Kobi Karp/Alton Sobe, LLC
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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, decision, recommendation of the
City Manager or any city board or committee; or any action, decision or recommendation of any city personnel 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 "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
NAME OF LOBBYIST:
Karp
(Last)
Kobi
(First)
(M.!)
Kobi Karp Architecture & Interior Design, Inc. 2915 Biscayne Blvd., Suite 200, Miami
BUSINESS NAME AND ADDRESS (Number and Street) (City)
FL
(State)
.33137
(Zip Code)
(305) 945-3636
TELEPHONE NUMBER:
(305) 945-3737
FAX NUMBER:
kobikarp@kobikarp.com
EMAIL:
I. LOBBYIST RETAINED BY:
Alton Sobe, LLC, a limited liability company
NAME OF PRINCIPAL/CLIENT:
Alton Sobe, LLC, a limited liability company 730 I Belle Meade Island Drive Miami
BUSINESS NAME AND ADDRESS (Number and Street) (City)
Florida
(State)
33138
(Zip Code)
305-347-7328
TELEPHONE NUMBER:
305-347-7701
FAX NUMBER: (Optional)
l11gralia@shutts-Iaw.com
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFIOARY:
See Exhibit "A".
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
See Exhibit "A".
II. SPECIFIC LOBBY ISSUE:
Obtain Design Review Board approval for project to be located at 929-939 Alton Road.
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Any Financial, Familial or Professional Relationship
Design Review Board
None.
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL ti
FLAT RATE OR OTHER).
31S,rrD
A) LOBBYIST DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
D Yes ~ No: Are YOU lobbyinG on a Dresent or oendinG bid for GOods. eauiDment or services. or on a
Dresent or DendinG award for Goods. eGuiDment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes ~ No: Are yOU lobbyinG on a oendinG aDDlication for a DeyeloDment AGreement with the City or
aDDlication for chanGe of zoninG maD desiGnation or chanGe to the City's Future Land Use
MaD?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist" as set forth in Section 2-481 above) 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 clerk as required by this
section but, shall not be required to pay any registration fees..
DYes EI No: Are you reDresentinG a not-for-Drofit corDoration or entity without sDecial comoensation
or reimbursement. .
v. SIGNATURE UNDER OATH:
ON OCTOBER 1ST OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES WELL AS COMPENSATION
RECEIVED, IN THE CITY OF MIAMI BEACH FOR THE PRECE C NDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPE URES COMPENSATION DURING THE
REPORTING PERIOD.
Signature of Lobbyist:
Signature of Principal/Client:
VI.
ru d correct and that I have read or am
he Miami Beach City Code and all reporting
PRINCIPAL IDENTIFICATION:
o Produced ID
o Produced ID
Form of Identification
Form of Identification
~SOnallY known (Principal)
o Personally known (Lobbyist)
VII.
SIGNATURE AND STAMP OF NOTARY:
J>"""" jilt\. Ana C Escribano-Cruz
. " ; My Commission 00224831
iami-Dad~"~.~>~l Expires September 14, 2007
fore me
20~
Signature of P blic N ry - State of Florida
Notarization of Principal's signature
FOR CLERK'S USE ONLY
Annual Registration fee: [ ] Yes [ ] No Amount Paid MCR#
Lobbyist Registration Form received and verified by:
F: \CLER\$ALL \MARIA-M\Lobbyist\LOBBYIST fORM OS.doc
Date Paid
Revised 12/08/04
SEP-30-2005 FRI 11:23 AM Shutts and Bowen
FAX NO. 3053819982
P. 02/02
EXI-IIBIT "A"
Disclosure of Interest
Q\VNERSHIP STRUCTURE
Entitv Name
Ownershill
ALTON SOBE, LLC
1000/0
Evergreen Overseas Holdings, Inc.
EVERGREEN OVERSEAS
IIOLDINGS, INC.
lOOOA)
Victor Uzan
.l\.L TON sonE, LLC
Managing,Member
(sole nlenlber)
Evergreen Overseas IIoldings, Inc.
EVERGHJtEN OVERSEAS :HOLDINGS, INC.
President
Sole Director
Sole Shareholder
Victor Uzan
tvllADOCS 83%05 I
SEP-30-2005 FRI 11:23 AM Shutts and Bowen
FAX NO, 3053819982
P, 01/02
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A TIOR-NayS AND COUNSeLORS AT LA W
FAX TRANSMISSION
Fax:
305-673-7411
305-673-7254
To:
Company:
Liz Gibson
City of Mian1i Beach - City
Clerk's Office
Phone:
Fronl:
Phone:
Mm-ia A. Gralia
(305) 347-7328
User 1D:
Fax:
5813
(305) 347-7701
Date:
Pages:
Septelnber 30, 2005
2 (inc1uding cover sheet)
Clicnt/Mntter No.:
23523-0002
S II bj ect:
Disclosure of Ownership for Lobbyist Registration Fornl for Kobi I(arp to
represent Alton Sobe, LLC
NOTE: PLEASE CALL ANA ESCRIBANO-CRUZ AT 305-415-9008 IJVIMltOlATELY IF ALL ,PACES
ARE NOT RECEIVED.
lVIessage:
This facshnile contains privileged and confidential infonl1atiol1 intended only for the use of the
addressee na11l.ed above. If you are not the intended recipient of this facsi111ilc, or the employee or
agent responsible for deliverillg it to the intended recipient, you are hereby notified that any
dissemination. or copy of this facsilnile is strictly prohibited. If you have received this facsilnile
in error, please notify us in1111ediately by telephone and retU111 the oliginal facsin1ile to us at the
above address via the U.S. Postal Service. Thank YOll.
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ATTORNEYS AND COUNSELLORS AT LAW
ANA C. ESCRIBANO-CRUZ
(305) 415-9008 Direct Telephone
E-MAIL ADDRESS:
aescribano-cruz@shutts-Iaw.com
September 29, 2005
VIA FEDERAL EXPRESS
Bob Parcher, City Clerk
City of Miami Beach
1700 Convention Center Drive
Miami Beach, Florida 33139
Re: Lobbyist Registration Form
Dear Mr. Parcher:
Enclosed please find a check in the amount of $125.00 representing the City of Miami
Beach annual lobbyist registration fee for Kobi Karp of Kobi Karp Architecture & Interior
Design, Inc. Also enclosed is a Lobbyist Registration Form together with a check in the amount
of $25.00 to register Kobi Karp as a lobbyist on behalf of Alton Sobe, LLC. Please confirm
receipt of this letter by sending me your receipt in the enclosed self-addressed envelope.
If you have any questions regarding this matter, please do not hesitate to contact n1e at
305-415-9008.
Ana C. Escribano-Cruz
laec
Enclosure
MIADOCS 840027 I
1500 MIAMI CENTER · 201 SOUTH BISCAYNE BOULEVARD · MIAMI, FLORIDA 33131 · TELEPHONE (305) 358-6300 · FACSIMILE (305) 381-9982 · WEBSITE: www.shutts-Iaw.com
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