Allan Shulman - Dennis and Susan Richard BEACH M� 1
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• City of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139 4.'
• 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.
Shulman Allan
NAME OF LOBBYIST: (Last) (First) (M.I)
Shulman+Associates 100 NE 38th St#2 Miami Florida 33137
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305)438-0609 305 438 0170 allan @shulman-design.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:
Dennis and Susan Richard
NAME OF PRINCIPAL/CLIENT:
2324 Bay Avenue Miami Beach Florida 33140
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-374-6688 dennis@richardandrichard.com ,�_,
TELEPHONE NUMBER: FAX NUMBER:(Optional) EMAIL:(Optional) = -
• Fill out this section if principal is a Corporation,Partnership or Trust[Section 2-482(c)] ti j_.
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY:
_.
c,, "`a
• IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORI ORATION,
PARTNERSHIP OR TRUST: (I, _
II.SPECIFIC LOBBY ISSUE: cy; -
Design Review Board approval for a height wavier and variance from Miami Beach Land Development Regulations for a single family_residen�e located
at 2324 Bay Avenue. tV
Issue to be lobbied(Describe in detail):
III.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 Committees and Boards None ✓
City of Miami Beach Attorneys Office and Administration None ✓
City of Miami Beach Mayor/Commissioners None ✓
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.
Sec 2-482(g)Any Financial,Familial or Professional Relationship
None
• •
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)$325 per hour
®
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION):
(REQUIRED).
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 LNo: Are you lobbying on a present or pending bid for goodssequipment or services,or on a present or pending
award for goods,equipment or service?
2) Pursuant to Miami Beach City Code Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
_Yes LNo: 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 Section 2-482(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"No: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement.
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28 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.
Signat e of Lobbyist
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 Mia jlach City aCode and all reporting requirements.
Signature of Lobbyist: VW (On. _ I •
Signature of Principal/Client:
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
Produced ID ', �,_� Produced ID
.� ..•41U Form of Identification
Form of Identification %,;�, ,;,.
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Personally known(Lobbyist) o c Personally known(Principal)
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VII. SIGNATURE AND STAMP OF NOTARY: r; 3 Q N�
a' ' ii D
State of Florida, County of Miami-Dade ,e r• �„ rn State of Florida, County of Miami-Dade
Sworn to and subscribed before me T ` = Sworn and subscribed before me
This •ay ■ , Lruar 2015 N c ' x This day of , 2012
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Signature of Public Notar –State of Florida r 6 Signature of Public Notary–State of Florida
Notarization of Lobbvi-ts signature — —-- -- Notarization of Principal's signature
TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
41.7.V__
Annual Registration fee: [ ]Yes[ No Amount Paid$ " �� MCR# I a Date Paid
® Lobbyist Registration Form received and verified by: _ ,d.,, ALA
F:\�: ,0.1.1
R\ \aFORMS�,LO Y F at
�Lobbyist i Annual Registration Formoc Revised 04/27/2012
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)$325.00 per hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $325.00 per hour
(REQUIRED).
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✓No: Are you lobbying 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 Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
_Yes✓No: Are you lobbvinq 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 Section 2-482(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 viNo: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement.
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28 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.
Signature of Lobbyist
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 Code and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client: /'
VI. LOBBYIST IDENTIFIC TION: PRINCIPAL IDENTIFICATION:
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Produced ID Produced ID z.gof
Form of Identification Form of Identification
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Personally known(Lobbyist) X Personally known(Principal) uJ c-
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VII. SIGNATURE AND STAMP OF NOTARY: e 1
State of Florida,County of Miami-Dade State of Florida,County of Miami-Dade
Sworn and subscribed before me 5,��,i`.°`
Sworn to and subscribed before me ,, • �i`�4'
This day of ,2012 This 01514 day of f-+rw r y ,2015 •�,
---x'--14=
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Signature of Public Notary—State of Florida Signature of Public Notary—State of Florida
Notarization of Lobbyist's signature Notarization of Principal's,signature
ount
TO BE COMPLETED aid BY CITY -ERK'S STAFF ONLY
Annual Registration fee: [ ]Yes[ ]No Am P $ CR„ Date Paid
Lobbyist Registration Form received and verified by: %irlf `
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual R gistratlon Form.doc Revised 04/27/2012
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Formrevised 5-30-2012.doc
MIADOCS:7647654v1
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE:(Required)$325.00 per hour
B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): $325.00 per hour
(REQUIRED).
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✓No: Are you lobbying 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 Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
_Yes ✓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 Section 2-482(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 vNo: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement.
V. SIGNATURE UNDER OATH:
ON FEBRUARY 28 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.
