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Alexander Tachmes / Beach Hotel lD ,..'i<lm Be;:d1 ~ 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 defined in any manner in this section, 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. --r-;4-c...I-t-M E- c; AL L ~ N D E: ce-. NAME OF LOBBYIST: _ I (Last) (First) Ai- f,1-I41vD~ r. 1,Ar-11 ~ t:t;., ~ A ,IS ~ , c( #.... 'fa., I J , S '-"-flU (Number and Street) (City) ~~ ~,.. 3 ?D-Iff 0 FAX NUMBER: -+ , BUSINESS NAME AND ADDRESS (M.!) (6l" J. ~ ~ ~ 2(. ~ oJ rI1 { ~ n.c:( JR- 3 j 13 J (State) (Zip Code) ~ I,Ac.. H A..f.e 5(! A-tJ L ,LtJ ~ EMAIL: 3 o)-35?> -111-0 TELEPHONE NUMBER: I. LOBBYIST RETAINED BY: B r3 !fr-I..{. ~ TG L. ~)" () CI A-rG 5, ~! Zr1:.CIPAL/CLIENT: De /~n 0 -/0 f/L ( BUSINESS NAME AND ADDRESS LL~ Number and Street) /(,f'~ elJn'r 1Iu~ (City) !1 fA,J.(i f3 Ca c.~ {j:( :i:3 / 3'1 (State) (Zip Code) 3o~-~'1)- ;2QtJD TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] . NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: 1'1 Prl'<(C -r~ MIS / C E N'l-J!. A. L HA-N . IDENTIFY ALL PERSONS HOLDING, DlRECTL Y OR IN.oIRECTL Y, A 5% OR MORE OWNERSljIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: 5u- ll:.~. f !A I ti ,f(p'cJ,~ hL.1- e-f-.e, (j.. ~ (. "t l../) f) '(L Tfl f')(Z-f III Y) (1~ ~~ r hr-.c. t · ~.s~l ..f.c, Co tI. ~ ~ n -Io'(<<Ml~ IS~\..(.~~ ~~ JI , , II. SPECIFIC LOBBY ISSUE: v.\ 1A.l'\ " (+.oft. \ ,I"" d......1 I "? ""- t-".t I,:" ,1 ~.o Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship /1. ~ ... .J-~ "'-' ~ $ I ;,.... ~ 11 JI:t'LiJn-d-r~ e.-~ ~~ M.4f 'J c/ /I; tJ2. ( tJ; AJ ~ VI-!.... Uo ~ J2-vf-~ IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLA T RA TE OR OTHER): d I A; L~BBYIST DISCLOSURE: (Required) '-f J 0 (J I.. t> "- V- B) . PRiNQPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Re~Uired). tp 3 D 0 / h." l< r . Yes ensation or 1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chanter 2. Article VII. Division 5 Thereof Entitled "Campaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Camnaian Contributions Bv Lobbvists On Procurement Issues": Yes 2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City Code Chanter 2. Article VII Division 5 thereof Entitled "Campaign Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited Campaign Contributions Bv Lobbyists On Real Estate Develonment Issues": Yes ? V. SIGNATURE UNDER OATH: ON OCTOBER 1ST 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. ~t^-~~ 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 IDENTIFICATION: PRINCIPAL IDENTIFICATION: :J Produced ID o produced ID Form of Identification ~onally known (Lobbyist) Form of Identification ~ersonally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Sworn ~~ subscribed before me This . day of 1'\ ~"'lK~k ~OE. 'f ~ C- C2-~~~ Signature of Public Notary - State of Florida Notarization of Lobbyist's signature . ,~., ~ Christina Cellin. . ~ . My Commission H05t131 ~..:I Expires September 23, 2005 State of Florida, County of Miami-Dade Sworn and subscribed before me This~dayof kluv ,2~ ~ .~ ~ Signature of Public Notary - State of Florida Notarization of Principal's signature ~"~~~\~~~1\~:~~:~~"~:~.~:~~'~~=-'~ , . Jl" ,', .. 0""11,,,10" nr 3<13" )1. ;:~(9~~~};~~~j ~:XFIFiC~ ,Jctooer20 ';'~;;'8'" "f ;, , ~;"~';;;$-:;;:..::,;;{:-;:,~",;~7;~~-::;:;;:"-:;';~,:;:;~~-:;::-~-~:-~, .--.? ~- FOR Annual Registration fee: L ] Yes [ ] No Amo nt Lobbyist Registration Form received and verified by: - Revised 02/10/04 F: LER\ .~ON;~;:2? 6 g / I Date Paid l1-JiP/O'-t . ' MiM'ri Se_ I amI to ~ " " 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 defined in any manner in this section, 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. --r-;4c:.I4--ME-c; AC-L~ NDr=:. ce-. NAME OF LOBBYIST: _ / (last) (First) Ac.. f..1-/IfrJDF-#- 1": f ,At:..f( '" e S, ~ & i :I $..."" B, s ......,..... f.