Alex Tachmes/Tudor South Beach Resort - No. Condo Association, Inc.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, derision, 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 "Lobbyists" has specific exclusions. Ptease refer to Ordinance 2004-3435.
NAME OF LOBBYIST: (Last) (First) (M.I.)
Tachmes Alexander I.
BUSINESS NAME AND ADDRESS (Number and Street] (City) (State) (Zip Code)
Shutts & Bowen LLP; 201 S. Biscayne Blvd., Suite 1500, Miami, FL 33131
TELEPHONE NUMBER: FAX NUMBER: EMAIL
(305) 347-7341 (305) 347-7754 atachmes@shutts.com
I. LOBBYIST RETAINEb BY:
NAME OF PRINCIPAUCLIENT:
Tudor South Beach Resort Condominium Association, Inc.
BUSINESS.NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
1111 Collins Ave., Miami Beach, FL 33139
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
(212) 474-9865 ]stein@hh-r.com
FII out this section 'rf principal is a Corporation, Partnership or Trust [Section 282 (c)j
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Jay Stein, President
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST: NIA
il. sPEC[Flc LOBBY IssuE: Historic Preservation Board and Board of Adjustment applications
regarding certificates of appropriateness and variances in connection with renovations for 1111
and 1119 Collins Avenue (a.k.a., the Tudor and Palmer House hotels)
Issue to be lobbied (Describe in detail):
Iii. CITY AGENCIESIINDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/TiUe B) Any Financial, Famil(al or Professional Relationship
Mayor None
Commissioners
City Administration None
Cit Attorne 's Office
City Boards None
Cit Committees
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTh1ERJ: ~.p ~ co f ~ ~
A) LOBBYIST DISCLOSURE: (Required) t~, J
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required) / Sd //f ~
The following information must be answered:
1) Pursuant to Miam1 Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On
Procurement Issues":
^ Yes Q No• Are you lobbving•on a present or pending bid for goods eauipment 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 Q No: Are you lobbvfng on a pending application for a Development Agreement with the Citv 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 definition of "IobbyisP 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..
Q Yes ^ No: Are you representing anot-for-profit corporation or enttty without special compensation or reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1`~ 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 REPO N PERIOD.
ignature of Lobbyist
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 erode and all reporting requirements.
Signature of
Signature of
VI . LOBBYIST IDENTI
Produced ID
rm of Identification o z
Personally known (Lobbyist) ~ ~
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VII SIGNATURE AND STAMP OF NOTARY~~ c ~ b
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State of Florida, County of Miami-Dade ~ ~° y. ~
Sworn to and subscribed before me ~: ~.~ v~
This .3'"` day of , 200 ~ ~ O y
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Signature of Public Notary -State of Florida ° N ~ ~ ~•
Notarization of Lobbyist's signature 5 ° o ~ b
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PRINCIPAL IDENTIFICATION:
Produced ID
Form of Identification
Personally known (Principal) ~~ ~'T•~IA
State of Florida, County of Miami-Da~e M U N t R ~1 H M E~
Sworn to and subscribed before me otary Public State of New York
This~_dayof IeOts- ~~,,,,N o.01AH8038953
~0`b5ssion Expires March 20,tp
Signature of Public Notary -State of Florida
Notarization of Principal's signature .
F ERK'S USE ON
Annual Registration fee: Yes [ ] No Amount P MCR # Date Paid
lobbyist Registration Form received and verified by:
Revised 12/08/04
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