Maria Elena Rubio/1100 West Properties, LLCm MIANIIBEACH
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.
Rubio Maria Elena
NAME OF LOBBYIST: (Last) (First) (M.I.)
Mondrian South Beach 1100 West Avenue Miami Beach FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 672-2662 N/A maria.rubio@morganshotelgroup.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
1100 West Properties, LLC
NAME OF PRINCIPAUCLIENT:
c/o Morgans Hotel Group 475 10~h Avenue New York N.Y. 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 (c)]
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
C) ~
ecs
IDENTIFY ALL PERSONS HOLDING, DIRECTLY CR INDIRECTLY, A ~~% ~ MT~.2E
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRIkST: c ~ ititi
(^-- -~ ~4
See Exhibit "A" attached. ~ rv
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SPECIFIC LOBBY ISSUE: ~-~ c~
rr CCJ
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 or Professional Relationship
City of Miami Beach Planning Board None
City of Miami Beach Mayor/Commissioners None
City of Miami Beach Committees None
~~
MIADOCS 3113419 1
IV. DISCLOSURE OF TERMS ANf) AMOUNTS OF LOBBYIST COMPENSATION {DISCLOSE WHETHER
Nl3tJRLY, FLAT RATE OR OTHER};
A} LOBBYIST DISCLOSURE: {Required}
No extra compensatian for labbyin9
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 "Prohibi#ed Campaign Contributions By Lobbyists
On Procurement Issues":
C-lYes No• Are-you lobbvina on a present or aendinq bid for goods equipment or services, or on a
present ar aendinq avvard for Goods, equipment ar service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited .Campaign Contributions By Lobbyists On
Real €state Development Issues":
(•'1Yes lRl No• Are you lobbuing on a aendinq aaptication for a Development Aaregment with the City or
application for chance of zonirt-g map designation or chance to the City's Future Land Use Map?
s} 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 representa#ive of a pat-for-profit
corporation. or entity without special compensation ar 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..
(-1Yes 151 No: Are you representing anot-for-profit corporation or entity without special comRensation or
reimbursement.
V. SIGNATURE UNDER OATH:
Abraham AL Galbut, I
West Properties, LLC
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
of 1100 West Holdings., LLC, Manager of 1100
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
~ Personally known {Lobbyist) 1~``~~~~~~~~R GgQ~'~~r,~
VII. SIGNATURE AND STAMP OF t~ibTiM~~,,2~ ~0
State of ~~- ,County of ~i~ wrtir ~'`7k ;~ ...~..,p; St-
Sworn to and subscribed before me y o ~.#Dt)8599}g 5~
Thi~~ day of ? ~- " , 2008 ,. -~ `. ~. ~~~`,ai
l ~ ~" ~--. y~ii~JfjC STAT'E4~~tti*~
Signature o ;Pup, 'No -State of Flonda !!!tllfilli4ltt~, SlgnaIUre 01 t'Ug11C Notary - Stare OT I-
Natarization ofLbbbvist's signature.. Notarization of'-Princiual's,signature
TO
Form received and
CITY
Personally known (Principal)
d Florida, County of Miami-Dade
to and subscribed before me
_ day of , 2008
Revised 03!2712008
MIAQOGS 311.3419 1
I do solemnly swear that all of the foregoi facts a true`and correct and that I have read or am familiar with the
provisions captained in Section 2-482 oft a ch ity o all reporting requirements.
.Signature of Lobbyist: ~~ ~ F
Signature of PrincpaUClient: F
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION {DISCLOSE WHETHER
HOURLY, FLAT-RATE OR OTHER):
A) LOBBYIST DISCLOSURE: {Required)
B) PRINCIPAL'S DISCLQSU~RE OF LOBBYIST ~~jjOMPE~~$$ATIOMM):
(Required). lV 0 Q.`.~.a ~.OM~ ~-+t SeA.~k- ~•••t>, ~ /+a ~ l -ti,
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 lobbyino 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":
f'lYes ®No• Are you lobbvlna on a pendlnsi application for a Development Agreement with the Clty or
application for chance of zonlnsi map designation or chance to the Cltv'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..
j]Yes ~ No• Are you representing snot-for-profit corporation or entity without special compensation or
reimbursement.
V. 5IGNATURE UNDER OATH:
PERIOD.
F
Signature of Lobbyist Maria Elena Rubio
1 do solemnly swear that all of the foregoing facfis are true and correct and that 1 have read or am familiar with the
provisions contained In Section 2-482 of the Miami Beach City Cade and all reporting requirements.
Signature of Lobbyist: F
Signature of Principal/Client: F
rah m u , Pr si nt o 0 West Holdings, LLC, Manager of 1100
West Properties, LLC
VI. LOSSYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
^ Produced ID ~ Produced ID
Form of Identification Form o Identification
® Personally known (Lobbyist} ^ Personally known {Principal}T~ ~TA,~O~~,ORIDA
>vOTAR1 FL~:.~ • •.
VII. SIGNATURE AND STAMP OF NOTARY: ,~~~~+.,,~ ~,;l~~;a G~lr~~tian
'' mission #~1~651~16
State of County of State of Florida, County of : 23, 2011
s. 1v1AR.
Sworn to and subscribed before me Sworn to and subscr bed b€f s• ~~~•taaorm>rlaca,me,
This _ day of , 2008 Thls ~ day of Oc ,~E~ .
~~
Signature of Public Notary -State of Florida S-i~gat re of Public Notary -- State of Florida
Notarization of Lobbyist's signature .Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S US Y
Annual Reg'sstration fee: Yes [ ] No Amount Paid 5 MCR # Date Paid
Labbylst Registration For received and verified by:
F:ICLERILOBBYIST1Lobbvlst Rea(stratlon Form 32708.doc ~r•z.I D ,Revised 03/27/2008
MIADOCS 3113419 1
m P,~IAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.t~ov
CITY CLERK office CityClerk miamibeachflgou
7e1: 305.673.7A~11, Fax: 385:673.7254
t_C±BBYIBT NAME: Maria Elena Rubio
I understand that no later than October 1s` 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 3 timely basis will result in my name. being transmitted to the Miami-Dade County
Commission on Ethics and far code violation evaluation.
In addition, once an issue 1 have registered to lobby. on has been resolved, I am required to immediately notify the
City Clerk's Office for 1 withdrawal in writing.
~-.~.,~
Signature: Maria E1en ub~ Date.
MtADOC5 3113419 t
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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