Jonathan W. Cardello/South Beach Heights I, LLCm MIAMIBEACH
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 foreseeabiy will be heard or reviewed by the city commission, or a city board or committee. The tens
specifically Includes the principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please
refer to Ordinance 20043435.
CARDELLO, JONATHAN W.
NAME OF LOBBYIST: (Last) (First) {M.I)
ONE BISCAYNE TOWER, SUITE 1870, TWO SOUTH BISCAYNE BLVD., MIAMI, FLORIDA 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-482-8705 305-482-8770 JCARDELLO@ADDINC.COM
TELEPHONE NUMBER: - FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
SOUTH BEACH HEIGHTS I, LLG
NAME OF PRINCIPAL/CLIENT:
2200 BISCAYNE BOULEVARD MIAMI, FLORIDA 33137
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-374-5700
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2x182 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: RUSSELL W. GALBUT
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN
SUCH CORPORATION, PARTNERSHIP OR TRUST: SEE ATTACHED.
a.SPECIFIC LOBBYISSUE SEE ATTACHED.
Issue to be lobbied (Describe in detail):
III. CITY ;AGENCIES/INDIVIDUALS TO BE :`LOBBIED,: (Pursuant to city code section 2-a82(g)
.. .. :.
include a statement of the extent of any business, financial, familial, professional or other relationship, giving raise to an
appearance of an impropriety, with any City personnel sought to be lobbied; further, pursuant to City Code Section 2-
482(x)(4) include a statement of any contractual relationship (paid or unpaid) from 12 months preceding the
commencement of service of City personnel to be lobbied.)
A Full Name of Individual Title B) Any Financial, Familial or Professional Relationship
DESIGN REVIEW BOARD NO
,.JI _, :~~,.
95 ~ZI ~~`~ 9Z ~t't'd B~~l
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
~ 80 5 , O S~ • oo __
PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): y
auired). '
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":
2)
3)
present or Dendinq award for goods, eguiament or service?
Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On
Real estate Development Issues":
analication for change of zoning map_desianation or change to the City's Future Land Use
Mag7
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 anot-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
secti9n but, shall not be required to pay any registration fees.
I do solemnly swear th all of
provisions contained in Section
Signature of Lobbyist:
Signature of Principal/Client: _
VI. LOBBYIST IDENTIFII
^ Produced ID
e ng facts are true and c rect and that I have read or am familiar with the
of he iami Beach City Cod and all reporting requirements.
Form of Identification
Personally known (Lobbyist)
VII. SIGNATURE AND _
y~*: MY COMMISSIONA DDN 08;
State of Florida, County of M ' " EXPIRES: August 26, 2011
Sworn to and subscribe be rd~rtl~¢' BondedThruNotaryFUbiicUnderwn
This ~_day of ,
Signature of Public°i~otary - Sta~ of Florida
Notarization of Lobbyist's sig tune
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
Personally known (Principal)r~ v _ _ ~ _
~I " DAYAMI AGUTAR
`~~'-,-~~~1°~~' Notary Public -State of Florida
p ' .~' U' . E My Commission Expires M~ 16, 2011
St of Florida, Co nt Cs~9 ' ~Ide Commission A DD 644032
irS rn d subscrib d fi , ~'~ Bonded Through National Notary Asap.
day of
n
of Principal's signature
r
Annual Registration-:fee: [,!'J Yes [ ] No Amoun $~~e v MCR #,./~T;T?' Date Paid ~~-
Lobbyist Registration Form received and verified L,~%
Ee\CLER\LOBBYr571Lnhbvist Reaistratiun Form-32i08.daC ~ ~~'~ ~~ '- --.R2VISed 03/27/2008 '~
reimbursement. .
V. SIGNATURE UNDER OATH:
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK Office CilyClerk@miamibeachfl.gov
Tel: 305.673.741 1 ,Fax: 305.673.7254
LOBBYIST NAME: ~N~~-1',ot~l C~'~t~..a
I understand that no later than October 1st of each year, I must file the following
forms, pursuant to Section 2-485 of the Miami Beach City Code, with the City Clerk's
Office for all active lobbying issues.
1 ~ Lobbyist Expenditure Form
2) Disclosure Form
Failure to file these forms on a timely basis will result in my name being transmitted to the
Miami-Dade County Commission on Ethics and for code violation evaluation.
In addition, once an issue I have registered to lobby on has been resolved, I am required
to immediately notify the City Clerk's Office of lobbyist withdrawal in writing.
g- 22 -d~
Date:
F:\CLER\LOBBYIST1Lobbyist Registration Form 32708.doc
'.
