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William Lane - Sherbrooke Apts Inc. 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 "1' ' ' . ". - 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 _ William Lane Principal Shebrooke Apts.Inc.,a Florida Chapter 719 Cooperative Non-Profit Corporation Issue Sherbrooke Apts. Inc.related to development at 919,909 and 901 Collins Ave.Owes$350.00 Dollars per COE PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: CATE ORIES OF EXPENDITURES Food and Beverage: 0 0e Entertainment: S 0 ` Cei .'. 4 • ©D Research: l.' Jo '1• 0' 0, • Communications: •• Media Advertising: 1. ©. 0 2 Publications: a�ri Q . n:3 Travel: C.C. ©D Lodging: ji 1. .. 4 . OD Special Events: �- a• 0C CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: I OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath and affirm that the information cIis osed erein and any attachment hereto are true and correct. , , , 1 Ak....■.A-- " Lob. ist Signature SIGNATURE AND STAMP OF NOTARY: t , Produced ID � L. �� Form orldentiication Signature 71"11r,1195 State of Florida Swoce to and subscribed before me Personally known This .day 06 6"20 16'' oiky ,c, •..ec/C LUCAS GALAN :it,A * MY COMMISSION#FF 166801 : :Ws), EXPIRES:October 7,2018 iii". r9lFOF F,_(;0O Bonded Thru Budget Notary Services