William Riley/2901 Beach Ventures LLP
..~L)
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 activitie$. The term "Lobbyists" has specific exclusions. Please refer
to Ordinance 2004-3435.
NAME OF LOBBYIST:
Riley
(Last)
William
w.
(First)
(M.I)
Bilzin Sumberq - 200 South Biscayne Boulevard, Suite 2500, Miami. Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City)
(State)
Zip Code)
305-375-6139
TELEPHONE NUMBER:
305/351-2285
FAX NUMBER:
wriley@bilzin.com
EMAIL:
I. LOBBYIST RETAINED BY:
2901 Beach Ventures LLP
NAME OF PRINCIPAL/CLIENT:
1300 Brickell Avenue, Miami Beach, Florida 33139
BUSINESS NAME AND ADDRESS (Number and Street)
(City)
(State)
(Zip Code)
305/351-1000
TELEPHONE NUMBER:
305/371-6213
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 BENEFICIARY:
. IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
Flood plain variance
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
Flood Plain Management Board and staff
None
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLA T RA TE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required)
Hourly $255.00
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required).
Hourly $255.00
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":
C' Yes [R]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 service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
[J Yes [R]No: Are you lobbying on a pending application for a Development Agreement with the City or application for
change of zoning map designation or change to the City's Future Land Use Map?
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..
eYes [R]No: Are you representing a not-for-profit corporation or entity without special compensation 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, 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~ ODV'
Sign re 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 Mi ' ea;h C~ Co n II reporting requirements.
Signature of Lobbyist: V -
Signature of Principal/Client:
PRINCIPA IDENTIFICATION:
~ro ced ID rlo.... \)\JC.(i~ }~l CE'()5~_
Form of Identification
o Personally kn .
,~\r "'"
l'iJ.'t:~~ MERCEDES PADRON
~;~1# ,~X~:~I~~~%:~~,6gg~~8 i
State of Florida, C ty' .'.." . ,lor,::", ;0,0'1'"..,,,, '.,.,.",>,! .o,:"iJ
Sworn and subscribed before me ,-(
J'{1i.s _.\ day of ~(&1.'tt.(, 20~
..; 0\' \,)1' ,(~ Q/) Y 'fJ~
Signi3ture of Public Notary - State of Florida
Notarization of Principal's signature
VI.
LOBBYIST IDENTIFICATION:
o
~
Produced ID
Form of Identification
Personally known (Lobbyist)
VII. SIGNATURE AND STA
,,~q~~~'r~~<.,.
fn'i- d~
~. .i"l
'" I '
ERCEDES PADRON
MY COMMISSION # DO 608768
EXPIRES: November 9, 2010
Bonded Thru pichard Insurance Agency
Sig, ature of Public Notary - State of Florida
Notarization of Lobbyist's signature
/ FOR CLERK'S USE ONLY , . o. w_
Annual Registration fee: [l(Yes [ ] No Amount Paid 2r:-.., ex) MCR #~:;>L1)'" Date Paid 12./(p~
Lobbyist Registration Form received and verified by:. \CA 'K..e'-.
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST FORM Ob:Ooc ' Revised 12/08/04
IAMI121
,.
~. LUlL G:>:J- ~/*( [; /,.!
Disclosure of Ownership Interest
for 2901 Beach Ventures, LLLP
2901 Beach Ventures, LLLP, a Florida Limited Partnership
1300 Brickell Avenue
Miami, FL 33131
A, General Partners
1.
Lionstone Seville GP, LLC
a,
Ownership
100%
Lionstone Group
2901 Collins Avenue
Miami Beach, FL 33140
I.
Ownership
100%
Lionstone Holdings (Barbados), Ltd.
(a)
Ownership
100%
Alfredo Lowenstein
2901 Collins Avenue
Miami Beach, FL 33140
2,
Miami Beachfront GP, LLC
a,
Ownership
100%
Edgardo Defortuna
1300 Brickell Avenue
Miami, FL 33131
b. Managers
Fortune International Management, Inc,
1300 Brickell A venue
Miami, FL 33131
1.
Ownership
100%
Edgardo Defortuna
1300 Brickell Avenue
Miami, FL 33131
11. Officers/Directors
Edgardo Defortuna
1300 Brickell Avenue
Miami, FL 33131
SANCHEZ, MILAGROS
1300 Brickell Avenue
Miami, FL 33131
IMERY, EDUARDO
1300 Brickell Avenue
Miami, FL 33131
9
100%
1%
1%
1.
B, Limited Partners
2,
MIAM11208974.17490521479
11/27/0604:29 PM
a.
Seville Beach Hotel Corporation
Ownership
Alfredo Lowenstein
2901 Collins Avenue
Miami Beach, FL 33140
Miami Beachfront LP, LLC
a,
Ownership
Edgardo Defortuna
1300 Brickell A venue
Miami, FL 33131
100%
100%
10
49%
49%