2024 Lobbyist Registration Form - 600-660 Washington Ave (Marc Lawrence) � 1'/h/✓—� WR S�iYiG�ton ��G .
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Oocusign Envelope I�:FA30309]35�1-4668-8]21-0SB5911H3865
s':ECEIVED
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. Offce of the Ciry Clerk
1700 Convention Center Drive L��y OF MIAMI BEACH
Miami Beach, FL 33139
305.6737411 OFFICE OF THE CITV CLERK
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employetl or re�ained, whe�her paid or not, by a principal who seeks to encourage ihe passage, defeat or
motli0cation o( any ortlinance, resoWtion, action or decision of any commissioner', any ac�ion, tlecision, recommendation of the CiTy
Manager or any City board or committee: or any adion, decision or recommentlalion of any City personnel tluring the lime periotl of the
entire tlecision-making process on such action, decision or recommentla�ion that foreseeably will be heartl or reviewed by Ue City
commission, or a Ciry board or wmmittee. The term specificalry includes the principal as well as any employee engagetl in lobbying
activities. T�e term"Lobbyis4s" has specifc exclusions. Please refer to City Code Chapter 2, Article VII, Division 3, entitled "Lobbyists.
for atldi�ional information.
Instmc[ions: Please comple[e all sections of ihis form antl submit the completed form,with the applicable fee, to�he Office ot the City
Clerk. If you neetl more space to complete an answer, use a separate sheet(s)of paper. If you have nothing to report in a paM1iwlar
section, you must write "none" or "Na" in ihat sectioa Any change to any informa�ion onginalty filed, or any atltlitional Ciry
Commissione�o�personnel who are also sought to be lobbied shall requi�e�hat Ihe lobbyisl fle an amentlment�o[he�egisVa�ion(orm.
The lobbyist has a continuing tluty to suppry information an0 amentl the forms filed ihroughout the period that the lobbying occurs.
Separate registration Forms shall be required(or each pnncipal represented on each specific issue.
I. LOBBYIST INFORMATION:
Baltec Emilv K.
NAME OF LOBBYIST (Last) �Flrsp �Mitlele Name7
Becww Radell Fecnandez Lackin & Tapanes, PLLC 200 S. Biscavne Blvd., Suite 300, Miami, FL 33131
LOBBYIST BUSME55 NAME HNO ADDRESS (Number antl SVeel) (Cl�y) (Slate) (Zip Cotle)
(305)3745300 ebalterCbrzoninglaw.com
LOB9VISTBUSWESSTELEPHONENUMBER GELWLARTELEPHONENUMBER EMAILA�DRESS
II. PRINCIPAL INFORMATION:
Lawrence Ma�c
NAME OF PRWCIPAL (Lasl) (Firsq (Mltldle Name7
Angler's Boutiyue Resoct LLC 600-660 Washington Avenue Miami Beach FL 33739
PRINCIPALBUSWESSNHMEANDAODRESS (NumberandSVee�) (Gly) IS�a�e) (ZipCo�e)
(i051 544-9600 mamQlbldeveloomenteroun.com
PRINQPALBUSWESSTELEPHONENUMBER CELWLARTELEPHONENUMBER EMAILADDRESS
Pursuan�to Q�y Code Sedion 2-482�M1�(1)(a): A principal of any corporation. Da�nershlp. or oPer entity wM10 appears as a lobbyisl on behal�of Na�
entiry,wilM1ou�special compensa6on or reimbursemenl for Ne appearance,wheNer Oirxt, Indirect or conlingenl.ro express suppotl oi or opposition ro
an i�em shall regis�erwith Ibe CIeM1 as requiretl�y Ihls subseclion but sM1all not be repuircN to pay any regisValion fees.
� If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
- pursuant to City Code Section 2-482(c):
NAME OF CHIEF OFFICER,PARTNER,OR BENEFIqARY(ii none,write N/A�: �nglcr s Boutiyuc RetiurL LLC
NAME OF ALL PERSONS HOLDING,DIRECTLV OR INDIRECTLY,A Sk OR MORE OWNERSHIP INTEREST IN SUCH
- CORPORATION, PARTNERSHIP OR TRUST(if none,write N/A�: See atlachetl
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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 proposal, invitation to bid, or public hearing number.
