Alexander I. Tachmes/2K South Beach Hotel LLCa? 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:
2K South Beach Hotel, LLC
NAME OF PRINCIPAL/CLIENT:
1020 Ocean Drive Miami Beach, FL 33139
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(786) 276-1414 N/A mpalma@clevelander.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:
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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II. SPECIFIC LOBBY ISSUE: r~--- o ~~'
Modification of Conditional Use Permit for property located at 1020 Ocean Drive =-= p °~..)
Issue to be lobbied (Describe in detail): <r> -~ .--~
~e ~. ~.,
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to City Code Section 2-48~g) iP~lude
statement of the extent of any business, financial, familial, professional or other relationship, gives rise to an
appearance of an impropriety, with any City personnel sought to be lobbied; further, pursuant to City Ode S~tion 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) An Financial, Familial or Professional Relationship
City of Miami Beach Planning Board None
City of Miami Beach Mayor/Commissioners None
City of Miami Beach Committees None
MIADOCS 3142020 1
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WWETWER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required}
Hourl - $450.00
B) PRINCIPAL'S DISCLOSURE {OF LOBBYIST COMPENSATION):
(Required). Hour) - $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":
2} Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On
Real Estate Developmsnt Issues":
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..
V. SIGNATURE UNDER OATH:
Signature of Lobbyist:
/{
Signature of Principal/CUsnt: r
Michael L. Palma, Manager of 2 South Beach
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTI ~ A710N: / ~",,~D
^ Produced ID Produced ID i~L D~' yl~~-f-c
Form of Identification ~ Form of Identification
® Personally known (Lobbyist) ^ Personally known (Principal)
VII. SIGNATURE AND STAMP OF NOTARY:
Stets of Florida, County of Miami-Dade
Sworn to and cribed before me
This day of 20Q8
~i._O ~ s ~-~--
Si a re of Public Notary -State of Florida
tar zation of Lobbyist's signature
State of Florida, County of Miami-Dade
Swor to and sub cribed before me
This day of 1 ~ , 2008
Signature of Public Notary -State of Florida
Notarization of Principal's signature
PLETED BY CITY
Form received and verified by:
., ~°""'°- Linda Christian
MIADOCS ~C~mnlission #DD651416
'-.,,,,,,,,,.; Expires: MAR. 23, 2011
gON~iED THRU fiiZAh"CiC BONDING CO., INC.
Date
MTV Revised 03l2TT2048
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I do solemnly swear that all of the for ing facts are true an correct and that I have read or am familiar with the
provisions contained in Section 2-48 of~ t~ Ml~ni Be~~O rde all reporting requirements.
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK office CitvClerkCc~miamibeachfl.gov
Tel: 305.673.7411, Fax: 305.673.7254
Alexander I. Tachmes
LOBBYIST NAME:
I understand that no later than October 1 g` 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.
Signature: Alexander I. Tachmes
I(-I ~-ok
Date:
MIADOCS 3142020 1
2K SOUTH BEACH HOTEL, LLC
LEGAL ENTITY OWNERSHIP STRUCTURE
'David Dane on a Luc
8 US TRUST Neeley
Co-Trustees Settbrs
THE JONATHAN LEE
NEELEY 1996 TRUST,
DATED 11/5!96
Jonathan Lee Neeley,
Beneficiary
40.00% (LP)
20.00% (LP)
100%
THE JONATHAN LEE NEELEY
TRUST,
\ DATED APRIL 2, 1996
BRIO INV. GROUP, INC.
A CALIFORNIA C-CORP
ABIGDESTINATIONS, LLC
A DELAWARE SMLLC
10% (SGP)
THE MAILING ADDRESS FOR
ALL ENTITIES LISTED HERE
IS AS FOLLOWS:
750 "B" STREET, SUITE 1930
SAN DIEGO, CA 92101
THE STEVEN LEE
NEELEY 1998 TRUST,
DATED 11/5/98
Steven Lee Neeley,
Beneficiary
~ RNLN CAPITAL ~
INVESTMENTS, LP
A DELAWARE LIMITED PARTNERSHIP
RNLN REAL ESTATE
HOLDINGS, LLC
A CALIFORNIA SMLLC
Ran a Lucie
Nsaley
('RN' 6 `LN7
Seltlors a Trustees
100%
THE ALISON THE NEELEY FAMILY
NEELEY 1998 TRUST, REVOCABLE TRUST
DATED 11/5/98 DATED SEPT. 15, 1981
Alison Neeley, Ron & Lucille Neeley
Beneficiary Beneficiaries
20.00% (lP) I19.00% (LP)
99°h
RNLN REAL ESTATE
ADVISORS, LP
A DELAWARE LIMBED PARTNERSHIP
1%
MIKE PALMA, MANAGER
2K SOUTH BEACH l'
HOTEL, LLC
A DELAWARE SMLLC
_ _. -- ..;
~__ _.
THE
CLEVELANDER
HOTEL
90% (GP)
9