HomeMy WebLinkAboutSaju Varghese - Palm Island Residence Trust (Jamie B. Mandel)u V °' r ~he.s e....
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MIAMI BEACH
Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
305.673 .7411
lobbyists@miamibeachft.gov
LOBBYIST REGISTRATION FORM
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This form is required under Chapter 2, Article VII, Division 3 of the Cfty Code for individuals who engage in lobbying activities
before the City of Miami Beach.
Pursuant to City Code Section 2-481 , a "lobbyist" means any person employed, retained, or designated, whether paid or
not, by a principal who seeks to encourage the passage, defeat, or modification of any ordinance, resolution, action, or
decision of any Commissioner; any action, decision, or recommendation of the City Manager or any City board or committee;
or any action, decision, or recommendation of any City personnel1 during the time period of the entire decision-making
process on such action, decision, or recommendation that foreseeably will be heard or reviewed by the City Commission,
or a City board or committee. The term specifically includes the principal as well as any employee engaged in lobbying
activities. The term "lobbyist" specifically excludes the following persons: expert witnesses who provide only scientific,
technical, or other specialized information or testimony in public meetings; any person who only appears as a representative
of a neighborhood or homeowner association without compensation or reimbursement for the appearance, whether direct,
indirect, or contingent, solely to express support of or opposition to any item; and any person who only appears as a
representative of a not-for-profit community-based organization for the purpose of requesting a grant, without special
compensation or reimbursement for the appearance. Any person excluded from the definition of lobbyist under Section 2-
481 is not required to register as a lobbyist but must complete and submit a written disclosure form for each issue on which
they appear, identifying their name, address, and the principal on whose behalf they are communicating, as required by
Section 2-483(b) of the City Code.
Note: A separate form titled "Neighborhood/Homeowner Association Representative Registration Form" is available from
the Office of the City Clerk for representatives of neighborhood or homeowner associations. Other individuals excluded from
the definition of lobbyist under Section 2-481 may utilize this form and complete the relevant sections.
Instructions: Please complete all sections of this form and submit the completed form, with the applicable fee, to the Office
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 section, you must write "none" or "n/a" in that section. Any change to any information originally filed, or
any additional City Commissioner or personnel who are also sought to be lobbied, shall require that the lobbyist file an
amendment to the registration form. The lobbyist has a continuing duty to provide information and amend the forms filed
throughout the period during which lobbying occurs. A separate registration form must be submitted for each principal
represented and for each specific issue on which the lobbyist is engaged.
Lobbyist Registration Fees: Pursuant to Section 2-482 of the City Code, a registration fee of $350. 00 per issue is required
at the time of filing this form. In addition, an annual registration fee of $500.00 is required for each 12-month period
commencing October 1 of each year. These fees must be submitted to the Office of the City Clerk along with the completed
registration form. However, a principal of any corporation, partnership, or other entity who appears as a lobbyist on behalf
of that entity, without special compensation or reimbursement for the appearance, is not required to pay registration fees.
No fee is required for filing a notice of withdrawal. The City Commission may, in its discretion, waive the registration fee
upon a finding of financial hardship.
Public Records Notice and Address Disclosure: Forms filed with the Office of the City Clerk are public records under
Florida law. If your home address is exempt from disclosure or if you prefer it not be made public, you may provide an office
or alternate mailing address instead. Florida Statutes Section 119.071 (4)(d) provides public records exemptions for certain
individuals and their families. If you believe you qualify, please consult the statute or contact the Office of the City Clerk for
guidance.
1 City personnel include advisory personnel, autonomous personnel, departmental personnel, and quasi-judicial personnel.
Departmental personnel means the city manager, all assistant city managers, all department heads, all assistant and deputy
department heads, employees of the police department with the rank of captain, major or chief, building and zoning
inspectors, the city attorney, chief deputy city attorney and all assistant city attorneys; however, all departmental personnel
when acting in connection with administrative hearings, and any employee of a city department or division with the authority
to participate In procurement matters, when tne communication involves such procurement, snail not be included for
purposes of this division.
Page 1 of 7
I. LOBBYIST INFORMATION:
Varghese
NAME OF LOBBYIST (Last)
RESTEKC Consulting Engineering
LOBBYIST BUSINESS NAME AND ADDRESS
(786) 803-8689
LOBBYIST BUSINESS TELEPHONE NUMBER
II. PRINCIPAL INFORMATION:
Mandel
NAME OF PRINCIPAL (Last)
Palm Island Residence Trust
PRINCIPAL BUSINESS NAME AND ADDRESS
(786) 535-1066
PRINCIPAL BUSINESS TELEPHONE NUMBER
Saju
(First) (Middle Name)
18191 NW6BAvenue,Sulte22B Miami Gardens Florida
(Number and Street) (City) (State)
hello@restekc.com
CELLULAR TELEPHONE NUMBER
Jamie
(First)
94 Palm Avenue
(Number and Street)
B.
