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Carli Koshal - Ricardo Tabet City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 Expenditure report 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. 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 cityclerkPmiamibeach.gov. Lobbyist Carli Koshal Principal Ricardo Tabet Issue Development approvals and permitting issues located at 6790 and 6800 Indian Creek Drive,Miami Beach PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $275 per hour CATEGORIES OF EXPENDITURES • Food and Beverage: $0 Entertainment: $0 Research: $0 Communications: $0 r - Media Advertising: $0 "' • Publications: $0 Travel: $0 Lodging: $0 Special Events: $0 CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE • DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under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 disclosed herein and y attachment hereto are true and correct. C641. Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: '.1, 1 :` Produced ID r Form of Identification Signature o I blic Notary—State of Florida Swor and ��'scribed before me Personally known This[day q#JGni;,2o t b eff P Notary Public State of Florida Diana Ramos 'r My Commission FF 207719 'to Expires Expires 04/10/2019 �� •