Alexander L. Tachmes/1825 Collins Avenue Owner, LLCm 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 bond 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.
Tachmes Alexander
NAME OF LOBBYIST: (Last) (First) (M.I.)
c/o Shutts & Bowen LLP 201 South Biscayne Boulevard, Suite 1500, Miami, FL 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 347-7341 (305) 347-7754 atachmes@shutts.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
1825 Collins Avenue Owner, LLC
NAME OF PRINCIPAUCLIENT:
818 Greenwich Avenue _ New York N.Y. 10014
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(212) 796-8400 (212) 796-8410 aparry@ianschragercompany.com
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: IAN SCHRAGER
IDENTIFY ALL PERSONS HOLDING, DIRECTLY CR INDIRECTLY, A 5% OR MORE
OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST:
SPECIFIC LOBBY ISSUE:
Construction and other development work regarding 1825 Collins Avenue
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED: (Pursuant to City Code Section 2-482(g) include a
statement of the extent of any business, financial, familial, professional or other relationship, giving rise to an
appearance of an impropriety, with any City personnel sought to be lobbied; further, pursuant to City Code Section 2-
482(a)(4) include a statement of any contractual relationship (paid or unpaid) from 12 months preceding the
commencement of service of City personnel to be lobbied.)
A) Full Name of IndividuallTitle B) An Financial, Familial or Professional Relationship
City of Miami Beach Planning Board None ~
City of Miami Beach Mayor/Commissioners None
City of Miami Beach Committees None
MIADOCS 3027456 1
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER
HOURLY, FLAT RATE OR OTHER):
A) LOBBYIST DISCLOSURE: (Required)
Hourly - $450 00 -
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION):
(Required). Hourl rL- $450 00
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 ~ No• Are you lobbvina 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 6d No• Are you lobbvina on a pending application for a Development Agreement with the City or
application for chance 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" as set forth in Section 2-481 above) who only appears as a representative of snot-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 snot-for-profit corporation or entity without special compensation or
reimbursement.
V. SIGNATURE UNDER OATH:
Signature of Lobbyist:
F
Signature of Principal/Client: ~/ t/l/ .,
Michael Overing n, Vice President of Florida Hotels Holding, LLC, Authorized
Signatory for 48 5 Collins Avenue Owner, LLC
VI. LOBBYIST IDENTIFICATION: PRINCIPAL IDENTIFICATION:
^ Produced ID LVJ Produced ID ~'L s ~ ~~f Z~ ~~ 9
Form of Identification Fc7rm of Identification
® Personally known (Lobbyist)
VII. SIGNATURE AND STAMP OF NO~~Ib
NOTARY PUBLIC - S A 1: FLORIDA
State of Florida, County of M~ 'i= de Linda Christian
Sworn to and sub~sc~ri~b~e~~be =Commission #DD651416
This 26 day of '~'~'~' 2~ ,,,,,•''' Expires: MAR. 23, 2011
)30NDia91'HRII ATIANfIC BONDING CO., INC.
S
Si a re o Public Notary -State of Florida
otarization of Lobbyist's signature
BE
Annual Registration fee: [V] Yes [ ] No Amount Paid 5,
Lobbyist Registration Form received and verified by: _
F:\CLER\LOBBYISTLobbvist Registration Form 32708.doc
^ Personally known (Principal)
tiOTARY PUBLIC • STATE OF FLORIDA
,,,~~",,,,, Linda Christian
State of Florida, C8' f'.~' bD651416
Sworn to and subs" e~it''el"'rt<te~' 23, 2011
This da of °~arm~taco„uiC~
Y ,.
~s~~
ign a of Public Notary -State of Florida
No rization of Principal's signature
~96v3s ~
TY CLERK'S USE ON.kY ,~ /~, _ /~,
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MIADOCS 3027456 1
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 9~ Miami Bept~l~ty~~de and all reporting requirements.
m MIAMIBEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139, www.miamibeachfl.gov
CITY CLERK office CityClerkCc~miamibeachfl.gov
Tel: 305.673.7411, Fax: 305.673.7254
Alexander I. Tachmes
LOBBYIST NAME:
I understand that no later than October 18t of each year, I must file the following forms, pursuant to Section 2-485 of
the Miami Beach City Code, with the City Clerk's Offlce for all active lobbying issues.
1) Lobbyist Expenditure Form
2) Disclosure Form
Failure to file these forms on a timely basis will result in my name being transmitted to the Miami-Dade County
Commission on Ethics and for code violation evaluation.
In addition, once an issue I have registered to lobby on has been resolved, I am required to immediately notify the
City Clerk's Office for lobbyist withdrawal in writing.
Si nature:
Date: September 23, 2008
MIADOCS 3027456 1
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