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Matthew Amster - Crown Miami Hotel 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. ' 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 Matthew Amster Principal Crown Miami Hotel Owner,LLC Issue Crown Hotel&Parking Garage at 4041 Collins Ave.&228 W.40th St. Development approvals&permitting issues. PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: Y f ( I' Cofardor/C� t,'i th r cli ✓ therr e4 p 4'Lt () Ir � CATEGORIES OF EXPENDITURES Food and Beverage: Entertainment: Research: Communications: Media Advertising: -.1(T Publications: Travel: Lodging: Special Events: CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 disclosed herein and any attachment hereto are true and correct. Lobbyist Signature SIGNATURE AND STAMP OF NOTARY: Produced ID \)thA) Form of Identification Signature of Public Notary—State of Florida Apr ow Notary Public State of Florida Sworn to and subscribed before me Personally known :°, Vanessa Altamirano This 3 day oft 201( My Commission FF 914375 *� �� of n° Expires 0813112019