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Robert Lewis/Regal Entertainment. . ' :.:'~.:1~• '~. . i ~ NI l:A l~/I I~~ ~ A~ .N -. - , - ,:,~ . Ciry~of Miami Beach Office of the City Clerk 1700 Convention Cenfer Drive, Miami Beach, FL 33139 LOBBYIST REGISTRATION FORM Lobbylst means all persons employed or retalned, whether paid or not, by a princlpal who seeks to encourage the passage, defeat or modiflcadon of any ordinance, resolutlon, action or dec)sion of any ~ommissioner; any action, decislon, recommendatlon of the City Manager or any city 6oard or committee; or any actlon, declsion or recommendation of any cfty personnel during the time perlod of the entlre decisfon-making process on such action, declslon or recommendatlon that foreseeably wlll be heard or reviewed by the clty commissfon, or a city board or commlttee. The term specifically inciudes the principal as well as any employee engaged /n Iobbying activides. The term "Lobbyists" has specific exclusions. Please refer to Ordinance 2004-3435. Lewis Robert F. NAME OF LOBBYIST; (Last) (Flrst) (M.I) Gray Robinson, P A 401 E Las Olas Bivd Suite 1850 Florida 33301 BUSINESS NAME AND ADDRE55 (Number and Street) (City) (5tate) (Zip Code) 954.761.7474 954.761.8112 com L088YISf REfAINED BY: NUMBER: Regal Entertainment Group NAME OF PRINCIPALJCLIENT: 7132 Regal Lane Knoxville TN 37918 BUSINESS NAME AND ADDRESS (Number and Sbeet) (City) (5tate) (Zp Code) 865.925.9414 865.925.3621 rob.delmoro(~a,regalcinemas.com Fill out this section if pri~cipa! is a Corporetion, partnership ar Trust [Section 2-482 (c)] . NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY; Rob Del Moro, Chief Purchasing Officer . IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH CORPORATION, PARTNERSHIP OR TRUST: Publicly traded company II. 5PECIFIC LOBBY I55UE: S2ekinq to 111odifV ciLty~ rodP tQ,~Prmit cala nf haar anrl ~nrina at RAnal f ~nA incoln Rd. Issue to be lobbled (Desalbe In detafl)t ITL. CIiY AGENCIES/INDIVIDUALS TD BE LOBBIED: A) Futl Name of Individual/Title B) Any Financial, Familial or ProFessional Relationship Miami Beach Mayor's Office Miami Beach Commission No Miami Beach Planning Board Mia i No Miami Beach City Manager No N. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER NOURLY, FLAT RATE OR OTNBR}: ~~~ ~ N < z ~ ~ ~~ 5 ~ LL $ ~ ~ W 2 ~ U ~ ~ > LL5 ~ A) LOBBYISiDISCLOSURE: (Required) Flat rate, $25 000 paid to Gray Robinson P A. B) PRINCIPAL'S DI5CL05URE (OF LOBBYIST COMPENSA7ION): (Required). FIBt I'2t@ $25 000 paid to Grav Robinson, P.A. The following information must be answered: 1) Pursuant to Miami Beach City Code Sectlon 2-486 Entitled "Prohiblted Campalgn ConMbutions By Lobbyists On Procurement Issues": Yes fS No: Are ou lobb in on a resent or endin bid for oods e ui ment or services or on a Qresent or aendina award for Qoods eauipinent or service? 2) Pursuant to Miaml Beach City Code Z1f90 Entltled "Prohlbited Campaign Contributfons ey Lobbylsts On Real Estate Development Issues"; Mau? 3) Pursuant to Mlaml Beach Clty Code 2-484 (h) Any person (except those exempt from the definltlon of "lobbylst" as set Forth ln Section 2-481 above) wh~ only appears as a representative of a not-for-proflt corporatlon or entlty wlthout speclal compensadon or relmbursement for the appeatance, whether direct, or indirect, to express support of or opposltlon to any item, shall register wlth the clerk as required by this sectlon but, shall not be requlred to pay any regfstratlon Fees., Yes l~ N~ Are vou rearesentinn a not for ~rofit corporation or entitv without saeciaJ comoensation or reimbursement. . V. SIGNATURE UNDER OATH: / ON OCTOBER 1~ OF EACH YEAR, EACH LOBBYIST SHALL SUBMTT T ITY CLERK A SIGNED STATEMENT UNDER OATN, LISTING LOBBYING EXPENDITURE S L AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI 6EACH FOR THE PREC IN LEND R YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE BEEN NO EXPEND R CO PENSATION DURING THE REPORTING PERIOD. I do solemnly swear that all of the famllfar wlth the provlsions containe requlremenYs. Signature of Lobby(st: Slgnature of Prlnclpal/Client: ~. 0 Produced ID ^ Produced ID Form oF Identificatlon PRINCIPAL IDENTIFlCATION: ~ Personally known (Lobbyist) ' L/ Slgna~fe of Lobbylst are true and correct and that I have read or am 32 of the Mfami Beach Clty Code and all reporting Form oF Identificatlon ~ersonally known (Principal) ' STATE ~ OF TENNE88EE NOTARY ~ PUBUC , VII. SIGNATURE AND SiAMP OF NOTARY~ ~~ ~~awa ~Ibx State oF Florida, County of Sl~te oF F er~~do-, County of f~iami-Bade OF ~ Swom to ar~d subscrlbed before me Sworn ar~subscri ed beFore me ~ My Comm. Expi~ Thls day of ~ecevnl~cC , Z~.Q~ Thls '~y o uf 20Q Apri130, pp11 `~ , , ----_~ ~, i ~ ignatur of P Iic Notary-State of Florlda Signature of Pub~IlnNotary ~~State~o}„r~-'~7V Notari~~i6n of Lohbyisrs signatnre ~~uw~ ~~°~'~" ~' ^""'r"' ° ~'7"""" ! FOR CLERK' I~SE ONLY ~, ~' l~ ~`~ Annual Registratlon fee: [,}'Yes [ ]. No Amount Pald MCR #~Date Pald Lobbylst Regfstratlon Form recefved and verlfied by, ~ Revlsed 12/OB/04 F\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM 05.doc ~~1 ~]i