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W. Tucker Gibbs - Sunset Islands 3 and 4 Property Owners, Assoc. 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 • 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 W.Tucker Gibbs Principal Sunset Islands 3 and 4 Property Owners,Assoc. Inc. Issue Palau Sunset Harbor Development approvals Conditional Use,Design Review,all other development approvals at 1201, 1225 and 1237 20th Street PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 10.OD CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: XCHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: IZ- )—I f OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment hereto are true and correct. ekJade 1 Lobbyist Signature SIGNATU,E AND STAMP OF NOTARY: •Produced ID r _ ✓ • ' --=� Form of Identification Sig :ture of Public otary—State of Florida 1 Sworn o and subscr'bed before me Personally known Thi d. ,�-� , LILLIAN BEAUCHAMP z• •`' Notary Public-State of Florida 111 • ;• ail .` My Comm.Expires May 5.2018 - '.;,e Commission # FF 115190 ,/Sr