W. Tucker Gibbs - Al Berg 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 :r ,
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 w•Tucker Gibbs
Principal Al Berg
Issue • Amended on 11/9/15 say:All issues relating to the proposed CVS for the corner of 15th Street and Collins Avenue
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: i O.a
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CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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 disclosed herein and any attachment
hereto are true and correct.
,We o 4fL. k
Lob gist Signature
SIGNATURE AND STAMP OF NOTARY:
Fb /P oduced ID ., . -,
Form of Identification Signature of Public Notary—State of Florida
Sworn to and subscribed before me
Personally known
,,1111111 II
LILLIAN BEAUCHAMP
s Notary Public-State of Florida
• • ; My Comm.Expires May 5.2018 411,
ofl�l,��'' Commission # FF 115190