2024 Lobbyist Registration Form - 600-660 Washington Ave (Marc Lawrence) • (�/O—(v� �it/us�,ir,o�ton ,avL,
Oowsign Envelape ID'.FA3WD9]35D1-4668-8]21-0SB5911A3965 CJ
�FCEIVED
���� � AUG 122024
. . Offce of lhe Ciry Clerk
1700 Convention Center Orive C�7y Of MIAMI BEACH
MiamiBeach, FL33139 OFRCECF'HECITVCLERK
305.6737411
LOBBVIST REGISTRATION FORM
�obbyis� means all persons employed or retained, whe�her paitl or not, Oy a principal who seeks to encourage Ihe passage, tlefeat or
modifcation of any ordinance, resolutioq action or decision of any commissioner', any action, tlecision. recommendation of the Ciry
Manager or any Ciry board or committee',or any ac�ioq decision or recommentlalion of any Ciry personnel tluring ihe time period of ihe
entire tlecision-making process on such action, decision or recommendation ihat foreseeably will be heard or reviewetl by ihe City
commission, or a City board or committee. The term specificalry includes the principal as well as any employee engaged in lobbying
activities. The term "Lobbyisis"has speci(c ezclusions. Please refer to Ciry Cotle Chapter 2,Adicle VII, Division 3, entitled"Lobbyists:
for atltlitional information.
Inslmctions: Please complete all sections of this form and submit ihe completetl fortn,with the applicable(ee, to ihe Offce of the City
Clerk. If you need more space to camplete an answer, use a separete sheet�s)of paper. If you have no[hin9 to report in a particular
section, you must write "none" or "nla" in thal section. Any change to any informa[ion originalty filed, or any adtlitional City
Commissioner or personnel who are also sough�to be lobbied shall require that lhe lobbyist file an amentlment to ihe registration form.
The lobbyist has a continuing dury ro supply information antl amend t�e forms filed ihroughout ihe period that the lobbying occurs.
Separate regis�ration forms shall be requiretl for each principal represente0 on each specific issue.
I. LOBBYIST INFORMATION:
Larkin Michae� W
NAMEOFLOBBYIST (Las�) (F5�) (MldtllaName)
Bercow Radell Feinandez Lackin &Tapancs PLLC 200 S Biscaync Blvd.,Suite 300, Vliacni, FL 33131
LOBBVIST BUSINESS NAME AND AODRESS (Numbe�an0 S�reatJ (G�y) (SlaleJ (Zlp Gotle)
(305) 37�2-5300 mlackin�bczoninglaw.mm
L09BYIST BUSINESS TELEPHONE NUMBER GELWLAR TELEPHONE NUMBER EMAIL N�DRESS
II. PRINCIPAL INFORMATION:
Lawcence Ma�c
NAMEOFPRINCIPAL (LastJ (Frsq (MitltlleNeme)
Angler's Boutiyue Resort LLC 600-660 Washingro� Avenue Miami Beach FL 33139
PRINCIPALBlI51NE5SNAMEANOADDRE55 INumbe�entlS�reet) (CI�yJ (S�ale) �pCotle)
C�Ibldevcloomenterouo com
PRINCIPHLBUSWESSTELEPHONENUMBER CELLULARTELEPHONENUMBER EMAILADORE55
Poreuan��o City Cotle Sec6on 2-082�h��1 pap A Dnnclpal of any corpo�a�ion, partneSM1ip, or o�M1er en�iry who appears as a lobbyist on beM1al(of Iha�
entity,wi�hout special mmpensafion o�reimbursemen�fo�0e appea�ance,whelbe�Clrec�, Intlirx�,or contingent lo express suppotl of o�oOPosi�ion to
an ilem sM1all regis�er with IOe Glerk as repuiretl by�his subsec�lon bul shall not be requiretl to pay any regislration fees.
If the principal is a Corporetion, Partnership or Trust, the following information MUST be provided
� pursuant to City Code Section 2-482(c):
NAME OF GHIEF OFFICER, PARTNER,OR BENEFICIARV(if none,write NIA�: ���K�"��'B°u[iyuc Resorl, LLC
� _ NAME OF ALL PERSONS HOLOING, DIRECTLV OR INDIRECTLV,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): See attachetl
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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 propasal, invitation to bid, or public hearing number.
