2024 Lobbyist Registration Form - 4701 N Meridian Ave (Ophir Sternberg) y701 N . h'ler�d�u� A��
RECEIVED
MIAMI BEACH AUG 162024
ORice of the Ciry Clerk
1700 Convention Center Drive CITY OF MIAMI BEACH
Miami Beach, FL 33139 OFFICF CF THE CITY CLERK
305.6737411
LOBBVIST REGIS7RA710N FORM
Lobbyist means all persons employetl or retainetl, whe�her paitl or not, by a pnncipal who seeks to enmurage the passage, tleteat or
motlifcalion of any ordinance, resolution, action or tlecision of any commissioner, any aclion, tlecision, recommentlation of the City
Manager or any City boartl or committee;or any action, tlecision or recommendation of any City personnel tlunng ihe time penod of the
entire decision-making process on such action, decision or recommendation �hat loreseeably will be heartl or reviewed by Ihe City
Cammission, or a Ciry boartl or committee. The term specifically inGutles ihe pnncipal as well as any employee engagetl in lobbying
activi�ies. The�erm "Lobbyis�"has specifc ezclusions. Please refer to City COCe Chapter 2, Atlicle VII, Division 3, entitletl "Lobbyis(s,'
Por adtlitional in(armation.
Insiructions: Please complete all sections af ihis form and submit�he completetl fortn,with�he applicable fee, to the OKce of the City
Clerk. If you need more space to complete an answer, use a separate sheet(s)of paper. If you have nothing to report in a particular
sectioq you musl wnte "none" or "n/a' in ihat section. Any change �o any information onginally fileQ or any atltlitional Ciry
Commissioner or personnel who are also sought to be lobbied shall require ihat the lobbyist Flle an amendmen�to ihe registration form.
The lobbyist has a con�inuing tluty to suppty information and amend �he forms filetl Ihmughout ihe period that Ihe lobbying occurs.
Separete regis�rdtion(orms shall be requiretl tor each principal represented on each specifc issue.
I. LOBBYIST INFORMATION:
Fullana Griselle
NAME OF LOBBVIST (Las�) (First) (Mitltlle Name)
FOR Architecture Co. 221 NE 82nd St Miami FL 33138
LOBBVISTBlI5WES5NAMEANDA�DRE55 (Numberantl5�ree1) (Ciry) (51ate) (ZlpCotle)
708-965-1465 griselle@forarchitectureco.com
LOBBVISTBUSMESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILAOORE55
II. PRINCIPAL INFORMATION:
S�ernberp Ophir
NAMEOFPRINCIPAL (Lest) (Frs�) (MtltlleName)
LIONHEART CAPITAL 4218 NE 2nd Avenue Miami FL 33137
PRINCIPALBUSINESSNAMEANOA�ORESS (NumberantlSVeet) (Cily) (Stale) (ZpCotle)
917-922-6169 o@Lheartcapital.com
PRINCIPAL BUSMESS TELEPHONE NUMBER CELWLAR TELEPHONE NUMBER EMAIL ADDRESS
Pursuant to Ctly Code Seclion 2-482�h)(1)(a�: A pnn<ipal M any corporation, paMers�ip,or otM1er en�iry w�o appears as a lobbyisl on pehalf of Ibat
entity,wi�hou�special compensation or reimbursement for I�e appea2nce,whelher airect,intlirect or conlingenL to ex0�ess suppotl o(or opposition lo
an Item sM1all regis�er wi[h IM1e CIeA as requiretl by t�is su�section bN shall wt be requiretl to pay any regisUation tees.
If the principal is a Corporation, Partnership or 7rust, the following information MUST be provided
pursuant ta City Code Section 2-482(c�:
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARV(H none,writ¢N/A�: GlBflfl Gl1ih811
• NAME OF ALL PERSONS HOLDING, DIRECTLV OR INDIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST(if none,write N/A�: NA
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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 praposal, invitation to bid. or public hearing number.
Representing client for DRB application approval. DRB application is requesting approval to move
forward with permit to propose glazing on the penthouse suite of the 4701 N Meridian Ave property.
IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuanl 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 City personnel from 12 months preceding such commencement of service
with the Ciry to the present date, stating the general nature of the subject contractual relationship.