SPECIFIC LOBBY ISSUE: Design Review Approval of Renovation and redesign of
existing three story hospital structure to mini storage enclosed with retail uses; reposition
of the existing ten story medical office building to a flex office space to allow flexibility
for office and apartment/live-work spaces, which includes recladding the exterior curtain
wall system to a window wall system and architectural modifications to the street level;
and architectural modifications to existing three story parking structure for property at
630 Alton Road (sometimes referred to as 600 Alton Road)
GiTY ~F MIAMI BEAGH
DEVELOPMENT REVIEVI9 BOARD APPLIGATIDiV
DfSGLOSURE OF INTEREST
'1. LIMITED LIABILITY COMPANY
If the property which is the subject of an application is owned or leased by a CORPORATION,
list the principal stockholders and the percentage of stock owned by eac artnehshi tse or other
officers or stockholders consist of another corporation(s), trustee(s), p p( )
similar entity, further disclosure shall be required which discloses the identity of the individual(s)
(natural persons} having the ultimate ownership interest in the entity.*
SOUTH BEACH HEIGHTS I LLC
LIMITED LIABILITY COMPANY NAME
NAME, ADDRESS, AND OFFICE
SBH HOLDINGS I, LLC
2200 Biscayne Boulevard
Miami, Florida 33137
Member
SBH MANAGEMENT COMPANY, LLC
2200 Biscayne Boulevard
Miami, Florida 33137
Member and Manager
OFFICERS:
SONNY KAHN
2200 Biscayne Boulevard
Miami, Florida 33137
Chairman
RUSSELL W. GALBUT
2200 Biscayne Boulevard
Miami, Florida 33137
President
BRUCE A. MENIN
2200 Biscayne Boulevard
Miami, Florida 33137
5r. Vice President
SHARON CHRISTENBURY
2200 Biscayne Boulevard
Miami, Florida 33137
Vice President
SHLOMO DACHOH
2200 Biscayne Boulevard
Miami, Florida 33137
Secretary
JOSEPH ZDON
2200 Biscayne Boulevard
Miami, Florida 33137
Treasurer
PABLO DE ALMAGRO
2200 Biscayne Boulevard
Miami, Florida 33137
Asst. Treasurer
99%
1%
1F THERE ARE ADDITIONAL CORPORAT/ONS, LIST OTHERS, INCLUDING CORP.
NAME(S) AND EACH /NDI1/IDUAL'S NAME, ADDRESS, OFFIGE AND
PERCENTAGE OF STOCK, ON A SEPARATE PAGE.
NOTE: Notarized signature required on page 8
OF MEMERSHIP INTEREST
6
CITY OF NIIAMt BEACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
~I. LIMITED LIABILITY COMPANY
If the property which is the subject of an application is owned or leased by a CORPORATION,
list the principal stockholders and the percentage of stock owned by each. Where the principal
officers or stockholders consist of another corporation(s), trustee(s), partnerships} or other
similar entity, further disclosure shall be required which discloses the identity of the individual(s)
(natura{ persons) having the ultimate ownership interest in the entity.*
SBH MANAGEMENT COMPANY LLC
LiMITE.D LIABILITY COMPANY NAME
NAME, ADDRESS, AND OFFICE
CH INVESTMENT HOLDINGS, LLC
220Q Biscayne Boulevard
Miami, Florida 33137
Member and Manager
OFFICERS:
SONNY KAHN
2200 Biscayne Saulevard
Miami, Florida 33137
Chairman
RUSSELL W. GALBUT
2200 Biscayne Boulevard
Miami, Florida 33137
President
BRUCE A. MENIN
2200 Biscayne Boulevard
Miami, Florida 33137
Sr. Vice President
SHARON CHRISTENBURY
2200 Biscayne Boulevard
Miami, Florida 33137
Vice President
SHLOMO DACHOH
22D0 Biscayne Boulevard
Miami, Florida 33137
Secretary
JOSEPH ZDON
2200 Biscayne Boulevard
Miami, Florida 33137.
Treasurer
PABLO DE ALMAGRO
2200 Biscayne Boulevard
Miami, Florida 33137
Asst. Treasurer
OF MEMERSHlP INTEREST
10Q%
!F THERE ARE ADDITIONAL CORPORATIONS, LIST DTHERS, INCLUDING CORP.
NAME(S) AND EACH INDIVIDUAL'S NAME, ADDRESS, .OFFICE AND
PERCENTAGE OF STOCK, ON A SEPARATE PAGE.
NOTE: Notarized signature required on page 8
6
CITY OF IitllAiVli REACH
DEVELOPMENT REVIEW BOARD APPLICATION
DISCLOSURE OF INTEREST
1. LIMITED LIABILITY COMPANY
If the property which is the subject of an application is owned or leased by a CORPORATION,
list the principal stockholders and the percentage of stock owned by each. Where the principal
officers or stockholders consist of another corporation(s), trustee(s), partnership(s) or other
similar entity, further disclosure shall be required which discloses the identity of the individual(s)
(natural persons) having the ultimate ownership interest in the entity.* .
