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Paul C. Savage - S.F. Land, LLC PW02-os 33 RECEIVED JUN 17 2022 Office of the City Clerk 1700 Convention Center Drive CITY OF MIAMI BEACH Miami Beach, FL 33139 OFFICE OF THE CITY CLERK 305.673.7411 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; Savage Paul C. NAME OF LOBBYIST (Last) (First) (Middle Name) Rasco Klock Perez & Nieto, P.L., 2555 Ponce de Leon Blvd., Suite 600, Coral Gables, FL 33134 LOBBYIST BUSINESS NAME AND,ADDRESS (Number and,Street) (City) (State) (Zip Code) 305-476 - 7100 psavage@rascoklock.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS iL PRINCIPAL INFORMATION: Sussman Ira NAME OF PRINCIPAL (Last). ;(First) (Middle Name) S.F. Land, LLC 6565 Collins Ave, Miami Beach FL 33141 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305 - 866 -2122 ira@sussca.net PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS P,i4(i nt to ity Ccid"e Seeabii 2482 l t a A nncipal Of+an,.. � C}( )( 1 p y corporation,partnershsp,or�other etfiiy who a�ipaars as a iabtiyist on bahait of that entity wtthoutspecial compensation or reimbursement(or*e appearance whether direct,indirect or contingent,toe pp a'a,lf rt4a!„(register 4i the µClerk gs re ui ed b )S ressrsupport of,or a usit!on to _ ..� .q.� � ,y tiit�sub5ectianbtf`shnt!hot.bs�requireci�o pay eny_�gtsUatfot7_feesi 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 NiA): Ira Sussman • 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): Please see attached. Page 1 of 5 III. ISSUE TO BE LOBBIED: Describe with as much detail as is practical, including but not limited to a specific description where applicable of a pending request for proposal, invitation to bid, or public hearing number. PB22-0537; PB22-0533 North Beach Oceanside FAR Overlay Comprehensive Plan Amendment and LDR Amendment, nearby zoning, development and related issues. IV. CITY AGENCIES/INDIVIDUALS TO BE,LOBBIED: Pursuant to City Code Section 2-482(a)(4), 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 Planning Board, Planning Staff X Land use and Sustainability Committee X City Commission and Mayor, as necessary X Thomas Mooney, Planning Director X Development Boards X Office of the City Attorney X Pursuant to City Code Section 2-482(g), everyy 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 lobbied 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(If none,write N/A): N/A V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a contingency fee is prohibited pursuant to City Code Sec. 2-485.3): $555.00 per hour Page 2 of 5 The following six(8)questions MUST be answered:. , ' , • •1) ,Pursuant to City/Code Section'-2-488,entitled:"Prohibited;Campaign Contributions By Lobbyists On Procurement Issues": Yeskle: n Are you lobbying o 'a present or pending bid for goods, equipment or services,or on a present or pendinft award.for goods;equipment or Service? 2) Pursuant to City,Code Section24,00,entitled"Prohibited Campaign contributions By,Lobbyists,On Real,Estate Development IssuX es": ' Yes No: Are you lobbying on'a'pending application for Development Agreement with the City or application for change of zoning map designation or change to the City's Future Land Use Map? • - 3) Pursuant,to City Code Section_2.482(h) any person (except those exempt from.ttte definition of lobbyist° as set forth in Section 2-481)who only appears as a representative of.a not for-profitcorporatiion or entity without special compensation or .reimbursement for the appearance,whether direct orindirect to,`express,support of or opposition,to any,item,shall register with 'the city clerk as,requir'ed.by this-section,,but shall,notbe.required to pay.any'registrotion fees. ,_YesXNo; :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 scientific,technical.or other specialized information ortestimony in public meetings;any person who only appears as arepresentative of a,neighborhood association without compensation or reimbursement.for 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-forrprofit community based;orgenization-.