Hernando Marin - 7200 Collins Holding, LLC -7 IHo utos
4.ve
RECEIvED
Office of the City Clerk JUL 05
2022
1700 Convention Center Drive
Miami Beach, FL 33139 �f of 305.673.7411 /CE OF THE Ct7YB CLERK
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 board or committee. The term specifically includes the principal as well as any employee engaged in lobbying
activities. The term "Lobbyist" has specific exclusions. Please refer to City Code Chapter 2, Article VII, Division 3, entitled "Lobbyists,"
for additional information.
Instructions: Please complete all sections of this form and submit the completed form,with the applicable fee, to the Office of the City
Clerk. If you need more space to complete an answer, use a separate sheet(s) of paper. If you have nothing to report in a particular
section, you must write "none" or "n/a" in that section. Any change to any information originally filed, or any additional City
Commissioner or personnel who are also sought to be lobbied shall require that the lobbyist file an amendment to the registration form.
The lobbyist has a continuing duty to supply information and amend the forms filed throughout the period that the lobbying occurs.
Separate registration forms shall be required for each principal represented on each specific issue.
I. LOBBYIST INFORMATION:
Marin Hernando
NAME OF LOBBYIST (Last) (First) (Middle Name)
Revuelta Architecture International 2950 SW 27th Ave, Suite 110, Miami, FL 33133
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305.590.5000 HMarin@Revuelta.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Rosenthal Robert
NAME OF PRINCIPAL (Last) (First) (Middle Name)
7200 Collins Holding, LLC 152 West 57th Street, 55th Floor, New York, NY 10019
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
'ursuant @Wang attialcm 2-4'82(h)(1 (a): Q• I I._I COW corporation, partnership CP Caita?CliM 4^inb• appears m I lobbyistlobbyist CMC•X- C•iii:B11
special compensation crgiallamarm2 for( .++-. indirect,CP contingent,fr)(0DEM muzaiRCIiiiCR o.•osition t
n item shall register with the Clerk as required by this subsection but shall not be required to pay any registration fees.
If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
pursuant to City Code Section 2-482(c):
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A): Robert Rosenthal
• NAME OF ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN
SUCH
CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): 12b�j�/r'�' 126.ce4-1
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DocuSign Envelope ID:64DAADED-AFEF-4046-B499-605075148582
III ISSUE.TO BE LOBBIED:
Describe'with as much.detail as'is practical, including:but not limited to a specifiC.description where;
applitable cif a pending.request for proposal, invitation to bid, or public hearing,number.
Development approvals gt.planning issues, including but not limited to the historic preservation board,
•deSign:review'board, planning board,board of adjustment,land use development citY.CornITlisision,and
/ND
any city workshops or committees, if necessary, relating to the property located at 4.881 Collins Avenue
in Miami Beach, FL
IV.,CITY AGENCIES/INDIVIDUALS TO BE.LOBBIED:
Pursuant to City Code Section* 2-482(04), list the City commissioner or City personnel sought to be
lobbied, and whether the lobbyist has entered into any contractual relationship (paid.or unpaid) with
said City Commissioner or City personnel from 12 months preceding such commencement of service
With the'City tO the present date,-stating the general nature of the subject contractual relationship.
Full Name of Individual and Contractual Relationship(If yes,explain) YES NO
Title-of.Person to be'Lobbied
Staff for the Planning & Building Department Nona ,x
Public Works & City admin, PB, HER, BOA None X
ORB, City Commission & Mayor, as necessary None X
Land Use&Bustainability Committee None X
Pursuant to City Code,Section 2-482(g), every registrant shall be required to state the extent of any
business, financial, familial or .professional relationship, or Other relationship giving rise to an
appearance of an impropriety, with any current City Commissioner or City personnel Who is sought to
be tobbied as identified on the:lobbyist'registration form filed.
List :any Business, Financial, Familial or Professional Relationship; or other relationship giving rise to an
appearance of impropriety antine,write WAY:,
None.
V. bisoose RATE.AND AMOUNT OF'LOBBYIST:COMPENSATION Be Specifit: (NOte thata
contingency tee is.prohibited'PUtatiant•to:City-Code:Sec. 2486.3):
tiles
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The following six(6),questions MUST':be answered;
1) Pursuant to:City Code:Section"2-488,entitled"Prohibited Campaign Contributions By Lobbyists'On Procurement Issues";
_yes X.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"orservice?
2) Pursuant City Code Section 2-490, entitled"Prohibited Campaign Contributions By Lobbyists:On Reai Estate Development
Issues
Yes.XNo: Are you lobbVinu.on'a pending application fora Development Agreement With.the"City or application
for change of zoning map;designation`Or:change to the Citv's Future Land Use MlapT
3) Pursuant to City Code;Section 2-482(h), any,person.(except those exempt from the definition of"lobbyist as set forth in
Section 2-481)who only appears as a representative of a not-for-profit corporation or entity without special compensation;or
reimbursement-.for the appearance,whether director indirect to express support of or,opposition to any item,shall register with
the city clerk as required by this section;but shall not be required to pay any registratlon fees;
_Yes XNo: Are: you representing a. not-for-profit corporation or entity without special compensation or
reimbursement?
