James Carse - 321 Ocean Holding 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 citvclerk@miamibeach.gov.
Lobbyist James Carse
Principal 321 Ocean Holding LLC
Issue 321 Ocean Drive Development.Assessed fines for$3,000.00.
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received:
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research:
Communications:
Media Advertising:
Publications:
Travel:
Lodging:
Special Events:
Ni CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
^ DATE REPRESENTATION ENDED: 171//1 1/)
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.
Lobbyist Signature
SIGNATURE AND STAMP OF NOTARY:
Produced ID ��
Form of Identification Signature of Public Notary— tate of•Fieridct-We.,AN "/®0,
Sworn 4o and subscribed before me
XPersonally known This%l day of y20 1-6
ORLANDO CONCEPCION
Notary Public,State of New York
No.01C06129870
Qualified in Richmond County
Commission Expires July 05,20 f 7