Alexander I. Tachmes/TBS REalty, LLC Tudor South Beachm MIAMIBEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
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 bond or
committee. The term specifically includes the principal as well as any employee engaged in lobbying activities. The
term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
Tachmes Alexander I.
NAME OF LOBBYIST: (Last) (First) (M.I.)
c/o Shutts & Bowen LLP 201 South Biscayne Boulevard, Suite 1500, Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 347-7341 (305) 347-7754 atachmes@shutts.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
TBS Realty, LLC; Tudor South Beach Resort Condominium, Inc.; and Tudor South Beach Resort-North
Condominium, Inc.
NAME OF PRINCIPAUCLIENT:
1111 & 1119 Collins Avenue Miami Beach, FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
_(212) 474-9845 N/A jstein@hh-r.com
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Rabinder Pal Singh and Jay Stein
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY CR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
See Exhibit "A" attached.
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C`: ~7 ~ + I
II. SPECIFIC LOBBY ISSUE: r- -~
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Modification to Certificate of Appropriateness/Construction of ADA Ramp rv t i
- 2 _.
Issue to be lobbied (Describe in detail): v ~ ~°
c3 _
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to City Code Section 2-4820 in~de -~
statement of the extent of any business, financial, familial, professional or other relationship, givicig rise-to an
appearance of an impropriety, with any City personnel sought to be lobbied; further, pursuant to City Cd~'e S~'tc'ion 2-
482(a)(4) include a statement of any contractual relationship (q r, rtpaJyi,~ -fr 2 f~onths preceding the
commencement of service of City personnel to be lobbied.) ~ ~~ ~ `~' ~~'' # ~' ~~ ~ ~ f J
A) Full Name of Individual/Title B) An I mi o f nal Relationship
City of Miami Beach Planning Board None
City of Miami Beach Mayor/Commissioners None
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City of Miami Beach Committees ..
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one
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
Hourly - $450 00
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). Hourly - $450 00
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
^Yes ~ No• Are you lobbvinq 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 Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On
Real Estate Development Issues":
^Yes 6~ No• Are you lobbvinq on a pending application for a Development Agreement with the City or
application for chance of zoning map designation or chance to the City's Future Land Use Map?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist" as set forth in Section 2-481 above) who only appears as a representative of anot-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 clerk as required by this
section but, shall not be required to pay any registration fees..
^Yes 6~ No• Are you representing snot-for-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1g~ OF EACH YEAR EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
RECEIVED IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL
PERIOD.
re of Lobbyist -Alexander I. Tachmes
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the
provisions contained in Section 2-482 of~e~(lliami Bead Cj~ and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
DTOTARY pt7BLIC - STATE OF FLORIDA
`" "'' I'iS~8I1
® Person k , n (I.t~i~}
;Commissian #DI3551416
VII. SIGNA ,,,, ~Alittpi~'A~~I~RY:
B ED THRU K['[ANTIC BOtiUI>!1G CO, INC.
State of Florida, ~ounty of Miami-Dade
Sworn to and subscribed before me
This ~1 day of~~~, 2008_
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of Identification
^ Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This _ day of , 2008
S ct~r ttire of Public Notary -State of Florida
Notarization of Lobbyist's signature
Signature of Public Notary -State of Florida
Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S USE ONLY
Annual Registration fee: [ ]Yes [ ] No Amount Paid $ ~ MCR # $ Date Paid
Lobbyist Registration Form received and verified by:
F'\CLER\LOBBYIST1Lobbyist Registration Form 32708 doc ,,r-y~ , Revised 03/27/2008
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER}:
A} LOBBYIST DISCLOSURE: (Required)
~ +~ so
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION}:
(Required}. '61 L(~ O.
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By lobbyists
On Procurement Issues":
I-lYes ®No• Are you lobbvina on a present or pending bid for goods eaui ment or services, or ot»
present or pending award for Goods. equipment or service?
2) Pursuant to Miami Beach Clty Code 2-49t) Entitled "Prohibited Campaign Contributions By Lobbyists On
Real Estate Development Issues":
f-IYes ®No• Are You lobbvlna on a pending application for a Development Agreement with the City or
application for chance of zoning map designation or chance to the Citv's Future Land Use Map?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definftion of
"lobbyist" as set forth in Section 2-481 above) who only appears as a representative of anot-for-profit
corporation or entity without special compensation or reimbursement for the appearance, whether direct, or
Indirect, to express support of or opposldon to any item, shall register with the clerk as required by this
section but, shall not be required to pay any registration fees..