(Middle Name)
Miami Beach Florida
(City) (State)
33015
(Zip Code)
EMAIL ADDRESS
33139
(Zip Code)
jbmandel18@gmail.com
CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
Pursuant lo City Code Section 2-482(h)(1)(a): A principal of any corporation, partnership, or other entity who appears as a lobbyist on
behalf of that entity, without special compensation or reimbursement for the appearance, whether direct, Indirect, or contingent, to
express support of or opposition to an item shall register with the Clerk as required by this subsection but shall not be required to pay
any registration fees.
If the principal is a Corporation, Partnership, or Trust, the following information M!!fil be provided
pursuant to City Code Section 2-482(c):
Jamie B. Mandel, Authorized Person • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY (if none, write NIA): _________ _
• NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST (If none, write NIA): Please see attached
Ill. ISSUE TO BE LOBBIED:
Describe the specific matter you are lobbying on. Include as much detail as possible, such as the title
or subject of the item, relevant ordinance or resolution numbers, RFP or 1TB numbers, or the date and
topic of any public hearing, if applicable.
Expert witness testimony related to the property located at 94 Palm Avenue in Miami Beach, Fl.
Page2of7
IV. DISCLOSURE OF CONSIDERATION PROVIDED BY LOBBYISTS TO NEIGHBORHOOD OR
HOMEOWNER ASSOCIATIONS:
Pursuant to City Code Section 2-482(k), any lobbyist who provides, directly or indirectly, consideration,
whether monetary or non-monetary, of $1,000 or more to a neighborhood or homeowner association or
its designee, for purposes of supporting or withholding Its objection concerning a matter before the City
Commission, or any City board, or committee must disclose such consideration.
OYesl;!No: Have you provided, directly or indirectly, any consideration, monetary or non-monetary, of
$1,000 or more to a neighborhood or homeowner association or its designee, in connection
with the matter for which you are lobbying?
If yes, please describe:
N/A
V. 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 of Individual and Contractual Relationship (If yes, explain) YES NO
Title of Person to be Lobbied
Staff for the Planning & Building Department None □ IZI
Public Works & City Administration, PB, HPB, BOA None □ IZI
ORB, City Commission, and Mayor as necessary None □ ~
□ ~
□ 0
□ IZI
Pursuant to City Code Section 2-482(9), 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 Impropriety, with any current City Commissioner or City personnel who is sought to be
lobbied, as Identified on the lobbyist registration form flied.
List any business, financial, famlllal, or professional relationship, or other relationship giving rise to an
annearance of lmoroorie"• (if none, write N/Al:
None
Page 3 of 7
VI. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION -BE SPECIFIC.
Contingency fees are strictly prohibited under Section 2-485.3 of the City Code. This
prohibition applies to all lobbyists and to individuals excluded from the definition of
lobbyist under Section 2-481. If compensation is not monetary, describe the form of
consideration (e.g., services, goods, etc.).
$0.00
The following six (6) questions MUST be answered:
1) Pursuant to City Code Section 2-488, entitled "Prohibited Campaign Contrtbutions By Lobbyists On Procurement Issues":
□ Yes I!! No: Are you lobbying on a present or pending bid for goods, egulpment1 or services, gr on a present or
pending award for goods, equipment. or services?
2) Pursuant to City Code Section 2-490, entitled "Prohibited Campaign Contrtbutlons By Lobbyists On Real Estate Development lssuesn:
□ Yes l!!I No: Are you lobbying on a pending application for a Development Agreement with the City or an
application for a change of zoning map designation or a change to the City's Future Land Use Map?
3) Pursuant to City Code Section 2-482(h), any person (except those exempt from the definition of "lobbyist" as set forth In Section
2-481) who only appears as a representative of a not-for-profit corporation or entity without special compensation or
reimbursement for the appearance, whether direct or indirect, to express support of or opposition to any Item, shall register with
the City Clerk as required by this section, but shall not be required to pay any registration fees.
□Yes I!! No: Are you representing a not-for-profit corporation or entity without special compensation or
reimbursement?
