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Julio Bautista - Di Lido Beach Hotel Corporation �'Mc,clr 3" Ib`�I C:oIlln5 DocuSign Envelope ID:C2F44846-D872-4BE1-9BC3-B0369F78A1 FD RECEIVED MIAMBEACH ocr 20 2022 Office of the City Clerk 1700 Convention Center Drive CI Miami Beach, FL 33139 OFFIC OFMHEMI BEACH 305.673.7411 CITY 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 tile 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: Bautista Julio NAME OF LOBBYISI (Last) (First) (Middle Name) Lehrer Cumming 4500 Biscayne Blvd., Suite 110 Miami Florida 33137 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 786-360-9447 jautista@lehrercumming.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Granda Javier NAME OF PRINCIPAL (Last) (First) (Middle Name) Di Lido Beach Hotel Corporation 4100 NE 2 Avenue,Suite 202 Miami Florida 33137 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-728-8240 javier@lionstone.net 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 o'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): J. Granda • 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 the attached. Page 1 of 5 /6' n Verity ID.E50D02A2-58E0-49DE-81EE-FE82218CAD05 n17A 11 F'_tl7218CAU05 i�� ����r N 1VV.' 7 l`III\,: Ili ��iiiiR DocuSign Envelope ID,C2F44846-D872-4BE1-9BC3-B0369'=78A1FD 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. Lincoln Road Improvements, Development Approvals&Permitting Issues,including but not limited to the Historic_Preservation Board, Design Review Board, Planning Board, Board of Adjustment, Land Use Development,City Commission,and any City Workshops or Committees, if necessary, relating to the properties located at 1 Lincoln Road and 1671 Collins Avenue in Miami Beach, Florida. 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 Staff for the Planning&Building Department None X Public Works&City Administration, PB, HPB, BOA None X DRB,City Commission,and Mayor as necessary None X Land Use&Sustainability 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 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/N: None J 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): $350.00 per hour Page 2 of 5 Dnr VPnry ID F50D(19A2-SRFO-49DF.RI FF.FFR9917t.n.mb %4 111 t R111 R,'age < 'l aI t AWN'docVel It CUlli 'I% '7 c,AI)(t5 u u DocuSign Envelope ID:C2F44846-D872-4BE1-9BC3-B0369F78A1 FD 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 ANo: 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 Contnbutions By Lobbyists On Real Estate Development Issues": _Yes x No: 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. _Yes LNo: 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 x No: 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 x No: 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 x No: 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 x No: 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 x No: 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� Annual Registration fee: [ ]Yes tee No Amount Paid f-3 50•� MCRI fCDI Date Paid 10'74-2 2- Lobbyist Registration Form received and verified by: 03� F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised -11-20 REG.doc Revised 03/11/2020 Page 3 of 5 _ram er ' www ity;DV E50D02A2-58E0-490E-81EE.FE82218CADOS Page 13 of24 13FE82218CADO5 ,III B IME 111 DocuSign Envelope ID:C2F44846 D872 4BE1 9BC3 B0369F78A1FD 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 LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMPENSATION DURING THE REPORTING PERIOD.' Signature of Lobbyist: Date 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 Code and all reporting requirements. Signature of Lobbyist: Aoocuswnee br Date Signature of Principal: C �ttX Date ,0, g42n22 it./4/T4A%JEJ4AA... 