Development Approvals & Permitting [ssues, induding but not limited to the Histocic Pcese�vation
Board, Design Review Board, Planning Boaid, Board of Adjustment, Land Use Development, Ciry
Commission, and any City Workshops oc Committees, if necessary, rclafing to the pxoperty located
at 600-660 W ashington Avenue in Miami Bcach, Plorida.
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 contractual relationship (paid or unpaid) with
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 contractual relationship.
Full Name ot Intlividual and Contractual Relationship (If yes, explain) �ES NO
iitle of Person to be Lobbied
Staff foc the Planning & Building Deparhnent None X
Public 4Vorks& City Administration, PB, HPB, BO None X
DRB, City Commission, and blayor as necessary None X
Land Use&Sustainability Committee None X
Pursuant to City Code Section 2-082(g), every registrant shall be required to state the e�Rent of any
business, flnancial, familial or professional relationship, or other relationship giving rise to an
appearance of an impropriery, with any current City Commissioner or City personnel who is sought to
6e lobbied as identified on the lobbyist registration form filed.
List any Business, Financial, Familial or ProTessional Relationship, or othar relalionship giving rise to an
a earance of im ro riet if none,write N/A :
None _
� - V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specifia (Note that a
Icontingency fee is prohibited pursuant to City Code Sec. 2-485.3):
� $850.00 per hour
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. The tollowing six(6)questions MUST be answered:
i) Pursuanl lo GiTy Code Sectian 2-488,emitled"Prohibi�ed Campaign ConlribWions By Lobbyis�s On Pmcuremenl Issues".
Yes x No: A I bb ' a [ d' a b'tl f q tl 'o �t r serv'ces or on a oresent or
p d' tl f ds eq ' en[or service�
2) Pursuanl ro Gity Code Section 2-490, entitled "Prohibited Campaign Contributions By Lobbyists On Real Es[ate Development
Issues"'.
V¢5 X No: A I bb ' ce d PPf f f D I p [A t 'th lh CN ppl' aCon
f h f tl C hanqe to the CN's FUWre Land Use Map?
3) Pursuant lo City Code Sec�ion 2-482�h�, any person (except �hose exemp� Bom lhe deflni�ion of "lobbyisC' as sel forlh in
Section 2-681)who only appears as a re0resentative of a not-forvprofit corporation or entiry withw� special compensation or
reimbureement for the appearance,whether tlirec�or indired to express support of or opposition to any item, s�all register with
the city clerk as required by ihis section,bW shall not be requiretl to pay any registralion fees.
Ves xNo: A [' q 4( -a oft po C Ft w'ihoul soec'al comcensation or
reimbursement7
4) Pursuan[ to Gity Code Sectian 2-48L the term "lobbyisf' specifically exclutles �he following persons'. Expert witnesses who
provide only scientifc,lechnical or o[her specialized information or testimony in public meetings', any person who only appears
as a representative of a neighborhood association without compensation or reimbursement for ihe appearance,w�e�her direct,
intlired or wntingent,to express support of or opposition to any item:and any person who only appears as a representative of
nobfor-pmfit communiry basetl organiza�ion for t�e purpose of requesting a grant without special compensation or
reimbursement for(he appea�ance.
Ves x No: A 'd' I ti' t h ' 1 th ' I" tl 'nformaFon� aooearina as a
p t U f 'qhD h d ' t' 'lh t p ' I mo f n or reimbursement or
p [ p [f p ff b tl q � [ f �h D P i q tnq d Aldnf wthOUf
p ' I p f e'mbursemen[7
5) Pursuant to Gity Code Section 2-491(1�, no campaign consul�anl shall lobby�he City Commission for a period of 12 mon�hs
fallowing �he swearing in o(any elected oHlcial(s)for whom the campaign consWtant pmvitled campaign consW�ing services
within�he pas�elec[ion cycle. See Section 2-491 fo�more�n(ormation.
