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Michael Marrero - Don Peebles / Bath Club Entertainment, LLC City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 n . f. r 7 2016 JAN 28 PM 53 Expenditure report for period of:1/1/2015 through 12/31/2015 Orr( l,_ ',J OFF ICE A statement shall be filed even if there have been no expenditures or compensation during the reporting period. 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 at citvclerk @miamibeach.eov. Lobbyist Michael Marrero Principal Don Peebles/Bath Club Entertainment,LLC Issue Board of Adjustment Appeal regarding Use of Pool Deck and Facilities at 5937 Collins Avenue. PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $460 per hour CATEGORIES OF EXPENDITURES Food and Beverage: $0 Entertainment: $0 Research: $0 • Communications: $0 Media Advertising: $0 Publications: $ Travel: $0 Lodging: $0 Special Events: $0 CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade '- I,the undersigned lobbyist,do hereby depose under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 disclos-• herein . d attachment hereto are true and correct. / i • ri obbyist .i:.-nature SIGNATURE AND STAMP OF NOTARY: I , / . P oduced ID Form of Identification Signature of P is Notary—State of Florida Swor and s .•scribed Wore me Personally known This day o _! .o l °ow°L Notary Public State of Florida , # ' Diana Ramos My Commission FF 207719 140,adr Expires 04/10/2019 ji