2024 Lobbyist Registration Form - 1691 Michigan Ave (Robert Rivani) � �(�T I 1"1 �c:L��/q�r, /�v�..
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LOBBYIST REGISTRATION FORM
Lobbyisl means all persons employetl or ra�ained, whe�her paitl or not, by a pnncipal who seeks to ancourage the passage, tletea[or
madifica�ion af any ortlinance, resolu�ion, adion ar decision of any commissioner, any ac�ion, decisioq recommendation of the Clly
Managar or any Cily board or wmmittee;or any aclion,decisian or recommentlation of any City personnel during Ihe lime period of�he
enlire tlecision-making pmcess on such ac�ion, decision or recommentla�ion Ihat foreseeabty will be heartl or reviewed by �he Ci�y
commission,or a City boartl or commillee. The [erm specifically indudes the principal as well as any employee engagetl in lobbying
aclivities.The tertn"Lobbyists" has specific excWsions. Please re(er to City Cotle Chapler 2, Artide VII, Division 3, emitlad "Lobbyisls;'
for atltlilional informa�ion.
Instmctions: Please complele all sections of this form antl submit Ne compleled form,with the applicable fee, to Ihe Office o(�he Ci�y
Clerk. If you naetl more space to camplete an answer, use a separate sheeqs) of paper. If you have no�hing to report in a particular
sectioq you must wri�e "none" or "nla' in [hal seclioa Any change to any inFormation originally fletl, or any addi�ional City
Cammissioner ar personnel who are also saught la be lobbietl shall require Ihat�he IoObyist file an amendmenl lo Ihe regishation fo�m.
The lobbyist has a continuing dury lo suppty inbrmation antl amend the forms filetl Ihroughout �he pariotl Ihal the lobbying occurs.
Separate regis�2tion forms shall be required for each principal represen�ed on each specific issue.
I. LOBBYIST INFORMATION:
RodriQuez-Caballero Nicholas
NAMEOFLOBBVIST (LasQ (Flre�) (MltltlleNeme)
Bercow Radell Fernandez Larkin & Tapa�es, PLLC 200 S. Biscayne Blvd., Suite 300, Miami, FL 3313]
LOBBYI3T8USINESSNHMEANDADDRE55 (NumberantlSVeeQ (Cl�y) (S�ateJ (ZlpCotla)
305374-5300 nrodriquezCbrzoninQlaw.com
LOBBVISTBUSMESSTELEPHONENUMBER CELLULARTELEPHONENl1MBER EMAILADDRESS
II. PRINCIPAL INFORMATION:
2ivani Robert
NAMEOFPRWQPA� (Las1J (FIrsQ (MlodleName)
RK Rivani LLC 201 S. Biscayne Blvd., Suite 1440 Miami Plorida 33131
PRINQPALBU$INES9NAMEANDAO�RESS (Num�erentlSUee:) (GIy) (S�a�e) (ZlpCode)
424-284-7787 robertQblackli�nig c�m
PRWCIPALBUSINESSTELEPHONENUMBER CELLULARTELEPHONENUM9ER EMAILADDRESS
' Pursuant lo City Code Sec�ion 2-082(M1)(i)(a�'. A pnncipal M any coryoation, patlnersM1lp, or o1M1er en[ity wM10 appears as a lobbyist on be�alf of[M1at
en�lty,wi��oul special compensation o�reim�ursement�or IM1e appearance,wM1ether tlirect,indirec�,or con�ingent,ro express support M or opP�ition to
- an I�em s�all register wi1M1 t�e Clerk as reQuireO Gy IM1is suLsec�ion bul s�all no�oe repulrea lo pay any regisha�ion�ees.
- Ii the principal is a Corporetion, Partnership or Tmst, the following information MUST be provided
pursuant to City Cotle Section 2-482(c�:
= • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A�: R. RivBni
• NAME OF ALL PERSONS HOLDING, DIRECTLY OR IN�IRECTLV,A S%OR MORE OWNERSHIP INTEREST IN SUCH
- CDRPORATION, PARTNERSHIP OR T8U5T(if none,write N/A�: Robert RiVani - 700%
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III. ISSUE TO BE LOBBIED:
Describe with as much detail as is prectical, including but not limited to a specitic description where
applicable o/a pending request for proposal, invitation to bid, or public hearing number.