Yes xNo: H v 'd tl 'a It q t n 'ncumbenl member of the Ci[v Commission
'lh' lh p t I C V I �If pl 1' t th ' b t memberlsl of the C N Commission:
Yes x No: ^ h 't b I [h 12 th t� I t d ff'al(sl whom vou provitled campaion
consultina services was sworn in?
6) Pursuant to City Cotle Section 2d82(a�(b�a., a lobbyist who has within Ihe past election cycle pmvidetl campaign consul�ing
services ro an incumbent member o(Ne City Commission(which lobbying activity is not olherwise pmhibitetl by Code section
2-491) shall disclose such particular service on hislher lobbyist regislration form d h II rall d'sclose such oarticular
b f I bb � tM1 CriCommssona�aoublcmeelinq.
Ves x No: H 'tl tl I[' t bent member of[he CiN Commission
'th' th t I f I 71f ol f f th ' bent memberlsl of lhe Citv Commission:
� YesxNo: If d d'd 'dea['on 'nexchanaeforcamoaian
consultina services?
TO BE GOMPLETEO BY CITY CLENK'S ST/FF-O-�NlLY
- Annual Regis[ration fee: [ ]Ves�q No Amount Pmaitl f��D MCR# G�3 /�l7 Dale Paitl —�2—
, � I` � !�
LobEyist Registra[ion Form receivetl dnd verifetl by: v(
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VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR EACH L088YIST SHALL SUeM1T 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 VEAR WITH REGARO TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPEN ATION DURING THE REPORTING PERIOD!
Signature of Lobbyist: 1�4 1.�, �. Y�iN, __ Date �/z5/2024 . _
wF=oreeseaenc
I do solemnly swear or affrm lhat all of lhe foregoing facfs, statemenls, and disdosures in this form are tme and correct,
and that I have read or am familiar with the provisions con�ained in Chapler 2, Art. VII, Division 3, entilled "Lobbyisls" of
the Miami Beach City Code��$�a IlaSeporting requiremenls.
Signature of Lobbyist: ��LIW.alA. �. 1'�cIN. �� Date_ ._ ��z52024
OiBF56)BETO
SignaWreofPrincipal: �4AYG W✓�� Date ��ZS/2024
FO]C693BB80BEOB
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of Florida Stace of Florida
Counry of: Miami-Dade Counry oE Miami-Dade
Swom to(or affrmed)and subscribed before me, Swom lo(or affirmed)and subscribed before me,
by means of� physical presence by means of 0 physical presence
or�online notarization, or� online nolarizalian,
ihis 25 day af JuN 20z4, by ihis 25 day of Juiv . 20�4, by
Michael W. Larkin Macc Lawrence
NAME OF lOBBVIST NAME OF PRINCIPNL
Produced ID _Produced ID
FORM OF I�ENTIFlGATION FORM OF IOENTIFlGATION
xpersonalty Kno ni Q�o x Personally Kno��
i6,��
SignaNreofNotaryt.._. . ._... SignaWreofNotary`... .. .._. .
_ Veitly Montesino Perez Veitly Man�esino Perez _
1 = Name of Notary T ed, Prinled or Stam ed � Name of Nolary,Typed, Printed or Stamped
. YeiCyMontesinoPerez YeiayMontesinoPerez
Commission%HH OB4]]] Commission p HH 0803]3
No�ary Public-S�a�e of Flonda Notary PuOlic-51a1e o!Floriaa
My Commission Expires Jan 24 2025 My Commission Expires Jan 24 2025
� ' The .,... Persons ,.. . .._..
� Expert witnesses who provitle anty scientitic,technical or ocher specializetl information or testimony in public meelings-, any person who
- onty appears as a representative of a neighborhood association without compensation or reimbursemen�for the appearance, whe[her
tlirect, intlirect or wntingent, ro express suppoR of or opposition m any Item�, and any person who only appears as a represen�ative of
noLfor-proft wmmunity basetl organization for the purpose of requesting a grant without special compensation or reimbursement for
' Ihe appearance.