Note: If you are exempt from the definition of lobbyist under Section 2-481 and are required to submit a written
disclosure pursuant to Section 2-483(b), representatives of neighborhood or homeowner associations should
use the "Neighborhood/Homeowner Association Representative Registration Fann." Other exempt Individuals
may utilize this Lobbyist Registration Form to fulfill the disclosure requirement and should complete the
appllcable sections.
4) Pursuant to City Code Section 2-481, the term "lobbyist" specifically excludes the following persons: Expert witnesses who
provide only scientific, technical, or other specialized information or testimony in public meetings; any person who only appears
as a representative of a neighborhood or homeowner association without compensation or reimbursement for the appearance,
whether direct, indirect, or contingent, solely lo express support of or opposition to any item; and any person who only appears
as a representative of a not-for-profit community-based organization for the purpose of requesting a grant, without special
compensation or reimbursement for the appearance. Individuals who qualify for these exclusions are still required to submit
a written disclosure form for each appearance, as required by Section 2-483(b) of the City Code.
I!! Yes □ No: Do you qualify for one of the exclusions listed above under Section 2-481?
If yes, please check the applicable category:
~ Expert witness providing only scientific, technical, or other specialized information or testimony in a public
meeting.
□ Representative of a not-for-profit community-based organization requesting a grant without compensation
or reimbursement.
□ Representative of a neighborhood or homeowner association appearing without compensation or
reimbursement.
Note: Representatives of neighborhood or homeowner associations should use the
"Neighborhood/Homeowner Association Representative Registration Form." other exempt individuals may
utilize this Lobbyist Registration Form to fulfill the disclosure requirement and should complete the applicable
sections.
Page 4 of7
5) Pursuant to City Code Section 2-491(1), no campaign consultant shall lobby the City Commission for a period of 12 months
following the sweanng In of any elected offic1al(s) for whom tne campaign consultant provided campaign consulting services
within the past election cycle See Section 2-491 for more information
6)
D Yes Ii!! No: Have you provided campaign consulting services to an incumbent member of the City Commission
within the past election cycle? If yes. please list the incumbent member/s) of the City Commission:
C Yes D No: If yes, has it been less than 12 months since the elected official{s) whom you provided campaign
consulting services was sworn in?
Pursuant to City Code Section 2-482(a)(4)a .. a lobbyist who has within the past election cycle provided campaign consulting
services to an incumbent member oi the City Comm1ss1on (which lobbying activity Is not otherwise proh1b1ted by Cooe section
2-491) shall disclose such particular service on his/her lobbyist registration form and shall orally disclose such particular service
before lobbying the City Commission at a public meetino
D Yes II No: Have you Provided campaign consulting services to an incumbent member of the City Commission
within the past election cycle? If yes. please list the incumbent member/s) of the City Commission:
:::J Yes II No: If yes, were you promised or did you receive economic consideration in exchange for campaign
consulting services? If yes, please describe the nature and amount of any economic consideration
received or promised in exchange for campaign consulting services.
IMPORT ANT -Annual Requirements for Registered Lobbyists: As a registered lobbyist, I acknowledge and agree to
the following yearly obligations. An annual registration fee of $500.00 must be paid by October 1 of each fiscal year to
maintain my lobbyist status active. A new issue registration fee of $350.00 is due when submitting any new issue registration
and is a one-time fee per issue. Additionally. I am required to file an Expenditure and Compensation Fonn annually by
February 28, which must include a signed statement of all lobbying-related expenditures and compensation. Once lobbying
activities for a specific issue 1-tave ended. I need to submit a Notice of Withdrawal using the same Expenditure and
Compensation Form. All fonns should be sent either via email to ~ -:cn:Jvists1a.:'1l;a:-':1bea,-:;:-:ft ::io\ or mailed to the Office of
the City Clerk at 1700 Convention nter Drive, Miami Beach. FL 33139.
Signature of Lobbyist: Date ___ l 0_/_2-_o ..... /_2---_S-_____ _
I do solemnly swear or affirm that II of the foregoing facts, statements, and disclosures in this form are true and
correct, and that I have read and am familiar with the provisions contained in Chapter 2, Article VII, Division 3,
entitled "Lobbyists," of the Miami Beach City Code, including all applicable registration and reporting
requirements.
I understand that violations of the City's lobbying ordinance are subject to enforcement by the Miami -Dade County
Commission on Ethics and Public Trust and may result in admonition, fines, public reprimands, prohibitions from
registering as a lobbyist or engaging in lobbying activities by the City, debarment, or the voiding of contracts.
