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Michael W. Larkin - Miguel Isla Esteve 14° RECEIVED I'v'\I t\1\/\I BE1o : H Office of the City Clerk OCT 12 1700 Convention Center Drive ZOZZ Miami Beach, FL 33139 CITY OF AA/A jI BEACH305.673.7411 OFFICE OF THE 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 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: Larkin Michael W. NAME OF LOBBYIST (Last) (First) (Middle Name) Bercow Radell Fernandez Larkin&Tapanes, PLLC 200 South Biscayne Blvd., Suite 300 Miami Florida 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-374-5300 mlarkin@brzoninglaw.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Isla Esteve Miguel NAME OF PRINCIPAL (Last) (First) (Middle Name) Nomade Lido LLC 40 Island Avenue Miami Beach Florida 33139 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 786-863-4388 isla.m@nomade.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS -ursuant (gp @CCIDSection 2-482(h)(1n a principal C av corpora ion p-rtnership CP 0149 00 appears 02,a obeyis CGt II CQ f entit ,,witholt special compensa ion al reimb rsement for Mfg-•® _ a indirect,CO contingent,m exeress Q o d Oa?oe 0os'tion(t an item sha I register with the G erk as required by this subsection but shall not be required to pa an 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): M. Isla Esteve • 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 • 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. 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 Commissin,and any City Workshops or Committees, if necessary, relating to the properties located at 40 Island 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/A): None 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): $715.00 per hour 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 LNo: 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": _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 x 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 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: f yes, has it been less than 12 months since the elected official(s) whom you provided campaign consulting services was sworn inr 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 ,ou promised or did you receive economic consideration in e change for campaign consul ing se.rvicesr TO BE COMPLETED BY CITY CLERK'S STAFF ONLY R 1r, A -I Registration g. SAmount $^' MCR t e Paid„ Lobbyist Registration*C -received u verified . '" f • ti Ak LL4t,fk'Z,, s,wn:zn3ITSW '3ad w g. b ... .. .>.;;,Revi ed,03/41/Q020- Page 3 of 5 DocuSign Envelope ID:4FECB591-8CB4-446A-A529-4F1FD5806261 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 COMPEN• • ••( U�e gD �R,I�/N�G THE REPORTING PERIOD.' Signature of Lobbyist: rrorcm Dom"co (&itti Date 10/12/2022 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 Coder tcaflaP Siting requirements. Signature of Lobbyist: s Date 10/12/2022 rr �wco... t& 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 0 physical presence by means of 0 physical presence or M online notarization, or I l online notarization, this 12 day of October ,20 22 by this_day of October ,20 2Z by Michael W.Larkin Miguel Isla Esteve NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION x Personally Know x Personally Known 47,010.02211012101112140 Signature of Notary Public Signature of Notary Public o Diana Ramos Name of Notary,Typed,Printed or Stamped Name of Notary,Typed, Printed or Stamped N ''`— (NOTARY SEAL) le Ramos Lu Canommission N GG 308355 notary Public-State of Florida 1 The My Commission Expires Apr 10,2023 persons: �...°Exper;7 ' , , .a .1I 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 LL the appearance. Page 4 of 5 Doc erify ID: :c3F54050-F008-463F-BD92-1115694E44DD r Page 4 of 5 j 41115694E44DD I ,BI I 'I III I • 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 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 and all reporting requirements. Signature of Lobbyist: Date Signature of Principal: Date 1 0 • 1 2./1-2- 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 0 physical presence by means of 0 physical presence or® online notarization, or❑x online notarization, this day of October , 20 22, by this ) z day of October , 20 22, by Michael W. Larkin Miguel Isla Esteve NAME OF LOBBYIST NAME OF PRINCIPAL _Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDEN IFI •�N x Personally Known x Personal( n Signature of Notary Public Sig'ru��f Notes Public V V l �[D f✓ Name of Notary, Typed, Printed or Stamped Nam-,• k• t i T •ed Printed or Stamped ':1g' CHRISTINEA.SOLOPERTO (NOTARY SEAL) (NO , aNY COMMISSION#GG 972607 4; s`.= EXPIRES:March 23,2024 tdR P0' Bonded Thru Notary Public Underwriters '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. Page 4 of 5 DocuSign Envelope ID:4FECB591-8CB4-446A-A529-4F1 FD5806261 MIAMI BEACH 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: 305.673.7411, Fax: 305.673.7254 NAME OF LOBBYIST: Michael W.Larkin 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 r, 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. Chtidati DocuSlpned by: ( ' il& 10/12/2022 rFuFpEs oejo... Signature of LoGibyls, Date 8 F:ICLERISALL1aFORMS\LOBBYIST FORMS1Lobbyist Registration Form Revised 03-11-20 REG.doc Page 5 of 5 DDoc erifydocv lo:corn540B0-F008.463F-BD92-1115694E44DD 1Page 5 of 5 1 leit 51115694E44DD J ,�I wy ,l III 1 Various other interests—none 5%or greater 100% ISLA ESTEVE,LLC JSA Revocable Trust UAD 10/15/21 a Miguel Isla Esteve 40 Island Ave, Miami Beach, FL 33139 100/ Jeff Aronin 40 Island Ave, Miami Beach, FL 20% I 5.71% Sacks Realty LLC 100% 100% Jeffrey Altman Antonio de la Rua - RUAGOL INC 40 Island Ave, Miami Beach,FL 40 Island Ave, Miami Beach,FL 33139 5.71% 20% JAWS Equity Owner 200,L.L.C. 100% Barry Sternlicht 40 Island Ave,Miami Beach,FL 100% SASGOL INC 10.71%Sebastian Sas 40 Island Ave, Miami Beach, FL 33139 50% Antoniio de la Rua SASRUA LIDO INC. 40 Island Ave Miami Beach, FL 50% Sebastian Sas 20% 8.04% 50% Matt Danzeisen Bjarke Ingels 100% Bio Nomade GP Inc Lonely Mountain LLC 50% 40 Island Ave, Miami Beach, FL 33139 40 Island Ave, Miami Beach, FL Peter Thai! I 5.71% 20% Mariposa Real Estate LLC 100/ Martin Franklin 40 Island Ave, Miami Beach, FL — 100% JAWS Equity Owner 194, L.L.C. Barry Sternlicht 40 Island Ave, Miami Beach, FL 33139 5.71% Claure Group,LLC. 100% 20% 40 Island Ave, Miami Beach, FL Marcelo Claure Nomade Lido MM LLC 7.14% 40 Island Ave, Miami Beach, FL 33139 PAG US1 LLC 40 Island Ave,Miami Beach,FL 33139 0% 50% Owner: Nomade Lido LLC 40 Island Ave, Miami Beach, FL 33139 � a �k �4I ;Miscellaneous Cash Receipt ` .} CITY OF MIAMI BEACH 430766 r. No ` Cish- ❑Cr'edit Card 'D'ICheck# $ ,0 ) Received`of "��' .: t .> ,,: Mq/ 2f Address - . "� #'fill , ^ q t: -, . `')1 c;%,..,, - , ' -r For = 1 „t h ti MBF Miseilaneous-MCR 2023' 0057.42 0025 Carmen V 10l1712022 03 d�2PM - w ,• � 06574��CN{MCaR) k, 1 Payment Amount "a� ,1 5530 Ong ��`a�f a y 'ta (THIS INFORMATION,MUST BE"COMPLETED . Office�of Finance Director Account number - I . ' B . �r . x < . yi % L s. w\Preparer AFDept EXT\k. P k 4� f S 3 3� 0 .