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HomeMy WebLinkAboutPaul Savage - 251 Washington LLC (John Marshall)DM ? ~v l 3 <>v-o-~~ o :.2..5 _J_ \,J=:,J-;:~+," MIAMI BEACH l 5°"" },\o-c-,:9 -=-~ Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 305.673.7411 RE CE IVED MAY 2 6 2026 lobbyists@miamibeachfl.gov LOBBYIST REGISTRATION FORM g~~f 6F MIAMI BEACH This form is required under Chapter 2, Article VII, Division 3 of the City Code for individuals who engage in f ~%~Jzy Jdi5~~ 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- 48 1 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 the communication involves such procurement, shall not be included for purposes of this division. Page 1 of 7 I. LOBBYIST INFORMATION: Savage Paul NAME OF LOBBYIST (Last) (First) (Middle Name) I Bercow Radell Fernandez Larkin & Tapanes, PLLC 200 S. Biscayne Blvd., Ste. 300 Miami Florida 33131 LOBBYIST BUSINESS NAME AND ADDRESS (305) 374-5300 LOBBYIST BUSINESS TELEPHONE NUMBER II. PRINCIPAL INFORMATION: Marshall NAME OF PRINCIPAL (Last) 251 Washington LLC PRINCIPAL BUSINESS NAME AND ADDRESS (404) 925-8539 PRINCIPAL BUSINESS TELEPHONE NUMBER (Number and Street) (City) (State) (Zip Code) psavage@brzoninglaw.com CELLULAR TELEPHONE NUMBER EMAIL ADDRESS John (Middle Name) (First) PO 0ox;19103a Miami Beach Florida 33119 (Number and Street) (City) CELLULAR TELEPHONE NUMBER (State) john@jdmarshall.com (Zip Code) EMAIL ADDRESS Pursuant to 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 MUST be provided pursuant to City Code Section 2-482(c): • John Marshall • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY (if none, write N/A}: __________ _ • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST (if none, write N/A): See attached Exhibit A. Ill. ISSUE TO B.E 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. Development Approvals & Planning 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 251 Washington Avenue, in Miami Beach, Florida. Page 2 of7 RECErv'ED MAY 2 6 2026. CITY OF MIAMI BEACH OFFICE OF THE CITY CLERK 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. Ovesl;!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: NIA 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 □ 0 Public Works & City Administration, PB, HPB, BOA None □ 0 ORB, City Commission, and Mayor as necessary None □ 0 □ 0 D IZI □ 0 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 filed. List any business, financial, familial, or professional relationship, or other relationship giving rise to an aooearance of improorietv (if none, write N/A): ,I I ' None Page 3 of7 --~--·--·--------------'-'-'~---------=------------------------- 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.). $850 per hour The following six (6) questions MUST be answered: 1) Pursuant to City Code Section 2-488, entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": 2) 3) 4) D Yes I!!! No: Are you lobbying on a present or pending bid for goods, equipment, or services. or on a present or pending award for goods. equipment, or services? Pursuant to City Code Section 2-490, entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": D Yes 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? 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 iof a not-for-profit corporation or entity without special compensation or reimbursement for the appearance, whether diredor 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 l!!!!No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement? Note: Jf 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/Homeo~ner Association Representative Registration Form.• Other exempt individuals may utilize this Lobbyist Registration Form to fulfill the disclosure requirement and should complete the applicable sections. Pursuant to City Code Section 2-481, the term "lobbyist" specifically excludes the following persons: Expert witnesses who provide oniy 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. 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. □ Yes I!!! 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. D 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 ·t 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. Page4 of7 5) Pursuant to City Code Section 2-491(1). no cam paign consultant shall lobby the City Commission for a period of 12 months following the swearing in of any elected official(s) for whom the campaign consultant provided campaign consulting services within the past election cycle. See Section 2-491 for more information. □ Yes !!!I 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(sl of the City Commission: □Yes □ No: If yes, has it been less than 12 months since the elected official(sl whom you provided campaign consulting services was sworn in? 6) 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 of the City Commission (which lobbying activity is not otherwise prohibited by Code section 2-491 ) shall disclose such particular service on his/her lobbyist reg istration form and shall orally disclose such particular service before lobbying the City Commission at a public meeting. □ Yes l!!I 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(sl of the City Commission: □ Yes I!!! 