Alexander Tachmes~=` MIAMIBEACH
City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
'YSSup /cx 6~
>?e~y Qnss
~oo~ aJai /~
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.
NAME OF LOBBYIST: (Last) (First) (M.I.)
Tachmes Alexander I
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
Shuns & Bowen LLP 201 S. Biscayne Boulevard, Suite 1500 Miami, FL 33131
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
(305) 347 - 7341 (305) 347-7754 atachmes@shutts.com
LOBBYIST RETAINED BY:
NAME OF PRINCIPAUCLIENT:
Hotel
(Number and Street)
Miami Beach. FL
NUMBER: FAX NUMBER: (Optional) EMAIL:
305.531.6100
Fill out this section if principal 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 TRUST:
See Exhibit "A"
II. SPECIFIC LOBBY ISSUE:
Flood Waiver application
Issue to be lobbied (Describe in detail):
III. 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; further, pursuant to City Code Section 2-
482(4)(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 Relationshi
Mayor None
Commissioners
City Administration; City Attorney's Office; None
Cit Committees; Cit Boards
5t
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
$ 450.00 per hour
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 Entitled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
ayes 6~ No: Are you lobbving on a present or pending bid for goods, equipment or services. or on a
present or oendina 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 D4 No: Are you lobbvinq on a oendina application for a Development Agreement with the Citv or
app ication or chance of zoning moo designation or chance to the Cltv's Future Land Use Mao?
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 ^ No: Are you representing anot-for-profit corporation or entity without special compensation or
reimbursement.
SIGNATURE UNDER OATH:
Signature of Lobbyist:
Signature of Principal/Client: ~ ~ )~
VI. LOBBYIST IDENTIFICATION: ~ x PRINCIPAL IDENTIFICATION:
^ Produced ID ~ ^ Produced ID
Form of Identification ~
~~Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and su scribed before me
This ~ day of, 2088 / u
Form of Identification
^ Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn to~nd sub ~f(bed before me
This 7 day Of a ,~,
No~ary Public Slate o/ Florida
FMbrtd~mission DD897983
,a, rovers 07/23201 t
• -°~ °r tlt cvMt'Lt I t BY CITY CLERK'S USE ONLY
' Amount Paid E MCR U E
Form received and verified by:.. r /
I do solemnly swear that all of the to ping facts are true and correct and that I have read or am familiar with the
provisions contained in Section 2-4~'2 ~t Mi~ea~City~ode and all reporting requirements.
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK office
Tel: 305.673.7411, Fax: 305.673.7254
C ityC le rk(ril m i a m i beac hfl. qov
LOBBYIST NAME: AlexanderTachmes
I understand that no later than October 1" of each vear, I must fle 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 t 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:
l ~"1 `lam
Date:
MIADOCS 4031158 1