Development Approvals & Pe�mitting 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 1691 Michigan Ave in Miami Beach, Plorida.
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 lo6byist has entered into any controctual 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 generel nature of the subject contrectual relationship.
I Full Name of Individual and Contrectual Relationship�Hyes, explain) YES NO
Title o(Person to be Lohbied I
Staff Eor the Pla�ning& Building Department None X
Public Works &City Administration, PB, HPB, BO None X
DRB, CitV Commission, and Mavor as necessary None X
Land Use &Sastainability Committee � None X
Pursuant to City Code Section 2-482�g�, every registrant shall 6e 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 sough[ to
be lobbied as identified on the lobbyist registretion form filed.
List any Business, Financial, Familial or Professional Relationship, or other relatianship giving rise to an
- a earanee o!im m rie if none,write N/A :
� None
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a
= contingency fee is prohibited pursuant to City Code Sec. 2�85.3�:
$475.00 per hour
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The following six(6)questions MUST be anawered:
i) Pursuanl lo Cily Gotle Section 2-488,en�illed'Pmhibi�ed Campaign Can�nbulions By Lobbyists On Procurement Issues":
Ves XNo: Are vou lobbvina on a o�esent o�oendina bid tor 4oatls eouioment or services or on a oreaent o�
cendina award for aoods.eauioment ar serviceP
2) Pursuan�lo City Code Section 2-490, enti�letl'Pmhibi�etl Campaign Conlnbutions By Lobbyis�s On Real Eslate Development
Issues':
Yes X No: Are vou lobbvina on a oentlina aoolication to�a Develooment Aareement with ihe CiN or aoolication
tor change of zoninq mao desinnation or chanue[o the CiN's FuNre Lantl Ilse Mao9
3) Pursuant �o City Cotle Sec�ion 2-482�h�, any person (excepl Ihose exempl Gom �he definilion o/"lobbyisl" as se� forth in
Section 2-081)who only appears as a reprasenla�ive of a no4(or-proft carporation or en�ity without special compensation or
reimbursement(or Ihe appeaance,whelher tlirect or intlirect to express suppotl of or opposition�o any item,shall regis�er with
the city clerk as requiretl by Nis sec�ion,bW shall nol�e requlretl to pay any registration(ees.
VesXNo: Are vou reoresentinC a not-fororotit comora[ion or entitv without soecial comoensation or
reimburaement4
4) Pursuant to Ci�y Code Sedion 2-48L �he term "lobbyis�" specificallY axclutles �he (ollowing persons Ezpert wilnesses who
pmvide only scien[ifiq�echnical or o�her specializetl infortnation or lestimony in public meelings;any person who only appears
as a representativa of a neighbo�hood associa�ion wi�hout mmpensatian ar reimbursemen[for Ihe appearance,whe�her tlirec[,
indirec[or con[ingenl,�o express suppotl o(or opposilion to any item;antl any person who only appears as a represen�a�ive o(
no4forpmfit community basetl organizatian for Ihe purpose of requesling a gran� withoW special compensa�ion or
reimbursemeN for�he appearance.
YeaxNo: Are vou orovieino onN scientific, technical or other soecializetl information� aooearinq as a
representative of a neinhborhaod association without soecial comcensation or reimbursement or
reoresentina a nobforarotit based omanization for ihe oumose aT reouestino a nrant withou�
scecial comoensation or reimbursementP
5) PursuaN to Cily Cotle Seclion 2-491�7�, no campaign consW�ant shall lobby�he City Commission for a penotl of 12 months
(ollowing [he sweanng in of any electetl official(s)for whom �he campaign consul�ant provitletl campaigm m�sWting services
wi�hin Ihe pas�election cyde.See Section 2391 for more information.
