Graham Penn - Crescent Heights City Of Miami Beach
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485 r- - ' r °
4
2016 JAN 28 Ph 2: 5 2
Expenditure report for period of:1/1/2015 through 12/31/2015 C1.1-` O - U
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 citvclerkPmiamibeach.gov.
Lobbyist Graham Penn
Principal Russell W.Galbut/Crescent Heights
Issue Developmental Board Approvals for Shelborne Hotel at 1801 Collins Avenue.
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $475 per hour
CATEGORIES OF EXPENDITURES
Food and Beverage: $o
Entertainment: $o
Research: . $o
Communications: $0
Media Advertising: $o
Publications: $o
Travel: $0
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CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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
County of Miami-Dade
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information d leed nd any a achment
hereto are true and correct.
b 'is nature
SIGNATURE AND STAMP OF NOTARY: 'V:`‘)
Produced ID ,
Form of Identification Signature of lic Notary—State of Florida
SworJ J and s pscribed before me
Personally known This VI day of_Afia 20 i b
P Notary Public State of Florida i
Diana Ramos /
•
My Commission►FF 201119
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