4) Pursuant to City Code Section 2-481, the term "lobbyist"specifically excludes the following persons: Expert witnesses who
provide only'sc entific,technical or other specialized information.or testimony lnipublicmeetings;'any person who,only appears
as a representative of a neighborhood association Witbdut compensation or reii i ursementfor the.appearance,whether direct,
indirect or contingent,.to express;support of or opposition to any item;and any person who,only,appears as a representative of
not-for-profit community based organization for the. purpose of requesting a grant without special compensation or
reimbursement forthe appearance:
_Yes, No:, Are..vou'.providing_only scientific,_technical Or..other.specialized 'information; appearing as a
representative Of a neighborhood association.without Special Compensation or reimbursement or:
representing..a not-for profit:based.:.organization 'for.the purpose"of.requesting.a;grant without.
special compensation or reimbursement?:
5) Pursuant to City Code Section.2.4910), no:campaign:consultant'shall lobby the City Commission for a'period of 12:months.
following the:swearing in of any'elected official(s) for whom the campaign consultant provided campaign consultingservices
within-the past election cicle. See Section 2-491'for more information.,
Yes X.No Have you provided campaign consulting services to an incumbent member of the.City Commission
within the past election cycle?<.Ifves,.please list the.incumbent member(s)"ofthe City:Corrimission::
Yes XNo if yes 'has it been�le'ss than 12 months "since theaelected officials)whom you provided""'campaign':,
consulting services,was sworn in? ...`
.6), Pursuant to City Code Section 2-482(a)(4)a..,.a lobbyist who'has within the past.election cycle provided campaign consulting
services to an incumbent member of the City Commission.(which lobbying.activity'is not otherwise prohibited by Code section
2=491) shall 'disclose such particular service, on his/her lobbyist registration form and:.shall.orally disclose such particular
:service before lobbying the City Commission at a public meeting,
Yes XNo:: Have,you provided campaign:consulting services to.an incumbent member of the.City Commission
;within the past election cycle?lives,please list the incumbent member(s)of the City Commission:
Yes"XNo:° If'yes,.were"°"Vou"promised''or drd'.vou4eGsi4'economic•consideration rn%'eXc)i"tinge.for:carnp&igrt`.:
Gouts' services?=
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
% k l ;
Annual Registration fee: '[ J Yes t l No Amount Paid$ " 'C�C7 MCR# ►• ��` 3 Date"Paid°`$0 7'"�� �
Lobbyist Registration Form received and verified by: a '
F CaLER,‘th4L goiRti ki 1E3 4S.*:t=ofthy$,\Loi y,:,r Z0116 ire i35h`Fcr+tn-IteiUi ed,03 '� ^O,t G t oc .. � -Revised 03/11/2020
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DocuSign Envelope ID:64DAADED-AFEF-4046-B499-605075148582
VI. SIGNATURES UNDER OATH:
ON:FEBRUARY 28 OF EACH YEAR, EACH,LOBBYIST.SHALL SUBMIT.TO THE OFFICE OF THE CITY CLERK.A
SIGNED STATEMENT UNDER OATH. LISTING LOBBYING. EXPENDITURES.,AS WELL AS, COMPENSATION
RECEIVED, FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAGED TO LO Y.: A STATEMENT SHALL BE F1LEDEVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPENSAT N DURft&3 THE REPORTING PERIOD.I
Signature Of Lobbyist. „ Dat6:00/aQ/204
: .
do solemnly swear or affirtn:that.all of the foregoing lade; statements, and disclosures in this fbern are true and correct,
and that I have read or am familiar with the visions contained in Chapter 2, Art vtli Division 3,'entitlect"Loti.tlYiets' of
the Merril Beach City.Code and all Ouirements.
- 444..
Signature . . 30/202
2
6 2
Signature of Principal: . Date° ki262 6/30/2022
,
ocu tgn :
robtif PSUAILIL RdtkAt ROM/Cad
VII, NOTARY SIGNATURE ANDB5gEn773-
LOBBYIST: .PRINPIPAL,
State of t.t9 lc(OUt State of TPXAS
County of: evttikvvw'
County of Texas
. .
Sworn to(or affirVti)and subscribed before me, Sworn to(or affirmed)and subscribed before Me,
by means of ta,ph-ysical'presence by means of 0 physical presence
or El:oplirie notarization, 4 or,teonlint.notarization,.
this ?YU'day Of . A ,202by this..1st.,day of Jilly „,1022,:by
bli:('ILOLATet() 11Q Ar01) / Robert Rosenthal
NAME OF LOBBYIST 'NAME OP PRINCIPAL
_ProdUced ID, . Produced rID DRIVER LICENSE .
