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Grec Conversions IV, LtdCity of Miami Beach Office of the City aerk 1700 Convention Center Ddve, Miami Beach, FL 33139 Emaih dtyderk@d.miami-beach.fl.us LOBBYIST REGI'STRA1/ON FORM (Oty of Miami Beach, City Code Chapter 2, Division 3, Sec'don 2-~81) o Check Box if an Amendment RECEIVED 03 NOV -6 AH 10:26 CITY ,L~n o OFFICE NAMEO(E.~_OBBYIST: /, (Last) -- (First) BUSINESS ADDRESS: (Number and Street) / (City) (M.I) DATE qUALiFiED AS LOBBYIST (State) (Zip Code) TELEPHONE NUMBER: FAX NUMBER: EMAIL: T, LOBBY[ST RETA/NED BY: NAME OF PRINCIPAL/CLIENT: BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal Is a Corporation, Partnership or Trust [Section 2-482 (c)] · NAM..E OF CHIEF OFF, ER, P/~TNER. OR BENEFICIARY: · LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: ~ n', SPEC/FZC LOBBY ISSUE: [ssue to be lobbied (Describe in detail): 1'[[, cz'rY AGENC/ES//NDMDUALS TO BE LOBBTED: A) Full Name of Individual/Title B) Relationship ,k ,., , ,,', , ,¥.- ,-, ;,. ,,,,,r ', ,¢../:;.,... ,,,.,,.,_ I A) LOBBYIST DISCLOSURE: B) PRINCIPAL'S DISCLOSUI~ (OF LOBBYISTCOMPENSATION): 1) 2) Pursuant to Ordinance No. ~__m~-3393 Amendino Hiami Beach City Code Chaoter 2. Article VII. Division 5 Thereof Entitled "Camoaion Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited (~amoaian Contributions Bv Lobbyists On Procurement Issues": Are vou Iobbvine on a DrC:~cnL or nendin- bid for ao-~a'~-"~-'iDment or service~- or on a nresent or Dendina award for qoods, eeuinment or service? ~,~.~ No Pursuant to Ordinance No. 2003-3395 Amendino Hiami Beach CitY Code Chaoter 2. Article VII Division 5 thereof Entitled "CamDaion Finance Reform". Via The Addition Of Code Section 2-490 Entitted "Prohibited Cdi, oaion Contributions Bv Lobbyists On Real Estate Develooment Issues": Are you Iobbvina on a De~-=4ne armlicetion for a DeveloPment A-reement with the Cit'v or r chanee'=-~; of zonine ma,, desianation or chanee to the City's Future Land U~_ I~lan? Signature of Lobbyist: Signature of Principal/Client: LOBBYZS'r ZDENTZFZCA'r[ON: V, SIGNATURE UNDER OATH*' ON OCI'OBER Is~ OF EACH YEAR, EACH LOBBY/ST SHALL SUBI~11T TO THE CI1'Y CLERJ( A SZGNED STATEMENT UNDER OATHz LZSI'ZNG LOBByI'NG EXPENDI'TURES TN THE cTrY OF M/AM1' BEACH FOR THE PRECEDI'NG CALENDAR YEAR. ! do solemnly swear that all of the foregoing facts are true and correct and that ! have read or am familiar with the provisions contained in Section 2-482 of the Hiami Beach City Code as amended, and all reporting requirements. ( /~ = Produced ID l~' I~ersonally Known Form of Identification VI/. S~GNATURE AND STAt4P OF NOTARY OR DEPUI~' CLERK: State of Florida, County of Miami-Dade Sworn,~and subscril~e..d ,b_e_f.9,~ ~e This --~ day o~/3~-¢', 2003. Sig natu re~c~~tate__~ ''~' of Florida ~mho~r~ Notary Public Print, stap or_~/pe name of Registration: ~ ACCEPTED If rejected, state reason: _ Registration fee paid: .