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Graham Penn - 300-17 Investments, LLC City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form 1.-; c: ,- : ,, . ;A r, City Code Section 2-485 2016 J '`? 28 Ph 2: 5 1 Expenditure report for period of:1/1/2015 through 12/31/2015 t_, ! `'i '.:i.t_; s i - -{f; :. 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 citvclerk @miamibeach.gov. Lobbyist Graham Penn Principal Russell Galbut/300-17 Investments,LLC Issue Development Board Approvals for 300-17 Investments,LLC PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $475 per hour CATEGORIES OF EXPENDITURES . $0 Food and Beverage: Entertainment: $0 Research: $0 Communications: $0 Media Advertising: $0 Publications: $0 Travel: $0 $0 Lodging: Special Events: $0 CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED; OATH State of Florida County of Miami-Dade � I,the undersigned lobbyist,do hereby depose under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 disci...,=d • eie�n _r(r y attachm.nt hereto are true and correct. —i� `-----Lobby;: nature SIGNATURE AND STAMP OF NOTARY: 'i;'` Produced ID �, f Form of Identificahon Signature of P blic otary—State of Florida g ry Sworn to and subscribed before me Personally known This Say of 20( t .0 eL Notary Public State of Florida ;4 ; Diana Ramos My Commission FF 207719 '�?o,pdr Expires 04/10/2019 c Z