Full Name of Individual and Contractual Relalionship(If yes, explain) VES NO
Tille of Person lo be La6hied
DRB
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 relatianship giving rise to an
appearance of an impropriety, with any current City Commissioner ar City personnel who is sought to
be labhied as identified on the lobbyist registratian 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 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):
No compensation _
Page 2 of 5
�
The following siz(6)questions MUST be answeretl:
i) Pursuant to City COCe Section 2-488,entitletl"Pmhibitetl Campaign Canhibutions By Lobbyisis On Pmcurement Issues"�.
_VesxNo: Are vou lobbvina on a oresent or oentlina bitl for aoods. eouioment or services or on a oresent or
centlinn award for 000tls.eauioment or service7
2) Pursuan�to Ciry Code Section 2190, entitletl 'Pmhibited Campaign Contnbutions By LODbyists On Real Estate Development
Issues"'.
_Ves�No: Are vou lobbvina on a cendina aoolication for a Develooment Aureement with the C'N or aool'caCon
for chanoe of zonina mao tlesiana[ion or chanoe to ihe C'tv's Future Land Use Maoi
3) Pursuant ro City Code Sec�ion Yd82(h), any person (except those exempt from the deMition o("lobbyisf' as set (orth in
Section 2-481)who only appears as a represen�ative of a noFfor-pro(t corporation or entity wi�houl special compensation or
reimbursement for the appearance,whether tlirect or indirect ro express suppoh of or opposition ro any item,shall register with
the ciry clerk as requiretl by Ihis section, bW shall not be requiretl to pay any registration fees.
_VesXNo: A C Ff - f[ C EN "th t ' I F
reimbursement7
4) Pursuant to Ciry Cotle Section P-087, ihe term "lobbyis�" specifcalry eadutles the following persons' Expert witnesses who
proviCe onry scientHiq technical or o�her specializetl infortnation or testimony in public meetings; any person who only appears
as a representative of a neighborhootl association wi[hout mmpensation or reimbursement forthe appearance,whether tlired,
indirect or mntingenc,to express support of or opposition to any ilem;antl any person who only appears as a representative of
no4(or-pmfit community basetl organization for lhe purpose of requesting a grant without special compensation or
reimbursement for the appearance.
_Ves�No: Are vou orovidina onlv scientific. technical or oth¢r soec'al'zetl 'nformat'on� aouearino as a
reoresentative of a neiahborhood association without scecial comoensalion or re'mburaement or
repreaentino a nobfor-oroft Easetl omanization for the oumose ot reauesfna a arant w'[hou[
soecial comoensation or reimbursement7
5) Pursuant�o Ciry COCe Section 2397(t), no campaign consultant shall lobby the City Commission for a periotl of 12 mont�s
tollov✓�ng lhe swearing in of any elected oHicial(s)for whom ihe campaigm m�sultant provitletl campaign consulting services
within ihe past election cyGe.See Seclion 2491 for more informalion.
_Ves'f�No: Mave vou orovitleG camoainn consullino urvices M an incumbent member of[he CiN Commission
within the oasl el¢ction cvcle7 If ves.olease list[he incumbent membeAsl o(ihe C'N Camm'ss'on�
Ves No: Ii ves, has it been less than 72 months since the elected officiallsl whom vou orov'tletl camoa an
consultina senices was sxrorn in?
6) Pursuant to City Code Section 2�48Y�a)�4�a., a lobbyist who has within the past eledion cycle provitletl campaign consWting
services to an incumbent member of ihe Ciry Commission (which lobbying aIXiviry is not otherwise pmhibitetl by Cotle section
2-491) shall aisclose such pahicular service on his/her IoGbyist registration form and shall orallv tlisclose such oarticular
service before lobbvina[he CIN Gommission a[a oubfc meeCno.
_Ves`�No: Have vou orovitletl camoaian consultina services to an incumbent member of the C'N Comm'ss'on
within the oast elec[ion wele7lf ves.olease list lhe incumbent memberlsl of the C'N Comm'as'on'
Ves No: If ves, were vou oromis¢tl or tlitl vau receive economic consideration in ezchanae for camoa'an
consultina services7
TO BE COMPLETEO BV CITY LLERK'S(S�TAFF^ONpLY
Annual Regishation tre: �uYes[ ]No Amounl Paltl S MCRO 1 J� `{�� Date Paltl � z-
LobbyistRegistrationFo uweaa�a�e�neaey:� L r
� ,�v�.mur��� 7=.rc.�i�� RevittJ03/11/3030
Page 3 of 5
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 LOBBVING EXPENDITURES AS WELL AS COMPENSATION
RECEIVED. FOR THE PRECEDING CALENDAR VEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBVIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD '
Signature of Lobbyist ��od(e�nlLntn Date B-�Z-24
I do solemnly swear or aKrm that all of the (oregoing fac�s, statements, and tlisclosures in �his form are true and correct,
and that I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Oivision 3, entitled "Lob6yists" of
the Miami Beach City Code and all repohing requiremeNs.
