Joaquin E. Vargas/1100 West Properties, 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 foreseeably will be heard or reviewed by the city commission, or a city bond or
committee. The term specifically includes the principal as well as any employee engaged in lobbying activities. The
teen "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Vargas Joaquin E.
NAME OF LOBBYIST: (Last) (First) (M.I.)
Go Traf Tech Engineering, Inc. 8400 North University Drive, Suite 202 Tamarac, FL 33321
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(954) 347-7341 (954) 582-0989 Joaquin@traftech.biz
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
1100 West Properties, LLC
NAME OF PRINCIPAUCLIENT:
c/o Morgans Hotel Group 475 10th Avenue New York NY 10018
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 674-4848 N/A agalbut@hudcap.com
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: Rabinder Pal Singh and Jay Stein
IDENTIFY ALL PERSONS HOLDING, DIRECTLY CR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
See Exhibit "A" attached.
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II. SPECIFIC LOBBY ISSUE: rC-~- y -±-I
Conditional Use Permit ~ ` ~ N °.
Issue to be lobbied (Describe in detail): ~., ,~.,~
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III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to City Code Section 2-48~(g) ip~udg ~
statement of the extent of any business, financial, familial, professional or other relationship, givi7i-g ri~2 to art'
appearance of an impropriety, with any City personnel sought to be lobbied; further, pursuant to City Cxj.(fe ~tion 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
City of Miami Beach Planning Board None
City of Miami Beach Mayor/Commissioners None
City of Miami Beach Committees None
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MIADOCS 3113789 1
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
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A) LOBBYIST DISCLOSURE: (Required)
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B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required).
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 ®No: Are you lobbvina on a present or pending bid for Goods, equipment or services, or on a
present or pending award for Goods, eauipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On
Real Estate Development Issues":
^Yes 6a No: Are you lobbvina on a pending application for a Development Agreement with the City or
application for chance of zoning map designation or chance to the Citv'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 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..
^Yes ®No: Are you representing snot-for-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1St OF EACH YEAR, EACH LOBBYIST SF~ALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH LISTING LOBBYING EX NDITURES AS WEL AS COMPENSATION
RECEIVED. IN THE CITY OF MIAMI BEACH FOR THE PREC DING CALENDAR YEA . A;e1TATEMENT SHALL
BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURE OR COMPENSATION THE REPORTING
PERIOD.
of L"obbyist - Joalfy(iin Vargas
I do solemnly swear that all of the foregoin facts are true anc
provisions contained in Section 2-482 of the iami Beach
Signature of Lobbyist: ~ '/
Signature of Principal/Client:
Abraham . Galbut, President
West Pro rties, LLC
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
® Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
St of Florida, County ofi~lliarai~Dade~a~ "~'~
Sv~~ and subscri ed befor~me
Th riav of ~ x-~7nrtR~
F
I ha~ read or am familiar with the
ing quirements.
100 West Holdings, LLC, Manager of 1100
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
^ Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This _ day of , 2008
TO BE COMPLETED BY CITY CLERK'S US
Annual Registration fee: [ ]Yes [ ] No Amount Paid 3 O -- MCR # S Date Paid
Lobbyist Registration Form received and verified by:
F:\CLER\LOBBYIS11Lobb ist Re istration Form 32708.doc Revised 03/27/2008 5
of lic Rleltary~$tate of Florida Signature of Public Notary -State of Florida
on of obbvist's signature Notarization of Principal's signature
MIADOCS 3113789 1
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHPR):
A} LOBBYIST DISCLOSURE: (Required)
B} PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). ~-O
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":
f-lYes 6a No• Are you fobbvtns~ on a present or pendlnst bid for sioods 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":
^Yes ®No• Are you lobbvlna on a pending application for a Development Agreement with the Cltv or
application for chance of zoning map designation or chance to the City's Future Land Use Map?
3) Pursuant to Mlaml Beach Clty 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 apposition to any item, shall register with the clerk as required by this
section but, shall not be required to pay any registration fees..
^Yes 6a No• Are you representing gnat-for-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
PERIOD.
E
Signature of Lobbyist -Joaquin Vargas
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:
Signature of Principal/Client:
West Properties, LLC
Vl. LOBBYIST IDENTIFICATION:
[] Produced Iq
Form of Identification
® Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This ____ day of , 2008
Signature of Public Notary -State of Florida
Notarization of Lobbvlst's signature
Ann
TO B
Registration Form received and verlfled by: _
-OBBYISTILobbvist Registration Form 32708.doC
of 1 i00'West Holdings, LLC, Manager of 1100
PRINCIPAL IDENTIFICATION:
'~„ Produced 1D ~,,,,
Fo of Identification
^ Personally known {Pri Np~AR~PUBLIC-STATE OFFLORIDEt
•T""''•- Linda Christian
- ,=Commission #DD651416
State of Florida, Gounty of Mia xpires: MAR. 23, 2011
~i~ ~p pfLAN[16 BANDING CO, INC.
Sworn to and subscribed befo ~' '"
This ~ day of 2008
IS~
'gn to of Public Notary -State of Florida
No arization of Principal's signature
CLERK'S_U~E ONLY
Revised
MIADOCS 3113789 1
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.aov
CITY CLERK office CityClerk miamibeachfl.gov
Tel: 305.673.7411, Fax: 305.673.7254
LOBBYIST NAME:
Joaquin E. Vargas, PE
I understand that no later than October 1St of each vear, 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
Com fission on Ethics and for code violation evaluation.
In ad tion, once an issue I have )registered to lobby on has been resolved, I am required to immediately notify the
City rk's Office for lobbyist withdrawal in writing.
F
Date:
MIADOCS 3113789 1
1100 WEST PROPERTIES, LLC
OWNERSHIP STRUCTURE
1100 WEST PROPERTIES, LLC
1100 West Holdings, LLC 100%
(Sole Member of 1100 West Properties, LLC)
475 10th Avenue
c/o Morgans Hotel Group
New York, New York 10018
1100 WEST HOLDINGS, LLC
Mondrian Miami Investment, LLC 50%
475 10th Avenue
c/o Morgans Group, LLC
New York, New York 10018
Sanctuary West Avenue, LLC 50%
c/o Hudson Capital
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
MONDRIAN MIAMI INVESTMENT, LLC
Morgans Group, LLC 100%
475 10th Avenue
New York, New York 10018
MORGANS GROUP LLC
Morgans Hotel Group Co. 97.1
475 10th Avenue
New York, New York 10018
Residual Hotel Interest LLC 2.9% (See attached
c/o 475 10th Avenue flow chart)
New York, New York 10018
MORGANS HOTEL GROUP CO.
Morgans Hotel Group Co. is a publicly held corporation
MIADOCS 2884089 1
SANCTUARY WEST AVENUE, LLC
Sanctuary West Holdings, LLC 100%
(Sole Owner of Sanctuary West Avenue, LLC)
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
SANCTUARY WEST HOLDINGS, LLC
Sanctuary West Management, LLC 95%
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Gladys Brownstein 2.5%
Honey Waldman 2.5%
SANCTUARY WEST MANAGEMENT, LLC
Abraham Galbut & Nancy K. Galbut, his wife 28%
4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Keith Menin 18%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Daniel Galbut 16%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Seth Frohlich & Kimberly Frohlich, his wife 8%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Robert N. Galbut and Rita Galbut, his wife 10%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
David Galbut and Geta Galbut, his wife 10%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
Joan Brent 10%
c/o 4770 Biscayne Blvd., Suite 400
Miami, Florida 33137
MIADOCS 2884089 1
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