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Alexander Tachmes - Park 1200, 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 f . 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 cityclerkPmiamibeach.gov. Lobbyist Alexander Tachmes Principal Park 1200,Inc. Issue Amendment to the city code regarding zoning variance. PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: No expenditures; received compensation Research: based on fee rate as reported in lobbyist Communications: registration. Media Advertising: Publications: Travel: Lodging: Special Ev ts: HECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 herein any attachment hereto are true and correct. N Lob syist Sign.ture SIGNATURE AND STAMP OF NOTARY: / Produced ID - �rLj.�� Form of Identification Si; ature of P blic Nota� -State of Florida Swor o and s i•e• before me ` .••"""'•• � SUSAN C.MACET Personally known �'` r P'`�r Notary Public-State of Florida This day of■ ��12.Y� I as • ��, • My Comm.Expires Feb 11,2016 III Commission#EE 161755 ��''�•°� Bonded Through National Notary Assn.