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Monika Entin - Neil and Elizabeth Rosen 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 Neil and Elizabeth Rosen Issue Development approvals and permitting issues related to the property at 5642 La Gorce Drive, Miami Beach, FL PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 4oa 44P--- 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Research: Communications: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 disclose. ere ni and any attachment hereto are true and correct. } Lobb is .:nature SIGNATURE AND STAMP OF NOTARY: Produced ID p,a,,, 4/4 � BETTY LLEREN A Form of Identification •`o �� ?�•�'°= Notary Public-State of Florida I Sign- ure of F c Notary—State of Florida iNS i i • My Comm.Expires Mar 5,2018 0 Sworn to an• a scribed before me XPersonally known -"'"p:•`' Commission # FF 078662 Thi5day •f _ 20 ( GO