Devclopment Approvals & Peemitting iss�es, induding but not limiPed to the Histoxic Preservation
Board, Design Review Board, Planning Board, Board oF Adjustment Land Use Devclopment, City
Commission, and any City Workshops oc Committees, if necessary, relaHng ro the properh� locateci
at 600.660 Washingto� Avenue in Miami Beach, Fbcida.
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 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 Individual and Contractual Relationship (It yes, explain) �ES NO
Title of Person lo be Lobbied
Staff for the Planning& Building Department None X
Public 4Vorks & Citv Administration, PB, HP$ BO Nonc X
DRB, City Commission, a�d Mavor as necessary None X
Land Use&Sustainability Committee None X
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 relationship giving rise to an
appearance of an impropriety, with any current City Commissioner or City personnel who is sought to
be lohbied as identifed on the lobbyist registration form filed.
. List any Business, Financial, Familial or Professional Relationship, or other relationship givin9 rise to an
a earance ot im ro riet ii none,write N/A :
:Vone
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):
5535.00 per hour
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. The tollowing six(fi)ques[ions MUST be answered:
1) Pursuant lo City Code Sec�ion P-468,entitled"Prohibited Campaign Contributions By Lobbyists On Pmcurement Issues".
Ves X No: A I bb ' 9 [ d b'd f d a ' t on a r ent or
p d' tl t ootls eq ' en[or service7
2) Pursuanl to Ci�y Cotle Section 2-490, eNitletl"Prohibited Campaign ConUibWions By Lobbyists On Real Es�ate Development
Issues"'.
Vw x No: A I bbv a d af f t D I p t Aq t 'lh ih G'N Pal' C n
t h t d "p C n or chanae to the C'N's Future Land Use Mao?
3) Pursuan� �o City Cotle Section 2-082�h�, any person (except those exempt from the de(inition of "lobbyisf' as set forth In
Section 2-481)who only appears as a represen�ative o!a nobfor-proft corpomlion or en�ity without special compensation or
reimbursement for�he appearance.whether tlirect or indirect to express support ot or opposition�o any item,shall register with
the ciry clerk as requiretl by�his section, bW shall not be required to pay any regisiration fees.
VesXNo: A V P t q tf o f� o t' fN �th t D � I e f r
reimbursement7
4) Pursuant to City Cotle Section 2�481, the tertn "IobbyisY' specifically excludes the following persons: Expert witnesses who
provitle onty scieniitic,technical or o�her specialized information or tes�imony in public mee�in9s�. any persan who only appears
as a representative of a neighborhootl association without mmpensation or reimbursement for the appearance,whether tlirect,
indirect or contingent,to express support oF or opposition to any item�. antl any person who only appears as a representative of
not-for-profit community basetl organization for the purpose of requesting a grant without special compensation or
reimbursement for lhe appearance.
Ves x No: A o 'd i ff [ h ' I [h ' I' d ' f f ' a r'n as a
p � �' ( " hb h tl ' t' 'th t ec'al wm nsa['on or reimbursement or
p C q tf p f't b d p ' f f �h ( t'nQ qr nt wthOuf
sp ' I nsalionorreimbursement�
5) Pursuant to City Code Section 2-69�(1�. no campaign consWtant shall IoOby the City Commission for a periotl of 12 months
following �he swearing in of any electetl oflicial(s)for whom the campaigm m�sWtant provitletl campaign consulting services
within ihe past election cycle. See Section 2-491 (or more mformation.
Ves xNo: H p 'd d p 'g IC p rv'ces to an 'ncumbent member of[he CiN Commission
'�h' th t I t' I 7 If I I' t the'ncumbent membedsl of N¢CiN Commission:
Ves x N¢ � ��^� h 't b I th 12 th ih elected off'i allsl whom vou omvidetl camnaion
consultina services was sworn in?