[-~TYes [ ] No DATA ENTRY DATE: 11 j 2nd Revision 3/18/03 FOR CLERK'S USE ONLY DATE: ,2003 EN~RED BY: ATTACHMENT TO LOBBYIST REGISTRATION FORM FOR ALEXANDER I. TACHMES List of persons holding, directly or indirectly, a 5% or more ownership interest in such corporation, parmership or trust: Victoria Real Estate Management Inc. General Real Estate Corp. James Dorsy Summit Apartments, Inc. Renado Apartments, Inc. Fortune Capital Partners, Inc. Agustin Herran Agustin Herran Armando Guerra Manuel Herran Miguel Poyastro City of Miami Beach O~ce of the Ob/Oerk 1700 Convention Center Ddve, Miami Beach, FL 33139 Emaih dtyclerk@ci.miami -beach.fi.us LOBBYIST REGI~STRATZON FORM (City of Miami Beach, CJb/Code Chapter 2, Division 3, Section 2~81) CJ Check Box if an Ame{ldment BUSINESS ADDRESS: {Number and Street) / (City) TELEPHONE NUMBER: FAX NUHBER: (M.I) DATE QUALtrlmu AS LOBBY~S-F {State) (Zip Code) EMA[L: I, LOBBYIST RETAINED BY: ~A~F pp~NCIPAL/CL[ENT: BUSINESS ADDRESS: {Number and Street) (City) (State) ~ONE NUMBER: ~(Optional) (zip Code) EHA[L: (~pfional) Fill out this section if principal is a CorporaUon~ Partnership or Trust [Section 2-482 (c)] . NAi,4~E OF CHIEF OFF.II, ER, F'N~.TNER, OR BENEFK~ARY: -- ~ ~. ta.Z/t~*..~ ~ ,~/"'h *~'" ,, ~ST AU_ PERSONS HOLDIN 3, DIEECTLY OR INDIRECTLY, A 50/0 OR MORE OWNERSHIP Ihq'EREST IN SUCH CORPORATION, PARTNERSttIP OR TRUST: · [I. SPEC/FIC LOBBY ISSUE: IlL CI-FY AGENCIES/INDIViDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Relationship City of Miami Beach Office of the City Clerk ~.700 Convention Center Ddve, Miami Be. ach, FL 33:[39 Emaih cityclerk@ci.'niemi -beach.fl.us LOBBYIST REGISTRATION FORM (CiLy of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) ~3 Check Box if an Amendment ~A~ O~()BB~-: f (Last) , ~ (R~st) · · ' -. ~. ~ · / ~ I ~S' ', (Ci~) (State) (Z,p C~e) EMIL: -' F~ NUMBER: ~L~PHONE NUMBER: LOBBYIST RETAINED BY: C=.r f c.. Copy'4 BUSINESS ADDRESS: (Number and Street) (Ci~) (State) ~LE?HONE NUMBER: Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] . NAME OF CHIEF OFF~.J~Ef',, F'N~TNER, OR BENEFIC/ARY: 5 ,l~ ~ ~ ~ ,, dS'[' ALI_ PERSONS HOLDIilG, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTERES-r IN SUCH CORPOP, AT[ON, PARTNERSHIP OR TRUb'T: II. SPECIFIC LOBBY ISSUE: ~s~t]e to be lobbied- IlL CITY AGENCIES/INDIViDUALS TO BE LOBBIED: A) Full Narne of Individual/Title B) Relationship ATTACHMENT TO LOBBYIST REGISTRATION FORM FOR ALEXANDER I. TACHMES List of persons holding, directly or indirectly, a 5% or more ownership interest in such corporation, partnership or trust: \r[c~oria Real Estate Mmmgement Inc. General Real Estate Corp. Agustin Herran Agustin I-[erran James Dorsy Summit Apartments, Inc. Renado Apartments, Inc. Fortune Capital Partners, Inc. Armando Ouerra Manuel Herran Miguel Poyastro