Signature of LobbyisF �'��+«a+a Date 8-�2-24
Signature of PrincipaP _ Opfa Sre++ba9 �ate 8-�2-24
VII. NOTARY SIGNATURE AND SEAI:
LOBBYIST: PRINCIPAL
State of F� Sta�e of FL
counry of: Miami-Dade County Counry or: Miami-Dade County
Swom to(or affrmed)and subscrihed before me, Swom to(or aKrmed)and subscribed be/ore me,
by means of O physical presence by�me�s of 0 physical presence
or�online no�arization, or�nline notarization,
this 12 tlay of AUqus� 2024, by this 12 day of Ai�iict 2024, by
ruuUe'�alLa.a Op4is Sreudm9
NAME OF LOBBVIST NAME OF PRINCIPAL
_ProducedlD Produced 10
FORM OF IDENTIFICATION FORM OF IOENTIFlCATION
�ersonally Known �I Personally Known
?Zatafie b�wtgoa �Zatak'e $'uaqod
SignaNre of No�ary Public Signature of Notary Public
Natalie Burgos Natalie Burgos
Name of Notary, Typed, Printed or Slamped Name of Nolary, Typed, Printed or Stamped
(NOTARV SEAL) (NOTARY SEAL) ,,,,°"'°'
��"..��, ��,a,�„
'The term"IobbyisC sOeGfcally exclutles t�e following persons:
Expert vntnesses who pmvitle only scientific,technical or other specializetl information or�estimony in public meetings;any person who
only appears as a representative of a neighborhood associalion vnthout compensation or reimbursement for ihe appearance, whether
tlirect, intlirect or contingent, ro express support of or opposi�ion to any item; antl any person who onry appears as a representative of
noP/or-profit community basetl or9anization for Ihe purpose of requesting a grant withaut special com0ensation or reimbursement for
the appea2nce.
Page d of 5
" � BEACH
Ciry of Miomi Bea<h, I]00 Come�fion Camer�d�e,Miam�Beach, Fbdda 33139,www.miamibeachA.go�
Offlce of the Ci�y Clerk
Rafoel E Granodo,Ciy Clerk CltyClerk@miamibeachfl.gov
Tel: 305.673741 I, Fax�. 305.6737254
NAME OF LOBBYIST: Griselle Fullana
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 City Clerk shall notify the Miami-Dade Counry Commission on Ethics and
Public Trust of the failure of a lobbyist (or principal) to fle the Stalement 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 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 O�ce of the City Clerk.
3) ANNUAL LOBBYIST REGISTRATION FEE
I unders[and 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.
�te��+[ta.R 8-12-24
Signature of Lobbyist Date
Fw�eawuuvoamsweensr wameuoeevu�A��.imio�Fo�m w�ee m.i i.zo aeeeoo
Page 5 of 5
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH No. 433723
❑Cash p Credit Card ❑Check ti $ � -�
20
Received of
Address
For
Ciry of Miami Beach
h9lscellaneous-MCR-2024
00724&0�20 Moises G.. �BI1S202C 01:PPM
Mce oaeN�mce� Office of Finance Director
1'aymernAmounY i,�uu.UU
(THIS INFORMATION MUST BE COMPLETED) By
Account number:
Preparer. Dept: EXT:
� City of Niami Beach
City Hall
1700 Cnnventiw Genter Or. .
Miani BearJi , FL 33139
� 305-673-7420
Walcome
DB{16%[024 �1 :27PM Moises C.
G07243-GO'LO
- NISCFLIANE[N1S
Reference 1; MCR433723 �f
MCR OPFN (MCR)
2024 Iteiir. MCk
i e $z,3oo.ouoo
MCR OPEN (�1CR) �'L,300.00
---� it J00.00
' Su6tutal 51,700.00
Total 51.700.W
VISA $1 ,700.Ou �.
Ref Number0036!012613
Change due -- ---...-50.l10
Paid bY'� MIGtIEL PORRA9 FOR ARCHCTECiII�E �
CO