2024 Lobbyist Registration Form - Entertainment and Supper Club (Gerald Bouhana) � �n�erio:��.e,`�
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'�FCEIVED
MIAMI BEACH Offceaf�heCityClerk SEP I1202Q
1700 Convention Center Drive
Miami Beach, R 33139 CITY OF MIAMI BEACH
305.6737411 OFRC6^F-�.�E CITY CLERK
LOBBVIST REGISTRATION FORM
Lobbyist means all persons employetl or retained, whether paid or no[, by a principal who seeks to encourage the passage, defea�or
modification of any ordinance, resolution, aclion or decision of any commissioner; any ac[ion, decisioq recommentlation o( the City
Manager or any City board or mmmittee; or any ac�ion, tlecision or recommenda�ion of any City personnel duiing the�ime periotl of the
entire tlecision-making process on such action, decision or recommentlation iha� foreseeably will be heartl or reviewetl by Ihe Gity
Commissioq or a City board or mmmittee. The term speciFlcally inGudes the principal as well as any employee engaged in lobbying
ac�ivi�ies. The term "Lobbyisf' has specifc exdusions. Please refer to Ciry Code Chap�er 2, Article VII, Division 3, entitled "Lobbyists,"
tor atlditional information.
Instmetions: Please complete all sections of this form antl submit the mmpleted form,with�he applicable(ee, to the OKce of the City
Clerk. If you need more space lo complete an answer, use a separate sheet(s) of papec If you have no�hing �o report in a particular
section, you must write `none" or "nla" in that section. Any change to any information originally filetl, or any atltlitional Ciry
Commissioner or personnel who are also sought to be lobbied shall require that ihe lobbyisl fle an amendment to the regisiration(orm.
The lobbyist has a wntinuing dury to supply information and amentl the forms �led throu9hout ihe period �hat Ihe lobbying occurs.
Separate registration forms shall be requiretl far each principal represented on each specifc issue.
I. LOBBYIST INFORMATION:
Andrade, Rafael E
NAME OF LOBBVIST (Lest) (FirsiJ (Mitltlle Name)
Law Offices of Rafael E. Andrade, P.A. 1688 Meridian Avenue Miami Beach FL 33139
LOBBVIST BUSMES&NAME AND A�DRESS (Number end 9[reet) (Glty) (3tata) (Lip Cotle)
(305) 216-2028 ralph@randradelaw.com
LOBBYISTBUSINESSTELEPHONENUMBER CELWLARTEIEPMONENUMBER EMAILAD�RESS
II. PRINCIPAL INFORMATION:
Bouhana, Gerald
NAME OF PRINCIPAL (Last) (First) (Mlddle Name)
1445 Pennsylvania Ave LLC 320 Lincoln Road Miami Beach FL 33139
PRINCIPALBUSWESSNAMEAN�ADDRE9S (Numberentl5heet) (CityJ (S�e�e) �pCatleJ
(305) 527-6886
PRMQPALBUSWESSTELEPHONENUMBER CELLULHRTELEPHONENUMBER EMAILADORE55
Pursuant to Ciry Code Section 2�182(h)(1 ga$.A pri�ipei of any corpora6on, partnership,or o�her entily wM10 appears as a bbbyist on behalf of tha�
an�iry,withoul special compensafion w reimEursemen�fw ihe�.appesance,whefher direct indirec�,or mn4ngm[m express support of w opposiGon�o
an i�em shall register wXh the CIeM as repuiretl by this suEsedion but slwll�rot be requiretl to pay any regisiration(ees.
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2-082(c):
Gerald Bouhana. MGR
• NAME OF CHIEF OFFICER, PARTNER,OR BENEFICIARY(if none,write N/A):
• NAME OF ALL PERSONS HOLDING,DIRECTLV OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST(if none,write NIA): GBfeld BOUh202
Page 1 of 5 �
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.
Enter�ainment and Supper Club Regulations Ordinance and related matters.
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 �2 months preceding such commencement of service
with the City to the present date, stating the general nature of the subject contractual relationship.
Full Name of Indivitlual and Contractual Relationship(If yes, explain) vEs NO
Title ot Person to be Lobbied
Mayor and City Commission x
Ail City Staff � x
All Ciry boards �, x
Pursuant to City Code Section 2-482(g), every registrent 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 lobbied as identified on the lobbyist registration form filetl.
