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Alexander I. Tachmes - South Beach Plaza, Inc. �� � -1 /4 , ,,,,, . 6 • - MIAMI B E A H Kt , e A 2,, ,,,,,}- 1). . City of Miami Beach Office of the City Clerk 5 °9-- 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 board 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) Shutts & Bowen, LLP 201 S. Biscayne Blvd. 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: Please notify this office if your contact information changes: address, phone, or e-mail address. I. LOBBYIST RETAINED BY: South Beach Plaza, Inc. NAME OF PRINCIPAL /CLIENT: South Beach Plaza, Inc. 1800 NE 168th St. North Miami Beach FL 33162 BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305 -917 -0407 305- 917 -0417 n/a TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2 (c)] • NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: • IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II.SPECIFIC LOBBY ISSUE: Historic Preservation Board approval -;' 2 e C-it 4 Issue to be lobbied (Describe in detail): in. CITY AGENCIES /INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2- 482(a)(4) include the commissioner or personnel sought to be lobbied, and whether the lobbyist has entered into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such person's commencement of service with the city to the present date, stating the general nature of the subject contractual relationship. Sec 2- 482(a)(4) Full Name of Individual and Contractual Relationship (Explain) YES NO title of person to be lobbied City of Miami Beach Planning Board x City of Miami Beach Mayor /Commissioners x City of Miami Beach Committees Pursuant to City Code Section 2- 482(g) Every registrant shall be required to state the extent of any business, financial, familial or professional relationship, or other relationship giving rise to an appearance of an impropriety, with any current city commissioner or city personnel who is sought to be lobbied as identified on the lobbyist registration form filed. r- Sec 2- 482(g) Any Financial, Familial or Professional Relationship A 1 .. - -- " - None 811 : C IQ 1 1 8VW 110Z Cili IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE: (Required) $4JU.UU per hour B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $4JU.UU 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 ": ❑ Yes IG No: Are you Iobbyinq on a present or pending 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 111 No: Are you lobbying on a pending application for a Development Agreement with the City or application for change of zoning map designation or change to the City's Future Land Use Map? 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 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. ❑ Yes li No: Are you representing a not - for - profit corporation or entity without special compensation or reimbursement. . V. SIGNATURE UNDER OATH: ON FEBRUARY 28th OF 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 REPORTING PERIOD. 60 ,, 0 _ Signa°- of Lo•.yist 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 City C.. - and all reportin irements. ti Signature of Lobbyist: 1 S Signature of Principal /Client: W VI. LOBBYIST IDENTIFICATION: e ' PRINCIPAL IDENTIFICATION: ❑ Produced ID ❑ Produced ID Form of Identification Form of Identification ri Personally known (Lobbyist) 8 .•° "' "'•, o &Personally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: b State of Florida, County of Miami -Dade y . B w t- B of Florida, Count of Miami -Dade Sworn to and subscribed before me p U P. r' • • Y 1�N -'� Sworn a - •.:. -.. i da of March 2011 o y ���G LAY This �.I :x P� , , , f IVA PINTO � �— Y F o a arch /�% r_ o ° oq rh � 6 otar y Public - State of Florida _ � S/1 H� d t� w o ■ I i �' `�� ` D M .m t7 .� m .xeires Feb 4, 2015 F Signature of . .1' ublic Not – State of Florida g Sig ' of Publi .",: �" -::.,' to ct itigi # EE 33247 Notarization of Lobbyist's signature o ; ,, cm ° No < rization of • nc7t'�1r hrouon N Tonal Notary Assn. t TO BE COIV�PiETED iCY CITY CLERK'S STAFF ON Y Annual Registration fee: [ ] Yes [ ] No Amount Paid $ 3527 MCR # � , G' S at , D Paid 3`7 / // Lobbyist Registration Form received and verified by: . r Dat F: \CLER \$ALL \aFORMS \LOBBYIST FORMS \Lobbyist Annual Registration Form.doc - , � � � Revised 1/11/2011 • D MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www. miamibeachfl.gov CITY CLERK Office CityClerk @miamibeachfl.gov Tel. 305.673.741 1 , Fax: 305.673 7254 Alexander I. Tachmes LOBBYIST NAME: I understand that no later than February 28th of each year, I must file the following form, 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 and Compensation 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 of lobbyist withdrawal in writing. !dig 311P1 Signature: Date: , t, .. a M,N ' pS.Y . ♦. .1i.a YP aY e. ._ .. W :✓v.+. Hatfield, Liliam From: Alexander I. Tachmes [ATachmes @shutts.com] Sent: Monday, March 14, 2011 9:37 AM To: Hatfield, Liliam Cc: Prieto, Silvia; Parcher, Robert; Ethan Wasserman Subject: RE: Lobbyist Registration Form -South Beach Plaza, Inc - dated 3/11/2011 Good morning, Lilly. At this time, we are not lobbying any committees but may do so in the future. Also, the City Administration and City Atty's office should be listed for lobbying, too. Alexander I. Tachmes Partner © Shutts & Bowen LLP 1500 Miami Center, 201 South Biscayne Boulevard Miami, FL 33131 Direct: (305) 347 -7341 Fax: (305) 347 -7754 E -Mail Biography V -Card Website From: Hatfield, Liliam J mailto: LiliamHatfield @miamibeachfl.govl Sent: Monday, March 14, 2011 9:34 AM To: Alexander I. Tachmes Cc: Prieto, Silvia Subject: Lobbyist Registration Form -South Beach Plaza, Inc - dated 3/11/2011 Good morning, Mr. Tachmes: On your registration dated 3/11/11 you noted that the following departments are being lobbied: 1) Planning Board 2) Mayor /Commissioners 3) CMB Committees Can you please specify which committees, in order for us to email the registration to the appropriate parties? Thank you. MIAMIBEACH Liliam Hatfield, Office Associate V CITY CLERKS OFFICE 1700 Convention Center Drive, Miami Beach, FL 33139 Tel: 305 - 673 -7411/ Fax: 305 - 673 -7254 / www.miamibeachfl.00v We are committed to providing excellent public service and safety to all who live, work and play in our vibrant, tropical, historic community. IRS CIRCULAR 230 NOTICE: Pursuant to recently enacted U.S. Treasury Department Regulations, we are now required to advise you that, unless otherwise expressly indicated, any federal tax advice expressed above was neither written nor intended by the sender or this firm to be used and cannot be used by any taxpayer for the purpose 1 of avoiding penalties that may be imposed under U.S. tax law. If any person uses or refers to any such tax advice in promoting, marketing or recommending a partnership or other entity, investment plan or arrangement to any taxpayer, then the advice should be considered to have been written to support the promotion or marketing by a person other than the sender or this firm of that transaction or matter, and such taxpayer should seek advice based on the taxpayer's particular circumstances from an independent tax advisor. The information in this email transmission is privileged and confidential. If you are not the intended recipient, nor the employee or agent responsible for delivering it to the intended recipient, you are hereby notified that any dissemination or copying of this transmission (including any attachments) is strictly prohibited. If you have received this email in error, please notify the sender by email reply. Thank you. 2