> l" ~. <) -k :2.(.. ~ OJ BUSINESS NAME AND ADDRESS (Number and Street) (City) 3 ())' - '3 5't> -/11-0 ? () ~,... 3 '.f)D-1 H 0 TELEPHONE NUMBER: FAX NUMBER: -+ , (M.I) 1V11~ tK( K 3 j/3 J . I , I (State) (Zip Code) ,A:r,Ac.H ~es(! jI1.-01... ,LCJ.Af EMAIL: I. LOBBYIST RETAINED BY: B r3;tc.I4- ~ TG (. ;1-s >" () CI Fl--TtE 5, ~! Z~CIPAL/CUENT: 7::>e / (J.. n Q -f.o fL ( BUSINESS NAME AND ADDRESS LLt:::... Number and Street) /(,i-~ elj~ir Au~ (City) 11/;')1(; f3CQl.~ {~( :J 31 ?J~ (State) (Zip Code) 30~-"'1~- ;2{JO{) TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional) Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)] . NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: t11 Prl'<{C Irf MIS / C e ^'~~ A. L M4N . IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR IN.DIRECTL Y, A 5% OR MORE OWNERSIjIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Sa- ll:-...d4. f !It I <<..t-f4.d, L4l hLI- t2~ (,t.. ~ c' If\. U tL 1ft 1](2-'9- ,., .~ ~~ I- ~r~ J · ~$~I Co t/. <. ~ n -h,'(t!tMt~ 15~1..c.~~ :if;~ .~ II. SPECIFIC LOBBY ISSUE: l>-' fA.l'\" (+of (. \ I ,.... c.l......I, '" b.. t- '" ~ t (,:.. ,1 ~.o ..f,. Issue to be lobbied (Describe in detail): III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship Ai 4:> ~ 1Jo~ Jl-tA-~ " ' IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURL Y, FLA T RA TE OR OTHER): / A; L~BBYIST DISCLOSURE: (Required) 4> J 0 (J / I../> C< y- , . B) 'pRlNOPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Rec:Uir-ed). tr ~ () 0 I "" tr. r Yes 1) Pursuant to Ordinance No. 2003-3393 Amendina Miami Beach City Code Chaoter 2. Article VII. Division 5 Thereof Entitled "Campaign Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbvists On Procurement Issues": Yes 2) Pursuant to Ordinance No. 2003-3395 Amendina Miami Beach City Code Chaoter 2. Article VII Division 5 thereof Entitled "Campaign Finance Reform". Via The Addition Of Code Section 2-490 Entitled "Prohibited Camoaian Contributions By Lobbyists On Real Estate Develooment Issues": V. SIGNATURE UNDER OATH: ON OCTOBER 1ST 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 IDENTIFICATION: PRINCIPAL IDENTIFICATION: o Produced 10 o Produced 10 Form of Identification ~onallY known (Lobbyist) Form of Identification ~ersonally known (Principal) VII. SIGNATURE AND STAMP OF NOTARY: State of Florida, County of Miami-Dade Sworn ~~ subscribed before me This . day of V'\ u"""L"~'" . 200 <f ~ C~!?~..../ Signature of Public Notary - State of Florida Notarization of Lobbyist's signature . ,~, Christina CeIIIna · ~ · My Commillion 100.. \:.. ~ Expi.... September 23,2005 State of Florida, County of Miami-Dade Sworn and subscribed before me This~dayof kJUJ ,2~ ~~ Signature of Public Notary - State of Florida Notarization of Principal's signature ~~~~.:.:~-.:...~ .... _ u~. at ~'-;PAJ?/'f~(J/},. BRIAN C BEAI" ~"1 ~*( -1, 'y~'~ :;OlvIMISSION DD 364373 ~..'" :,.:';: r:v 'f'., ' .. "~~""':'!":? _ ,-APIFiEu Octooer 20 )008 "'N:~:_ ",::~~~~:._.-:::~~"c~J~I~ar~ . I.. ~ FOR Annual Registration fee: L ] Yes [ ] No Arno nt Lobbyist Registration Form received and verified by: Revised 02/10/04 F: LER\ ,~ON;~ ::J ? 3 g / I Date Paid 14IP!O'i .. ' , t · · c c ~ o o .... ~R 0..... :J ~s::l -'0<115:0 0.....::0& o~o- #)>:1:) ~!:~ en: OI3:::J~O ~;uiog ...... ::r g :: ;. !!! _0 > ~ - :lilt CI o <,-::rClUJ #~5:!!~- ~i:co.8:1:r <IIo."'....or .....0 :::3:zO:C ~!:~S.~ ~;8:C~~ m! 0....S:F3 ~ 5 if z 3. z) S.....Ci)IC-<:s #gao-<08.....~ cor- ~ Z:!!"tJ ~3.....r- "'" 0 -. CD 0 ..., 0 q r-zi c;s:::g r--<:S !='&cnZO.....~ 88"lt"S8F #::J:x:~~mO z~a~- 0.-0. 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