Jay Beskin/Regal Entertainment Group~n~~n~i=~~,
. ~ City of Miami Beach OfFice of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by a prindpal who seeks to encourage the passage, defeat
or modification of any ordinance, resolution, action or decision of any commissioner; any action, derision, recommendation of the
City Manager or any city board or committee; or any action, derision or recommendation of any city personnel during the time
period of the entire decision-making process on such action, dedslon or recommendation that foreseeably w11 be heard or reviewed
by the city commission, or a city board or committee. The term specifically indudes the prindpal as well as any employee engaged
In lobbying activities. The term "Lobbyists' has speciFc exclusions. Please refer to Ordinance 2004-3435-
. U
OF LOBBYIST: (Last)
(M.I)
Gra Robinson, P.A. 401 E. Las Olas Blvd. Suite ~ts~u rlor ~ Z, Code)
BUSINE55 NAME AND ADDRESS (Number and Street) .(City) (State) (~P
954.761.7474 954.761.8112 rlewis@gray-robinson.com
FAX NUMBER: EMAIL:
TELEPHONE NUMBER:
I, LOBBYIST RETAINED BY:
Regal Entertainment Grou
NAME OF PRINCIPALf CLIENT:
BUSINESS NAME AND ADDRESS
865.925.9414
T~-. r-ni.nnlL n111MQCD•
FAX NUMBER:
Fill out this section if pringpal u a
or Trust [Section 2-482
EMAIL:
NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY:
Rob Del Moro, Chief Purchasing Officer
IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MDRE OWNERSHIP INTEREST IN SUCH
CORPORATION, PARTNERSHIP OR TRUST:
Publicly traded company
II, SPECIFIC LOBBY ISSUE:
Issue to be lobbied (Describe in detail):
rrr CiN AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship
Miami Beach Mayor's Office
Miami Beach Commission No
Miami Beach Planning Board No
i ~ -
Miam -
Miami Beach City Manager No ;
7132 Regal Lane Knoxville
(Number and Street) {City)
865.925.3621
TN 37918
(State) (Zp Code)
rob.delmoro(a~rega
com
ncoln Rd.
~.1! ~
'BOOT
{~~h,l~J~~3.
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATF OR OTHER):
Flat rate $25 000 paid to Gray Robinson P A
A) LOBBYIST DISCLOSURE: (Required)
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). Flat rate $25 000 paid to Grav Robinson, P.A.
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":
^ Yes ~ No: present lorbaendina award fartaoods eauipm nt or service? ~ ment or services or on a
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real
Estate Development Issues":
oyes ~ No Are you lobbvina on a oendino aoolication for a Develovment Agreement with the City or
I-cation for chance of zoning maa desionatton or chance to the Citv's Future Land Use
Man?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of
"lobbyist" as set forth in Section Z-481 above) who only appears as a representative of anot-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.,
0 Yes No: Are ou re resentin a not-for- rofit cor oration or enti without s ecial com ensation
or reimbursement. .
y, SIGNATURE UNDER OATH:
ON OCTOBER 1~ OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED
STATEMENT UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION
SHALL/BE,FILED LVEIV IF THERE HAVE BEENONOTHXP NDITURES OR COMPENSAT ONADURING THE
REPORTING PERIOD. ~ n
Signature of Lobbyist
I do solemnly swear that all of the foregoing fa are true and correct and that I have read or am
familiar with the provisions contained in Section 2-482 of the Miami Beach City Code and all reporting
requirements. i1 ~ n ~
Signature of Lobbyist:
Signature of Principal/C~eht:
VI. LDBBYIST IDENTIFICATION:
PRINCIPAL IDENTIFICATION:
0 Produced ID
O Produced ID
Form of Identification
~~ ~ 'VO
, ~7 Personally known (Lobbyist)
~
,
~ ';~
VII. SIGNATURE AND STAMP OF NOTARY:
m ~
~ State of Florida, County of Miami-Dade
,
p subscrib d befor e
t
n
~cmq r~ Z~ p
o' ^ap
Swom
T is _SI~-day Q
~
~
~ ~ of Florida
t
f
e
a
Signature of Pu c Notary
:~ ° ~ Notarization of Lobbyists signature
o~
Form of Identification
t~ersonally known (Principal)
TEn/i/~SE~` -KrJG
State ofa, County of
Swom and subscribed before me
This, y of Jj1N 0 ~~
~YlZ •-~~
Signature of Public Not -State ofda
Notarization of Princ al's signature
~pN C V,~
r oFrF.~
FPM
v~ ~4qy.~.., ~
e~~C
~iin.
.,.-.
FOR CLERK'S USE ONLY
Annual Registration fee: [ ]Yes [ J No Amount Paid MCR # Date Paid
Lobbyist Registration Form received and verified by: Revised 12/D8/D4
F:\CLER\$ALL\MARIA-M\Lobbyist\LOBBYISr FORM 05.doc