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Showtime Theatres of FloridaCity of Miami Beach Office of the City Clerk 1700 Convention Center Ddve, Miami Beach, FL 33139 £maih cityderk@d .miami-beach.fi.us LOBBYI~r REGI~rRATZON FORM (City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) Check Box if an Amendment ROSEN HAROLD RECEIVED 03 NOV ~"/ AM 9:2 6 C y IT CLEP, K'S OFFICE NAME OF LOBBYIST: (Last) (First) (M.I) DATE QUALIFIED AS LOBBYIST 407 LINCOLN ROAD PENTHOSE S.E. MIAMI BEACH, FLORIDA 33139 BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) (305) 534-4757 (305) 538-5504 TELEPHONE NUMBER: FAX NUMBER: EMAIL: LOBBYIST RETAINED BY: SHOWTIME THEATRES OF FLORIDA, LLC., a FLORIDA LIMITED LIABILITY CORPORATION NAME OF PR[NC[PAL/CLIENT: 403404 FISHER ISLAND DRIVE, FISHER ISLAND, FLORIDA 33109 BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) (305) 695-8400 (305) 695-2000 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: LEON COHEN · LI~I' ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: SIGN VARIANCES FOR PROFOSED SIGN PLANS Issue to be lobbied (Describe in detail): IZZ. CITY AGENCIES/INDMDUALS TO BE LOBBZED: A) Full Name of IndividuallTiUe B) Relationship BOARD OF ADJUSTMENTS DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DZSCLOSE WHETHER HOURI. FI. liT RATE OR OTHER):. A) LOBBYISTOISCLOSURE: $4.50.00 an B) PRINCIPAL~5 DISCLOSURE (OF LOBBYIST COMPENSATION): $450.00 an hour 2) Pursuant to Ordinance No. 2003-3393 Amendino Miami Beach City Code Chaoter 2, Article VII. Division 5 Thereof Entitled ~Camoaion Finance Reform" Via The Addition Of Code Section 2-488 Entitled ~Prohibited Camoaien Contributions By Lobbyists On Procurement Issues": Are You Iobbvina on a present or oendina bid fQr q~ods, eeuioment or services, or on a uresent or DendinQ award for eoods, eQuiPment or service? D Yes E No Pursuant to Ordinance No. 2003-3~19!~ Amendinq Miami Beach C;il;y c.~0de Chaoter 2, Article V[! Division 5 thereof Entitled ~Camoaian Finance Reform", Via The AU~itiQn Of Code Section 2-490 Entitled "Prohibited Camoaian Contributions By Lobbyists On Real Estate Develooment ~ssue$": Are you Iobbvine on a Dendine aDalication for a Development Aereement with the City or application for chanee of zonine mad desienation or chanqe to the City's Future Land Use Mao? V. S~GNATURE UNDER OATH: ON OCTOBER IsT OF EACH YEAR, EACH LOBBYTST SHALL SUBMI'T TO THE C/TY CLERK A SZGNED STATEMENT UNDER OATH, U.:~ zNG LOBBYING EXPENDITURES ZN THE C~YY OF MI[AM! BEACH FOR THE PRECEDZNG 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 Miami Beach City Code as amended, and all reporting requirements. Signature of Lobbyist: ~~~-~~~ ~ n Produced ID {~ ~ ~ [] Personally Known ForTl~-~fr Identifi cation VZT, SZGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK: State of Florida, County of Miami-Dade Sworn to and subscribed before me This '~ day of L_~,[o ,2003. Signature of Public Notary - State of Florida RegistraUon: [~, ACCEPt ~D !f rejected, state reason: _ Registration fee paid: [~(~Yes [ ] DATA ENTRY DATE:') 1 I '''~' 2nd Revision 3/].8/03 No F:\C~\HATL\Lobbyists~egistrationa03.doc