Liliam Lopez - South Florida Hispanic Chamber City Of Miami Beach
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485
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Due: February 28, 2016
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2B15 SEP 30 PM
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Expenditure for period of:1/1/2015 through 12/31/2015
A statement shall be filed even if there have been no expenditures or compensation=Uring'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 Any item requested to be withdrawn will be removed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: 1/1/2015 through 12/31/2015
Lobbyist:: tLiliam Lopez
Principal::'� South Florida Hispanic Chamber
Issue: Support Baptist Health Urgent Care Withdraw
YES NO_
DATE:
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Detail Compensation Received: 0
CATEGORIES OF EXPENDITURES; I
Food Beverage: N
Entertainment:
Research: /'�
Communications: �' (C
Media Advertising: ---"---j.-..c..
Publications: \
Travel:
Lodging: ,\
Special Events:
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 ,-..x._ .
attachment hereto are true and correct. ::;:; ,, ,
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Sworn to and subscribed before - his 3V day of L,, ' / _, , 20 is o o
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Notary Public/A 3 9 ••c._ __ / ! /-- ' -�. .€ 4.3 b
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My Commission expires: Gt .S 2-0 I P ' e a
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This form is to be signed, notarized and returned to the City of Miami Beach,City Clerk's Office, 1700 Convention Center ; ... g
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Drive, Miami Beach, FL 33139 by February 28th.A fine of$50.00 per day shall be assessed for reports filed after the due �;t g E
date. If you require any assistance please contact this office at 305.673.7411 or at Cityclerk @miamibeachfl.gov. o�v 3 e
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