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Martin Van Daalen 2023 Fee Expenditure and Compensation Form \ILy VI IV11d1111 OCdIdI Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 � VE P' �® 2023 Expenditure report for period of:1/1/2022 through 12/31/2022 A statement shall be filed even if there have been no expenditures or compensation during the reporting p ,��oF�NE C 7B,L CH 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 atcitvclerk@miamibeachfl.gov. Lobbyist Martin Van Daalen Principal; . Van Daalen Tennis, LLC(Martin Van Daalen) Issue VCA Grant-Special Tennis Event PLEASE COMPLETE THE SECTION BELOW Detail Compensation.Received: 1\ d Y�1 CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: • Media Advertising: 1419 r Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH • State of Florida • County of Miami-Dade I,the undersigned lobbyist, do hereby depose under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 disclosed • and any hereto are true and correct. Signature SIG ATURE AND STAMP OF NOTARY: Produced ID fL NNe.rLt'c Form of Identification Sign re of Public Notary—State of Florida Sw n to and subscribed before me _Personally known r !",` '� R. MO. is?o day ofTAv,20 251— PA'IRICK D.CAMM M HH254869 EXPIRES Apfll 19,2026 E l