�_ Page 4 of 5
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Ciry of Miami Beach, I]00 Comemlon Cemer Dme,Miaml Beac4, Florida 33139,www.mlamlbeachfl.go.
Office oftFe Ciry Clerk
Rafael E. Gmnado, Ciry Clerk CiyClerk@miamibeochfl.gov
Teh. 305.6737411, Fax�. 305 673J254
NAME OF LOBBYIST: Michael W. Larkin
t) 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 file the Sta[ement or pay the
assessed fnes 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 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 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 to 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 registrafion 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.
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Exhibit "A": Disclosure of Interest
Angler's Boutique Resort
660 WASHINGTON AVENUE
MIAMI, FL 33139
Kimpton Investment Partners Limited Partners"
III, LLC, a Delaware LLC �
0.9% 991%
KHP Fund III, L.P., a California
�P.»
. . . .. I elum
100% TrusP�"
KHP III Hotel Holding, LLC, a Marc Susan
Delaware LLC Lawrence Lawrence
98.52%
� 100% 1.14% 023%
KHP III Miaml Beach LLC, LBL Group, LLC,
a Delaware LLC a Florida LLC �
50% 50%
Managing Member
Angler's Resort JV LLC,
ia Delaware LLC
I 100%
Angler's Boutique Resort, LLC,
� a Florida LLC"`"`
� ' Limitcd pu�tne�s ot RHP Fund III,L.V.hold�o votfng rights.No Ilmited pa�me[holds an inte�est oE li%o�more in Angkrs
Bomique Remct,I.LC. All dccisions of KHP F�nd III.L.P.with�espect m i[s Indircct interest iv Angler's Bou[iquc Rew�4 LLC are
made by the general parmeq Kimpron Inves[ment Parmers III,LLC.
`"The Eeecutive(votivg) Membe¢ofKimpmn Imrs[men[PaMe�s III,LLC ere Nichael Dcputie,Joseph Lovg and BenJamin Rowe
� "fhe Administ�ative Members of Kfmpmn[mes[men[Pazme�s III,LLC ure)udith C.Mlles end Benjemin kowe.
'""Rema�d C und Molly Blum Irrevocable'Prustda[ed 7une 9, 1994TmsL r:IS: 13-70442]6
�'•"OlArerc of Anrler's Rnutiaue Renxt IS C are Iudith C. Milec fFxcatlive Memher ffi Srcretarvl. Reniamin Bnwe(Pxr.utive,birmher
� o >�r. .e.:i, .�.,. .a s . . . ..... . .. . . . . . _. . 1IIIk��ieCx'`'S'^T1�III '
� �- �. vaeeema ��� u,.a ..�a�c
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i.
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH ryo, 433720
" . ❑Cash ❑Credit Card .�Check ti; �" - '�' � $ ' . �-
� 20
Received of
� Address - � � � � ' � .
For
. Miscellaneous�-`MCR-2026
�� 00122&OOO7CarmenV._ OBH2202409'.SSAM
Mce oaeN�Mcei Office of Finance Director
.. Paymen�4mourrt: 1 050.00
(THIS INFORMATION MUST BE COMPLE7ED) By '-
s'
Account number. � "� '
Preparer. �'�^ Dept: EXT:_� `
I�� (�-
: , ����.Y. r:. � i. � . .
� City ot Hiami Beach
CitY Hall
17W Cnnveniion Center Ur.
Niami Beach . FI 33139
305-fi73-7420
Vie I r.oine
GH/li/2u2A U9:55Atd Carnien V.
UIi72L9-0007
MISCEIIANFOl15
ftefHrenne t : 11f,R4;i3720
MCH OP[N lMCf1
202A item�� MGYt
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MGR DPFN (MCR) $1 ,05u.U0
' 51,030.60
s�,t�mtal st,o5o.00
fatal 51,OSOAO
i;HECN $1,G50.OU
C�her,k Nwnher00P261
Chan9e At�e . . .. . _ Su.Oli
Paid hy: BERfOtV R?OF41 FLRNANDFZ IARI(IN &
IAFANES i�LI.0