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Patrick A. De Bokay - Miami World Cinema Center / D-r--:114 " City of Miami Beach Office of the City Clerk 1700 Convention Center Drive, Miami Beach, FL 33139 r'ri r 6 �� t : I If: , LOBBYIST REGISTRATION FORM r•. . •Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encotirage 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. �'14 P#r-rd)4kr 1 NAME OF LOBBYIST: (La (First) (M.I) ("4 N. FL c Ei NA/1-‘ t FL 33 /3S— BUSINESS NAME AND ADDRESS t Y-(Number and Street) (City) (State) (Zip Code) '\Au!o 8 6 3 - 1-66 / - `� 585 /I ✓ \� u W a V� TELEPHONE NUMBER: FAX NUMBER: EMAIL: Please notify this office if your contact information.changes address,Phone,--or e-mail address. • I. LOBBYIST RETAINED BY: 14{ØM elk4i V\ 17) C ( P--- - (% `o fc�'4S/ NAME OF PRINCIPAU ENT: / 1< , - t=LAG 12_ Ali. ft iLsti �L 1 BUSINESS NAME AND ADDRE S umber and Street') (City) (State) , ( •Code) ` — d 7 — — A a •^AA it .1 rU T LEPHONE NUMBER: FAX NUMBER:(Optional) E AIL:(Optic W Fill out this section if principal is a Corporation,Partnership or Trust(Section 2-482(c)] • NAME OF CHIEF OFFICER, PARTNER, R ENEFICIARY: /6.0(2)—/ /94-C'�C 4 1C qe)rpor- • V IDENTIFY ALL PERSONS HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II.SPECIFIC_LOBBTISSUE pP to VI n G�et11/4 4- Issue to be lobbied(Describe in detail III.CITYAGENCIES/INDIVIDUALS:.TO_BE LOBBIED: Pursuant to City Code Section 2-482(a)(4)include the commissioner or personnel sought to be lobbied,and whether the lobbyist has entered into any contractual relationship (paid or unpaid) with said city commissioner or personnel from 12 months preceding such person's commencement of service with the cit to the present date,statin• the •eneral nature of the sub'ect contractual relationshi.. Sec 2-482(a)(4)Full Name of Individual and Contractual Relationship(Explain) YES NO title of person to be lobbied Nam; Pete i rcA ,9 (pa /(-6- • .4., 40 A. 4 Pursuant to City Code Section 2-482(g)Every registrant shall be required to state the extent of any business,financial,familial or professional relationship,or other relationship giving rise to an appearance of an impropriety,with any current city commissioner or city personnel who is sought to be lobbied as identified on the lobbyist registration form filed. Sec 2-482 • An Financial, Familial or Professional Relationshi• F:ICLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION(DISCLOSE WHETHER HOURLY,FLAT RATE OR OTHER): A) LOBBYIST DISCLOSURE:(Required) P 0 B) PRINCIPAL'S DISCLOSURE(OF LOBBYIST COMPENSATION): k A (REQUIRED). 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": _Ye No: Are ou Iobb in• on a 'resent or •endin• bid for .00ds e•ui•ment or services,or on a .resent or •endin• award for goods, equipment or service? 2) Pursuant to Miami Beach City Code Section 2-490 Entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development Issues": _Yes o: Are ou Iobb in• on a •endin. a.•lication for a Develo•ment A•reementwith the Cit or a••Iication for than•e of zonin• ma• desi•nation or chan•e to the Cit 's Future Land Use Ma.? 3) Pursuant to Miami Beach City Code Section 2-482(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_No: Are ou re.resentin• a not-for-•rofit corporation or entit without s.ecial com•ensation or reimbursement. V. SIGNATURE UNDER OATH: ON FEBRUARY 28 OF EACH YEAR. EACH LOBBYIST SHALL SUBMIT TO THE CITY CL RK A SIGNED STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION R-EC•IV A IN THE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVE H. -E HAVE BEEN NO EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD. / I"... r�- Signature•,L• , I do solemnly swear that all of the for-goi • -are true . • -orre .,/d that I have read or am familiar with the provisions contained in Section 2-482 of the Miami Be. Cit •••`'and all -p•. g •uirements. Signature of Lobbyist: �_�i% // 9 P : , API,' Signature of Princi al/ '�°nt: oir, i- VI. LOBBYIST IDENTIFICATI.,, PRINCIPAL IDENTIFICATION: PLProduced ID$6 D 2z &Produced ID tt Cb 7 24 Form of Identificati• Form of Identification �����NOt,,,iii M `,,,,.,,,NO„,,i Personally known (Lobbyist) o `, Personally known(Principal) =•'�'•• 1, .f J m_ VII. SIGNATURE AND STAMP 0 ■.': ,�•••'� -%pqo,,'. State of Florida, County of Miami-Dade ,,II11 ,,,�jCo'dko 4.1 State of Florida, County of Miami-Dade ,, �,9. Sworn to and subscrib-- Before me c% %%dig+d�. Sworn d subscrib fore me o o �r T 's_today of L • , 201 L�� `�•+�•E♦��c•s.4 . This,/ d. of , 201' S '5. 