal is a Corporetion, Partnership or Trust, the following information MUS7 be provided
' pursuant to City Code Section 2d82(c�:
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARV(if none,write NIA�: T. P�tillPson
- . NAMEOFALLPERSONSHOLDING, DIRECTLVORINDIRECTLY,AS%ORMOREOWNERSHIPINTERESTINSUCH
CORPORATION, PARTNERSHIP OR TRUST(i(none,write N/A�: TOtt125 P�L�i�Son- 1���
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III. ISSUE TO BE LOBBIED:
Describe wi[h 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 numbar.
Development Approvals &Permitting Issues, including but not limited to the Historic Preservation
Board, Design Review Board, Planning Board, Board of Adjustment Land Use Development City
Commission, and any City Workshops or Committees, if necessary, relating to the property located
at 3009 Pine Tree Drive in Miami Seach, 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 lo6byist has entered into any contrectual relationship (paid or unpaid) wi[h
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 contrectual relationship.
Full Name o(Intlividual and Contractual Relationship(If yes, explain) vEs No
Title of Person to he Lobhied
Staff for the Planni�g & Bvilding Department None X
Public Works& Ci Administration, PB, HPB, BO None X
DRB, Citv Commission, and Mavor as necessary None X
Land Use &Sustainabilitv Committee None X
Pursuant to City Code Sec[ion 2-482�g), every registront shall be required to state the extent of any
business, financial, familial or professional rela[ionship, 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 registretion(orm filed.
' - List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an
- a earance o(im ro riet if none write N/A :
None
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):
5850.00 per hour
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The(ollowing six(fi)questians MIlST be answeretl:
1) Pursuant to Ci[y Coda Section 2-d88,entilled'Prohibitatl Campaign Coninbulions By LOGGyisis On Procurement Issues":
Ves XNo: Are ou lobbv'na on a oresent or cend'na b'tl(or aoods eouiomenl or services.or on a oresent or
oe tl' df A t ' e?
2) Pureuant�o City Code Seqion Y-490,en�itled 'Pmhibi�etl Campaign ConlnbWions By Lobbyisis On Real Es�ate Developmen�
Issues":
Vea x No: Are vou lobbv'na an a oend'na aool'cat'on for a Develooment Aareement with the CiN ar aoolieation
for chanae o(zon'na mao des'nnalon or chanae to the CiN's FuNre land Usa Mao9
3) Pursuant �o City Catle Sec[ion 2-482�h�, any person (except those exempl from tlie tlefinilion of"IobbyisP' as set forth in
Section 2-081)who only appears as a re0resen�a�ive of a nol-for-pmf[corporafion or en�ity wi�hou�special mmpensalion or
reimburoamen�for Ihe appearance,whe�har tlirec�or indirec[to express suppoM1 ot oropposi�ion lo any i�am,shall register with
the city derk as raquiretl by this section,but shall not be required ro pay any regisiration fees.
YesXNo: Are vou reoresent'na a not-(or-orofit corooration or entitv wilhout soecial comoensation or
reimbursement9
4) Pursuan� �o CiN �de Sac�ion 2<81, Ihe �erm "lobbyis�" specifwlly excludes the following persons: Ezpert wi�nesses who
pmvide only scienti�ic,�echnical or o[her specializatl infortna�ion or�estimony in public mee�ings;any person who only appears
as a represen�ative of a neighborhootl associa�ion wi�hou�compensation or reimbursemeM for�he appearance,whether tlirecl,
indirect or con�ingen�, lo axpress supporl of or opposition�o any item;and any person who only appears as a representative of
no4(oo-pmfi� community based o�ganization for [he purpose of reques�ing a gran� withoW special compensation or
reimbursemen[for�ha appearance.
VesxNo: Are vou orw'd'nn onlv sc'ent'f'c lechncal or other aoecializetl intormation: aooearinu as a
p t f t ' hbo h tl ' f n iho t s ' 1 f b rsement or
f 4T oft b d ' E ( lh f re f t 'ih t
soecial comcensation or reimbursemenll
5) Pursuan[�o City Code Sedion 2-091�7�, no cam0aign consultan�shall lobby the Ciry Commission for a penod of 12 mon�hs
following �ha sweanng in of any elec�etl offcial(s) for whom �he campaign consultan� pmvitletl campaign consul�ing services
within�he pas�election cycle. See Sec�ion 2d91 !or more information.
Ves XNo: H 'd tl IC t an 'ncumbent member o(ihe C'W Comm'ss on
w[h'n ihe oast eleclian cvcle4lf ves Dlease lis�the incumbent member(s)o(the CiN Commission:
Yes X No: IT vas has 't been less than 12 months aince the electetl o(liciallsl whom vou orovidetl camoaian
consultina services was sworn in4
6) Pursuan��o Ci�y Cotle Sec�ion 2-982�a)(4)a., a lobbyist who has wi�hin Ihe past elec�ion qcle pmvided campaign consulting
sarvices to an incumbent member of�he City Commission(which lobbying ac[ivi�y is nol olherwisa prohibi�etl by Code sec�ion
2-491) shall tlisclose such patlicular service on his/her lobbyisl registration form and shall orallv dsGose such oarticular
service before labbv nq�ha C tv Gommission at a Dublic meelinq.
