Alexander Tachmes/Collins Hotel Associates, LLCL ,
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i 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 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.
NAME OF LOBBYIST: (Last) (First) (M.I.)
Tachmes Alexander I.
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
Shutts & Bowen LLP 201 S. Biscayne Blvd., Suite 1500; Miami FL 33131
TELEPHONE NUMBER: FAX NUMBER: EMAIL
(305) 347-7341 (305} 347-7754 atachmes@shutts.com
I. LOBBYIST RETAINED BY:
NAME OF PRINCIPALICLIENT:
Collins Hotel Associates, LLC
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
clo Morgans Hotel Group Co. 1685 Collins Avenue, Miami Beach, FL 33139
Mark Tamis, Area Vice President
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
(305} 674-6182
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2.482 (c)]
i
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Fred J. Kleisner, Interim President and Chief Executive
Officer
• I NTIFY °
DE ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5/° OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
~'~~ PARTNERSHIP OR TRUST: See Attached
II. SPECIFIC LOBBY ISSUE: Flood Plain Management Board application for property located at 1690
Collins Avenue and 1685 James Avenue
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of IndividuallTitle B) Any Financial, Familial or Professional Relationship
Mayor None
Commissioners
City Administration None
Cit Attorne 's Office
City Boards None
Cit Committees
MIADOCS 23821841
~.
IV. DISCLOSURE OF TERMS AND AMOUNTS 0~ LOBBYIST COMPENSATION {DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required) $350.00 per hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required) $350.00 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 PJ 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 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
^ Yes P1 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 P1No: Are you representing anot-for-profit corporation or entity without special compensation or reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 1St 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.
' V Signature of Lbbbyist
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 Be~cji Code and all reporting requirements.
Signature of Lobbyist:_
Signature of PrincipallClient::
VI . LOBBYIST IDENTIFICATION:
Produced ID
Form of Identification
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Personally known (Lobbyist) a O
a
VII SIGNATURE AND STAMP OF NOTA ~
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State of Florida, County of Miami-Dade ~
Sworn o and ubscribed befo a me ~ '' ~,~ ~
This 3~ da of 20 ~ ° ~
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Signature of P lic Notary State of Florida ° o ono ~ ~
Notarization of Lobbyist's signature ~' o orn ~ ~
PRINCIPAL IDENTIFICATION:
Produced ID
Form of Identification
Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This day of , 20
Signature of Public Notary -State of Florida
Notarization of Principal's signature
ERK'S USE 0 Y
Annual Registration fee: [/~Yes [ ] No Amount MCR ~ ~~ Date Paid
Lobbyist Registration Form received and verified by
Revised 12/08/04
MIADOCS 23821841
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER};
A} LOBBYIST DISCLOSURE: (Required) - 350.00 per hour
B) PRINCIPAL'S DISCLOSURE (0F LOBBYIST COMPENSATION): (Required) X350.00 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 P! No: Are you lobbving on a present or pending bid for Goods, equipment or services, or on a present or pending
aw+ard_fo, r 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 ~ No: Are you lobbving on a pending application for a Development Agreement with the City or application for.
change of zoning map designation or chance 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" asset
forth in Section 2-481 above} who only appears as a representative of anot-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 anot-for-profit corporation or entity without special compensation or reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 15t 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 [have read or am familiar with the
provisions contained in Sectio,~ 2-482 of the Miami Bed ~ Code and all reporting requirements.
Signature of Lobbyist:_
Signature of Principal/Client::
VI . LOBBYIST IDENTIFICATION:
Produced iD
PRINCIPAL IDENTIFICATION:
Produced ID ~
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State of Florida, County of Miami-Dade ..
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Signature o ub is No - S e of Florida ' N ~+
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Notarization of Principal's signature ~ ~ ~
Form of Identification t
Personally known (Lobbyist) ~ ~
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VII SIGNATURE AND STAMP OF a
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State of Florida, County of Miami-Dade ~ r..~ ~
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Sworn to and ubscribed befo e me
This ~-3~ da of t~'
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Signature of P lic Notary State of Florida ° N o ~ ~
Notarization of Lobbyist's signature ~' ° o ~ ~
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Annual Registration fee: [ J Yes [ J No Amount Paid
Lobbyist Registration Form received and verified by: _
FOR CLERK'S USE ONLY
MGR # Date Paid
Revised 12/08104
MlADOCS 23821841
CITY OF MIAMI BEACH
Lobbyist Registration
- Disclosure of Interest for Collins Hotel Associates, LLC -
ENTITY
*Morgans Group, LLC
OF STOCK
100% of Collins Hotel Associates, LLC
*Morgans Group, LLC's managing member is Morgans Hotel Group Co., a publicly traded
company, which holds a 97.1 % interest in Morgans Group, LLC
MIADOCS 2384417 1