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Ruben Gomez - Alan Lieberman (2) 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 cityclerk @miamibeach.gov. Lobbyist Ruben Gomez Principal Alan Lieberman Issue development approvals and permitting issues related to 6084 Collins Avenue, Miami Beach, FL PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 2G3 -as- %.,1-7t N ..._�44. CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: • Media Advertising: (\HI '1\ Publications: Travel: Lodging: Special Events: FiCHECK BOX IF YOU NO LONGER REPRESS T TH PRINCI�FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED:02 �� 1/) 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. y Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: V Pr duced ID Form of Identification ii __-� _ l f,„Signature of Publi otary—State of Florida C; ,,,,,,,:,,`,°,1'%°,;,;,,,,,,, DAVID SOLOMON Sworo and subscribed before me Personally known ( !diary Public-Slab of FloridaThis h1- day o "�,20 )1L::.(:? ' My Comm.Eupires Aug 10,2018 va,,o I, I c oQ� °9P �..,,, Commission t FF 113494 � °°oe Or �'‘ °81.*t CoRC,d TPtroug�l Naticfl:�i ciny Assn. ,%,,,