Graham Penn - JHPSB Collins Ventures, LLC City Of Miami Beach
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485 r n a
2 6 J fl 28 2: 51 Fri
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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: ��' ' 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 citvclerkPmiamibeach.eov.
Lobbyist Graham Penn
Principal Jason Halpern/JHPSB Collins Ventures,LLC
Issue Development Board Approvals.
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $475 per hour
CATEGORIES OF EXPENDITURES
Food and Beverage: $0
Entertainment: $0
Research: $0
Communications: $0
Media Advertising: $0
Publications: $0
Travel: $0
Lodging: $0
Special Events: $0
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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 disc • :% herein and any attachment
hereto are true and correct.
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SIGNATURE AND STAMP OF NOTARY: \ .
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Produced ID \`�, '
Form of Identification Signature of Public otary-State of Florida
Sworn to and s .scribed before me
,Personally known This1day o IL 0 LAP
is Notary Public State of Florida
Diana Ramos
My Commission FF 207719
%of of Expires 04/10/2018