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Alexander I. Tachmes (2)r .' ~ ~ ~ ~~ ~ ' ~~~ ~ 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 NAME OF ~OBBYIST: (Last) (First) (M.I.) Shutts & Bowen LLP.. 201 South Biscayne Blvd. 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: Altos Del Mar, Ltd. - For property located at 7801 Collins Avenue. NA~~IE OF PRINCIPAL/CLIENT: Altos Del Mar, Ltd. 8500 SW 8`h Street, Suite 238 Miami, FI 33144 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) (305~ 262-6533 305-262-1703 TPAGNOTTA@GRECCORP.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: AGUSTIN HERRAN IDENTIFY ALL PERSONS HOLDING, DIRECTLY CR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: See Exhibit "A" attached. SPECIFIC LOBBY ISSUE: Certificate of Appropriateness for demolition of existing single family house and Certificate of Appropriateness for Design of New Single Family House Issue to be lobbied (Describe in detail): I11. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to City Code Section 2-482(g) include a statement of the extent of any business, financial, familial, professional or other relationship, giving rise to an appearance of an impropriety, with any City personnel sought to be lobbied; #urther, pursuant to City Code Section 2- 482(a)(4) include a statement of any contractual relationship (paid or unpaid) from 12 months preceding the commencement of service of City personnel to be lobbied.) A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship City of Miami Beach Planning Board None City of Miami Beach Mayor/Commissioners None Cit of Miami Beach Committees None MIADOCS 3316958 1 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT R.4TE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) Hourly - $400 00 B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourly - $400.00 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 6a No• Are vou lobbvina on a present or pendinq bid for qoods 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 ~ No: Are vou tobbvinq on a pendinq application for a Development Aqreement with the City or application for chance of zonina map desiqnation 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 definition of "IobbyisY' as set forth in Section 2-481 above) 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 clerk as required by this section but, shall not be required to pay any registration fees.. ^Yes 6a No: Are vou representinq a not-for-profit corporation or entitv without special compensation or reimbursement. V. SIGNATURE UNDER OATH: ON OCTOBER 15~ 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. Signatule 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/b'~~e Miamj~Be~.~ity Code and all reporting requirements. Signature of Lobbyist: Signature of Principal/Client: Alexander I. Tachmes Agustin Herran, General Partner VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ^ Produced ID ^ Produced ID Form of Identification ~ Personally known (Lobbyist) VII. SIGNATURE AI~~'[~¢Ip~~-~~7,ORIDA ~,,,,,",f n~?a C;hristian State of Florida, County o~ ~.~~~~~aussio.i #DD551416 Sworn to and su scr'bed 6 ~~xpires: b~.~.R. 23, 2011 This day of ~ ~ '~ ~T~t1lU ATI,AN'C16 ~ANB[N6 GO., INC. t5 t re of Public Notary - State of Florida Notarization of Lobbvist's signature Form of Identification ^ Personally known (Principal) State of Florida, County of Miami-Dade Sworn to and subscribed before me This _ day of , 2009 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\LOBBYISlILobbyist RegisVation Form 32708.doc Revised 03/27/2008 MIADOCS 3316958 1 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) Houriv - $400.00 B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Hourly - $400.00 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 vou lobbvina on a present or pendinq bid for aoods equipment or services or on a present or pendina 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 No: Are vou lobbvinq on a pendinq application for a Development Agreement with the City or application for chance of zonina map desianation 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 definition of "IobbyisY' as set forth in Section 2-481 above) 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 clerk as required by this section but, shall not be required to pay any registration fees.. ^Yes 6Z1 No: Are vou representina a not-for-profit corporation or entitv without special compensation or reimbursement. V. SIGNATURE UNDER OATH: ON OCTOBER 15L 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 BE FILED EVEN IF THERE HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. Signature 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 the Mi~i Beach City Cade and all reporting requirements. ~ Si nature of Lobb ist: "~ ~ ~ g y ",~--" /~ ,~=----~' Alexander I. Tachmes Signature of Principal/Client: X . ` " VL LOBBYIST IDEN~tFICAfiION: PRINCIPAL IDENTIFICATION: ^ Produced ID ^ Produced ID Form of Identification Form of Identification ~ Personafly known (Lobbyist) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Sworn to and subscribed before me This _ day of , 2009 Signature of Public Notary - State of Florida Notarization of Lobbvist's signature TO BE COMPL Annual Registration fee: j Yes [] No Amount Paid Lobbyist Registration Form received and verified by: , F:\CLER\LOBBYIS11Lobbvist Reqistration Form 32708.dc ~ Personally known (Principal) State of Florida, County of Miami-Dade Sworn,to and subscribed before me This~L?`~day offE'b'~VClt~t, 2009 ` ILEANA RAMIREZ Signature of Public Notary '~I 'cQ~b1MISSION # DD 560527 Notarization of Principal's '' FXPIRES; June 16, 2010 '•,~i~}~ ,~~° 8on1eY Tf~ru Natary Publlc Underwmers r CLERK'S ONL MCR # $ Date Paid ~rn,~ Revised 03/27/2008 MIADOCS 3316958 1 City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www. miamibeachfl.qov CITY CLERK office CitYClerk(cx~miamibeachfl.qov Tel: 305.673.7411, Fax: 305.673.7254 Alexander I. Tachmes LOBBYIST NAME: I understand that no later than October 1St of each vear, 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. ~> Lobbyist Expenditure Form 2> Disc-osure 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. Signature: Alexander I. Tachmes Z cj D ~1 Date: MIADOCS 3316958 1 Attas dei Ma~, Ltd. ?'•rt~G~.q~-~~~- - ' Gansral Part~a~r . - . . . .. . - ~ . . Victoria & Isab~lta Raai Estate Managemerit, Inc, {,..~~5~~0 agustin Herran -100'Yo G,333°/a AlexdoX Co~poration Oscar Barbara -1 Q4 "/a ~'~~. FS~ Investm~nts, inc, Jamas A. DorsY • 1 QQ % SubkoWL 1 °~~ p~~~~~ f fn e st L' Ge~erai Real Estate Corp. ~ ~.4.7Up~P Agustln Nerran -1 ~o % • ~ ~.ao~,~ Pedrana Dev~lopment, Inc. Manuel A. Herean -140 9~0 '~ g-B09'c~ James Dar~y Armando J. Guerra Revocabla Trust & 'I~,f50°,~~ Maria C. Guerra Revxable Trusl Armando J, Gucrra -100 a/o Maria C. Guerra -10~ % '19.~ ~~Q Oscar Barba~a Subtotai: 4)~~,00'~~0 D~ j~a~ 1 Q~~ Tatal; .