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Monika Entin - 120 Ocean Drive, LLC City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 „I, t - • 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 citvclerk@miamibeach.gov. Lobbyist Monika Entin Principal 120 Ocean Drive, LLC Issue Development approvals and permitting issues,including but not limited to HPB&PB approvals for modifications to design and robotic/mechanical parking for the property located at 120 Ocean Drive. PLEASE COMPLETE THE S CTION BELOW Detail Compensation Received: l'C)() r (L_ CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: Media Advertising: i , 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 Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 her and any attachme hereto are true and correct. ■ / ■ Lobbyist SIGNATURE AND STAMP OF NOTAR r,.,.,. , AaRY P'���� zoa��., BETTY LLERENA Produced ID ' ,# ,,1,.,__ Notary Public-State of Florida kili��/, Form of Identification 1 ;;'r,��',o° My Comm.Expires Mar 5,2018 Si gnat re of Publi- eta State of Florida '',FOFF,,��,, Commission # FF 0786626 g rY """'�� - Sworn to and su,_ .bed before me r s' ��XPersonally known Th day of ,, 0��3 it