„for the,-purpose,'of,requesting'Ja grant:without special compensation or reimburserttent for the appearance. ' ' • ', .. . _Yes){No: ,Are`you providing any scientific, technical'Or other specialized information;'appearing as a representative of a neighbartiood association.wiithout special compensation or reimbursement or - ' representing_a not-for-Profit based organization for the purpose of requesting a grant without . :special compensation`or reimbursement? ' - 6). Pursuant to...City Code Section 2-49.1(1);yno,campaignconsultant shall lobby the,City Commission for a period of,12 months following.the swearing in af'any elected officiai(s)for whomfor yvhOrd.thel,cOmpaign consultant provided campaign consulting services . , ' . , within,the- election cyleSee Section:2- 91 o mor :nformaion.re •Yes)(No: Have you provided campaign consulting services to an incumbent member of the City Commission ' °• within•the'past election circle?Oyes;please list the incumbent member(s)of the City'Commission: Yes_No: If yes; has It'been fees than 't2 months since`"the`elected' fficial(s)whom'vou provided campaign • onu'ulting services was•$wom fn? ." ,, . 6) • Pursuant to C•ity Code-Section 2-d82(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.se(vice'oii'his/herlobbyist registration form and shall,orally disclose such particular service before lobbying-the City Commission at$public meeting,; ,'•,'..• _YesXNo:` Have you provided campaign consulting services to an'Incumbent member of the City Commission •within the past election cycle?If.ties:''please list the incumbent members)of the City Commission: `' e ,a^�2 car°.. ,-44a`rr; q ` 4�� r ' 5 1, « , -��, .' -1. — Yes. No: - tf yes; ware you promised or,did'vou receive economic-consideration yin exchanpe'�foe'ca�mpaign censulting seneices7 - . ' `TO BE COMPLETED 9Y CITY CLERK'S STAFF ONLY Annual Registration fee; Yes �0 �•' q Q ) j No Amount Paid S MCft#-Y ! � � l Date Paid �4 t?'Z C� • • . Lobbyist Registration Form received and verified by: • -• • .Js i:ICL tf.V$ALLIa .ORNS�COUaVtST TORhta\Losi)yist Rey'rgtration Form Revised U'f 11,!0;i1i;G.cloc Revised 03/1112020 ' Page 3 of;5 . . . • 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 ENGA LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPS TION IN H .Re ORTING,PERIOD 1 ° : ' * ` • Signature of Lobbyist _ . Date June, 16, 2022 I,do solemnly swear or affirm that all of the foregoing facts,statements,,and disclosures in this form are.true and correct, and that I,have read or am familiar with the provisions.contained in Chapter 2,Art, VII, Division 3, entitled"Lobbyists" of the Miami',Beach City Codes • quir ents.,. .- Signature of Lobbyist: ',— . Date June°16, 2022 . 'Signature.of,Prinoipal:° /:/ Date zn e ref . ' ` P ! ,. • VII.°NOTARY.SIGNATURE AND SEAL -' ' LOBBYIST: . + PRINCIPAL 'State Of Florida -state of, Florida County of Mianll-Dade. County of: Miami-Dade Sworn to(or affirmed)and subscribed before me, Sworn to(or affrined)'and subscribed before me, • by means of;0 physical presence , by means of lephysical presence. . , or D online notarizatton, or.l online notarization , this 16. day.of June 2 _ ' � t) l bY - this�, t 7day of •�u�1e� _ ,,20 a-by Paul ;C.:Savage Ira Sussman NAME OF LOBBYIST NAME OF P12iNGIPAL Produced ID Produced lb ` FORM OF IDENTIFICATION FOOR"M,OF-IDENTIFICATION X Personally Known ✓ Personally r1 rf - Of& '1-1( .14am • " . ` grature of Notarublic; " • Signaty o Notary.Public. Name.ofNotary,Typed„Printed or Stamped .. Name of Notary,Typed, Printed or Stamped ` ' . Al BrFtXA.A 07020t) , ( > 4 (NOTARY SEAL �� Y.., Rocruoan1 P. ! O p,„.. i fONr#lW(YLptr�r2 11..Pr miter 9 .2,02t - a -.. Nobel,Public«set t Fi da .