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Monika Entin - Alton Pointe 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 cityclerk@miamibeach.gov. Lobbyist Monika Entin Principal Jose M. Lamadrid/Alton Pointe LLC Issue Permitting for 1031 19th Street,Alton Pointe PLEASE COMPLETE THE S CTTIIfON BELOW Detail Compensation Received: $1100 i CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 disclosed herein .•• .ny attachment hereto are true and correct. - dArlai •. ignat - SIGNATURE AND STAMP OF NOTARY• `,,�O,�pftY PVel��i BETTY LLERENA k 6,0, f Produced ID ;« :`' Notary Public-State of Florida Form of Identification ?Nrs nil :Q My Comm.Expires Mar 5,2018 Si:'ature ofa c Notary—State of Florida ', 1111��p' Commission# FF 078662 Sworn to an. subscribed before me )1O i Personally known �' � �'°��� ��- � - Thi�day ago 0 mC