Juan David - Alex Fabricant 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 2
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 Juan David
Principal Alex Fabricant
Issue Variance requested for 5'rear setback on an accessory structure.
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PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: t Z.tot; -
CATEGORIES OF EXPENDITURES
Food and Beverage: 0
Entertainment: co -
Research: d
Communications: 9
Media Advertising: 0
Publications:
94
Travel: ci
Lodging: 9
Special Events:
9
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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 disclos-• ein . d any,.ttachment
hereto are true and correct. •
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SIGNATURE AND STAMP OF NO ,A Notary Public-State of Florida
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Produced ID 4 �'1'4, f;c`s'' Bo; ary I
Form of Identification Signature of Public Notary—State of Florida
Sworn to and subscribed before me
Personally known This R'1 day of.-►rt,20 /t, .
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