1' I �� ��� -.t ”, �•ICI / J.r� ,re. #4,��• • l - �_, LI J. °7 in 9C. Si-,nature of Publi 'otary-State of Florida • ,e s ` '•n- re of Publi Notary-State of Florid:i s m do Notarization of Lobbyist's signature •9`-0,/. :rization of Principal's signature -^,,d S.7 TO BE COMPLETED BY -- • LERK'S STAFF ONLY • `�•4 . Annual Registration`fee: [ :]Yes ]No Amount P-,d$ C MCR# - „minimum* Date Paid - 11101 d 0 Lobbyist Registration Form received and verified by,a iP net_, 114 � F:, ERT* i";�` 7,1,13\LOBBYIST FO S L b yi t .?C�'M�t.s Tc}.O i Y�`�.sv�, - - A ' Revised 01/22/2014 - - F:\CLER\$ALL1aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc i • 0 ({ y Iv \/ k Ili LJ - .ti, 1 City of Miami Beach, 1700 Convention Center Drive,Miami Beach, Florida 33139,ww,vw.miamibeachfl.gov CITY CLERK Office Rafael E. Granath:), City Clerk CityClerk @miamibeachfl.gov Tel: 305.673.741 1 , Fax:305.673.7254 LOBBYIST NAME: ( - /(b47C �� I understand that no later than February 28 of each year, I must file the following form, pursuant to Section 2-485 of the Miami Beach City Code, with the City Clerk's Office for all active lobbying issues. 1) LOBBYIST EXPENDITURE AND COMPENSATION 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,.or I._am.no_ longer lobbying on that issue or for that principal, I am required to immediately notify the City Clerk's Office of lobbyist withdrawal in writing. Pursuant to Section 2-485 (d), the City Clerk shall notify any lobbyist(or principal)who fails to timely file a Statement and in addition to any other penalties which may be imposed as provided in Section 2-485.1, a fine of$50.00 a day shall be assessed for all Statement(s) filed after the due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist(or principal) to file the Statement or pay the assessed fines after notification. Any lobbyist, who fails to file the required Statement by April 30th of each year, shall be automatically suspended from lobbying until all fines are paid, unless the fine has been appealed to the Miami-Dade % my Commission on Ethics and Public Trust. // /7Of > Signatur- . �/ / D e: F:\CLER\BALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form.doc Detail by Entity Name Page 1 of 3 t FLORIDA DEPARTMENT OP STATE q :r � ,g , DIVISION OF CORPORA'i ION r :t rw 7. 4 4v Detail Detail by Entity Name Florida Not For Profit Corporation MIAMI WORLD CINEMA CENTER, INC. Filing Information Document Number N08000008583 FEI/EIN Number 263392966 Date Filed 09/12/2008 State FL Status ACTIVE Principal Address 1401 WEST FLAGLER STREET MIAMI, FL 33135 Changed: 05/15/2013 Mailing Address 717 N. Highland Avenue Studio#20 Los Angeles, CA 90038 Changed: 04/02/2015 Registered Agent Name &Address DE BOKAY, PATRICK 1401 WEST FLAGLER STREET MIAMI, FL 33135 Address Changed: 05/15/2013 Officer/Director Detail Name &Address Title CEO/DIRECTOR DE BOKAY, PATRICK 717 N. Highland Avenue Studio#20 Los Angeles, CA 90038 Title DIRECTOR/SECRETARY MILLER, JOSHUA 1450 HARRIDGE DRIVE http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 6/18/2015 Detail by Entity Name Page 2 of 3 BEVERLY HILLS, CA 90210 Title DIRECTOR LIEBBLING, DEBBIE 629 N. LA BREA AV. LOS ANGELES, CA 90036 Title DIRECTOR ODELL, BENJAMIN 2000 PONCE DE LEON BLVD. SUITE#500 CORAL GABLES, FL 33134 Title CHAIRMAN JACOBI, ALLEN 11077 BISCAYNE BLVD. SUITE#200 MIAMI, FL 33161 Title DIRECTOR BRILLEMBOURG, NURIA 3501 SW FIRST AVE. MIAMI, FL 33145 Annual Reports Report Year Filed Date 2013 05/15/2013 2014 04/11/2014 2015 04/02/2015 Document Images 04/02/2015 -- ANNUAL REPORT View image in PDF format 04/11/2014 --ANNUAL REPORT View image in PDF format 05/15/2013 -- ANNUAL REPORT View image in PDF format 04/30/2012 --ANNUAL REPORT View image in PDF format 03/05/2011 -- ANNUAL REPORT View image in PDF format 03/30/2010 --ANNUAL REPORT View image in PDF format 08/18/2009 -- Off/Dir Resignation View image in PDF format 04/29/2009 -- ANNUAL REPORT View image in PDF format 09/12/2008 -- Domestic Non-Profit View image in PDF format eaw Copyright i and Privacy Policies State of Florida,Department of State http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 6/18/2015