List any 6usiness, Financial, Familial or Professional Relationship, or other relationship giving rise to an
a earance of im ro riet if none,wnte N/A :
N/A
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):
$10.000.00 per month
Page 4 of 5
The following six(6)questions MUST be answered:
1) Pursuant lo City Cotle Section 2088,entitled'Prohibitetl Gampaign Contributions By Lobbyisis On Pmwrement Issues"�.
_Yes x No: Are v I bb ' t d' b'd f tl o ' t t
oendinq award for aootls ecuioment or serv'ce�
2) Pursuant to City Cotle Section 2-490, entitletl'Prohibited Campaign Contnbutions By Lobbyis�s On Real Estate Development
Issues"'
_Vas x No: Are I bb ' d' f C t D I t A t 'th th C'N I' C
for chan f tl C h t th Ct ' F t L d U M
3) Pursuant ro City Code Sec�ion 2-482�h}. any person (except ihose exempt fmm the tlefnition of "IobbyisP' as set fohh in
Section 2-481)who only appears as a representative of a not-for-proft corporation or en�ity without special compensation or
reimbursement for the appearence,whether tlirect or indirec[to express support of or opposition to any item,shall register with
ihe ciry derk as requiretl by this section, but shall no�be required to pay any registration(ees.
_Yes xNo: Are v C 4f - f't C Ct 'th t ' I aC
reimbursemen[7
4) Pursuant to City Code Section 2-087, the term "IobbyisP' specifcally exclutles ihe following persons Expert witnesses who
provitle only scientifc,technical or other specialized information or testimony in public meetings; any person who only appeare
as a representative of a neighborhood association without compensation or reimbursemeN for the appearance,whe[her direct,
indirec�or contingent, to express support of or opposition to any item;and any person who only appea5 as a representative of
not-forpmfil wmmunity based or9aniza�ion for Ihe pwpose of reques�ing a grant withoW special wmpensation or
reimbursement for the appearance.
_Ves x No: Aw 'd I Cf' t h " I th ' I' tl ' f f o
re t f f ' hb a d ' f 'th t " I f ' b t
representinq a nobfor-orofit basetl oraanization tor the ourpose of reouest'no a arant w'thout
soecial comoensation or reimbursement7
5) Pursuant to City Code Section 2�91(1�, no campaign consultant shall lobby�he Ciry Commission for a penod of 12 monihs
following the swearing in of any elec�ed oHicial(s)for whom the campaign consultant provitletl campaign consulting services
within the past elec�ion cycle. See Section 2-491 for more information.
_Yes x No: Have vou orov'ded camoa'on consult'na serv'ces lo an 'n mb t C f th C'N C
'th' th t I f I � It I f �th ' b t b 1 1 f�h C'tv C
_Yes_No: If ves has 't been less ihan 12 monfi�s since the el ct d fF ' It 1 h v o o 'd d
consultina services was sworn in?
6) Pwsuant�o City Code Section 2-082�a)(4)a., a lobbyist who has within �he past election cycle pmvitletl campaign consWting
services to an incumbent member oi the Giry Commission (which lobbying activity is not otherwise prohibiletl by Code section
2-491) shall disclose such particular service on his/her lobbyist registralion form and shall orallv d'sclose such oarfcular
service betore lobb - [h Ct C t bf [
_Ves X No: Have vou orovitletl camoaiqn consullinq services to an 'ncumbent member of ihe C'tv Comm'ss'on
within[he oast elecCon cvcle�If ves olease fst the'ncumbent memberlsl o�the C'N C
_Ves_No: I/ es ra ou romisetl or ditl ou receive economic consideration in exchan e for cam ai n
consultino services?
