Wayne Pathman - Palau Sunset Harbor, 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 l '
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 Wayne Pathman
Principal Palau Sunset Harbor, LLC/South Fla Condominium Magment/Meir Srebernik,c/o Mathew Cicero
Issue Develop property with a mixed-use residential and commercial structure requiring conditional use permits at
1201, 1225 and 1237 20th Street.
PLEASE CO LETE THE SECTION BELOW
Detail Compensation Received:
CAT GORIES 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CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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 d'. osed herein an• an, : achment
hereto are true and correct.
Are,
Lobbyist Signatur:
SIGNATURE AND STAMP OF NOTARY-
ss#Y DORINDATRIPONEY I c
Produced I D MY COMMISSION#FF224382
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EXPIRES:July 10,2019 ; Al _Form of Identification 'li n " Bonded Thru Notary Public Underwriters I Signature of Publi otary—Stat of Florida
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Sworn to and su.scribed before me
Personally known This 2cday of-at)120 l'
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