__._ rtc,i,99d* ;, a.. tic ;rrusror. GG 3397,.9 Ur _ra lien; a r' Cart I The term"lobo is spool - rot gh %7,ra .a i x zoz3 v y p • _ lf?9,Persotls nancee ttira.gh tiaitaru.Dui r.tssr. Expert witnesses who provide only scientific,tech'nical,or.other specialized information or testimony in public meetings;any person who only appears as a representative of a neighborhood association without compensation or reimbursement for 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 basedorganization-for_the purpose of requesting a;grant`without special compensation or reimbursement for the-appearance. - Page.4 of.5. , { y ', :City of MiamlBeoch, 1700.convention Centoc;Drive,,Mlorni Beach,Florida 33139;www.miarnibeachfi.nav 'Office:'of the City,Clerk Refuel E.Granedo,city Clarke CityCiork@miomibeachfl.gov Tel:3.05 6 3,7dt.1Fax,"30S;bJ3,7, Paul C. avae NAME OF LOBBYIST::�� � . • . ,,, , '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 timelya Lobbyist;Fee Expenditure.and Compensation Statement (Statement). In .addition to any other"penalties that may be imposed as provided in Section 2-.485 1.,,a fine,of:$5000 a•clay"shall be assessed for Statements,filed after the due date. The City Clerk_shall,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 ,assessed fines after notification:„ ,Any lobbyist, who fails;to,file.:the required'Statement by April 30th of each year, shall be automatically suspended from,lobbying until all fines are paid, Unless the fine has been appealed to the Miami-Dade,County Commission on Ethics and Public Trust, I,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, 1,, h 2) " LOBBYIST WITHDRAWAL • - Once an',issue I have registered to lobby has concluded or I am no longer lobbying on that issue,,I shall immediately file a-Notice Of Withdrawal with,the Office Of the City Clerk. 3) ANNUAL_LOBBYIST REGISTRATION FEE' I understand.annual registration.of all lobbyists"shall.be required.for each 12-month period commencing October:1 of`each'year, and the fee for such annual registration shall be $5Q(-.60. nt to Section 2 482 of the Miami Beach City Code. June 16, 2022 Signature o Lobbyist ' `k. " ' Date. ' - • 1 RtC.iRt$AlllaFORA4s1l08BY1ST FaRMSV,ahoyigi,Rogistrati n Fenn Ro hm O.114 RE.a"doc i Page 5,of5 • • . , .CITY OFppMyIAi� BEACH • = DISCLOSURE OF INTERES"i".- ' if the property which is the;subject of the-applrcettoti is owned-or leased by a ACORP.ORATION,i st Al L;of the stackhoiders,.and .-'the percentage.„of stock owned.by each, Where"the:,stockholders consist of another corporation(s),trustee(s),partnorship(s)or ethersirr ilarentity,further disclosure shall be required which.drsctases.the IdentIty of the inelvideal(s)(natural,persons)having the ultimate ownership interest in the entity;" ' • CORPORATION.NAME NAMEANt3 AODRCSS %•OE STt}C1 S.F.',--Lanai I`f izsi /'0 Joel Sussman Familtj ,; . '565 Collins Avenue', At'{ZIT LBea Pt z4 w S.F-Latrtd frust.iff�s tr b`'u ussr n Ftttnilij - ,5076 , > -. ,6565 colluis Avenue - , . ,_ Frnanu Beach,P1 3324 i. S.F''Land Teast'ffb%Ferri Stern.Family . .70% 6565=Cdfl ns Avenue ' ' Miarni Beach F'.t 3 3I47' • , .. MRPORATION NAME - • - . C. . . NAME ANO ADDRESS • , °%o OF STOCK ., A .` IP.THERE,AREADDITIONAL CORPORATIONS,LIST OTHERS,INCLUDING CORD NAMES)AND EACH INDIVIDUAL STOCKHOLDER'S NAME,ADDRESS 'OFFICE AND PERCENTAGEOF STOCK,ONA SEPARATEPAGE ,.., — c.-,,, < • r",' 7.*-.74.4vNT .''.;',„':, ,,'''=',' , ' ',, , , ',>"'„, '' ,, . . , ..„ , Miscellaneous Cash Receipt CITY OF 1AIAPAI BEACH . ,..... . No 428769,- , -- , CI .Credit'.Ca Card thChedc - - EI-Caih - , # ' / 0 .r, • 2 --. -._...........- AA.\ i - ....,. , - A , LP ts-N-,„ 1--,i..) ,1d5.2.,,-, :26Am , ,, , , - - - Addnissooi Esther -06c4 i -L-li - ,,-,, „..., ...„ ,_,_ ,., .,,,i 4. ,, \-,/ r .„..4. i - (--4,-. ') 1 /,)-<.--)---) ) ,......„). •• ' , , , .: '''''''' ''' ' ' ':- ' ' :: ' • ' ''''' ..'''' 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