Tracy Slavens - Silvia Cubina 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 cityclerk@miamibeach.gov.
Lobbyist Tracy Slavens
Principal Silvia Cubina, Executive Director of Bass Museum of Art
Issue Bass Museum of Art Renovation& Expansion Project
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: PRO BONO
CATEGORIES OF EXPENDITURES
Food and Beverage: —0—
Entertainment: —0—
Research: —0—
Communications: —0—
Media Advertising: —0
—0—
Publications:
Travel: —0—
Lodging: —0—
Special Events: —0
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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 di ised herein and any attachment
hereto are true and correct.
L.I( t ,4:11../A.■■
•gyist Signature
SIGNATURE AND STAMP OF NOTARY:
Produced ID 1 =
Form of Identification Si: ature of Pu o • •tart'-•tate.o•Flori:.
Sworn to and sub '•.• •-fore me
/Personally known This 1.2 day ofJ,ii,20!e
49 4 . PAMELA JACKSON
MY COMMISSION#FF 068707
i1 - EXPIRES:December 17,2017
"t,i ''c:' Bonded Thru Notary Public Underwriters