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Steven Wernick - MB Florida Limited 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 cityclerkPmiamibeach.gov. Lobbyist Steven Wernick Principal Joel Simmonds/MB Florida Limited LLC Issue Site Plan Approval for nieghboring Miami Beach Resort PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: '(T •00 CATEGORIES OF EXPENDITURES Food and Beverage: O Entertainment: 0 Research: O Communications: 0 Media Advertising: 0 Publications: O Travel: 0 Lodging: CD Special Events: n CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIP4\ FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED:J Glnua r 20�� OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby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 attac ent hereto are true and correct. t Lobbyist Signatur • SIGNATURE AND STAMP OF NOTARY: A -0 Produced ID _ — Form of Identification Sig fic re Pylblic Notary–State of Florida Swor to ands bscribed before me ersonally known This�iday ofb 20 I q ,''�'�u��%�''- RUSLAINEY M.SNNZ t /6 �� t: MY COMMISSION#FF 919693 _�:�-•.. ;,• � �r EXPIRES:December 21,2019 ' ' Q;;:�'�� Bonded ThnJ Notary Pubfic Underwriters