HomeMy WebLinkAboutArticle I. G. Disclosure - RNG Overtown LLCG. Disclosure of Consideration Provided or Committed for Agreement to
Support of Withhold Objection — RNG Overtown, LLC
CITY OF MIAMI
DISCLOSURE OF CONSIDERATION PROVIDED OR COMMITTED FOR AGREEMENT TO
SUPPORT OR WITHHOLD OBJECTION
The City of Miami requires any person or entity requesting approval relief or other action from the City
Commission or any of its boards, authorities, agencies, councils or committees, to disclose at the
commencement (or continuance) of the hearing(s) on the issue, any consideration provided or committed,
directly or on its behalf, to any entity or person for an agreement to support or withhold objection to the
requested approval, relief or action. "Consideration" includes any gift, payment, contribution, donation,
fee, commission, promise or grant of any money, property; service, credit or financial assistance of any
kind or value, whether direct or implied, or any promise or agreement to provide any of the foregoing in
the future.
Individuals retained or employed by a principal as a lobbyist as defined in Sec. 2-653, and appearing
before the City Commission or any of its boards, authorities, agencies, councils or committees solely in
the capacity of a lobbyist and not as the applicant, or owners' legal representative are not required to. fill
out this form.
NAME:
Alan Newman
(First Name)
HOME ADDRESS: 115 Fig Drive
(Middle) (Last Name)
(Address Line 1)
CITY: Dix Hills
(Address Line 2)
STATE: NY
ZIP: 11746
HOME PHONE: CELL PHONE: FAX:
EMAIL
BUSINESS or APPLICANT or ENTITY NAME
RNG Overtown,LLC, a Florida limited liability company
BUSINESS ADDRESS: c/o Paul Rizzi, 115 Fig Drive,
Dix Hills, NY 11746
(Address Line 1) •
(Address Line 2)
1. Please describe the issue for which you are seeking approval, relief or other action from the City
Commission, board, authority, agency, council, or committee.
Major Use Special Permit Application before the Planning Advisory Board and City of Miami
Commission for the development of 340 residential units
2. Has any consideration been provided or committed, directly or on your behalf, to any entity or
person for an agreement to support or withhold objection to the requested approval, relief or
action?
El YES NO
If your answer to Question 2 is No, do not answer questions 3, 4 & 5 proceed to read and execute
the Acknowledgment. If your answer to Question 2 is Yes, please answer questions 3, 4 & 5 and
read and execute the Acknowledgement.
MIADOCS 4226746 1
3. Please provide the name, address and phone number of the person(s) or entities to whom
consideration has been provided or committed.
Name
Address Phone#
a.
(
b.
c.
0
* Additional names can be placed on a separate page attached to this form.
4. Please describe the nature of the consideration.
5. Describe what is being requested in exchange for the consideration.
ACKNOWLEDGEMENT OF COMPLIANCE
I hereby acknowledge that it is unlawful to employ any device, scheme or artifice to circumvent the
disclosure requirements of Ordinance 12918 and such circumvention shall be deemed a violation of
the Ordinance; and that in addition to the criminal or civil penalties that may be imposed under the
City Code, upon determination by the City Commission that the foregoing disclosure requirement
was not fully and timely satisfied the following may occur:
1. the application or order, as applicable, shall be deemed void
without further force or effect; and
2. no application from any person or entity for the same issue shall
be reviewed or considered by the applicable board(s) until.
expiration of a period of one year after the nullification of the
application or order.
PERSON SUBMITTING DISCLOSURE:
Signature:
Alan Newman, President of 311 W. 3711i Street Corp.. Managing Member of RNG Overtown LLC
Print Name
The foregoing was acknowledged before nee on this day of April, 2010, by Alan Newman,
as President of 311 W. 37th Street Corp. a New York corporation, as Managing Member of RNG
Overtown LLC, a Florida limited liability'co/npany, on behalf of said corporation and limited liability
company, who has produced ( / I I as identification and/or is personally known to me.
STATE OF "' 1
CITY OF N�
MY COMMIS TO
EXPIRES:
Enclosure(s)
Mitchel'E. Newman
Notary Public, State of Now York
No. 01NE.441$ 4
Quailed WI* *Vas
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