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Alexander Tachmes - Ocean Drive Improvement Association, Inc. (2) pr-02.) Bre rt 091 141 laCAC+ Peritc M I AAI BEACHCt'Office of the CityClerk O�^> v� 1700 Convention Center Drive �i�,[� ,,©r Miami Beach, FL 331394.7' co 305.673.7411 -y� �j LOBBYIST REGISTRATION FORM Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the p��Cage , defeat or modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendatS,n 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 City Code Chapter 2,Article VII, Division 3, entitled "Lobbyists," for additional information. Instructions: Please complete all sections of this form and submit the completed form,with the applicable fee, to the Office of the City Clerk. If you need more space to complete an answer, use a separate sheet(s) of paper. If you have nothing to report in a particular section, you must write "none" or "n/a" in that section. Any change to any information originally filed, or any additional City • Commissioner or personnel who are also sought to be lobbied shall require that the lobbyist file an amendment to the registration form. The lobbyist has a continuing duty to supply information and amend the forms filed throughout the period that the lobbying occurs. Separate registration forms shall be required for each principal represented on each specific issue. I. LOBBYIST INFORMATION: Tachmes Alexander I. NAME OF LOBBYIST (Last) (First) (Middle Name) Shutts&Bowen LLP 200 S. Biscayne Blvd, Ste.4100 Miami FL 33131 LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 305-347-7341 ATachmes@shutts.com LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS II. PRINCIPAL INFORMATION: Palma Mike NAME OF PRINCIPAL (Last) (First) (Middle Name) Ocean Drive Improvement Association, Inc. 1020 Ocean Drive Miami Beach FL 33139 PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code) 786-276-1415 MPalma@jesta.com PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS Pursuant to City€ode Section 2'482'0)'(11)(a): A principal of Exy corporation, partnership,ar other entity who appears Epp lobbyist CW behalf of that entity,aging special compensation Cp reimbursement for @ID appearance, un g direct,indirect;n r contingent,to( i sue•ort rrQCl?o*•osition to an item shall register with the Clerk as required by this subsection but shall riot be required to pay any registration fees, If the principal is a Corporation, Partnership or Trust, the following information MUST be provided pursuant to City Code Section 2-482(c): • NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A): Mike Palma, Chairman • NAME OF ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,PARTNERSHIP OR TRUST(if none,write N/A): N/A Page 1 of 5 • III. ISSUE TO BE LOBBIED: Describe with as much detail as is practical, including but not limited to a specific description where applicable of a pending request for proposal, invitation to bid, or public hearing number. Extension of high impact period duration and measures during Spring Break and the month of March. IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: Pursuant to City Code Section 2-482(a)(4), list the City Commissioner or City personnel sought to be lobbied, and whether the lobbyist has entered into any contractual relationship (paid or unpaid) with said City Commissioner or City personnel from 12 months preceding such commencement of service with the City to the present date, stating the general nature of the subject contractual relationship. Full Name of Individual and Contractual Relationship (If yes, explain) YES NO Title of Person to be Lobbied City of Miami Beach Committees and Boards X City of Miami Beach Attorneys Office and Administration X City of Miami Beach Mayor and Commissioners X 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. List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an appearance of impropriety(if none,write N/A): N/A V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION — Be Specific. (Note that a contingency fee is prohibited pursuant to City Code Sec. 2-485.3): $750.00 per hour Page 2 of 5 The following six(6)questions MUST be answered: 1) Pursuant to 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 City Code Section 2-490, entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": -Yes XNo: 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 City Code Section 2-482(h), any person (except those exempt from the definition of "lobbyist" as set forth in Section 2-481)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 city clerk as required by this section,but shall not be required to pay any registration fees. _Yes XNo: Are you representing a not-for-profit corporation or entity without special compensation or reimbursement? 