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Robert S. Fine - Lionheart Capital, LLC City of Miami Beach Lobbyist Fee Expenditure and Compensation Statement City Code Section 2-485 Expenditure report for the period of: 01/01/2015 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 • Robert S. Fine Principal Lionheart Capital,LLC Issue 4701 N. Meridan Avenue PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: None CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communication: Media Advertising: Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida, County of Miami-Dade I,the undersigned lobbyist do hereby depose under oath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 disci sed he 'n and nya ment hereto are true and correct. ) Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: ,,�`�R�p` ?o ®tti KAREN MARIE BURKE Produced ID f•� .F.. Notary Public-State of Plod ^• ���� •� My Comm.Expires May 28 2016 Form of Identification 'II;OrftVP�� Commission EE 201619 signature of Public Nota tate o orida Personally known Sworn to?nd subscribed before me This l'7 day of4wo 0 1�0 ; C.i:..>>'i:....\o:C.i't:V#..3��,:..:..:.t3Z E_: I"i.i'<.(':..�.Etil::.. C...:i.i/::.).Y