Karen Couty s
s
1915•2015
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City Clerk's Office, 1700 Convention Center Drive, Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
(305) 673-7411
January 7, 2015
Karen Couty
900 SW 1st Street
Miami, Florida 33130
SUBJECT: Lobbyist Expenditure and Compensation Form
Dear Karen Couty:
Pursuant to Miami Beach City Code Section 2-485, entitled "List of expenditures; fee disclosure; reporting
requirements," all lobbyists subject to lobbyists registration requirements shall submit to the City Clerk by
February 28th of each year, a signed Lobbyist Expenditure and Compensation Form (Statement), under oath,
listing all lobbying expenditures and compensation received for each issue engaged for the period of 01/01/2014
through 12/31/2014. The information shall be provided on the Statement(s) attached. A Statement shall be filed
even if there have been no expenditures or compensation during the reported period. If you are an inactive
lobbyist and still have open issues, please complete the Lobbyist Expenditure and Compensation Form
and withdraw the issue. Please note that if.you. are.inactive you are not permitted to do any type of
lobbying activity.
Pursuant to Section 2-485 (d), in addition to any other penalties that may be imposed as provided in Section 2-
485.1, a fine of $50.00 a day shall be assessed for all Statement(s) filed after February 28, 2015. The City Clerk
shall notify the Miami-Dade County Commission on Ethics and Public Trust of the failure of a lobbyist (or
principal)to file the Statement or pay the assessed fines after notification.
Any lobbyist, who fails to file the required Statement by April 30, 2015, shall be automatically suspended from
lobbying until all fines are paid, unless the fine has been appealed to the Miami-Dade County Commission on
Ethics and Public Trust. (7,
, : e
If you are no longer engaged on the issue, please complete the disclosure form and initial the "withdr n" box. If
you need additional information regarding this matter, please do not hesitate to contact this office- C
Regards, `'
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tv
Rafael E. Granado
City Clerk
•
•
REP%LH
•
Attachment: Lobbyist Expenditure.and Compensation Form
City Of Miami Beach
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485
Due: February 28, 2015
Expenditure for period of:1/1/2014 through 12/31/2014
A statement shall be filed even if there have been no expenditures or compensation during the
reporting period. In order to withdraw as a lobbyist on an item which is no longer being lobbied,
initial in the box labeled "Withdraw". Any item requested to be withdrawn will be removed
for the reporting period of: 1/1/2014 through 12/31/2014
Lobbyist: Karen Couty
Principal: Pedro Pablo Pena- Miami Beach Hispanic Ballet
Issue: VCA Grant for 2012 XVII Intl Ballet Withdraw
YES NO
DATE:
Detail Compensation Received:
CATEGORIES OF EXPENDITURES
Food Beverage:
Entertainment:
Research:
Communications:
Media Advertising: '_ _
Publications: - C.11
Travel: •
Lodging:
Special Events:
Oath
State of Florida cy•
County of Miami-Dade
I, the undersigned lobbyist, do hereby depose under oath and affirm that the information disclosed herein and any
attachment hereto are true and correct.
Signature
Sworn to and subscribed before me this day of , 20
Notary Public
My Commission expires:
This form 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$50.00 per day shall be assessed for reports filed after the due
date. If you require any assistance please contact this office at 305.673.7411 or at Cityclerk @miamibeachfl.gov.
City Of Miami Beach
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485
Due: February 28, 2015
Expenditure for period of:1/1/2014 through 12/31/2014
A statement shall be filed even if there have been no expenditures or compensation during the
reporting period. In order to withdraw as a lobbyist on an item which is no longer being lobbied,
initial in the box labeled "Withdraw". Any item requested to be withdrawn will be removed
for the reporting period of: 1/1/2014 through 12/31/2014
Lobbyist: Karen Couty
Principal: Pedro Pablo Pena/Miami Hispanic Ballet
Issue: VCA Grant for Miami Hispanic Ballet Withdraw
YES NO
DATE:
Detail Compensation Received:
CATEGORIES OF EXPENDITURES
Food Beverage:
Entertainment:
Research: L
Communications:
Media Advertising:
Publications:
Travel: .
Lodging: �$
Special Events: - - °
i
Oath
State of Florida
County of Miami-Dade
I,the undersigned lobbyist, do hereby depose under oath and affirm that the information disclosed herein and any
attachment hereto are true and correct.
Signature
Sworn to and subscribed before me this day of , 20
Notary Public
My Commission expires:
This form 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 shall be assessed for reports filed after the due
date. If you require any assistance please contact this office at 305.673.7411 or at Cityclerk @miamibeachfl.gov.
City Of Miami Beach
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485
Due: February 28, 2015
Expenditure for period of:1/1/2014 through 12/31/2014
A statement shall be filed even if there have been no expenditures or compensation during the
reporting period. In order to withdraw as a lobbyist on an item which is no longer being lobbied,
initial in the box labeled "Withdraw". Any item requested to be withdrawn will be removed
for the reporting period of: 1/1/2014 through 12/31/2014
Lobbyist: (Karen Couty
Principal: Pedro Pablo Pena/Miami Hispanic Ballet
Issue: Grant for Miami Hispanic Ballet Withdraw
YES NO
DATE:
Detail Compensation Received:
CATEGORIES OF EXPENDITURES
Food Beverage:
Entertainment:
Research:
Communications:
Media Advertising:
Publications: - ""
•
Travel: -- s-1
.d
Lodging:
Special Events:
Oath -
o.
State of Florida
County of Miami-Dade
I,the undersigned lobbyist, do hereby depose under oath and affirm that the information disclosed herein and any
attachment hereto are true and correct.
Signature
Sworn to and subscribed before me this day of , 20
Notary Public
My Commission expires:
This form 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 shall be assessed for reports filed after the due
date. If you require any assistance please contact this office at 305.673.7411 or at Cityclerk @miamibeachfl.gov.
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