Marbet Mier/Regal Entertainment GroupLOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage, defeat
or modification of any ordinance, resolution, adion 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 tfie 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 specificaly includes the principal as well as any empioyee engaged
in lobbying activities. The term ~~Lobbyists" has specific exciusions. Please refer to Ordinance 2004-3435.
Mier Marbet
NAME OF LOBBYIST: (Last) (First) (M•I)
Gray Robinson, P.A., 401 E. Las Olas Blvd., Suite 1850, Florida 33301
BUSINE55 NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
954.761.7472 954.761.8112 mmier@gray-rabinson.com
TELEPHONE NUMBER: FAX NUMBER: EMAII:
LOBBYIST RETAINED BY:
Regal Entertainment Group
NAME OF PRINCIPAUCUENT:
7132 Regal Lane Knoxville TN 37918
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zp Code)
865.925.9414 865.925.3621 rob. delmoro@regalcinemas. com
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnerahip or Truat [Section 2-482 (c)]
. NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Rob Del Maro, Chief Purchasing Officer
• IDEfJfIFY ALL PERSONS HOLDING, DIRECl1Y OR INDIRECTLY, A 5% OR MORE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
Publicly traded company
II. SPECIFIC LOBBY ISSUE;
Seeking to madify city cade to per-mit sale of beer and wine at Regal Cinemas on Lincoln Rd.
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Issue to be lobbied (Describe in detail):
YII. CITY AGENCIES/INDNIDUALSTO BE LOBBIED:
A) Full Name of Individual/Titfe B) Aoy Financiat, Familial or Professional Relationship
iami eac ayor s ice No
Miami Beach Commission
Miami Beach Planning Board No
Miami Beach City Attorney
Miami Beach City Manager No
~1~ ~lli~
~o :~ ~d z~ ~tir eao~
~~~«:~~ .
IV. DISCLOSURE OF'IfRMS AND AMOUNTS OF LOBBYIST COMPENSATION (DI5CLOSE WHETHER HOURLY,
FLATRATE OR 0T)5/ERJ:
A) LOBBYIST DISCLOSURE: (Requ[redj Flat I'at@, $25,OQ0 paid to Gray Robinson, P.A.
B) PWNCIPAL'S DISCLOSURE (OF LOBBYISTCOMPENSATION): (Required). FIBt f8t@~$25,004 paid to Gray Robinson, P.A.
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entltled "Prohibited Campaign Contributions By Lobbyists
On Procurement Issues":
C Yes .~ No: Are vou lobbvina on a aresent or uendina bid for aoods, eauinment or services, or on a
present or qendina award for aoods, eauiament or service?
2) Pursuant to Miami Beach Ciry Code 2-490 En4tled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
GYes D~1 No: Are vou lobbvin~on a nendina aaplication fo~ a Develoament Agreement with the Citv or
aaalication for chanae of zonina map desiunation or char~ae to the Citv's Future Land Use
Ma°?
3) Pursuant to Miami Beach Ciry Code 2-484 (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 enbty without special compensation or r~imbursement for the appearance, whether direct, or
indirect, to express support of or opposition to any item, shall register witi~ the clerk as required by tt~is
section but, shall not be required to pay any registration fees.,
•~Yes ^ No: Are vou representins~ a not-for-profit coraoration or entiri wid~out special compensation
or reimbursement. .
V. SIGNATURE UNOEROATH:
ON OCTOBER lsT OF EACH YEAR, EACH LOBBYIST SHALt SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDTTURES, AS WELL AS COMPENSATION
RECEYVED, YN 7HE CITY OF MIAMI BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT
SHALL BE FILED EVEN IF THERE HAVE N~ EXPEPlDITURES OR C PENSATION DURING THE
REPORTING PERIOD. ~ /1 ~ •
Signature of Lobbyist
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am
familiar with the o'' ns contained in Section 2-482 of the Miami Beach City Code and all reporting
requirements. ~ _ /J ~Q ,~ ..
5ignature of Lobbyist: _~__V_ ~~ `"~
7---
~ o ~ Signature of Principal/Client:
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$ ^ VI. IOBBYIST IDENTIFICATIOM ~
~ ~~ ~ Produced ID __
~ ~ ~ Form of Identification
~ ~ ~ ~ ~1 Personally known (Lobbyist)
~~~
VII. SIGNATURE AND STAMP OF NOTARY:
~
~ State of Florida, County of ~D
Sworn to and subscribed before me
This ~'1'~'' day of ~nua~_, 20 ~$
~ 4 _ ~-. , i ~
~ Sig ture of ublic Notary - State of Florida
N a' ' n of Lobbyist's signature
PRINCIPAL IDENTIFICATION:
~ Produced ID
Form ofIdentificadon
~'Personally known (Principal)
7~v~E'SSEE ki/o~c
State offbriela, County of i~4ietrtfi=Datfe
Swom and subscribed before me
This ~'~.iay of 20~ ~
s
Signature of Public Nota State of~Flerifla
Notarization of Princip 's signature
~PNS q F c
T~ ~FT ~
•N~p F~-~E
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FOR CLERK'S USE ONLY ~
Annual Registration fee: [ ] Yes [ ] No Amount Paid MCR # Date Paid
Lobbyist Registretion Form received and verified by: ^
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYIST fORM OS.doc Revised 12/O8/04