I-lYes 6a No: Are vou_ representing snot-#or-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
I do solemnly swear that ail of the foregoing facts are true and correct and that I have read or am familiar with the
provisions contained in Section 2-482 of the Miami Beach City Code and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client: jC
Jay S half o odor South Beach Resort Condominium Association, inc. and Tudor
5 ch Resorl-North Condominium Association, Inc.
VI. L088YlST IDENTIFICA ION: PRINCIPAL IDENTIFICATION:
^ Produced ID ^ Produced ID
Form of Identification Form of Identification
® Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This _ day of , 2008
Signature of Public Notary -State of Florida
Notarization of Lobbvist's signature
~[ Personally known (Principal}
State of New York, County of New York
Sworn to and subscribed before me
This ~ day of 130,
tiL~"
Signature of Public Notary - 91d1ti Df N~n+ llbFlt M E D
Notarization of Princlpal~,~g~rtptlNlpc State of New York
No. OaAHBI#'38953 .
TO BE COMPLETED BY CITY CLERK'S USE ONLY commission txprres ixercn c~
Annual Registration fee: [ J Yes [ ~ No Amount Paid S MCR # S Date Paid
Lobbyist Registration Form recalved and verified by:
F•ICLERILOBBY19TLobbyist Registration Form 32708.doc Revised 03!27/2008
.10
MIADOCS 2973020 1
Signature of Lobbyist
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLATRATi; OR OTHJ:R):
A) LOBBYIST DISCLOSURE: (Required)
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
I-1Yes ®N Are you lobbvinrt 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 Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On
Real Estate Development Issues":
Yes I bb in on a endtn a licatio f r a Develo ment A reement wl h the Cit or
ation for chance of zonin ma deli Hatton or chance to the Ci 's Future L d
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist" as set forth In Section 2-481 above) who only appears as a representative of snot-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 clerk as required by this
section but, shall not be required to pay any registration fees..
rlYes ®No: Are YOU representing snot-for-profit corporatl nor entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the
provisions contained in Section 2-482 of the Miami Beach City Code and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client:
Pal Singh on
VI. LOBBYIST IDENTIFICATION:
^ Produced ID
Form of Identification
~ Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Swom to and subscribed before me
This -day of , 2008
Signature of Public Notary -State of Florida
Notarization of LobbvlsYs signature
~f TBS Realty, LLC '~-'
PRINCIPAL IDENTIFICATION:
^ Produced ID
Form of identification
Personally known (Principal)
State of New York, County of New York
Swom to and subscribed before me
This _6 day of - , 2008
._._._~ ~' ~ MUNIR ARMED
Signature of Public Notary - S~3@a4~ Il~'~ilE°~iate of New York
Notarization of Principal's signatur~;lo. OaAH6B38953
Commission Expires March 20,~p
TO BE COMPLETED BY CITY CLERK'S USE ONLY
Annusl Registration fee: [ ]Yes [ ] No Amount Pald S MCR # S Date Paid
Lobbylat Registration Farm received and verified by:
F•1CLER\LOBBYIST1Lobbyist Registration Form 32708.doc Revised 0312 712 0 0 8
MIADOCS 29728841
The following information must be answered:
Signature of Lobbyist
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK office CityClerkt~miamibeachfl.aov
Tel: 305.673.7411, Fax: 305.673.7254
LOBBYIST NAME:
Alexander I. Tachmes
I understand that no later than October 1St of each near, I must file the following forms, pursuant to Section 2-485 of
the Miami Beach City Code, with the City Clerk's Office for all active lobbying issues.
1) Lobbyist Expenditure Form
2) Disclosure Form
Failure to file these forms on a timely basis will result in my name being transmitted to the Miami-Dade County
Commission on Ethics and for code violation evaluation.
In addition, once an issue I have registered to lobby on has been resolved, I am required to immediately notify the
City Clerk's Office for lobbyist withdrawal in writing.
~~~
nature:
~~~~b~'
Date:
MIADOCS 2969517 1
OWNERSHIP STRUCTURE CHART -TBS REALTY, LLC
PARDAMAN K. VIVEK
CHATWAL CHATWAL
Member Member
50% 25% I 25%
VIKRAM
CHATWAL
Member
Chatwal Family, LLC
(NY Limited Liability Company)
Sant Chatwal -Sole Manager
100%
Channel Properties, LLC
(NY Limited Liability Company)
Pardaman K Chatwal -Sole Manager
100% owner
TBS Hotel Management Corp.
(FL Corporation)
Rabinder Pal Singh -Vice President
of the Corp.
Manager Member
1 % interest 99% interest
TBS Realty, LLC
FL Limited Liability Company
Rabinder Pal Singh -Vice President of the
TT(`
MIADOCS 3009786 1