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Wayne Pathman - Alton 633 Properties, 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 cityclerk@miamibeach.gov. Lobbyist Wayne Pathman Principal Alton 633 Properties, LLC and South Beach Heights, LLC 663 Alton Road Issue 633 Alton Road,and 663 Alton Road to obtain approval to modify CD-2 Zoning Code permitted uses to include self-storage. *AMENDED to add South Beach Heights, LLC 663 Alton Road 06/12/2013. PLEASE CO LETE 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Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 infor -• •' closed herein an• .ny attachment hereto are true and correct. Lobby': Signature SIGNATURE AND STAMP OF NOTA • �►`° ,: DORINDA TRIPONEY :t: 4_1 :tai:+i MY COMMISSION#FF 224382 fn : 1 i rr. 1 Produced ID ��1 ;�,,ti:o� EXPIRES:July 10,2019 �� ¢ "%t t'" Bonded Thru Notary Pnalic Underwriters Form of Identification ri .,q�„, Signature of Public Notary—Sta i- of Florid. Sworn to and subscribed befor: me Personally known This Z4 day of p20 14 41 Lf