Joseph Goldstein - Baptist Health South Florida, Inc. (2) 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 Joseph Goldstein
Principal Baptist Health South Florida,INC.
Issue Planning Board consideration of conditional use at 709 Alton Road, Miami Beach, FL
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: hourl y
CATEGORIES OF EXPENDITURES
Food and Beverage: 0
Entertainment: 0
Research: 0
Communications: 0
Media Advertising: 0
Publications: 0 •
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CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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 discl- -• hers: . d any attachment
hereto are true and correct.
AV'
Lobbyist Signature
SIGNATURE AND STAMP OF NOTARY:
Pr oduced ID � G
Form of Identification Signature of Public •
Sworn to and sub i ... Spare re me TIAWIWAMS
'S MY COMMISSION#FF 233301
X This 25 day of J ,'�'
Personally known y .� •a EXPIRES:June 15,2019
% ,,, Bonded Thru Notary Public Unde,liters