6) Pursuant to City Gotle Sedion 2<82�a��d)a., a lobbyist who has within the pas� election cycle pmvided campaign consWting
services to an incumbent member of the Clly Commission(which lobbying ac�ivity is not o�herwise pmhibited by Cotle sec�ion
&491) shall disclose such particular service on hislher lobbyist registration form and shall orallv d'sclose such oarticular
b f I bb � �h CNC � bl T
� Ves X No: H 'tl E If t n 'ncumbenl member of the CiN Commission
"th' th o t I f I '+H I f t th ' bent memberlsl ot the C'W Commisvon:
Yes x No: If V � d dtl onom'c cons'deaCon 'n exchanpe for camoaipn
. consWtinq services7
� TO BE COMPLETED BY CRV 0.ERKt'SISTAFF ONLV p
AnnualRegishatlonfee: [ ]Yes�No AmountPa�itl-'(f����jMCRp �f��� DatePaitl O—�z�Zy
�� LohbystRegislrab formrece etlandvenfetlby. 1� l�AP�
-trte �nF� �n a�v e oo zo �3ueeuor Revi5eA09/30/Y018
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VI. SIGNATURES UNDER OATH:
ON FEBRUARV 26 OF EACH VEAR EACH LOBBVIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A
SIGNED STATEMENT UNDER OATH LISTING LOBBYING EXPENDITURES AS WELL AS COMPENSATION
RECEIVED FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
�OBBVIST HAS BEEN ENGAGED TO L08BY. A STATEMENT SHALL BE FILEO EVEN IF THERE HAS BEEN NO
E%PENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.'
���,.,�
SignaWreofLobbyist .. _ ___ Date �/z92024 _ _ .
I do solemnly swear or affrm Ihat all of the foregoing fac�s, sta�ements, and disclosures in this form are true and wrrect,
and Ihat I have read or am familiar with ihe provisions contained in Chapter 2, Art. VII, Division 3, enlitletl "Lobbyists" of
the Miami Beach Ciry Code�nr�a��ld�gparting requirements.
SignatureofLobbyist '�w�i�t�f,Y _ Date ��25i2024
C6�PIA1«N90aE6 a p dbY
SignaNre of Principal: _ _ �NL'vr �nW ��._ Date_��z512o24
FO CB9]BB9�Bi09
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of Flocida State of Florida
Counry ot: Miami-Dade Counry of�. Miami-Dade
Swom to(or affrmed)and subscribed before me, Swom to(or affrmed)and subscribed before me.
by means of O physical presence by means of O physical presence
or OO online notarization, or� online no�ariza�ion,
ihis zs tlay of �ury 20z4, by this z5 day of July 20za, by
Emily K Balter Macc Lawrence
NAME OF LOBBVIST NAME OF PRINCIPAL
ProducedlD _ProducedlD
FO ( � FORMOFI�ENTIFlCPTION
+Personally Kno nl `�" � *Personally Kn
— WrV�
— _ — —_ �
Signature of Notary "uiic' � � - ' Signa[ure of Nota� . . .. . ...
� Yeitly Montesina Perea Veidy Mon�esino Perez
�I ; Name of Nota T ed, Printed or S�am ed Name of Nota , T ed Printed or Stamped
� YeitlyMontesinoGerez YeieyMontessnoPerez
I Lommission M HH 0842]3 ( Commission p HH 0002]3
Nolary Pu01ic-Slale of Floritla Notary Public-Slate of Floritla
My Gommission Expires Jan 2a.2025 My Commission Expires Jan 24.2025
. :� ' The . _9 Persons'. . . . . ... ._. ..
Expeh witnesses w�o pmvitle onty scientific,technical or other specializetl information or teslimony in public meetings�, any person who
only appears as a representa�ive of a neighborhood association without campensa�ion or reimbursement for�he appearance, whether
- tlirect, intlirect or contingen�, ro express support of or opposi[ion to any item', antl any person who only appears as a representative of
noLfor-proft wmmunity basetl organization for the purpose of requesling a grant wiNout special compensation or reimbursement for
� [he appearance.
