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David Custin - TC MIami Beach Marina, LLC City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 Due: February 28,2016 20 5 J 2 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 during-the- ' j 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 Any item requested to be withdrawn will be removed for the reporting period of: 1/1/2015 through 12/31/2015 Lobbyist: 'David Custin Principal: TC Miami Beach Marina, LLC Issue: Miami Beach Manna&Rebecca Towers Withdra YES NO DATE: Gl 4 9/0?//.5- Detail Compensation Received:. 360 ®oet, C --- CATEGORIES OF EXPENDITURES Food Beverage: Entertainment: Research: Communications: Media Advertising: l� C 4 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 th nformati• disci .ed h - 't,, any attachment hereto are true and correct. /� —.. ilk l Signature Sworn to an: bs '•ed ,efo - e thi day of h j., - - - - ,,,,,,, i ri FERNANDA SILVA Notary Publi7111�- -1 # .1' MY COMMISSION#FF 155332 •�J.4 EXPIRES:August 27,2018 My Commission expires: '•`.'' P o���°.,•` Bonded Thru Notary Public Underwriters 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. • David Custin From: • David Custin Sent: Friday,September 04, 2015 1:03 PM To: Rafael Granado(RafaelGranado @miamibeachfl.gov) Cc: 'Camm, Patrick' Subject: Lobbyist Withdrawal Notice -TC Miami Beach Marina, LLC Mr. City Clerk Granado: Pursuant to City of Miami Beach Code 2-482 (e), this is notify you that I am withdrawing my registration with the city to lobby on behalf of TC Miami Beach Marina,LLC. This notice takes effect immediately. Please reply to confirm receipt of this notice. _ Reply or call me with any questions you may have. Thank you. David R. Custin, President David R. Custin& Associates, Inc. Designated Professional Lobbyist, FAPL Certification C: 305-607-8576 • E-mail:CustinDR(c!DavidRCustiri.codn www.DaviciRCthstin.com • • • • 1