4) Pursuant to City Code Section 2-481, the term "lobbyist" specifically excludes the following persons: Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings; any person who only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether direct, indirect or contingent,to express support of or opposition to any item;and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. _Yes XNo: Are you providing only scientific, technical or other specialized information: appearing as a representative of a neighborhood association without special compensation or reimbursement or representing a not-for-profit based organization for the purpose of requesting a grant without special compensation or reimbursement? 5) Pursuant to City Code Section 2-491(1), no campaign consultant shall lobby the City Commission for a period of 12 months following the swearing in of any elected official(s) for whom the campaign consultant provided campaign consulting services within the past election cycle. See Section 2-491 for more information. -Yes XNo: Have you provided campaign consulting services to an incumbent member of the City Commission within the past election cycle?If yes,please list the incumbent member(s)of the City Commission: _Yes XNo: If yes, has it been less than 12 mont s since the e l-cted official(s) whom you provided campaig consultingr sevices ws as worn lit 6) Pursuant to City Code Section 2-482(a)(4)a., a lobbyist who has within the past election cycle provided campaign consulting services to an incumbent member of the City Commission (which lobbying activity is not otherwise prohibited by Code section 2-491) shall disclose such particular service on his/her lobbyist registration form and shall orally disclose such particular service before lobbying the City Commission at a public meeting. _Yes 1No: Have you provided campaign consulting services to an incumbent member of the City Commission within the past election cycle?If yes,please list the incumbent member(s)of the City Commission: _Yes XNo: If yes, were you promised or did you receive economic consideration in exchange for campaign consulting senricesl TO BE COMPLETED� BY CITY CLERK'S STAFF ONLY Annual Registration fee: [ ]Yes[ ]No Amount Paid$ ' o.t)' MCR# - 1 5 I I _Date Paid 07 " ( Z-00 Lobbyist Registration Form received and verified by: F.\CLER\$&LL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc Revised 09/20/2018 Page 3 of 5 VI. SIGNATURES UNDER OATH: ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO EXPENDITURE OR COMP SATION DURI.G'THE REPORTING PERIOD.' Signature of Lobbyist: (' I girl Date a,I) 0)A0a0 I do solemnly swear or affirm that all of the foregoing facts, statements, and disclosures in this form are true and correct, and that I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of the Miami Beach City Code d all reportin re u. ements. Signature of Lobbyist: Date a ii' I a oa,o Signature of Principal: Date VII. NOTARY SIGNATURE AND SEAL: LOBBYIST: d PRINCIPAL State of TIt)I/Ia State of_ County of: I'1 (G11 1 U --K_A( A County of: Sworn tSq(or affirm a d subscribed before me Sworn to(or affirmed)and subscribed before me this k(-) day of re ✓1 .O 1 ,20.a.Cby this_day of , 20_, by 4k-aanaCr L TX n(ict:1_5 An NAME OF LOBBYIST NAME OF PRINCIPAL Produced ID _Produced ID FORM OF IDENTIFICATION FORM OF IDENTIFICATION _Pers nally Frown _Personally Known % Signatur of No ary Public Signature of Notary Public Name of Notary,Typed, Printed or Stamped Name of Notary,Typed, Printed or Stamped 5;':C{i�o. SUSAN C.MACET (NOTARY : J :*= MY COMMISSION#GG 928116 (NOTARY SEAL) .%�..$.: EXPIRES:February 11,2024 .'<WY Bonded Thru Notary Public Underwriters 4. 