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HomeMy WebLinkAboutSamuel E. Poole / Ritz Plaza l't1lami 8tr.ld1 ItdJ:d rrrrr. ~U$ lD - City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained, 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, dedslon, recommendation of the City Manag~r or any city boar" or committee; or any action, decision or recommendation of any dty personnel defined in any manner In this section, during the time period of the entire dedslon-making process on such action, dedsion or recommendation that foreseeably wiU be heard or reviewed by the dty commission, or a city board or committee. The term spedfically includes the prlndpal as well as any employee engaged In lobbying activities. The term "Lobbyists" has specific exdusions. Please refer to Ordinance 2004-3435. . ?Or)LE (last)" . ~ ~ll\)G,ERtl'\4;J ~:)'O f....W- Cn..A.~ BUSINESS NAME AND ADDRESS (Number and Street) NAME OF LOBBYIST: 954 bL../ ~CJI2? TELEPHONE NUMBER: 9 S'4; S"L"3> LQ7'1- FAX NUMBER: ~ :::SAMUEL .. .. . . (First) '. -. ..-- - - .. IT. ~u.D8l..~ (State) (Zip Corle) .s~ 1~(Ci) brj~r--..r,~..ol"~"" I (on.. EMAIL:. \. E (M.!) PL. -S33ol (City) LLc. M 14.~, 13c.>+ (Number and Street) catv) ~5"~ ~2}-flo 2Si,- 50S 5~1 69-& TELEPHONE NUMBER: . A\J6 rL (State) . (Zip Code) FAX NUMBER: (Optional) EMAIL: (Optional) \ Fill out this section If principal Is a Corporation, Partnership or Trust [Section 2-482 (c)] NAME OF CHIEF OFFICER, PARTNER, OR BENEFICARY: SAtn.,UGL W6~SSgA-e.D 1~\C\4A6L ~bO~ . IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDlREffiV, A S% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: ON t='l &" II. . SPECIFIC LOBBY ISSUE: ~6NG"~"j ,O,J 1c.)cPr\~.rr(),J Of 12fT c lJL.~c/'o; {-\..orE L - 14~.8. ~ RoA Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Indivldual/l1tle B) Any Financial, Familial or Profession.' Relationship : ~ NON \o~ VV\b 0.... ~......, 8 . . ~ \.~.,t.:. r. '. ..........'.., . ,J..," 0' . ; I iiol'::a.~.,,",,) rJ',~r : . r< LC ~"'- ) Lo .,.. b~r NON e- L~:..~~~t:~2~~.~~~>". ~":"I' , t. t ..,' ,..~ - ~ .. IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLAT RATE OR OTHER): .~ A) LOBBYIST DISCLOSURE: (Required) H-CCJ p. L-'( ~ 350 '" B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). If ()tJl2 L ~ '* 350 ensation or 1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chaoter 2. Article VII. Division 5 Thereof Entitled "Campaign Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On Procurement Issues": resent I 2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City Code Chaoter 2. Article VII Division 5 thereof Entitled "Campaign Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited Camoaign Contributions Bv Lobbvists On Real Estate Development Issues": V. SIGNAlURE UNDER OATH: ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. < ~ Q L AA Signature of Lobbyist I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions contained in Section 2-482 of the Miami Beach City Code and all reporting requirements. n () Signature of lobbyist:, ~ (' to~.JJ4: Signature of Principal/Client: VI. LOBBYIST IDENTIFICATION: Produced 10 fLit- ~ t \J e~ \.. \ ('G~ ~. Form of Identification PRINCIPAL IDENTIFICATION: Produced 10 Form of Identification Personally known (Lobbyist) Personally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Sworn and subscribed before me This _day of . 