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Ciy of Miami Beaah, I]00 Conventian Cenier Drive, Miaml Beach, Fbrida 33139,www.miomibeachll.gav
Offlce of rhe Ciy Clerk
Rofoel E. Gmnado, Ciry Clerk CiryClerk@miomibeachfl.gov
TaF 305.6737d1 l, Fox_305b73 7254
NAME OF LOBBYIST: Emilv K. Baltcr
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 fne 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 faiWre of a lobbyist (or principal) to file the Sfatement 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 S[atement 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[he City Clerk.
3) ANNUAL LOBBYIST REGISTRATION FEE
�� I understand annual registration of all lobbyists shall be required for each 12-month period
I�� , commencing Ocrober 1 of each year, and the fee for such annual registration shall be
i $500.00 pursuant to Section 2-452 of the Miami Beach City Code.
.a>v
�`�wi(� �°Ja�t.r 7izsl2oza
� Signa�ure of�obbyist Date
F-w�ea�anaawamsuoeeris wrm�saoeon•�esai���ua�r.,,,�rr�.isw oi�i-zo ae�oo�
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Exhibit "A": Disclosure of Interest
Angler's Boutique Resort
. 660 WASHINGTON AVENUE
MIAMI, FL 33139
Kimpton Investment Partners
III, LLC, a Delaware LLC Limited Partners ' �
0.9% 99.1%
KHP Fund III, LP.,a California
LP'"
Blum
100% TrusP"*
KHP III Hotel Holding, LLC, a Marc Susan
Delaware LLC Lawrence Lawrence
98.62%
100% 1.14% 0.23%
KHP III Miami Beach LLC, LBL Group, LLC,
a Delaware LLC a Florida LLC
50% 50%
Managing Member
Angler's Resort 1V LLC,
a Delaware LLC
, � � 100%
- Angler's Boutique Resort, LLC,
a Florida LLC'�*
`Limited pa�mers of KHP P�nd III,L.P.hold no voting ngh�v.No Ilmited pa�me�holds an in[crest of IS°/o o�more In Anglei s
' . Boutiyue Resoq LLG. All decisions of KI IP Fund III,1_P.with respect m I[s Indirec[inte�est in Anglcr's Houtique Reso�[,LLC are
made by the gene�al pa�[nec Klmpmn Imes[ment Parmers I II,LLC.
� "The Pxecu[ive(votln�Membe�s of Kimpron I�vestmenl Partne�s III,LLC a�e Micheel Ueputie,�useph Lovg avd 6enjamin Rowe.
- The Administretive Nembec�oCKimpmn ivves[men[Pu�[ners III,LLC are)udith C.Miles and 6enjumin Rowe.
^`Bemard G and Molly Nlum Irrevorable"Cms[da[ed�une 9, 1994 Trus[,EIN:13-]0142]6
""Offirers nf Annler v Routiaue Resnrt I7 fl arr ludiih C. �Niles(Rxea�tive Memher&Semrlarvl.Reniamin Rowe!F'xrcutive Mrmher
" � � g Fage6o�6 fi@ il6E 7PiY q�p�g(�
�m�. ,;�., v ,a . ._ . ° ����@:aW7FF`st,1���� �
Miscellaneous Cash Receipt
CITY OF MIAMI BEACH No. 433720
. ❑Cash ❑Credit Card �ICheck tt � "— +�"' �� $ �`
20
Received of
Address
� For ' ' � �-'�
Miscellaneous"MCR-2024
� 00722&0007 Carmen V_. OB/19202409'55AM
� MCR OPEN(MCR) Office of Finance Director
� PaymeMAmount 1D50.0�
. (THIS INFORMATION MUST BE COMPLETED) By
Account number. -� =
Preparer. � Dept: - EXT:��
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� City ot Miami Beach
City Hall
170U Cawention Cxnter Dr.
Hiami 6each . Fl 331:19
305-673-7420
l9eicoine
Offi1i;202M1 G9:55AM Carmen V.
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M1SCtIlANFllUS
Referenoe 1 : IdCRA�a3720
M'CR OP[N (MCR)
202.A Iteni•� MCk
1 L� �l,OS0.0U00
MCR OPEN (MCR) $1,05U.00
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Total t1,050.00
CNLCh �1,1150,i�0
Check Numher0012'0l
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