Graham Penn - M-400 Alton Owner, LLC City Of Miami Beach
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485
I-1 : ;, i
201641 PM 2: 48
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 reportintg period:.L " U P 11--
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.eov.
Lobbyist Graham Penn
Principal Camilo Miguel Jr./M-400 Alton Owner,LLC
Issue Development Board Approvals.
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: $$475 per hour
CATEGORIES OF EXPENDITURES
$o
Food and Beverage:
Entertainment: $0
•
Research: $
$o
Communications:
Media Advertising: $o
Publications: $o
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CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE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 f
County of Miami-Dade
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information d' ed h •einnd any ttachment'
hereto are true and cor'rect.
r
' . Lgbby Signature
SIGNATURE AND STAMP OF NOTARY: i
I
Produced ID
Form of Identification Signature of Pu'lic Notary—State of Florida
Swo Sind s scribed before me
Personally known This/day ofa 201
off Poq Notary Public State of Florida
S4'?:, Diana Ramos /
f My Commission FF 207719 5(
% Expires 04/1012019