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Francisco Ruiz - Lifetime Fitness - Miami Marathon City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 Due: February 28,2016 M 5DEC -- iN10: ,! 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 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 Any item requested to be withdrawn will be removed for the reporting period of: 1/1/2015 through 12/31/2015 Lobbyist: ;',. : 'Francisco Ruiz Principal: Lifetime Fitness-Miami Marathon Issue'<.::: 2016 Miami Marathon Withdraw Y IVO D TE: / l J Detail Compensation Received: . ....' _ . # (-- ,.. —C — # —C r CATEGORIES OF EXPENDITURES Food Beverage: /-- Entertainment: 7,ry", 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 subsc i e•/•of- e me this R' day of _.20 �'� •N FERNANDASILVA Notary Public ___,�� �z 3.: l∎ a=. MY COMMISSION#FF 155332 (1'1 �„,.;r�,J / EXPESAugus72O18 pL'T Bonded thru Notary Public Underwriters My Commission expires: ��//UU " 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. qt L