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Chad Oppenheim - David B. Smith 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 Chad Oppenhelm Principal David B.Smith Issue Development Board Approvals for 1901 Alton Road, Miami Beach, FL PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 di.close jein .-• any attachment hereto are true and correct. ∎1 Ye ■ �� I Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: I ,.�;i �'v`a XIMENA GONZALEZ ff Produced ID l.� 4 /fitA' Notar y Public-State of Florida I .Form of Identification 1 4My Comm.Expires Mar 24,2017 1 Sign.ture, Public Nota — •.te of Florida Commission•FF 000129 ' �►�.',;�o�;;.�` I Sw rn to and subscribe dj i afore me Personally known T s29'day of X20 1