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. A IMPORTANT -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 fi scal 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 Form annually by February 28, which must include a signed statement of all lobbying-related expenditures and compensation. Once lobbying activities fo r a specific issue have ended, I need to submit a Notice of Withdrawal using the same Expenditure and Compensation Form. All forms ,.,_:mcr-.,e sent either via email to Lobbyists@miamibeachfl.gov or mailed to the Office of the City Clerk at 1700 Conve 10 Cen D ami Beach, FL 33139. Signature of Lobbyist: Date_c;-_-_/_S---~~c)._b _ I do solemnly swear or affirm that all 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 un derstand that violations of the City's lobbying ordinance are subject to enforcement by the Miami-Dade County Commission on Eth ics 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 rece1v1 pensation or reimbursement in violation of the City Code, and that I am not engaged in any prohib' ed c ~J,eJ~~~ a rangement. Signature of Lobbyist: Date_5 _} ~---=--~'---=--¥--=---- Printed Name of Lobbyist: _P_a_u_l_S_a_v_a_g_e __________ _ Signature of Principa l: Date ________________ _ Printed Name of Principal:_J_o_h_n_M_a_rs_h_a_ll _________ _ Page 5 of 7 who has within lhe p I election cycle provided cam n co,, • ,ng (wttidl lobbying activity Is not otherwise prohfbited by Code sect,on • t regi.Jlntllm fOffll el.llluw:!!!!..ll=~;c,mj~:Dllll:U-IIC==utli.l.Ui<!l ·~m.ig!2m]D9.l!J!.l,t!!iX.Ji2m!!l!ll!l!!!!..!l~~:JI!::!m!9 lting tealcu to 1n Incumbent member of the City comm1s,1on within the pat\ etection cycle? If vn,. otease t11tthe Incumbent m,mberf•I of the CltY Commission: □ Ya • No: 11 xn, mn: you p,:wnl•ed or gig you mtlx• economic con,1derat1oa In exchange for camPflgn coosvlVoa UTYtm7 If xn. P!t11t deJsdbt tht na,tuc, and amount ot any economic consideration received or promlffd In exchange for campaign c:onsultlng urxlct•, A IMPORTANT -Annual Requirements for Registered Lobbyists: As a registered lobbyist, I acknowledge and agree to e following year1y 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 Form annually by February 28, which must include a signed statement of all lobbying-related expenditures and compensation. Once lobbying activities for a specific issue have ended, I need to submit a Notice of Withdrawal using the same Expenditure and Compensation Form. All forms should be sent either via email to lobbyists@miamibeachfl.gov or mailed to the Office of the City Cieri( at 1700 Convention Center Drive, Miami Beach, FL 33139. Signature of Lobbyist Date. _____________ _ I do solemnly swear or affinn that all of the foregoing facts, statements, and disclosures In this fonn are true and correct, and that I have read and am familiar with the provisions contained In Chapter 2, Article VII, Division 3, entitJed "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, debannent, or the voiding of contracts. I further affinn that I am not receiving any compensation or reimbursement in violation of the City Code, and that I am not engaged in any prohibited contingency fee arrangement Signature of Lobbyist Date _____________ _ Signature of Principal: Date_'V_/ /___.fJ.__.Z,..........ab'-----_ Printed Name of Principa . _____________ _ 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 □ online notarization, this 15 day of . May Paul Savage NAME OF LOBBYIST -~ _ _persona lly Known Signature of Notary Public Yeidy Montesino Perez Name of Notary, Typed , Printed or Stamped (NOTARY SEAL) YEI0Y MONTESINO PEREZ Commission # HH 596999 Expires January 24, 2029 PRINCIPAL: State of Florida ------------ County of: Miami-Dade Sworn to (or affirmed) and subscribed before me, by means of □ physical presence or □ online notarization, this O I of_ May 20 26 .l. -· John Marshall NAME OF PRINCIPAL _Produced ID =-Fo-R=-M--:-O-:,F---,ID:-:E::-,-N-,,:T:,-:IF=-1c_A_T_IO.,....N-- _x_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: [ Yes [ ) No Amount Paid 3.S o MCR #_._--=-='-~----Date Pa ids,.. Lobbyist Registration Form received and verified by: _,ti\'--""----'-------------- 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 vm. Not RV IGNA TURE AND SEAL: LOBB'YtSt: ~ to {or a rmed) and ubscribed before me, b n:s of physical presence or O onrne notarization. th,s 00 day of . May Paul Savage. E OF LOBBYIST _'Produced ID ""FO'""'R""'M"""o""'"F =,oe=N'""TI ___ Fl,_CA_TI_ON ___ _ ~Personally Known Signature of Notary Public Name of Notary, Typed, Printed or Stamped (NOTARY SEAL) PRINCIPAL: State of Florida ---------- County of: Miami-Dade Sworn to (or affirmed) and subscribed before me, by means of □ physical presence or O online notarization, this O I S , of . May John Marshall NAME OF PRINCIPAL _Produced ID ""Fo=R=M---O""'F'""'1o""'E""'NT=1F=1CA~Tl"""'ON,--- 2..._Personally Known ~ ~ Signature of Notary Public . \/ e_v0 n \ c. o.. ~"91 cy Name of Notary, Typed, Printed or Stamped (NOTARY SEAL) 1 ~Notary Pubic Slat• of Florida • Veronica RoJ11 • 111 Collllllltllon HM 111lll I hpim S/22/2030 I TO BE COMPLETED BY CITY CLERK'S STAFF ONLY Annual Reglstradon fer. ~Yes [ J No Amount Paid $3 5 O MCR I 1 J(, s · Lobbyist Registration Fonn recefved and verifted by~_..oc.....M___,a __________ _ F:\CLERISAUIIFORMS\LOBBYIST FORMS\Lobbylst Registration Form REG KM RB OM NK REVISED OCTOBER 1 2025.docx Revised: October 1, 2025 Page6 of 7 MIAMI BEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beoch, Florida 33139, www.miomibeachfl.gov Office of the City Clerk Rafael E. Granado. City Clerk Tel: 305.673.741 l NAME OF LOBBYIST: Paul Savage CityClerk@:miamibeachfl.gov ----------------------- 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 comme • ctober 1 of each year, and the fee for such annual registration shall be $ .00 pursuant o Seer n 2-482 of the Miami Beach City Co~_ I). JZ Date F:ICLERISALL\aFORMS\LOBBYIST FORMS\l.obbyist Registration Form REG KM RB DM NK REVISED OCTOBER 1 2025.doc, Page 7 of 7 Exhibit A Page 6 of 8 DISCLOSURE OF INTEREST CORPORATION, PARTNERSHIP OR LIMITED LIABILITY COMPANY If the property that is the subject of the application is owned or leased by a corporation, partnership or limited liabil ity company, list ALL of the owners, shareholders, partners, managers and/or members, and the percentage of ownership held by each. If the owners consist of one or more corporations, partnerships, trusts, partnerships or other corporate entities, the applicant shall further disclose the identity of the individual(s) (natura l persons) having the ultimate ownership interest in the entity. 251 Washington LLC NAME OF CORPORATE ENTITY NAME AND ADDRESS John D. Marshall Revocable Trust U/A/0 July 3, 2013, As Amended P.O. Box 191038 Miami Beach, FL 33119 John D. Ma rshall , Sole-Trustee and Beneficiary P.O . Box 191038 Miami Beach , FL 33119 % OF OWNERSHIP 100°/o 100% Basecamp305 , Inc. (Not-fo r-P rofit School Operator) NAME OF CORPORATE EN TITY NAME AND ADDRESS % OF OWNERSHIP John Marshall (President) P.O. Box 191038 Miami Beach, FL 33119 Jeffry Baum (Vice President) P.O. Box 191038 Miami Beach , FL 33119 If there are additional corporate owners, list such owners, including corporate name and the name, address and percentage of ownership of each additional owner. on a separate page. we are commifled to providing excel/en I public serv,ce ond sofety to all who live. work. ond ploy ,n our vibrant. lrapical. his/one community. Page7of8 DISCLOSURE OF INTEREST TRUSTEE If the property that is the subject of the application is,owned or leased by a trust, list any and all trustees and beneficiaries of the trust, and the percentage of interest held by each. If the owners consist of one or more corporations, partnerships, trusts, partnerships or other corporate entities, the applicant shall further disclose the identity of the individual(s) (natural persons) having the ultimate ownership interest in the entity. John D. Marshall Revocable Trust TRUST NAME NAME AND ADDRESS John D. Marshall, Sole Trustee PO BOX 190778 Miami Beach, FL 33119 COMPENSATED LOBBYIST %INTEREST 100% Pursuant to Section 2-482 of the Miami Beach City Code, all lobbyists shall, before engaging in any lobbying activities, register with the City Clerk. Please list below any arid all persons or entities retained by the applicant to lobby City staff or any of the City's land development boards in support of this application. NAME ADDRESS PHONE Michael W. Larkin 200 S. Biscayne Boulevard, Suite 300 (305) 37 4-5300 Matthew Amster 200 S. Biscayne Boulevard, Suite 300 (305) 37 4-5300 Roberto A. Alvarez 200 S. Biscayne Boulevard, Suite 300 (305) 37 4-5300 Ryan Alderman 14970 E Falcons Lea Drive (305) 801-9.185 Additional names can be placed on a separate page attached to this application. We are committed lo providing excellent public service and safely lo all who live, work. and play in ourvibtont. fropicat historic community. Miscellaneous Cash Receipt CITY OF MIAMI BEACH □ Cash □ Credit Card □Check #-.a....--- No. 436588 $ I Received of ________ ..;..;;_ _____ ;;_;;_ _______________ _ Address------------------------------- City of Miami Ee~chs _J_, Miscellaneous -MGR -2026 008779-0030 Cat:men V ... 05/26/2026 03: 05PM MCR OPEN (MCR) Payment Amount: $700.00 Office of Finance Director (THIS INFORMATION MUST BE COMPLETED) By _________ _ Account number: _________________ ...;._ _____ 1_,,._-_3_'€_') __ v ___ _ Preparer: _____ ""');;.__ _________ Dept: L \:: ' ~ EXT: 1~ \ l City of Miami Beach Customer Service Center 1755 Merdian Ave Suite 100 Miami Beach. FL 33139 305-673-7420 l~elcome 05/26/2026 03:05PM Carmen V. 008779-0030 MISCELLANEOUS MCR OPEr (MCR) Referenpe 1: MCR436588 2026 MCR 1 ~ $700,00 $700,00 $700.00 Subtotal $700.00 Total $700.00 CHECK $700.00 Check Number002682 Change due $0.00 Paid by: BERCOW RADELL FERNANDEZ LARKIN & TAPANES PLLC I llllllll lllll II llllll ~Ill llllllllll lllll lllll llll llll~ll lllll II IIII Thank you for your payment CUSTOMER COPY