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Graham Penn - 36 Ocean Drive Holdings, LLC City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 +"• j L V L'V 28 is tTf 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 reportng'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 citvclerkc miamibeach.gov. Lobbyist Graham Penn Principal Myles Chefetz/36 Ocean Drive Holdings,LLC Issue Development Board Approvals PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $475 per hour CATEGORIES OF EXPENDITURES Food and Beverage: $0 Entertainment: $o Research: $o Communications: $o $o Media Advertising: Publications: $0 Travel: $o • • Lodging: $o Special Events: $0 CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: • • OATH State of Florida fr County of Miami-Dade / I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disc •-=.: :_..armed any atta hment hereto are true and correct. '� —.4111111611g Lob=st ignature SIGNATURE AND STAMP OF NOTARY: ' /`," / Produced ID Form of Identification Signature of i' bli Notary—State of Florida / SworWnd sul?scribed before me Personally known This i/ Iday of Ji.;ggo ; Notary Public State of Florida 1. Diana Ramos • Q My Commission FF 207719 'oF qr Expires 04/10/2019