Signature of Lobbyist
I do solemnly swear that all of the foregoing facts are true and cor ect and that I have read or am familiar with the provisions contained
in Section 2-482 of the Miami Beach Cit Code nd all porting re irements.
Signature of Lobbyist:
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Signature of Principal/Client: • 1 A c .
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VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION: ; a�
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Produced ID Produced ID 1 °,
Form of Identification Form of Identification ' x o a
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Personally known(Lobbyist) Y Personally known(Principal) t
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VII. SIGNATURE AND STAMP OF NOTARY: °- i g I
State of Florida,County of Miami-Dade State of Florida,County of Miami-Dade i .;,i�,;,. �.:
Sworn to and subscribed before me Sworn and subscribed before me „ Ali
This day of ,2012 This;210- day of kbrua.rti ,2015 II: -..-
'ir I
4.e
•
Signature of Public Notary—State of Florida Signature of Public Notary—State of Florida
Notarization of Lobbyist's signature Notarization of Principal's signature
_/ TO BE COMPLETED BY CITY CLERK'S ST FF ONLY
Annual Registration fee: [ ]Yes[ VVV]No Amount Paid$ _ , ,i R Date Paid
Lobbyist Registration Form received and verified by: �'l' 1fJ
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Annual Regis ration F.rrn.doc Revised 04/27/2012
•
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Formrevised 5-30-2012.doc
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/ BEACH
• City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
CITY CLERK Office
Rafael E. Granado, City Clerk CityClerk @miamibeachfl.gov
Tel: 305.673.7411 ,Fax: 305.673.7254
LOBBYIST NAME: Allan Shulman
I understand that no later than February 28 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, or I am no
longer lobbying on that issue or for that principal, I am required to immediately notify
the City Clerk's Office of lobbyist withdrawal in writing.
Pursuant to Section 2-485 (d),the City Clerk shall notify any lobbyist(or principal)who
• fails to timely file a Statement and in addition to any other penalties which may be
imposed as provided in Section 2-485.1, a fine of$50.00 a day shall be assessed for all
Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade
County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal)
to file the Statement or pay the assessed fines after notification.
Any lobbyist, who fails to file the required Statement by April 30th, 2012, shall be
automatically suspended from lobbying until all fines are paid, unless the fine has been
appealed to the Miami-Dade County Commission on Ethics and Public Trust.
(0/1 . ---/ 2-11-1 1s
Sign ure: Date:
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LaRosa, Clara
From: Susy Macet <SMacet @shutts.com>
Sent: Monday, March 02, 2015 9:35 AM
To: LaRosa, Clara
Subject: Alexander Tachmes/Allan Shulman- Lobbyist Registrations
As it relates to Mr. Tachmes' and Mr. Shulman's lobbyist registration, the
Principals are the Owners, husband and wife, Dennis and Susan Richard of the
property located at 2324 Bay Avenue, Miami Beach, FL 33140.
As it relates to Mr. Tachmes' lobbyist registration form, page 2, Questions 1 , 2,
and 3 the answers are NO.
Susy Macet
Legal Assistant
f SC H
Shutts & Bowen LLP
BOWEN 1500 Miami Center, 201 South Biscayne Boulevard ! Miami, FL 33131
L Direct: (305) 347-7327 Fax: (305) 347-7795
�.+ E-Mail Website
Founded 1910 Please consider the environment before printing this email
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KATHLEEN MAURER E-MAIL ADDRESS:
ASSOCIATE KMaurer @shutts.com
(305)379-9136 Direct Telephone
(305)347-7886 Direct Facsimile
February 25, 2015
Via Courier
Office of the City Clerk
City of Miami Beach
1700 Convention Center Drive
Miami Beach, FL 33139
Attn: Ms. Sylvia Prieto
RE: Lobbyist Registrations—Specific Issue
Our File No. 41700.0001
Dear Ms. Prieto:
Enclosed are Lobbyist Registration Specific Issue forms for Alexander I. Tachmes and
Allan Shulman. Also enclosed is a check in the amount of $700.00 representing registration
fees.
Please date stamp the copy of this letter and return along with a receipt for the $700.00 in
the enclosed prepaid envelope provided. Should you have any questions or comments, please
contact me.
Very truly yours,
----- ff--
V
'Susy Macet, Legal Assistant to
Kathleen Maurer
KM/sm
Enclosures
1500 Miami Center•201 South Biscayne Boulevard,Miami, Florida 33131 •ph 305.358.6300 •fr 305.381.9982•www.shutts.com
MIAMI FORT LAUDERDALE WEST PALM BEACH ORLANDO TAMPA TALLAHASSEE AMSTERDAM