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Michael Palma - 2K South Beach Hotel, LLC City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 2016 FEB _ r 10: 00 1._._i.I F 4 I l_ Expenditure report for period of:1/11201.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 citvclerkArniarriiiach.gov. Lobbyist' Michael Palma Principal j` 2K South Beach Hotel,LLC ' sign variance PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: CATEGORIES OF EXPENDITURES • Food and Beverage: No expenditures; received compensation based on fee rate as reported in lobbyist Entertainment: registration. Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 atta hment hereto are true and correct. /, . . L•'•b st Sf;,nat,re SIGNATURE AND STAMP OF NOTARY: Produced ID_ Form of ItlenGrcoUon Signature of Public Notary-State of Florida Sworn to and subscribed before me LPersonally known,- This�day ofd,20, 1C=1. Notary Public State of Florida . Sandra-Plazas T My Commission FF 097381 a hr. Expires 03/02/2018 lad