Alferdo J. Gonzalez Lobbyist Fee Expenditure Form- Costa Nursery Farms, LLC (Modern Concepts) City Of Miami Beach
Lobbyist Fee Expenditure and Compensation Form • RECEIVED
City Code Section 2-485
FEB 11 2022
Expenditure report for period of:1/1/2021 through 12/31/2021 CITY OF MIAMI BEACH
A statement shall be filed even if there have been no expenditures or compensation during the reportingdmigIE OF THE CITY CLERK
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive,
Miami Beach,FL 33139 by February 28th.A fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date.If you require any assistance,please contact this office at 305.673.7411 or atcityclerkPmiamibeachfl.sov.
Lobbyist ALFREDO GONZALEZ
i
Principal Costa Nursery Farms,LLC(Modern Health Concepts)
Issue Medical Marijuana Permitting Issues
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: Aovrt
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
r (Dly
Communications:
Media Advertising: lk.44
Publications:
Travel:
Lodging:
Special Events:
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
OATH
State of Florida
County of Miami-Dade
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclos:% her/ n. any attachment
hereto are true and correct. �///�
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SIGNATURE AND STAMP OF NOTARY:
104
*FY°fie'' JANET ROSILLO/ I
Produced ID it:Till Notary Public•State of Florida ,(1
Form of Identification Ate' Commission#HH 140357 �-tate of Florida
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_Personally known This 10 day of 0