Alexander Tachmes (3)~SS.re /c~.-4~
MIAMI~EA+~N ~Q~
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.
NAME OF LOBBYIST: (Last) (First) (M.I.)
Tachmes Alexander I
and Street) (C
ioulevard. Suite 1500
I tLtl'HUNt NUMBtH: FAX NUMBER: EMAIL:
(305) 347 - 7341 (305) 347-7754 atachmes shutts.com
LOBBYIST RETAINED BY:
NAME OF PRINCIPAL/CLIENT:
--
INESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
Botsy Hotel 1440 Ocean Drive Miami Beach, FL 33139
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
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:
_Revocable Permit 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(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 Relationshi
Mayor None
Commissioners
City Administration; City Attorney's Office; None
Cit Committees; Cit Boards
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:
t) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By
Lobbyists On Procurement Issues":
iYes n No• Are you labbvina on a present or pendina bid for goods 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 •_i No: Are you lobbying on a pendina application for a Development Agreement with the Citv or
application for chance of zoning map designation or chance to the City's Future Land Use Maps
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..
nYes n No• Are you representing goof-for-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
I do solemnly swear that all of the ford'
provisions contained in Section 2-482 0
Signature of Lobbyist:
and correct and that I have read or am familiar with the
ity,ZiKj@ and all reporting-requirements.
Signature of Principal/Client: X
VI. LOBBYIST IDENTIFICATION
t' Produced ID
I_~Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NOTARY;
IDENTIFICATION:
^ Produced ID
Form of Identification
^ Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn to and su scribed before me
This 21 day of , f20~99 j O
Sign re of Public Notary -State of Florida ~
ization of Lobbyist's signature
TO BE COMPL
lip Amount Paitl
i and verified by:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
Nota~ q •'ucn.. State of Florida
~.Caamission DD697993
Notarization of
CLERK'S
2011
INC.
Signature of Lobbyist ~
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl aov
CITY CLERK office CityClerk@miamibeachfl gov
Tel: 305.673.7411, Fax: 305.673.7254
LOBBYIST NAME: Alexander Tachmes
I understand that no later than October 1~ 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.
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 requiretl to immediately notify the
City Clerk's Office for lobbyist withdrawal in writing.
(,-,~z , ~`--__
Signature:
~Z.~ (~~
Date:
MIADOCS 4013979 1