Yes XNo: Have vou orovided camoaian consultina services to an incumbent member of ihe Cilv Commission
within the past elec[ion cvcleT It ves,olease list the incumbent member(sl of ihe CiN Commiasion:
Yes X No: If ves, has it been less ihan 12 months since [he elected oHiciallsl whom vau orovitletl camoaion
consultina services was sworn in9
6) Pursuant to City Code Section 2-482�a��4�a., a lobbyist who has within ihe pasl eledion cycle pmvided campaign consulting
services to an incumben�member of�he Ci[y Commission(which lobbying aclivity is no�otherwise pmhibiletl by Cotle section
2-091) shall tliscbse such parlicular service on hisiher lobbyisl ragisValion form and shall orallv tlisclose such particular
sayce bafore lobbvina IM1e CiN Commission a[a oublic meelinq.
ea%No: Have vou orovitletl wmoaian consultina services to an incumbent member ot the CiN Commission
within[he oast election cvcle4lf ves.olease liat the incumbent memberlsl of ihe Citv Commission:
Ves X No: If ves, were vou oromisetl ar tlitl vou receive economic consitleration in ezchanue Tor camoainn
consultina services�
TO BE COMVLETED BY CITY CLERK'S STAFF ONLY �
AnnualRegsVatonf [ �Y �N Am unlP tlS7-���U MCRO� J .�`��"( L DatePaiE E�Lr/( �
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VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH VEAR. EACH LOBBYIST 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 VEAR WITH REGARD TO THE SPECIFIC ISSl1E ON WHICH THE
LOBBVIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMP A7 Na RING THE RErPIORTING PERIOD.'
SignaWreofLobbyist ���"S �� � ��°`�rb Dale s-ii-2024
I do solemnly swear ar affirm Ihat all of ihe foregoing facis, statements, and disclosures in this form are tme and wrrect,
and ihat I have read or am familiar with [he provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lob6yisls" oF
the Miami Beach Ciry C 5Htl58if4�ioAing requirem��ebnis.
Signatureo(LobbyisY ��S '�'_�e��si ee .��" �� Dale
611-2024
SignatureofPrincipal�. i � �' Date fi-9i-202a
mrnneea�mn.-
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of Alorida State of Plorida
Counryot Miami-Dade Counryof�. Miami-Dade
Swom to (or aflirmed)and subscri6ed 6efore me, Swom to(or affrmed)and subscribed be(ore me,
by means o(O physical presence by means o!O physical presence
or� online no�ariza�ion, or 0 online no�arizatioq
this 11 dayo( June 20_24, �hi511 dayof June . 20z4,
Nicholas 2odriQuez-Caballero Robert Rivani
NAME OF LOBBVIST NAME OF PRINCIPAL
Produced I� _Produced ID
FORM .__ FORM ..._
x personally Known � � x Personally Known � �
= SignatureofNolaryP �r::-�•-��-�-�-- SignawreofNo�aryPu ��--•�• -�-��-
- Veidy Monlesino Perez Veidy Manlesino Peree
� Name oF Notary, Typed, Printed ar Stamped
Yeitly Mon�esina Perez
( Commizsion:Y HH 0842]3 Yeitly Montesino Perez
= No�ary Publlc�Sta[e of Flonda Commission#HM 09dR)3
MyCommisslonExplresJan24,2025 NotaryPublic-Sla�eofFlotlde
' My Commission Expires Jan 24,2025
' The 1 ..... . . � . . persans:
- Experl wi�nesses who pmvide only scientifiq technical or olher spetialized intortnalion or teslimony in public meelings;any person who
= onty appears as a representa�ive of a neighborhood associatian wi�hoW compensation or reimbursemen�for the appearance,whether
tlirect, intlired or con�ingen�, to express suppor�of or opposition ta any ilem;antl any persan who only appears as a represenlative of
no6for�mfil communiry basetl arganiza�ion for Ihe purposa of requesting a gran�wi�hoN special compensation or reimbursemeM br
the appearance.
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Ciry of Miami beoch, I]00 Comemion Cenrer Dtive,Mlomi Beach, Florida 33139,www.miomlbeochfLgov
Office of ihe Ciy Clerk
Rafael E. Granado, Ciy Clerk CiyClerk@miamibeachfl.gov
Tel: 305 6737411, Fox: 305.6737254
NAME OF LOBBYIST: Nicholas RodriRuez-Caballero
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 County Commission on Ethics and
Public Trust of the failure of a lobbyist (or principal) to file the Statement or pay the
assessed fines aker 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 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 fle a Notice of Withdrawal with the ORice of the City Clerk.
3) ANNUAL LOBBYIST REGISTRATION FEE
= I understand annual registretion 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 pursuaM to Section 2-482 of the Miami Beach City Code.
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- Signature of Lobbyist Date
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