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❑ physical presence by means of❑ physical presence or EJ online notarization, or N online notarization, this day of October , 2022, by this 19 day of October ,2022, by Julio Bautista Javier Grande NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION x Personally Known x Personally Kn Signature of Notary Public Signature of Notary Public Diana Ramos Diana Ramos Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped (NOTARY SEAL) (h Diana Ramos Commission#GG 308355 Notary Public-State of Florida My Commission Expires Apr 10,2023 ' The term"lobbyist"specifically excludes the following persons: Expert witnesses who provide only scientific, technical or other specializeoiniormation or testimony in puouc 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 Uocvor 58EO-49DERBI I I tR2l�8CAD0Div E50D7A 5 Pape 14 o124 14FE82218CAD05Ewen III DocuSign Envelope ID:DEBED9A3-D39E-4B12-BFBD-CC704B656B82 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 LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COM ENS.AHHOpl DURING THE REPORTING PERIOD.' Signature of Lobbyist: �0 bAtN1SIGL Date 10/1Rl2(122 acoe74Cgoo,7gD7 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 Code-anehnstporting requirements. Signature of Lobbyist: ` 150466, Date 1oi18/2022 "--A t_L1114..4CL I14U1 Signature of Principal: Date 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❑ physical presence by means of❑ physical presence or El online notarization, or® online notarization, this 1a day of October ,2022, by this_day of October t 2022, by Julio Bautista Javier Granda NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION x Personally Kno x Personally Known Signature of Notary Public Signature of Notary Public Diana Ramos Diana Ramos Name of Notary, Typed, Printed or Stamped Name of Notary, Typed, Printed or Stamped hAela-A.dl CGA1 N— - ,— . . .. . —— (NOTARY SEAL) Diana Ramos 1 Commission#GG 308355 1 - Notary Public-State of Florida 1 1 The My Commission Expires Apr 10,2023 tg persons: 1 Expe AATAW...1VR,l �' "•T•'''^^T'- T'' TMEATAZI I 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 I D ocVee(ity 10,EBAA3338-BDC9-40C0-A4AD-34M1COSF 7ts7 ,III rS'I III Page 14 oi20 143400BC05F707 Yoc • DocuSign Envelope ID:DEBED9A3-D39E-4B12-BFBD-CC704B656682 MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miomibeochfl.gov Office of the City Clerk Rafael E.Granada,City Clerk CityClerk@miamibeachfl.gov Tel:305.673.7411, Fax: 305.673.7254 NAME OF LOBBYIST: Julio Bautista 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 301h 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 commencing October 1 of each year, and the fee for such annual registration shall be $500.00 pursuant to Section 2-482 of the Miami Beach City Code. DocuSlgned by: 3u(,ie baufisfa 10/18/2022 400074010D774D'.. Signature of Lobbyist Date F.ICLER1$ALLLaFORMSLLO88YtST FORMS\L.obby,st Reg istrat,or Form Revised 03-11.20 REG doc Page 5 of 5 DncVonty ID:FBAA3338-BOC9-4000-A4AD-340BBC05FIB7I I arc 1;,ur io 1 b740tl0(Y76I'H/ III tvww dOf.w,I,W ram �& ts1 DocuSign Envelope ID:C2F44846-D872-4BE1-9BC3-B0369F78A1FD EXHIBIT "A" Organizational Chart of EBJ Sagornore►.t£ l r 1 r f Di Lido of Lido I Cent iFt.1 1 I lionsQ^rn C4 4 :.n l"rpnst.rr.D{tf40 I ventures.Ltd-(A.) 1 La,az(^) '.,A.tnc.