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Graham Penn - TB Purdy Restaurant, LLCi City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 201E JI.:J 28 FM 2: r Expenditure report for period of:1/1/2015 through 12/31/2015 :'; i r ; A statement shall be filed even if there have been no expenditures or compensation during't ' hereporting period.' I`' 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 citvclerkt miamibeach.gov. Lobbyist Graham Penn Principal Jeff McInnis(TB Purdy Restaurant,LLC) Issue Development approvals and permitting issues relating to the property at 1787 Purdy Avenue,Miami Beach, Florida PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $475 per hour CATEGORIES OF EXPENDITURES Food and Beverage: $ Entertainment: $0 Research: $0 Communications: $0 Media Advertising: $0 $0 Publications: Travel: $ Lodging: $0 Special Events: $ CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida County of Miami-Dade I,the undersigned lobbyist,do hereby depose under oath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 dis lose, erein and any att fhment hereto are true and correct. —./t �•b' '__ -'ature SIGNATURE AND STAMP OF NOTARY: ', } U` . P roduced ID Publi Notary of Pu Form of Identification Signature b ry—State of Florida Swor t and su cribed b fore me Personally known Thisday of, It 20 OP Notary Public State of Florida 9, Diana Ramos My Commlasion FF 207719 Cdr Expires 04/1012019 Of