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Ilija Mosscrop - Adam Greenberg 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 citvclerkPmiamibeach.gov. Lobbyist Ilija Mosscrop Principal Adam Greenberg Issue Development approvals and permitting issues relating to the property located at 3193 Royal Palm Avenue, Miami beach FL PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: - 500 CATEGORIES OF EXPENDITURES Food and Beverage: 0 Entertainment: 0 Research: Communications: 0 Media Advertising: 0 Publications: d Travel: C7 Lodging: O Special Events: 0 X CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: it •3 I • 15 OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath and affirm that the information • sclosed herein and any - ' ent hereto are true and correct. Lobbyi.t Signature SIGNATURE AND STAMP OF NOTARY: �oduced ID Ft Dt.. / f vOO to J c'-D �ti6FD Form of Identification 791, d Signature of Public Notary-State of Florida Sworn to and subscribed before me Personally known This&5 day obniwy20 /CO `'.0 4'' JULETT K • '8LET0 E. • Notary Public• tale of Florida :_ My Comm.Emirs Sep 7,2018 ,,,„,•• Commission N FF 157501