f ` YS}g�Rci TO BE COMPLETED BV CITY CLERN'S STAFF ONLV /�
. Annual Registration fre: �J]Yes[ ]No Amount Paitl7�$31�' � MGR# L��3`7 Date Paitl� � ,
Lobbyis[Regishatlon Form receivetl antl verifieA by: /J�"l
F:\LLER\SALt\aFORMS\LOBBYISTFORMS\�obbyistR¢girt�afianFormftevised 0331-20RFG.Eoc RCVISld03�11/2020
Page 3 of 5
VI. SIGNATURES UNDER OATH:
ON FE&�UARY 38 OF EeGH YEeR EeCH LOBBVIBT SMALL SUBMIT 70 7HE OFFIGE OF THE CITY GLERK A
dGNED BTATEMENT UNDER OATH. LI9TIN0 LOBBYINO EXPENDITIlREH. AS WELL AS GOMPENSATON
REGEIVED FOR THE PRECEDIN6 CAIENDAR YEAR WITH REOARD TO THE BPECIFIG 188UE ON WXIGH THE
�
�����: ,�` " �_- - — o� � z Y
I do aobmny ev+ear or aMrtn that ell of the foregoing faW, efstemanb,arW tlieUowrea in Nia form ere hue aM corteG,
and Mat I have read or am tamillar with Ma pmvlelonn conlalne0 In Chapter 2, ArL VII, DW ion 3, errtHleA'LODDy'nfn' 01
the Miami Beac�CMy Cotle end all e � qufremeMe. �j 7
Sig(wtuie of Loh6yiet . Date / J/ "
���P����: � �9 202
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
sreca or ��- smia a l�l'1.C�1DA
coumyoe /�1iv,ra�; . �� coumyot (1fl1�J1\"l�hh�.
Svom b(ar atfim�ed)and subcvihea before me. Swan b(ar affi^^e�aeM su�uiheE before me.
by means af�physipl P�sence hy m�m of�hYaical prasence
w O qlline noWti2atlon, or❑ nline M18 ' �
Mis�J_dayof � '��m1i�p�Lby Wls�dayot �by
�o�o�l �.� c�,e. ('x�kPLD LOU t��l
WJAE OF LOBBVIST NPME OF PPoNCIPAL
_Pmduced ID _Produced ID
/ FORM Oi IOEMIFICATpN FORM OF IpIX11FlGT10N
`�Personaly Known nalry Known
/ 3��C
Slgn re M N ry Public SignaWre otary PuDlic
�.v ; n Ma��c2 � '
M Nota .TYP�.Pnnted petl Name W Nofary.7YpeC.PriMad or Stampad
(NOTARY SEAI) (NOTARY SEAL)
m.umnu.osc�nu
. �rwe-srrtinr
a..`r.�x�unsi
'The serm'fa6Uybr eoetince�y exuuaes cne mnowinp ve�son%: w':�w�.r�.�r'�i,�..
FxpNtwilnqsea wip provWe any acbnUfic,tachninl ot other apecial¢etl iMwmetlon w bnYvmny tn publk maetingy;¢ny pmaon Wp
a^�Y sOWvs es a rpra6aMetive o(a roiphborhaotl eaaoUetion withWt WmOamatlon w R'vnhwMiMnl far IM e00�.'�'hattw
OueK ird'rect a mNngent ro expm4p,.wppµ{�W or W We��on ro a�ry ibm�aM anY Pemon who wity+PPaen aa a�ep�esonfadrs d
nobkr-Praflt Carmm�M baeeE a(g�OrMq!c�ls�{wrpwe af rcGueetl�B e pranl wilAoul�P�+��Weiaatlon w niMivaement far
1F10sppBuand. :' SARYP•VG •,,
, �O (i':�"O,; Pa9e{of6
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` �� f P/RES M�SSION �: '
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�'G'9��F FLOP\O?:�`a"�s
"'""��BERHN�,'�'�.
MIA1�,� IBEACH
Ciy of Miemi Bea<h, V00 Convention Cemer Drive,Mlaml Beach, Flo�ida 33139,www.mlamibeachfl.gov
Office of ihe Qty Clerk
Rafoel E. Gmnado, City Clerk CiyClerk@mlamibeachfl.gov
Tel: 305.6737411, Fox: 305.673J254
NAME OF LOBBYIST: Rafael E Andrade
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 fine of $50.00 a day shall be assessed for Statements filed after the
due date. The Ciry Clerk shall no[ify 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 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 submi[ 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 wi[h 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 registration shall be
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
��� i� � 5' // �
Signature of Lo yist D e
99C�ER18ALLUPoRMBLLOBBVIBi FORM6LLo��ylai Regle�m�lon Gorm Revlsetl 0?r�t-'[�REG dm
Page 5 of 5
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