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Charles Benson - Yossi Lipkin / E.D.Y. Inc. 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 Charles Benson Principal Yossi Lipkin/E.D.Y. Inc. Issue Requesting design review approval from HPB for a revision of a previous lobbied/approved design of a new building.Also requesting conditional use from Planning Board for property located at 1155 Collins Ave. MB FL EASE COMPLETE THE SECTION BELOW Detail Compensation Received: CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: A 0 Communications: '0 Media Advertising: I► D Publications: D Travel: ti20 Lodging: lit?D Special Events: , 0 CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 informatio disci se herei an any attachment hereto are true and correct. Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: f. okrallot' Produced ID Form of Identification Signature of P lic Notary—State of Florida Swor to ands bscribed before me personally known This t day of T.0:20 1(-,, JAKONIUK Pubfic-State of Florida v,‘ omm. Expires Jan 9,2017 Commission#EE 863721 Bonded Through National Notary Assn.