I further affirm that I am not receiving any compensation or reimbursement in violation of the City Code, and that I
am not engaged in any prohibited co tingency fee arrangement.
Signature of Lobbyist: Date ___ \_O_/_-z..._c_/_1-_\ ____ _
Printed Name of Lobbyist: _s_a_j_u ___ H------------
Signature of Principal: ':::,,, k:-----..-'--0 L, v---_ ......... Date ___ ' -=~::....)-'{~/-~ __ !_6_v_'?._) __ _
Printed Name of Princ1pal:._J_a_m_ie_B_. _M_a_n_d_e_l _________ _
Page 5 of 7
VIII. NOTARY SIGNATURE AND SEAL:
LOBBYIST:
State of Florida ----------
County of: Miami-Dade
Sworn to (or affirmed) and subscribed before me,
by means of !!!I physical presence
or D online notarization.
this 20 day of October 20 25 ' -
Saju Varghese
NAME OF LOBBYIST
_x_Personally Known
Yeidy Montesino Perez
Name of Notary, Typed, Printed or Stamped
(NOTARY SEAL)
YEIDY MONTESINO PEREZ
Commission# HH 596999
Expires January 24, 2029
PRINCIPAL:
State of Select State
County of: __________ _
Sworn to (or affirmed) and subscribed before me,
by means of D physical presence
or D online notarization,
this 10 1 of. October
Jamie B. Mandel
NAME OF PRINCIPAL
Produced ID
20 25
.J. -
-F=-o"""R-M---,-O""F-ID_E_N_Tc=IF,....IC"""A...,,T,....,10,-N--
_Personally Known
Signature of Notary Public
Name of Notary, Typed, Printed or Stamped
(NOTARY SEAL)
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: ( J Yes [ J No Amount Paid $ _____ MCR # _________ Date Paid _____ _
Lobbyist Registration Form received and verified by: _______________ _
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form REG KM RB DM NK REVISED OCTOBER 1 2025.docx
Revised: October 1, 2025
Page 6 of 7
VIII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL:
State of Florida State of Select State fl°'4M
County of: Miami-Dade County of: M\.AM t -l>AJ)E,
Sworn to (or affirmed) and subscribed before me,
by means of ~ physical presence
Sworn to (or affirmed) and subscribed before me,
by means of~physical presence
or D online notarization. or D online notarization,
this 14 day of October 2025
L -this 14 1 of_ October 2025
.J. -·
Saju Varghese
NAME OF LOBBYIST
_Produced ID ,-------,,....,,....__,...-,----,,-----
FORM OF IDENTIFICATION
_Personally Known
Signature of Notary Public
Name of Notary, Typed, Printed or Stamped
(NOTARY SEAL)
Jamie B. Mandel
NAME OF PRINCIPAL
Produced ID --FO_R_M_O_F_ID_E_N_T_IF-IC_A,_,,T,,..,10,-N.,..--
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual Registration fee: [ J Yes ( ] No Amount Paid$ _____ MCR # _________ Date Paid _____ _
Lobbyist Registration Form received and verified by: _______________ _
F:ICLERISALL\aFORMSILOBBYIST FORMS\Lobbyist Registration Form REG KM RB DM NK REVISED OCTOBER 1 2025.docx Revised: October 1. 2025
Page 6 of 7
City o: Mi::im• Beach, I 7J'J,:. :,nvermor ::.:en·er Drive ".,\1omi Seoch =1orico 33139 NHW r11~m1::,eochf1 go'"
Office o-the Ci'~· Cl8rK
Rafael E. G,arado, ::1tv Cerv
i el 305.673.7,C i
NAME OF LOBBYIST: Saju Varghese ----------------------
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 after
notification.
Any lobbyist who fails to file the required Statement by April 30th 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 registration of all lobbyists shall be required for each 12-month period
commencing October 1 of each year, and the fee for such annual reg istration shall be
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
Signatur Date
F \CLER\SALlaFORMSt..OSBYIST FQRMS1LollbytSl 'legistrallon °orm 'lEG KM RB ::JM NK REV:SED OCTOBER 1 2025 ooc,
Page 7 of 7
Disclosure of interest for "Palm Island Residence Trust"
Palm Island Residence Trust
TRUST NAME
NAME AND ADDRESS
Palm Island Holdings, LLC as Trustee
251 Little Falls Drive, Wilmington, DE 19808
Beneficiaries:
David Centner
Leila Centner
3921 Alton Road, #465, Miami Beach, FL 33140
%INTEREST
0%
50%
50%