James E. Rauh/South Beach Heights I, LLC (5)m MIAMIBEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist means atl persons employed or retained, whether paid or not, by a principal who seeks to encourege the passage, defeat or modification of
any ordinance, resolutbn, action or decision of any commissioner, any action, decision, recommendation of the City Manager or eny city board or
committee; or eny acton, decision or recommendation of any city personnel during the time perbd of the entire decision-making process on such
action, decision or recommendation that foreseeabty will be heard or reviewed by the cUtty commission, or a city board or committee. The term
speci(fcalty Includes the prindpal as well es eny employee engaged in lobbying activities. The teen "Lobbyists" has specific exclusions. Please
refer to Ordinance 200M3435.
RAUH, JAMES E.
NAME OF LOBBYIST: (Last) (First) (M.I)
2700 S.W. 37 AVE. MIAMI, FLORIDA 33133
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-444-5002 305-448-5566 JRAUHQTERMINELLO.COM
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
SOUTH BEACH HEIGHTS I, LLC
NAME OF PRINCIPAUCLIENT:
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 2.482 (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.
u.SPEC{FIC LOBBY ISSUE: SEE ATTACHED.
Issue to be lobbied (Describe in detail):
ul. CITY AGENCIES/INDIVIDUALS TO BE,',LOBBiED. (Pursuant to city code section 2-4s2(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(a)(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 An Financial, Familial or Professional Relationshi
DESIGN REVIEW BOARD NO
J~1~3iJ 4.j~~,l~~.J ~~~J
i S ~8 ~~ ~ ~ ~fl'~ 8001.
~~~€~~~
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)' t ~~ F r, ~}T ~I'i'r T~'~~b ~ ~>,~ss7 ~ae~tc 1'~G~W6 ~
op ~ Q R A
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST CO~ SATION): ~ ~y ~ BOO F4'1'T F~~ T ~~ ~~ iN ~`RS T
(Required). ~~ Vtt. t~t?e.4L1nI ~ ;O o pt!t2 ~ti T'N•tEttC•~PT
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":
_^ Yes Lr1 No• Are you lobbvina on a aresent or aendina bid for aoods eauiament or services or on a
aresent or eendina award for aoods. eauiament or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On
~R,e/al Estate Development Issues":
^ Yes LY No• Are you iobbvina on a aendina aoaiication for a Deveionment Agreement with the City or
apalication for chanae of zoning maa designation or chanae to the Citv's Future Land Use
Man?
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 snot-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.
reimbursement. .
of
I do solemnly swear that all of ewc,
provisions contained in S ion 2-482 of
e and correct and that I have read or am familiar with the
City Code and all reporting requirements.
Signature of Lobbyist:
Signature of Princi U~'a CI~~
VI. LOBBYIST IDENTIFICATION:
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Ident~cation
Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Flori o of i i- e
Sworn
.n
o and u ore m y~pA
s ~ a+c+- Stag of Fbrida
~ onaNaaioa EfipNaa Mar 16, 2011
saloa~OD~6N032
Si natu of b ' ~
~~~~~
Notariz ion
0 Produced ID
Form of Identification
Personally known (Principal)
.~•""r'i""'•. DAYAMIAGUTAR
'~~ ~~ u° °' Notary PuDgc - Stets of Fbrida
State of Florida, Count ~ ~d
Swo d subscri ed ' ~ ~~ ~aa Mar t6, 20tt
~hiday of Commisaion g DD tip+032
°]~~~ Banded Through Natia~al NotaryAaan.
S natu of Publid`Notaty -State of Florida
N tariz ion of Princiual's signature
AFF ONLY
Annual Registration fee: [ ]Yes [ .< ] No :..Amount`Paid S MCR # Dafe`Paid '"r' X""'T~
Lobbyist.Registration Form received and verified by:. /9
Pe\ciEe\LOHBYLST\Lnbbvist Registration ~Fonn 32708.doc ~ ~ Revised 03/27/2008
V. SIGNATURE UNDER OATH:
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 apartmentllive-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)
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeochA.gov
CITY CLERK Office CityClerk@miamibeachfl.gov
Tel: 305.673.7417 ,Fax: 305.673.7254
1~~a
LOBBYIST NAME: `---~/~`M'~~
I understand that no later than October 1st of each ear, 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.
7i f7
D e:
F:\CLER\LOBBYIST1Lobbyist Registration Form 32708.doc