Alexander Tachmes (2)75S~J P ,
~~ / W ~'
m MIAMI BEACH ~~
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 ar decision of any commissioner; any action,
decision, recommendation of the City Manager or any city board or committee; ar any action, decision or
recommenda8on of any city personnel during the Kme 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 tens specfiplly includes the pdncipal as well as any employee engaged in lobbying activities. The
term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435.
i
NAME OF LOBBYIST: (Last) (First) (M II )
Tachmes Alexander i
BUSINESS NAME AND ADDRESS (Number and SVeet) (City) (State) (Zip Code)
Shutts & Bowen LLP _ 201 S. Biscayne Boulevard. Suite 1500 Miami. FL 33131
305.531.6100
Fill out this section K pdndpal is a Corporation, Partnership or Trust (Section 2.482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Jonathan Plutzik
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5 % OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUS T:
See Exhibit "A"
II. SPECIFIC LOBBY ISSUE:
Conditional Use Permit application
Issue to be lobbied (Describe in detail):
111 f`ITV A/lcur•¢mwnnnnnu ~.
•••• -•• -- .v..w~n~a .v oc woorcu: irursuant to ary code Section 2-482(g) incude a
statement of the extent of any business, financial, familial, professional or other relationship, giving rise to an
appearance of an impropdety, with any City personnel sought to be lobbied; further, 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 bbbied.)
Full Name of IrMividuaVritle B An Financial, Familial or Professional RelaOonahi
Mayor None `
Commissioners 1i1 ` j~
City Administration; City Attorney's Office; None p
Citv Committees: Citv Boards
11Ltr°HOive NUMBER: FAX NUMBER: EMAIL: ~
(305) 347 - 7341 (305) 347-7754 atachmesQshtitts.com
N. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION
HOURLY, FLAT RATE OR OTHERS:
A) LOBBYIST DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). $ 450.00 per hour
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 EndBed `Prohibited Campaign
On Procurement Issues':
2) Pursuant to Miami Beach City Code 2-490 Entftled 'Prohibited Campaign
Real Estate Development Issues°:
WHETHER
By Lobbyists
By Lobbyists On
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definNion of
`IobbyisP as set forth in Section 2-487 above) who only appears as a representative of anot-for-profd
corporation or entity without special compensation or reimbursement for the appearence, 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.. ~
V. SIGNATURE UNDER OATH:
I do solemnly swear that all of the
provisions contained in Secb
Signature of Lobbyist:
Signature of Principal/Client: C
VI. LOBBYIST IDENTIFICATi
M ProducedlD
facts are true and correct and that I have read or am familiar with the
lia~nl Beast~City Code and all reporting requirements.
~~,,// Forth of Identification
~_:.= ~ pJ~,`Personally known (Lobbyist)
~... V
VILA . SIGNATURE AND STAMP OF NOTARY:
'State of Flodd , Co my of Miami-Dade
PRINCIPAL IDENTIFICATION:
^ Produced ID
^ Personally known (Principal)
State of Flodda, County of Miami-D<
Swom to and su cdbed before me
This ~ day of , 20Q87
P0811C - STATE OF FLORIDA
Linda Christian
t>asu
of
of
LISA 0. BROWN
NOTARY PIIBUC, OfSTRICT,OF COlUNB1A
MIY CONAi11SSlON E)Ip81ES: AUGUST 14, 2010
~ MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive. Miami Beach, Florida 33139, www miamibeachfl cov
CITY CLERK office
Tel: 305.673.7411, Fax: 305.673.7254
LOBBYIST NAME:
I understand that no later than Qctober 1" of each vear, I must file the folbwing 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 Fonn
2) Disclosure Fonn
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 Cle~~ce for lobbyist withdrawal in writing.
it
i IZ1 ~6
Signature: Date: i
MIADOCS 3941587 1