Alexander Tachmes/Lee Blacostokm MIAMIBEACH
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:
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NAME OF PRINCIPAL/CLIENT:
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
c/o Shutts & Bowen LLP; 201 S. Biscayne Blvd., Suite 1500, Miami, FL 3313
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
(305) 347-7341 (305) 347-7754 atachmes@shutts.com
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION,
PARTNERSHIP OR TRUST:
ll. sPECIFIC LOBBY IssuE: Proposed accessory use law
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
Mayor None
Commissioners
City Administration None
Cit Attorne 's Office
City Boards None
Cit Committees
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT
RATE OR OTHER):
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A) LOBBYIST DISCLOSURE: (Required) $400.00 pet' hour
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required) $400.00 pet' hoUf
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 D 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 ~ No: Are you lobbvinq on a pending application for a Development Agreement with the Citv 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 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 B No: Are you representing anot-for-profit corporation or entity without special compensation or reimbursement.
V. SIGNATURE UNDER OATH:
ON OCTOBER 15S 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 REPORTI~NG.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 Be,~ch~City Code and all reporting requirements.
Signature of
Signature of Principal/Client:
VI . LOBBYIST IDE
NTIFICATION:
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Form of Identification
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°C tate of Florida, County of Miami-Dade
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~; tarization of Lobbyist's signature
Annual Registration fee: [ ]Yes [ ] No Amount Paid
Lobbyist Registration Form received and verified by: S
PRINCIPAL IDENTIFICATION:
Produced I D ~ I ~ ~ ~ a -~ ~ ~~(k-i ~ Lam'
Form of Identification v
Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This ~ day of ~, D1~-Pisr~~ , 20 6
Sigiature of Public Notary -State o'f Florida
Notarization of Principal's signature
USE ONLY ~
MCR # Date Paid
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Revised 12/08/04
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