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Marcos Perez - BLIII International 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 citvclerk( miamibeach.gov. Lobbyist Marcos Perez Principal BLIII International LLC Issue Sunscreen Licensing PLEASE COMPLETE THE SECTION BELOW r� Detail Compensation Received: r `\ (L.. CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: �°'l Media Advertising: �\ Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 informati n liscq ed herein an any attach ent hereto are true and correct. GkAA/' — Lobbyist Sign SIGNATURE AND AND STAMP OF NOTAR ' MARIA R.DEL VALLE �P V6 i °. Notary Public-State of Florida Produced ID _• �!�: My Comm.Expires Jun 10,2017 i ate= Commission#FF 25853 Form of Identification ;;,��-0:\.; C oa F010 Bonded Through National Notary Assn. I Si nature of Public otary—State of Florida Sworn to and subscribed before me Personally known This l day of F4.,201 to