SBH HOLDINGS 1 LLC
LIMITED LIABILITY COMPANY NAME
NAME, ADDRESS, AND OFFICE
CH INVESTMENT HOLDINGS, LLC
2200 Biscayne Boulevard
Miami, Florida 33137
Member and Manager
DAVID GALBUT
2200 Biscayne Boulevard
Miami, Florida 33137
Member
OFFICERS:
SONNY KAHN
2200 Biscayne Boulevard
Miami, Florida 33137
Chairman
RUSSELL W. GALBUT
2200 Biscayne Boulevard
Miami, Florida 33137
President
BRUCE A. MENIN
2200 Biscayne Boulevard
Miami, Florida 33137
5r. Vice President
SHARON CHRISTENBURY
2200 Biscayne Boulevard
Miami, Florida 33137
Vice President
OF MEMERSHIP INTEREST
89.89%
10.11%
SHLOMO DACHOH
2200 Biscayne Boulevard
Miami, Florida 33137
Secretary
JOSEPH ZDON
2200 Biscayne Boulevard
Miami, Florida 33137
Treasurer
PABLO DE ALMAGRO
2200 Biscayne Boulevard
Miami, Florida 33137
Asst. Treasurer
IF THERE ARE ADDITIONAL COVIDUAL SJO NAME,T ADDERESSNC OFF CE C AND
NAME(S) AND EACH IND
PERCENTAGE OF STOCK, ON A SEPARATE PAGE.
NOTE: Notarized signature required on page 8
6
CITY OF NIIAIVII BEACH
DEVELOPMENT REVIEV1/ BOARD APPLICATION
DISCLOSURE OF INTEREST
'1. LIMITED LIABILITY COMPANY
If the property which is the subject of an application is owned or {eased by a CORPORATION,
list the principal stockholders and the percentage of stock owned by each. Where the or other
officers or stockholders consist of another corporation(s), trustee(s), partnership(s)
similar entity, further disclosure shall be required which discloses the identity of the individual(s)
(natural persons) having the ultimate ownership interest in the entity.*
CH INVESTMENT HOLDINGS LLC
LIMITED LIABILITY COMPANY NAME
NAME, ,4DDRESS, AND OFFICE
OF MEMERSHIP INTEREST
SK BUSINESS TRUST
2200 Biscayne Boulevard
Miami, Florida 33137
Member
RF BUSINESS TRUST
2200 Biscayne Boulevard
Miami, Florida 33137
Member
MENiN 1998 FAMILY TRUST
2200 Biscayne Boulevard
Miami, Florida 33137
Member
MANAGERS:
SONNY KAHN
220D Biscayne Boulevard
Miami, Florida 33137
Manager
RUSSELL W. GALBUT
2200 Biscayne Boulevard
Miami, Florida 33137
Manager
BRUCE A. MENIN
2200 Biscayne Boulevard
Miami, Florida 33137
Manager
37%
37%
26%
IF THERE ARE ADDITIONAL ~~ I~UAL S O NAME,T ADDRESSNC Ot FFJ CE C AND
NAME(S) AND EACH 1N
PERCENTAGE OF STOCK, ON A SEPARATE PAGE.
NOTE: Notarized signature required on page S
6
CfTY OF 1Vf1AIVt1 BEACH
DEVELOPMENT REVIEW BOARD APPL1CATlON
DISCLOSURE OF INTEREST
2. TRUSTEE
If the property which is the subject of an application is owned or {eased by a TRUSTEE, list the
beneficiaries of the trust and the percentage of interest held by each. Where the
beneficiaries/beneficiary consist of corporation(s), another trust(s), partnership(s) or other
similar entity, further disclosure shat! be required which discloses the identity of the individual(s)
(natural persons) having the ultimate ownership interest in the entity.*
SK BUSINESS TRUST
TRUST NAME
NAME, ADDRESS, AND OFFICE
OF INTEREST
SONNY KAHN
2200 Biscayne Boulevard
Miami, Florida 3337
Beneficiary
X00%
NOTE: Notarized signature required on page 8
7
CITY OF IUIIANII DEACI-I N
DEVELOPIME~IT RLVIE1dV DOARD APPLICATIO
DISCLOSURE OF INTEREST
2. TRUSTEE
If the property which is the subject of an application is owned or leased by ea RUS ~IVheret the
beneficiaries of the trust and the percentage of interest held b artnershi s or other
P( )
beneflciarieslbeneficiary consist 'of corporation(s), another trust(s), p
similar entity, further disclosure shall be required which discloses the identity of the individual(s)
(natural persons) having the ultimate ownership interest in the entity.
RF BUSINESS TRUST
TRUST NAME
NAME, ADDRESS, AND OFFICE
RUSSELL W. GALBUT
2200 Biscayne Boulevard
Miami, Florida 33137
Beneficiary
OF INTEREST
~QO%
NOTE: Notarized signature required on page 8
7
CITY OF M[AM~ BEAC~-1 ON
DEVELOPMENT REVIEW BOARD APPLfCATf
DISCLOSURE OF INTEREST
2. TRUSTEE
If the property which is the subject of an application Qfo`nte estr Iheid dbyy eacRUS Wheret the
beneficiartes of the trust and the percentag artnershi s ar other
p( }
beneficiaries/beneficiary consist of corporation(s), another trust(s), p
similar entity, further disclosure shall be required we ~esttln the ent tye identity of the individual(s)
(natural persons) having the ultimate ownership int r .
MENIN 1898 FAMILY TRUST
TRUST NAME
OF~NTEREST
NAME, ADDRESS, AND OFFICE
100%
BRUCE A. MENIN
2200 Biscayne Boulevard
Miami, Florida 33137
Beneficiary
NOTE: Notarized signature required on page 8
7
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