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David E. Sacks - MMS 7 FARREY, LLC c RECEIVED M I AM I BEACH Office of the City Clerk AUG 15 1700 Convention Center Drive 2022 Miami Beach, FL 33139 CITY OF M'AM'B 305.673.7411 OFFICE OF THE CITY CAERK 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: SACKS, DAVID E. NAME OF LOBBYIST (Last) (First) (Middle Name) PATHMAN SCHERMER TANDY LLP, 2. S. BISCAYNE BLVD., SUITE 2400, MIAMI, FL 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-379-2425 305-968-7907 DSACKS@PST.LAW LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: MIRMELLI, GREGORY NAME OF PRINCIPAL (Last) (First) (Middle Name) MMS 7 FARREY, LLC, 1521 ALTON ROAD, #894, MIAMI BEACH, FLORIDA 33139 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 786-897-5591 786-897-5591 dbortnuk@networktheworld.corn PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant to City Code Section 2-482(h)(1)(a): A principal of any corporation, partnership, or other entity who appears as a lobbyist on behalf of that entity,without special compensation or reimbursement for the appearance,whether direct,indirect,or contingent,to express support of or opposition to an 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) I-d • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OW NERSSHIPPIINTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST(if none,write N/A):' `if✓ 1 etl; d 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. Design Review Board approval for new construction located at 6 &7 Farrey Lane, Miami Beach, Fl 33139. DRB File Number for 6 Farrey Lane, Miami Beach, FL 33139- DRB22-0871 DRB File Number for 7 Farrey Lane, Miami Beach, FL 33139- DRB22-0872 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 Design Review Board x Public Works x City Commission & Applicable Boards & Staff 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 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): $600.00/Hourly Page 2 of 5 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 XNo: 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 City Code Section 2-490, entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": _YesXNo: Are you lobbying on a pending application for a 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 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 direct or 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 registration fees. _YesX_No: 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 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 based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. _Yes XNo: Are you 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 2-491(1), 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 consulting services within the past election cycle. See Section 2-491 for more information. _Yes XNo: Have you provided campaign consulting services to an incumbent member of the City Commission within the past election cycle?If yes, please list the incumbent member(s)of the City Commission: _Yes XNo: If yes, has it been less than 12 months since the elected official(s) 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?If yes, please list the incumbent member(s)of the City Commission: _Yes XNo: If yes, were you promised or did you receive economic consideration in exchange for campaign consulting services? TO BE COMPLETED BY CITY CLERK'S/STAFF ONLY ,,cf Annual Registration fee: [)(]Yes[ ]No Amount Paid$ v 5 cl MCR# Li Soo 156 Date Paid V q • 11• Z L Lobbyist Registration Form received and verified by: J 5 F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc Revised 03/11/2020 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 ENGAGED TO +BB A ATEMENT SHALL BE FILED VEN THERE HAS BEEN NO EXPENDITURE ORC i:' ` ` •ATION z . 'G T ' R • +RTING PERIOD.' Signature of Lobbyist: ./ r i. Date I do solemnly swear •r affirm that all of the foregoin facts, statements, and disclosure 'n this form are true and correct, and that I have read or a familiar with e prov' ons con ed in Chapter 2, Art. VI ivisi 3, entitled "Lobbyists" of the Miami Beach City Co and all rep ng r uirement /�} 2 2 Signature of Lobbyist: Date " Signature of Principal: L:, /1--"\_ Date -/i /tea_ VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: PRINCIPAL State of FLORIDA State of FLORIDA County of: Miami-Dade county of: Miami-Dade Sworn to (or affirmed) and subscribed before me, Sworn to (or affirmed) and subscribed before me, by means of,la physical presence by means of$l physical presence or❑ online notarization, or❑ online notarization, this /D 1L, day of August ,20 22 by this )01 day of August ,20 22 by DAVID E. SACKS GREGORY MIRMELLI NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION / FORM OF IDENTIFICATION ✓ rsonally Known v Personally Known 42<_&,,i, q ignature of Nota ublic Signature of Notary Public seiR4 Illy A- Notary Tyr rt ID rirt ,r Stamped Name of Notary, Typed, Printed or Stamped •i'a�P� GABY M.ARZOLA (,,iTARMYSIDAILOSSION#HH 188583 (NOTARY SEAL) ;S rIr'o EXPIRES:October 24,2025 Notary Public State of Fbrida '' ,,' Bonded Thru Notary Public Urberwn'ters Diana Cruz Fosc°; ' r r jMy Commission GG 955758 ' The term"lobbyist"specifically excludes the following persons: 'o,v Expires o2i2�2o24 Expert witnesses who provide only scientific,technical 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 based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. Page 4 of 5 MI AMIBEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov Office of the City Clerk Rafael E. Granado, City Clerk CityClerk@miamibeachfl.gov Tel: 305.673.741 1, Fax: 305.673.7254 NAME OF LOBBYIST: DAVID E. SACKS 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 2-485.1, a fine of $50.00 a day 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. 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 com encing tober 1 each yew and the fee for such annua registr ion shall be I $50q.00 purs nt to ction 2-48 of the Miami Beach City Code. ' L. if) . c. L -k nature of Lob gist Date F:\CLER\SALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 03-11-20 REG.doc Page 5 of 5 8/15/22, 12:23 PM Detail by Entity Name FLORIDA DEPARTMENT Of STATE DIVISION OF CORPORATIONS DIVISION Of 311/01Z CORPORATIONS an official Stare of Florida website Department of State / Division of Corporations / Search Records / Search by Entity Name / Detail by Entity Name Florida Limited Liability Company MMS 7 FARREY LLC Filing Information Document Number L21000394543 FEI/EIN Number 87-2960439 Date Filed 09/03/2021 Effective Date 09/01/2021 State FL Status ACTIVE Principal Address 7 FARREY LANE MIAMI BEACH, FL 33139 Mailing Address 1521 ALTON ROAD NUM 894 MIAMI BEACH, FL 33139 UN Registered Agent Name&Address MIRMELLI, GREGORY 1521 ALTON ROAD 894 MIAMI BEACH, FL 33139 Authorized Person(s)Detail Name&Address Title MGR MIRMELLI, GREGORY 1521 ALTON ROAD NUM 894 MIAMI BEACH, FL 33139 Annual Reports Report Year Filed Date 2022 01/30/2022 Document Images https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&SearchNameOrder=MMS7FA... 1/2 8/15/22,12:23 PM Detail by Entity Name 01/30/2022--ANNUAL REPORT View image in PDF format l 09/03/2021 --Florida Limited Liability View image in PDF format Florida Department of State,Division of Corporations https://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=EntityName&directionType=Initial&searchNameOrder=M M S7 FA... 2/2 . 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