(}t) Properties,1 Ulf ILC Z Sagtrno) N tJt i 1 ` 1 tp£1 ._� - , / ' l .67% 29.5% -5 1-yam 31.66% 1.67% I I Manage,of(t)Di Udo Beach Resort Parent LLC,and i 1 DI LW t Resort I Parent li[inn (n)EBl SagstmorelJ.0 licnstone Group: 1 Diego iewenstefn I 100% 2. Javier Grande i KanavosGroup: �Sagemore� 1. Paul C.Kanavos { 2. DaysstOlartedeKanavos ` f Ben-Josef Group: 1. Ron Ben-Josef '� 2. Konen Ben-Josef _E. • Uonstone entries on page 2. Kanavas entries on page 3. - Ben-Josef entities on page 4. -74 Doc Vorify ID-ESOD02A2-SSEG-49DE-81EE-FE?221ACAo .s EII 'I III vw„ ..,,siN cnrn Page 21 0121 21FE82218CA005 y DocuSign Envelope ID:C2F44846-0872-4BE1-9BC3-B0369F78A1FD • ( W ). DE ( CMA ) t/` Fuwu U' DEGp • &max) Lfor ane Group \ // IDWE�61pN LQYIETSfE1N 3.81% 3.81%\ 10,48% 10.48%7 10.48% 1048% ( tow100% w/bein / � HOW Trust I 100% \ ///' , •---, 'mil ( I uoreaone rioi3r%s J L )�- / / 100% Llansto�.4E% Group,Inc.. (F4-) J 100% uonsiafee D4 udo LP LLC i cioeaf_e d udo 6P Inc. I 4FL) (Fct 35% I 15% Kanavos entities on page 3; 114 WO Reach Resort Ben-href entltw_s on page 4_ Pam/1111S(DE) Doc Verify ID N E50002A2 58 E0-a9DE-a1EE FE82218CAD05 11II L E11111 Page 22 of 24 22FE82218CAD05 FF'l�Q' DocuSign Envelope ID:C2F44846-D872-4BE1-98C3-B0369F78A1FD LKanavos Group 1 /_ i� i Ut�vn J KAMvas P' •�C ' / PETER �Nl \\ T J 1 KRraavos ; Kr+uvus �1 ` j'� 50%G �5096 r Ass 01 Mk JF [ 9i.aon Lowe Lawr OecVntlm d j I %arum tlynatT s y 1 {( fume nufrn Pun G 1 Pt imp.2V1iL 1 Lc."44 DF KRxR�'�5 / IGNAVOL PI That True 2011 !M 50 vvv • .67% 13886424 650328z 1 (.7996 u39Nr2%! 5 415,53234 93214% 225299% ' 17.93632%1 27.936327E 9.10110%i i I i i ( Fin Di Lido 1 Ventures,I.te.. j fill(F11 295% .31 L onstone enOt1es on page 2: Ben-Josef entitles on page 4 of LJM Beach LJZ i OorVerit ID.E50D02A2-58E0-49DE-81EE-FE82218cAOO5 Y Pogo 23 0124 23FE82218CA1)OS �I)qy��f¢"�I DocuSign Envelope ID C2F44846-D872-48E1-9BC3-B0369F78A1FD Ben-Josef Group Rom,�� RaN BEN- 1 RONEN�1 RgyR ii1Eu'`t4N r Jam r ��'�% BEN-105EF KR2tUS -- —_ 25% 25% 259L �% 15% 25% �-��\� 25% The Edeed der •, , Josef and Lidia Ben- Ben-Josef Crate I I r Each of(a) Rontt Neuman, (10 Ron Ben-Josef, (Iii) I Josef Irrevocable 1 oidbuouUr t Rouen Ben-Josef and(iv)Ravtt Kraus are the trustees ' rust (Pal J i of The Edeed Ben-Josef and Lidia Ben-Josef Irrevocable Trust 100% 100% f ESJ Properties,ULC , E3/SWAM V 1 .OE} MC (1710 31.66% 1.67% i k. 1 Ui tido>ka:_h Lions-tone ennr ies on pare 2: I Resort i3f.!t'rR.LlC Kanavas entities on page 3. ti ) LocVerify ID:E50[?p7 e7-SA F(1-19nF-RIFF-F FR771 Rf.AnnS -_-- -- _. -I ,I Hi wvew tlncwo IN con, Page 24 of 2A 24FES2218CnD05 Miscellaneous Cash Receipt CITY OF MIAMI BEACH ( t No. 430781 c ❑Cash ❑ Credit Card ❑Check# $ \ 20 Received of Address For MSF Miscellaneous- MCR-2023 005751-0009 Adrian V... 10/21/2022 11.32AM MCR OPEN(P,1CR) Payment Amount: 1,900.00 (THIS INFORMATION MUST BE COMPLETED) Office of Finance Director ess,Account number: � =` I By Preparers Dept: EXT: f t