Eric Bass/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
term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Bass Eric
NAME OF LOBBYIST: (Last) (First) (M.I.)
c/o Morgans Hotel Group 475 10`" Avenue New York N.Y. 10018
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(646) 229-2260 N/A eric.bass@morganshotelgroup.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
1100 West Properties, LLC
NAME OF PRINCIPAL/CLIENT:
c/o Morgans Hotel Group 475 10`" 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)
out this section if principal is a Corporation, Partnership or Trust [Section 2-482
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
IDENTIFY ALL PERSONS HOLDING, DIRECTLY CR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
See Exhibit "A" attached.
II. SPECIFIC LOBBY ISSUE:
Conditional Use Permit
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to City Code Section 2-482(g) include a
statement of the extent of any business, financial, familial, professional or other relationship, giving rise 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 o Professional Relat' nshi
City of Miami Beach Planning Board None a~~ ,) -1Q j,°-`t:
City of Miami Beach Mayor/Commissioners None
City of Miami Beach Committees None L~ , ~ ~~ LZ 13~ 9~~Z
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):~J.
A) LOBBYIST DISCLOSURE: (Required)
' No a-~.~.a~ ea1~~Ms~•r ~2 1~b~~.,l~.~..
B) PRINCIPAL'S DISCLQQS~~URE (OF LOBBYIST COMP~,NSATIO~ ~~
(Required). ti a ~'NI,.G~ C.iD~,.YtM 5 p~~••~~'yy~~ 2- 'y
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 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":
^Yes ®No: Are you lobbying on a pending application for a Development Agreement with the City or
application for chance of zoning map designation or chance 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 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
section but, shall not be required to pay any registration fees..
I-lYes 6a No: Are you representing snot-for-profit corporation or entity without special compensation or
reimbursement.
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:
E
Signature of Principal/Client: F
Abraham AI. Galbut, President of 1100 West Holdings, LLC, Manager of 1100
West Properties, LLC
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
Form of Identification
® Personally known (Lobbyist) ````~~~~~`~~R Gq~~/~~~~,, ^ Personally known (Principal)
VII. SIGNATURE AND STAMP OF ~ ~ •ts~~oro'•.~9 ~'~
~~05, ~o ,y~~ •O~
State of ~~- ,County of ~ (iii e; Q j State of Florida, County of Miami-Dade
Sworn to and subscribed before me ~ ~~~ ~ '~vmorn to and subscribed before me
This ~.3 day of~, 2008 ~ ti '~~ #DD659913 ~~' QTh~ day of , 2008
~ O .•a~ \cSO• O \ -
Ni na a ion o obbv st s s gnaturelorida~~~ii/a;~~"~i~~~~~~~~~Notariz tion of Princ p I's s gnaturelorida
^ Produced ID
TO BE COMPLETED BY CITY CLERK'S USE O Y
Annual Registration fee: [ ]Yes [ ] No Amount Paid $ MCR # $ Date Paid
Lobbyist Registration Form received and verified by:
F:\CLER\LOBBYIST\Lobb ist Re istration Form 32708.doc Revised 03/27/2008
V. SIGNATURE UNDER OATH:
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
!-i`OURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: {Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMP~ISAT
{Required). fl~c~ Q.~,t~,q C~.d1~ci(~ Mra~e ~ R
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 lobbying on a present or pending bid for goods eauipment or services or on a
present or pending award for Goods, eauipment or servlce7
2) Pursuant to Miami Beach Gity Code 2-490 Entitled "Prohibited Campaign Gontributions By Lobbyists On
Real Estate Development Issues":
nYes 6~1 No• Are you lobbylnsi on a pending apgllcatlon for a Development Agreement with the City or
appllcatton for chance of zoning map deslsanation or chance 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
"IobbyisY' 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
section but, shall not be required to pay any registration fees..
f-lYes 6a No• Are you reQresentina anot-for-profit corporation or entity without special compensation or
reimbursement.
Signature of Lobbyist Eric Bass
F
1 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 Mlaml Beach City Code and all reporting requirements.
Signature of Lobbyist: F
Signature of PrinclpallCl(ent: E
albu , P n of 11 0 West Holdings, LLC, Manager of 1100
West Properties, LLC
VI. LOBBYIST IDENTIFICATION: PRINCIPAL. IDENTIFICATION:
^ Produced ID
Form of Identification
~ Personally known (Lobbyist}
VII. SIGNATURE AND STAMP OF NOTARY:
State of County of
Sworn to and subscribed before me
This T day of , 2D08
Signature of Public Notary -State of Florida
Notarization of Lobbyist's signature
Produced ID ~ ~-...
Form Identification
^ Personally known (Principal)
NOTARY PUBLIC - STATE OF FLORIDA
' ""''• Linda Christian
State of Florida, County of Mlam~ , ,:Commission #DD651416
Sworn to and subscr'be before rftsr~~~•~`'~ Exptres: MAR. 23, 2011
This ~ day of II -200aaoxaaal'iixukrw~mcHOxenvcco.,tNC.
t Sir-'
ign to of Public Notary -State of Florida
arization of Principal's signature
TO BE COMPLETED 8Y CITY CLERK'S USE ONLY
Annual Registration fee: (]Yes [ ] No Amount Pald MCR # $ bate Patd
Lobhyist Registration Form received and verified by:
F:ICLERILOBBYIST~Lobbylst Registration Form 32748,doc Revised 03!2712006
IutIADOCS 31134191
V. SIGNATURE UNDER OATH:
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK office CityClerktc'i miamibeachfl.gov
Tel: 305.673.7411, Fax: 305.673.7254
LOBBYIST NAME: Eric Bass
I understand that no later than October 1S` of each near, 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 for lobbyist withdrawal in writing.
n
F
Signature: Eric Bass Date:
MIADOCS 3038262 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 t
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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