FORM OF FORM.OF IDENTIFICATION
ersopally KnO%n I Personally'Known
17-2-
Signature of N ry Pub lc' t8rY Public
4-1-ct 1(1
.„ Joshua Jones Notary Public,State of Texas
' Stamped Name of NOtery-, Typed,Printed or Stamped
/49,v"Pi4\ M GELGADO 11
of Florida
, GG 310668 : :(NOTARY SEAL) ' Joshua Jones
oW aiy.toiriml,Wires/Aar 11,2023 I:
BorOed:OroUttriNational Notary Assn r! ID NUMBER
132035778
-4\
COMMISSION EXPIRES
The term lObbyisrapecificallY:exCludeS the following persons: June 3,2023
Notarized online using audio-video communication
Expert witnesses who provide only scientific technical or other specialized information ortestimony in public meetings;any person who
only appears as a representative of a neighborhood association without compensation or reimbursement for the'appearance,whether
.dirept, indirect or contingent,to express support of or opposition to any item 'and any person Who only appears as a representative of
nOt4for,profit community based organization for the purpose of recipesting,?,grant without,special compensation.or reimbursement for
the appearance
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DocuSign Envelope ID:64DAADED-AFEF-4046-B499-605075148582
MAMIBFA:
700,conVelitiontrinkir DriVO,MiorniSeacii„Finrida.-33139i.www,miamibeachfLgov
(Dike.tf:tho City Clerk
Rafael t'..:drancdo;•CiCterk, (ity0erk@piicaiii6,6681(14o
10:4051;73.7411, rcw: 305.0737254,
NAME OF LOBBYIST: Hernando Marin
1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT
Pursuant to City Code Section 2-485(d), the City Clerk shall :notify any lobbyist (or
principal)who failS to file timely a Lobbyist Fee Expenditure and Compensation Statement
(Statement). In, addition to any: other penalties that may be imposed as provided in
Section 2-405.1, a fine of $50,00 a day shall be assessed for Statenients. filed after the
due date. The City Clerk,shalt notify the Miami-Dade County Commission on Ethics and
Public Trust of the failure ,of a lobbyist (or principal) to file the Statement or pay the
atSeated fines after notification.
Any lobbyist, who fails to file the required Statement y;Aptii 30th of each year, shall be
automatically suspended from lobbying until 611 fines are paid, unless the fine, has been
appealed to the Miami-Dade County CoMMISSiOn on Ethics and.Public Trust.
.1 hereby acknowledge that,on February 28 of each year, I shall submit to the City Clerk a
signed Statement under oath listing all lobbyist expenditures, as well as compensation
received, for the preceding calendar year with regard to the specific issue on which I have
been engaged to.lobby.
2) LOBBYIST WITHDRAWAL
Once an issue I have registered to lobby has concluded or `AM no longer lobbying on
that issue, I shall immediately file a Notice ofWithcirawaf with the Office Of the City Clerk.
3) ANNUAL LOBBYIST REGISTRATION PEE
I understand annual registration of all lobbyists ,be required for each 12-month period
commencing. October 1 of each year, and the fee for such annual registration shall be
$500.00 puc uant Section.2482,Of the Miami Beach City Code.
06/30/2022
'SignatUre a!bb9:1$ ' Date
Fi1CLERWALUaFORMSALOBBYIST FORMS1Lobbylst RegiStrstion Foht Revised 03-11-29 R5p.disc'
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DocuSign Envelope ID:CF3BE666-4A88-42B1-9496-199D1952C7B6
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DISCLOSURE OF INTEREST
CORPORATION, PARTNERSHIP OR LIMITED LIABILITY COMPANY
If the property that is the subject of the application is owned or leased by a corporation, partnership or limited liability
company, list ALL of the owners, shareholders, partners, managers and/or members, and the percentage of ownership held
by each. If the owners consist of one or more corporations, partnerships, trusts, partnerships or other corporate entities, the
applicant shall further disclose the identity of the individual(s) (natural persons) having the ultimate ownership interest in the
entity.
7200 Collins Holdings, LLC
NAME OF CORPORATE ENTITY
NAME AND ZE ixdby: %OF OWNERSHIP
I?okvf resu#1 1,
Robert Rosenthal 100%
o5s1047A2or3473...
152 West 57th Street
55th Floor
New York, NY, 10019
NAME OF CORPORATE ENTITY
NAME AND ADDRESS % OF OWNERSHIP
If there are additional corporate owners, list such owners, including corporate name and the name, address and percentage
of ownership of each additional owner, on a separate page.
We are committed to providing excellent public service and safely to all who live,work,and play in our vibrant,tropical,historic community.
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