Michael Larkin/Wino LLC
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MIAMIBEACH
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City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRA nON 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 Ordnance 2004-3435.
Larkin
Michael
W.
NAME OF LOBBYIST:
(Last)
(First)
(M.!)
Bercow & Radell, P.A. 200 South Biscayne Blvd., Suite 850
BUSINESS NAME AND ADDRESS (Number and Street)
Miami
(City)
Florida
(State)
33131
(Zip Code)
(305) 377-6231
TELEPHONE NUMBER:
(305) 377-6222
FAX NUMBER:
mlarkin@brzoninglaw.com
EMAIL:
I. LOBBYIST RETAINED BY:
Wino, LLC
NAME OF PRINCIPAl/CLIENT:
Wino. LLC
BUSINESS NAME AND ADDRESS
411 Michiqan Avenue
(Number and Street)
Miami Beach
(City)
Florida
(State)
33139
(Zip Code)
(305) 469-1657
TELEPHONE NUMBER:
(305) 675-2940
FAX NUMBER: (Optional)
philippe@aquabluerealty.com
EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
· NAME OF CHIEF OFACER, PARTNER, OR BENEACIARY: Philippe Harari
· IDENTIFY ALL PERSONS HOLDING, DIRECfL Y OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST: Philippe Harari
II. SPECIFIC LOBBY ISSUE:
Board of Adjustment Application; 930 10th Street
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDMDUALS TO BE LOBBIED:
A) Full Name of Individual/Title
B) Any Financial, Familial or Professional Relationship
BOA
None
,.,- IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y,
FLAT RATE OR OTHER):
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A) LOBBYIST DISCLOSURE: (Required)
$320.00
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B) PRINOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $320.00
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":
D Yes X No: Are you 10bbyinC} on a Dresent or oendinG bid for Goods. equipment or services. or on a
Dresent or DendinG award for Goods. eauiDment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
DYes X No: Are you 10bbvinG on a oendinG aDDlication for a Development 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-fur-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..
D Yes X No: Are yOU reDresentinG a not-fo....Drofit corooration 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, 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.
/Y1!w --'\./
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
~~:~::~ee:~~ObbYist: rY1J W~ .
-THa.J~ _
Signature of Principal/Client: ~
VI.
LOBBYIST IDENTIFICATION:
PRINCIPAL IDENTIFICATION:
o Produced ID
Form of Identification
~ersonallY known (Lobbyist)
VII. ATURE AND STAMP OF NOTARY:
o Produced ID
/ Form of Identification
/J Personally known (Principal) Ph'/:::'//'~t:? ~i
State of Florida, County of Miami-Dade
Swom and subscri d before me
This~day of 20
Annual Registration fee:
"gnature of Public Notary - S of Florida
Notarization of Lobbyist's signature
Signature of Public
Notarization of f'