Jorge Sergio Kuperman - Quibus Group, LLC 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 citvclerk @miamibeach.gov.
Lobbyist Jorge Sergio Kuperman
Principal Quibus Group, LLC
Issue Façade alterations to 1910 Alton Rd. Before DRB
PLEASE COMPLETE THE SECTION BELOW
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Detail Compensation Received: ���`'a' � � .
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment: }.
Research: A RA t -1b C ? / MI s 20
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CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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 disci.'' rein and an .ttachment
hereto are true and correct.
tasty NUl pepuO9 `""�� ,,,� Lobbyist •Si: .;l /
SIGNATURE AND STAMP OF NOTARY: MONO:SaJldx3 "- '�'
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Produced IDS'3 OPod ti,i6 / _ --
Form of Identification Sig ature' Public NI:. ary—State• F• •
Sworn to :nd subscribed before me
Personally known This 2-c,day of JAN,20 i L
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