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Michael Snyder/Showtime Th.City of Miami Beach Office of the City Clerk ~ 1700 Convention Center Ddve, Miami Beach, FL 33].39 Email: cityclerk@ci.miami-beach.fl.us LOBBYIST REGISTRATION FORM (City of Miami Beach, City Code Chapter 2, Division 3, Section 2-481) Check Box if an Amendment MICHAEL J. SNYDER ~ Florida Bar Member since 1978 NAME OF ~B~IST: (Last) (First) (M.I) DATE QUALIFIED AS ~BB~ 2775 Sunny Isles Boulevard, ~100, Sunny Isles, Florida 33160 BUSINESS ADDRESS: (Number and St~et) (City) (305) 937-4445 (305) 937-0102 (Sta~) (ZipCode) MichaelSnyder@fdn.com TELEPHONE NUMBER: FAX NUMBER: EMAIL: I. LOBBYIST RETAINED BY: SHOWTIME THEATRES OF FLORIDA, LLC, a Florida limited liability company NAME OF PRINCIPAL/CLIENT: 40304 Fisher Island Drive, #40304, Fisher Island, FL 33109 BUSINESS ADDRESS: (Number and Street) (City) (State) (Zip Code) 13051 788--9988 (786) 633-3033 Leon@whitehall.tv 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: · LIST ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: II. SPECIFIC LOBBY ISSUE: Public hearing for sign variances before Board of Adjustment Issue to be lobbied (Describe in detail): III. CTTY AGENCIES/INDIVIDUALS TO BE LOBBIED: A) Full Name of Individuai/Title B) Relationship All administrative staff and/or members of Board of Adjustment Professional FLA'~'RA T£ OR OTHER): A) LOBBYIST DISCLOSURE: Flat fee of $5,000. O0 Flat fee of $5,O00.00 B) PRINCIPAL'S DISCLOSURE (OF LOBBYISTCOMPENSATION): 1) 2) Pursuant to Ordinance No. 2003-3393 AmendJnq Miami Be~¢h Cib/Code Chapter 2, Article VII, Division 5 Thereof Entitled "Camoaian Finance Reform" Via The Addition Of Code Section 2-488 Entitled "Prohibited Camoaian Contributions By Lobbyists On Procurement Issues": Are you Iobbvina on a present or Dendina bid for aoods, e~nt or services, or on a ~resent or {mendino award for qoods, eouiament or service? Pursuant to Ordinance No. 2003-3395 Amendino Miami Beach City Code Chanter 2. Article VII Division 5 thereof Entitled "CamDaion Finance Reform", Via The Addition Of Code Section 2-490 Entitled "Prohibited Camoaian Contributions By Lobbyists On Real Estate Development Issues": Are you Iobbyinq on a pendina aDplication for a DeveloDment Aareement with the City or application for chanqe of zoninq map desiqnation or chanqe to the City's Future Land Use MaD? V. SIGNATURE UNDER OATH: ON OCTOBER IsT OF EACH YEAR, EACH LOBBYTST SHALL SUBMTF TO THE CZTY CLERK A SXGNED STATEMENT UNDER OATH, LTSTTNG LOBBYING EXPENDTTURES IN THE CTTY OF M]AM! BEACH FOR THE PRECEDXNG 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 Niami Beach City Code as amended, and all reporting requirements. . Signature of Lobbyist: Michael~~er Signature of Principal/Client: /-L~eon/CQJa~n, lng DireCtor VL LOBBYZST ZDENTZ~ATZON: ../ Man ag ; Produced [D ~ ~- ~t~ Personally Known Form of Identification STGNATURE AND STAMP OF NOTARY OR DEPUTY CLERK: State of Florida, County of MiamFDade Sworn to and subscrib~{d before me This ~r~ dayof ~{;;;~N'. ,2003. [~Jj~ ~em~r 18, 2004 Sign...a~.~.~" f Public N~et~l Statel of Florida Print, stamp oF'~'~"~"~"~ Public Registration: ~'ACCE PTE D FOR CLERK'S USE ONLY If rejected, state reason: Registration fee paid: ~.~.Yes [ ] No DATAENTRYDATE: r/~l 2nd Revision 3/18/03 2003 ENTERED BY F:~(~ER\~/~ ~""""""""""""""""~'~ FIA~\Lobbyists\regisl~ationa03.doc STATE OF FLORIDA ) ):SS. COUNTY OF MIAMI-DADE ) I HEREBY CERTIFY that on this \~ - day of September, 2003, before me, an officer duly authorized in the State and County aforesaid to take acknowledgments, personally appeared LEON COHEN, as Managing Director of SHOWTIME THEATRES OF FLORIDA, LLC, a Florida limited liability company, who signed the foregoing on behalf of said limited liability company for the purposes therein express and who is personally known to me or has produced ~L,~~ ~C~.~£~~ as identification. NOTARY~BLIC, STATE OF FLORIDA Of COUNSEL: KAREN SUGERMAN-SNYDER, ESQ. laW OFFICES Of ~IOHAET. J. SNYDEH & ASSOOIATES, P.A. 4000 HOLLYWOOD BOULEVARD. SU~TE 459-S PRESIDENTIAL CIRCLE BUilDiNG HOLLY~/OOD, FlORiDA 330=~ i TELEPHONE {954) 374-9678 TELEFAX (954) 374-5~o79 msnyder @ snyder, mpowermail.com MIAMI-DADE TELEPHONE (305) 937-4445 TELEFAX (305) 937-010~ September 17, 2003 City of Miami Beach Office of the City Clerk 1700 Convention Center Drive Miami Beach, Florida 33139 Re: Showtime Theatres of Florida, LLC - Request for Public Hearing for Sign Variances Dear Clerk: Please find enclosed herewith the Lobbyist Registration Form and my check, payable to the City of Miami Beach, in the amount of $25.00, for the cost of registration. Should you have any questions, please do not hesitate to call me. Sincerely, MIC~~J. SNYDER, ESQ. MJS:tlh Enclosure