20_ gnature of Public Notary - State of Florida Notarization of Lobbyist's signature Signature of Public Notary - State of Florida Notarization of Principal's signature r..... II ..........................."........ PAULA CAlDERON : ! ,/~.',:~",~ CommIJ ooaaeae : t?ti:"hc:} ExplIw ,... ~~'!\.~"" 1ondId- ~;1'Ofp..~ -- "IIIIIl""~ PIarIdI ... ........ ~ FOR LERK'S U~ ONLY rJ ~ 9' t!!L . / Z -(j-CJ I I Annual Registration fee: [ ] Yes [ ] No Amo n aid .(Jl) MCR # L.- \.) () 4 Date Paid y-- Lobbyist Registration Form received and verified by: Revised 02/10/04 F: LER L\MARIA-M\LOBBYIST\LOBBYIST FORM 04 IV. DISCLOSURE Of TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLA T RA TE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) HbU p. L:( ~ 350 B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). I-fouR L'( 4350 1) Pursuant to Ordinance No. 2003-3393 Amending Miami Beach City Code Olacter 2. Article VII. Division 5 Thereof Entitled "Camoaian Finance R.efonn" Via The Addition Of Code Section 2-488 Entitled "Prohibited CamoalQn Contributions Bv Lobbvl$tS On Procurement Issues": VB ~. Are vou lobbvln9 on a oresent or Dendina bid for GOOds. eauiDment or services. or on a nresent or Dendina award for Goods. eaulDment or service? 2) Pursuant to Ordinance No. 2003.3395 Amendlna Miami Beach Crtv Code Chaoter 2. Artfde VII Division 5 tbgL.eQf Entitled "Campaign Finance Reform". Via The Addition Of Code Section 2~490 Entitled "Prohibited Camoaign Contributions Bv Lobbyists On Real Estate Develooment.Issues": V. SIGNATURE UNDER OATH: ON OCTOBER 1 Sf OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISllNG LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. , ~Q L ~ Signature of Lobbyist I do solemnly swear that all' of the foregoing facts are. true and correct and that I have read or am familiar with the provisions contained In Section 2-482 of the Miami Beach City Code and all reporting requlrem~nts. Signature of Lobbyist: Signature of Prindpal/Cllent: VI. LOBBYIST IDENTIFICAnON: Produced 10 Ft.^" ])R I \J er<.. \..1 ('fM r::'- Form of Identification P CPAL IDENnfICATION: Produced 10 CA ~ L- Form of Identification Personally known (Lobbyist) Personally known (Prlndpal) VII. SIGNATURE AND STAMP OF NOTARY': r...n.' 'P;'ULA'CALOERON'''--' i ..(': ..,,~"/~'" Cornnlt DClIIZJfIIf I~~ ~="1 L...~~I::. fIIarIde _ State of Florida, County of Miami-Dade Sworn and subscrf before me J ThIS~. .20tlT Signature Public Notary - State of FlorIda N ., . ~ SUZANNe StmON ~ . CommIuIon (11467067 ~ '. Notary PublIc - CaIIfona Orange COWdy Mv~- ExpIresJan 31. 9 nature of Pu bile Notary - State of Florida Notarization of Lobbyist's signature .. ~ FOR C~E'K'S USE ONi.. Y r") ~ 9' . . 12 --3-tJ I I Annual Registration fee: [ ] Yes [ ] No Amount Paid .1!:3J.tJi) MeR # L- ) 0 'IJ"1 Date PaId. y- Lobbyist Registration Form received and verified by: Revised 02/10/04 F: CLER\ALL\MARIA-M\LOBBYIST\lOBBYIST FORM 04 L ~. , . 12/06/2004 15:25 BERGER S I tiGERr1AN -:, 305 6737254 ~iO . 920 [i01 BERGER SINGERMAN PROFESSIONAL ASSOCIATION SUITE 1000 350 EAST LAS OlAS BOULEvARD FORT LAUDERDALE. FLORIDA 3330\ Telephone 95.4..525.9900 Facsimile 954.523.2872 Facsimile Transmittal Coversheet DATE: FIRMlCOMP ANY: A TIENTION: F ACSlMlLE NUMBER: TELEPHONE NUMBER~ OUR FILE NUMBER: 7696.003 FROM: Samuel E. Poole NUMBER OF PAGES SENT: ~ (including cover page) MESSAGE (if any): December 6, 2004 City of Miami Beach P. Calderon. Clerk (305) 673-7254 ~ Makar Pronerties - Ritz Plaza - Account No. 011.8000.369.444 