Louis Terminello/320 Lincoln20U3
..- -~. ~ f Miami Beach Office of the City Clerk
06 M,..~ L7.00 ~onvention Center Drive, Miami Beach, FL 33139
~L¢ p~ I: 02
LOBBYIST REGISTRATION FORM
II
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, dedsion, recommendation of the
City Manager or any city board or committee; or any action, decision or recommendation of any city personnel defined in any
manner in this section, during the time pedod 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 engage, din lobbying activities. The term "Lobbyists" has specific exclusions, Please refer
to Ordinance 2004-343.5.
Terminello Louis J.
NAME OF LOBBYIST: (Last) (First)
Terminello & Terminello, P.A., 2700 S.W. 37th Avenue, Miami, FL
BUSINESS NAME AND ADDRESS (Number and S~eet) (City) (State)
(305) 444-5002 (305) 448-5566 ljt@terminello.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
(M.I)
33133
(Zip Code)
LOBBYIST RETAINED BY:
320 Lincoln, LLC
NAME OF PRINCIPAL/CLIENT:
320 Lincoln Road
Miami Beach Florida 33139
BUSINESS NAME AND ADDRESS
(305) 778-7337
TELEPHONE NUMBER:
(Number and Street) (City)
(305) 672-3141
FAX NUMBER: (Optional)
(State)
EMAIL: (Optional)
(Zip Code)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
· NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Mitchell Rubinson, Managing Member
II.
· IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: Mitchell Rubinson (100%)
SPECIFIC LOBBY ISSUE:
Introduction of new tenant/operator pursuant to conditional use
Issue to be lobbied (Describe in detail):
III, C1TY AGENCIES/INDI¥IDUALS TO BE LOBBIED:
/
A) Full Name of Individual/TiUe
B) Any Financial, Familial or Professional Relationship
City of Miami Beach Planning Board No
TV. D]:SCLOSURE OF TERMS AND AMOUNTS OF LOBBY]:ST COMPENSAT]:ON (D]:SCLOSE WHETHER I-IOURI. ~
FLAT RATE OR OTHER,):.
A) LOBBYIST DISCLOSURE: (Required) $6,000.00 £1at £e,
B) PFUNCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required)... ~6,000.00 fla~: fee
[] Yes _o: Are ou re resentin a not-for-orofit cornoration or enti'-- without s~,ecial corn ,ensation or
reimbursement. Pursuant to Ordinance No. 2004-3435.
1) .Pursuant to Ordinance No. 2003-3393 Amendinq Miami Beach City Code Chapter 2, Article VII, Division
Thereof Entitled "Campaign Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibite______~d
Campaign Contributions By Lobbyists On Procurement Issues".-_
or endin award for oods e ui ment or service?
2) Pursuant to Ordinance No. 2003-3395 Amendin Miami Beach Ci Code Cha ter 2 Article VI! Division 5
thereof Entitled "Cam ai n Finance Reform" Via The Addition Of Code Section 2-490 Entitled "Prohibited
Cam ai n Contributions B Lobb ists On Real Estate Develo ment Issues":
DYe_Q_~.~.~I~No: Are ou Iobb in on a endin a lication for a Develo merit A reement with the Ci or
a lication forchan e ofzonin ma desi nation orchan etotheCi's Future Lan Use Ma ?
v. S]:GNATURE UNDER OATH:
ON OCTOBER 1sT OF EACH YEAR, EACH LOBBYTST SHALL SUBMIT TO THE CITY CLERK A SZGNED
STATEMENT UNDER OATH, LZSTING LOBBYTNG EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED, TN THE CITY OF MTAMT BEACH FOR THE PRECEDTNG CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN TF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE
REPORTING PERTOD. C
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.
Signature of Lobbyist: //~/f//~/~ //
Signature of Principal/Clien~~/~~ J
V]:. LOBBY]:. ]:DENTIF,'!~O": ' - PRZNCIPAL 'DENT]:F]:CAT]:ON:
12 Produced ID.~ ,~ /
[/Form of Identification
· ~ersonally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
Produced ID
Form of Identification
'~ersonally known (Principal)
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This: (~.~y ~rch ,20 06
Signature o~--~lic' Notary 1L St a~f Florida
N.otarization of Lobbyisl['s -, id~ajture
ORC RK'S_US O. V
~~: [~Yes [ ] No Amognt ~d~ -' MCR ~~/~
Lobbyist Registration Form received and verified by: ~ _Date
Revised 02/10/04 F: ~ER~MARIA-M~LOBBYIS~LOBBYi~ FORM 04
State of Flor&, County of Miami-Da~le
Sw°rl;k~ribe~t~re me
([ _~' ~.;:~ss~o~;:..~' -.:;
Notariza~of Pri~al's s~ture
~ . ~,:'