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Matthew Amster - Centurion Collins Property Owner, 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: ' s - 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$50.00 per day,per issue,shall be assessed for statements filed after the due date. If you require any assistance, please contact this office at 305.673.7411 or at cityclerkPmiamibeach.gov. Lobbyist Matthew Amster Principal Centurion Collins Property Owner, LLC Issue issues Related to Revocable Permit application and permitting issues,including but not limited to Design Review board, planning board, Board of Adjustment, Land Use Development Committee,and City Commission,if PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: 416- oo Fir hour,1 i o,IOrde'/n(t Rim riot-40-2r, q jK0791-77t CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: Media Advertising: 0 Publications: Travel: Lodging: Special Ev s: CHECK BOX IF YOU NO LONGER REPRES T T TE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: l2 3t t' OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed herein and any attachment hereto are true and correct. 4,,,,,,,,,5t_____ Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: Produced ID (/ e ,+— Form of Identification Signature of Public Notary—State of Florida public State 0$Florida Sworn to and subscribed before me Personally known =o�y,Y 11441/P• Notary uamirano Thiy�day ofr 1�20�p Vanessa A i TT • < My Commission FF 914375 �' Expires 0813112019 ��OFF�O E P