Diliana Slavchev - Indi Film Club City Of Miami Beach
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485
Due: February 28, 2016 .
2)I5 DEC w ; is II: OU
Expenditure for period of:1/1/2015 through 12/31/2015 1° , E #r a, �, _
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 Any item requested to be withdrawn will be removed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: 1/1/2015 through 12/31/2015
Lobbyist: I Diliana Slavchev
Principal: Indi Film Club
Issue: VCA Grant LePV2, Withd v
YES NO
DATE: !2 / 3// 2/y
Detail Compensation Received: (if
CATEGORIES OF EXPENDITURES lr\0 yLR
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Food Beverage: \
Entertainment:
Research:
Communications:
Media Advertising:
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
attachment hereto are true and correct.
Signature
Sworn to and subscri•- c b='re me this day of 20 —3_
W■4`� FERNANDA SILVA
Notary Public ��✓ �!► t.1 MY COMMISSION#FF 155332
My Commission expires: %J ▪ �'▪ a EXPIRES:August 27,2018 '
9.:41 l Zig. .:'' 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 Cen er
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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