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William Riley/American LeisureJUL,.-10'03.(THU) 16:17 BILZIN, SUMBER, ET. AL E~il: oi~ol~ci.miami-bcech,fl.us ~_ ~ ~ ~ 12:O0 LOBB~ST ~GIST~TION FO~ O~ (Ci~ of Mia~ B~a~h, City Code Chapter 2, Dieislon 3, S~66n 2481) Check Box If an Amendment Riley, Willia~n 7/15/02 NAME OF LOBBYIST: (Last) (Fkst) (M. 1) DATE QUALIFIED AS LOBBYIST 20~.0 Soulh Bisc~Wne Boulevard. S~ite 2500, Miami, Florida 33131 BUSINESS ADDII:ESS: ('Number ~nd S~Teet) (City) (State) (Zip Code) 3~5)375-6139 TELEPHONE NUMBER: (305) 351-2285 FAX NUMBER; wdicv~bilzin.com EMAIL L LOBBYIST RETAINED BY: American Leisure Resort, htC. NAME OF PKINCIPAL/CLIENI: 5875 Collins Aveotlc, Mia.mi Beach, Florida 33140 BUSINESS ADDP.~E.qs: (Number and Sueet) (City) (state) (Zip Code) (305) 695-8400 TELEPHONE NUMBER: (305) 695-2800 FAX NUMBER: (Optional) EMAIL (Optional) P, 002/003 FAll out this sect ton if principal is a Corporation, Partnership or Trust [Section 2-482 (c)l · NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Leon Cohen Levy · LIST AL'[. PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNEKSHIP INTEKEST ~ SUCH CORPOKATION, pARTNERSHIP OR TRUST N/A H. SPECIFIC LOBBY ISSUE: A~val for !:.x~ension of Design Review Board File No. 16210 Issue to be lobbied (Describe In detail): IIL CITY AGENCIES/INDrVIDUALS TO BE LOBBIED: B) _n_e!~tionship JUL.~IO'O3.(THU) 16:17 BILZIN, SUMBER, ET, AL P. 003/003 IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY, FLAT BATE OR OTHER): Lobbyist Diiclo,sur~: ~] ?0.00 .m~r Imm' B) Pfi~eipa}'~ Disclosure (of Lobbyist Comp~ation); ~) 2) l~utsuant lo Ordinance No. 2003-3393 Amending Miami Beach cat7 Code Chapter 2, A~tiole Vll, Division 5 Thereof Entitled "Campaig~ Finance Reform" Via Thc A~ifion of Code Sec~on 2-488 Emitlc "Pm~bi~:d Campaign Con~bufions By Lobbyists on Proc~ement Issues": ~c yo~ lobbying on a presenl or pendln~ bid for goods, equipment or servlees~ or on i p~sent or pending award for ~oods~ equlp~nt or so.ices? ~ Yes X No ~s~nt m Ordinance 2~3-3395 Amending Miami Beach Ci~ Code Chapter 2, a~cle V~, Division ~ &ercof E~fifled "CampaiSn Fiance Refo~' Via ~e Addition of Code Section 2-490 Entitled "Prohibited Ca~aign Con~budons By Lobbyis~ o~ R~I Es~te Development Issues": Are you IobbyJn~ on a peudJn~ application for a Develapmem A[reement with Ibc CRy or Application For chen~e of zonin~ map designation or change to the City's Future Land Use Map? ~ Yes X No V. SIGNA'fUR~ UNDER OATH: ON OCTOBER 1st OF ]EACH YEAIL EACH LOBBYIST SHALL 51.FBMIT TO THE CITY CLERK A SIGNED STATI~tVH~NT UNDER OATH, LISTING LOBBYING EXPENDITURES IN THE CITY OF MIAMI BEACH FOR THE pR]ECl;DING CALENDAR YEAR, I do solemnly sw,:ar that all of the foregoing facts are ~ue ~nd cancer and fi~at I have ~ead or ~ la. Iht ~th ~e p~ovisions contained in Sec~on 2-482 of~e Minm~ Ci~ Code as amended. ~d all repo~ing ~qu~e~nts. Si~a~ of pr~ipaFClient: Vl. LOBB¥1ST IDENTIF~ ~ 0 ' Produced ~ ~ ~ "~ Fo~ ofldcntificn~on VH. SIGNA.T~E ~D ST~P OF NaTtY O~ ~ State of Flo~, Co~W ~f Min.-Dado Sworn to ~nd sobs~be~efote me ,SEL~ OLIVA RODDA Nota~ Pbblic, ~e al Florida e~t, st~p or ~e name of Nota~ Public My comm. ~. ~r. 25, 2~5 ~ ' ' FOR C~E~'S USE ONLY ffr~j~cl~d, graco reason:, Regi~iion fee pai~ Yes [ ] No DATA ENTRY DATe: 2"~ Revision 1127/03 ,2003, ENTE. R~D B '~"__~,~ F:\C L ER~-I AT L\Lobbyists~'egist ra6 on03 .d °e