- Ves X No: N 'tl 0 I[' t be t b f[h C'N Comm'sa'on
'th' th t I f I P I( I I' Hh � be t be 1 1 f ih C'N C 'ss'on�
I
�
� _Ves x No: If d d'd om'c cons'tlerafon 'n exchanae for camoa'an
- caOsulti09 5¢rvICE87
- TO BE COMFLEfED BY LRY CLERK'S STAFF ONLY �/
� AnnualReglatm4onfee: [�Yas[ ]No AmouMPayitl�f�3�� MCRP�� 7�7 DMePaltl /�
� Lobbyis�Ragis4Mlon Fonn mcelvetl a�M vanfiW by: /�4
_ F.\QEP��SALl1aFORMS\LOBBYSTf00.M5\WbbyiS�ReqlstaEon omPevl�otl 09�34�15REG.tloc RlVISGAO9�2O�YOIB
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VI. SIGNATURESUNDEROATH:
ON FEBRUARY 28 OF EACH YEAR. EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITV CLERK A
SIGNEO STATEMENT UNDER OATH LISTING L08BYING E%PENDITURES. AS WELL AS COMPENSATION
RECEIVED FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE 5PECIFIC ISSUE ON WHICH THE
LOBBYI57 HAS BEEN ENGAGED TO L088Y. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMP 6�4R0lbUURING THE REPORTING PERIOD.'
SignaWreofLo66yist�. ��' �' ��' Date oeii�izozo
I do solemnly swear or affirm that all of the foregoing facts, stalements, and disclosures in this torm are true and correct,
and Ihat I have read or am familiar with the provisions wntained in Chapler 2, Atl. VII, Division 3, enliHed "Lobbyisls" of
the Miami Beach City Code wWwpe4ing requirements.
SignatureofLobbyisl: ��' w' �� �h�� Date ��»�2oz4
SignaWreofPrincipal�. � �0mas P��r�' Date oermzoza
mno.�nea ...�
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of Florida Sta�e of Florida
CounryoP, Miami-Dade CountyoP. Miami-Dade
Swom to (or affrmed)and subscribed before me, Sworn to (or aKrmed)and subscribed before me,
by means of O physical presence 6y means of� physical presence
or CJ�online notarization, or IXonline notarization,
Ihis_day of neinnma . 20_, by Ihis_day of r�innm¢ . 20_, 6y
Michael W. Lazkin Tomas Philipson
NAME OF LOBBVIST NAME OF PRINGPAI
ProducedlD ProducedlD
Fo [y�
�Pereonally Kno � � X Personally K � �
SignaWreofNolary ublic��� SignaWreofNolaryPublic��m
? Diana Ramos Diana Ramos
� �� a o a T P i t r S ed Name of Notary, ryped, Printed or Stamped
= Dlana Ramos Dlana Hamos
� = CommiasiontHH38692] Commission%HH3889I]
_ Nofary Publio-State of Florida NoGry PUGIio-Slale of Floritle
- MyCommissianExpiresApr16,202] MyCommissionEnpiresApr1fi,202]
'Th , , . g persons:
' Expetl wiMesses wha pmvitle onty scien�i(ic,lachnical or other specializetl informalion or�es[imony in public mee�ings',any person wha
- only appears as a represen�ative of a naighbortwotl association without compansatlon or reimbursement for the appearance,whether
direc�, intlirec�or contingent, to ezpress suppotl of or oppasi0on [o any i�em;antl any person who only appears as a represenla�ive of
- noFforyrofit communi�y basetl organiza�ion for[he pur0ose o(reques�ing a gran[without spacial compensation or reimbursemen�for
�. Ihe appearance.
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Ciy of Miami Beaah, 1100 Convemion Cenkr Drive,Miam'� Beoch, Florida 331 J9..vww.miomibeachA.gov
OHice of rha Ciy Clerk
Rafael E. Gmnado, Ciy Qerk CityClerk@miamibeach'I.gov
Te1: 305.b737411, Fan 3056737254
NAME OF LOBBYIST: Michae]W. Larkin
1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
Pursuant to City Code Section 2-485(d), the City Clerk shall notify any lobbyist (or
pnncipal)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 file the Sta[ement or pay the
assessed fines after notification.
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 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 specifc issue on which I have
been engaged to lobby.
2) LOBBYIST WITHDRAWAL
Once an issue 1 have registered to lobby has concluded or I am no longer lobbying on
[hat issue, I shall immediately fle a Notice of Withdrawal with the Office of the City Clerk.
� 3) ANNUAL IOBBYIST 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 Beach City Code.
- �InA(AAMA, W �arel4L O6/1]I202A
�.sw�•a er
c o ncs�.wra
= Signature of Lobbyis�` Date
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