1 The term"lobbyist"specifically excludes the following persons: Expert witnesses who provide only scientific,technical or other specialized information or testimony in public meetings; any person who only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance, whether direct, indirect or contingent, to express support of or opposition to any item; and any person who only appears as a representative of not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for the appearance. Page 4 of 5 VI. SIGNATURES UNDER OATH::: • ON FEBRUARY 28 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A • :SIGNED: STATEMENT UNDER OATH, LISTING:LOBBYING EXPENDITURES, AS WELL•AS: COMPENSATION : RECEIVED, FOR:THE PRECEDING CALENDAR YEAR.WITH:REGARD TO THE SPECIFIC ISSUE ON WHICH THE LOBBYIST HAS:BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO " EXPENDITURE OR COM ATION DURITHE.REPORTING PERIOD.1 • - . Signature of Lobbyist O.. •�.,. . ... . ... " Date a, 0 I dosolemnly swear or•affirm that all of the foregoing:facts, statements, and disclosures in this form'ere true and correct, ;_: . . :and that=l have read or am'familiar with the provisions contained in Chapter 2, Art. VII, Division.3,:entitled"Lobbyists"of :: : the Miami Beach City Code all.reportl r-•�1,:rments. .. . Ii/?o 16 :Signature of Lobbyist: a I:.'.t. Y0 � ... . " . Date .. ,. . . . ... . .." Signature of.Principal:: ... t i .e. A . . . . . :: . "":Date 2 :I.�: /20 Lc. ... • .VII. NOTARY SIGNATURE AND SEAL::: ' - LOBBYIST: : . PRINCIPAL : ... . State:of. . 0/1 . -.. .State of ort Oh, i .County of: IA. I a1 r 1,1 -�•ar County of: . ... :Iis Pt OA ,A'a... . Sworn t (or affirm :" nd subscribe before.me: Sworn to(or affirmed)•nd subscribed before me this :1 day:of ✓ua - : 20.;1.0.y this ‘k day of: e.. r : 207(4by . .. y c dc(. 1, Trn .: tn�1�5 Mia& : arc/ K. ::: :. • NAME OF LOBBYIST NAME OF PRINCIPAL oduced:ID Produced ID• . •:.• ::: : FORM OF IDENTIFICATION FORM.OF IDENTIFICATION "" Pers Wally nown ersonelly K • Signatur of No ry Pub c.. • . . . ... . . . Signature of NotaryotPublic " _ . _. • SA �`�� l -zcO Name of Nota Typed, Printed orStamped Name of Nota T ediP"tinted or Stam" e " Notary, YPrY. YP ....P . : ;O SUSAN C.MACET . . ... . . . . ... . .". . _.. .. ,.. fr"MYCOMMISSION#GG 928116. '• (NOTARY SEAL) =oe°C " Notary.Public State of Florida :. (NOTARY w'` r EXPIRES:Febnraryit,2024 " Sandra Plazas ` vk Commisswn GG"i61647 Bonded That Notary PubflC Ufldeneltets :. '1 . :it Epires 310 ___. —---- 0 2/2022. The term"lobbyist"specifically excludes the following persons: . Expert itnesses who:provide only scientific,technical'or other specialized information or testimony in public meetings;"any.person who '' only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance;whether " direct indirect or contingent,to express support of or opposition to:any item;and any person who.only appears as a.represehtative of • not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for : the.appearance. : ... . . . . ... . ... Page 4 of.5 .. MIAMIBEACH City of Miami Beach, 1700 Convention Center Drive,Miami Beach,Florida 33139,www.miamibeachfl.gov Office of the City Clerk Rafael E.Granado,City Clerk CityClerk@miamibeachfl.gov Tel:305.673.7411,Fax:305.673.7254 NAME OF LOBBYIST: Alexander I.Tachmes 1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT Pursuant to City Code' Section 2-485(d), the City Clerk shall notify any lobbyist (or principal) who fails to file timely a Lobbyist Fee Expenditure and Compensation Statement (Statement). In addition to any other penalties that may be imposed as provided in Section 2-485.1, a fine of $50.00 a day shall be assessed for Statements 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 of each year, 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. I hereby acknowledge that on February 28 of each year, I shall submit to the City Clerk a signed Statement under oath listing all lobbyist expenditures, as well as compensation received, for the preceding calendar year with regard to the specific issue on which I have been engaged to lobby. 2) LOBBYIST WITHDRAWAL Once an issue I have registered to lobby has concluded or I am no longer lobbying on that issue, I shall immediately file a Notice of Withdrawal with the Office of the City Clerk. 3) ANNUAL LOBBYIST REGISTRATION FEE I understand annual registration of all lobbyists shall be required for each 12-month period commencing October 1 of each year, and the fee for such annual registration shall be $500.00 pursuant to Section 2-482 of the Miami Beach City Code. 1 2 I a/aaaz) Signature of Lobbyis Date F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc Page 5 of 5 • Miscellaneous Cash Receipt CITY OF MIAMI BEACH' ' r h::r _, 425716 �r ‘.. :::',.:-;".';'''..:.::%1,c'...:,,,„ --:i-'-.,.:.,'::::::::;1,. .f.s‘'..'-''..47.),7,:;,,?....:.,';',?..'.''',2'.. 1‘1":::':1'' :;.,1,:ii-:.-':':: :;';'.''', :::::•-,::::2,...,::: l'?:::'':'..';',',''-'''-.;/‘''',ki-k-.-:''''V- '6 G © Cash O Credit Card Check# J $ -1 e R ived cf ? t ;°l �- .s x,, f t.k ��E r'`•i`ti^^,:. »{ '� 'w ., ,,,., ,. ,.'7:.,,,% :,:•:. ^S\ i � r taneous=t 7CR 2020 r g i. 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