Attached is the disclosure information for the ownership interests of Ritz Plaza) LLC in connection with the lobbyist registration of Sanluel Poole. PLEASE NOTIFY US IMMEDIATELY IF NOT RECEIVED PROPERL Y The information conta.ined in this facsimile message is legally privileged and confidenti!l infonnation intended only for th.e use of the individual or entity named 3.bove. If the reader of this message is not the intended recipient, you are hereby notified that any dissemination, distribution OT copy of this facsimile is strictly prohibited. If you have received this facsimile in error, please immediil.tely notify us byrelephone and return the original message to us at the address set forth above via the United States Postal Service. TIla.nk you. 12/06/2004 15:25 BERGER SINGERMAN ~ 305 6737254 Name and Address Makar South Beach Investors, LLC 4100 MacArthur Blvd.) Suite 200 Newport Beach, CA 92660 FRP Investors~ LLC One Maritime Plaza, Suite 1325 San Francisco, CA 94111 3 Wall Miami) LLC 1801 Century Park West, 5th Floor Los Angeles, CA 90067 Samyboy Hotels, LLC t 801 Century Park West, 5th Floor Los Angeles, CA 90067 Exhibit "A" Interests in Ritz Plaza, LLC Percentage of Ownershin 16.67% ** 0.00% "* 83.33% ** 0.00% ** Interests in Makar South Beach Investors, LLC Name and Address Makar Properties, LLC 4100 MacArthur Blvd., Suite 200 Ne'Wport Beach, CA 92660 FM SB Investors, LLC One Maritime Plaza, Suite 1325 San Francisco, CA 94111 Name and Address Makar Holdings, LLC 4100 MacArthur Blvd., Suite 200 Newport Beach, CA 92660 Name and Address Paul Makarechian 4100 MacArthur Blvd., Suile 200 Newport Beach, CA 92660 Percentaj!e of OwnershiD 0.100/0.*' 99.90%, ** Interests in Makar Properties, LLC Percentage of Ownershi'Q 100.00% ** Interests in Makar Holdings, LLC Percentage of Ownershio 100.000/0 ** See further ovmership information below for this interest holder. "10. 920 902 12/06/2004 15:25 BERGER S I I'lGERt1AN ~ 305 6737254 NO. 920 /;703 Interests in FMSB Investors, LLC Name and Address Percentage of Ownershio Farallon Capital Partners, LP One Maritime Plaza, Suite 1325 San Francisco, CA 94111 95.00% ** RR Capital Partners, LP One Maritime Plaza, Suite 1325 San Francisco, CA 94111 5. OOO~ For FMSB Investors, LLC, there are in excess of3,000 beneficial owners. There are no owners with at least a 5% o'Wl1ership interest. Interests in FRP Investors, LLC Name and Addres$ Percentage of Ownership Fanllon Capital.Partners, LP One Maritime Plaza, Suite 1325 San Francisco, CA 94111 95.00% ** RR Capital Partners, LP One Maritime Plaza, Suite 1325 San Francisco, CA 94111 5.00% For FRP Investors, Ltc, there are in excess of3,000 beneficial owners. There are no owners with at least a 5% ownership interest. Interests in Farallon Capital P~\rtners, LP Name and Address Percentage of Ownership F amllon Partners., LLC One Maritime Plaza, Suite 1325 San Francisco, CA 94111 Approximately 10% Interests in 3 Wall Miami, LLC Name and Address Percentage of Ownership . Sam Nazarian 1801 Century Park West, 5th Floor Los Angeles, CA 90067 33.33010 David Nazarian 180 I Century Park West, Sib Floor Los Angeles, CA 90067 6.67% 12/06/2004 15:25 BERGER S I ~~GERt1A~~ ~ 305 6737254 t~O. 920 [;104 Younes Nazarian l'SO 1 Century Park West, 5th Floor Los Angeles, CA 90067 60.00% Interests in Samyboy Hotels, LLC Name and Address Percentag:e of OwnershiD Sam Nazarian 1801 Century Park West, 50' Floor Los Angeles, CA 90067 100.000/0