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Graham Penn - M-311 Meridian Owner, LLC City Of Miami Beach Lobbyist Fee Expenditure and Compensation Form City Code Section 2-485 LNa JAN 8 PM 2. 47 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.`µ; ; ',_; C E- t i C 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 cityclerkPmiamibeach.gov. Lobbyist Graham Penn Principal Camilo Miguel Jr. M-311 Meridian Owner, LLC Issue Development Boad approvals for 729-735 Third Street,311-321 Meridian Ave.,M-311 Meridian Owner,LLC. PLEASE COMPLETE THE SECTION BELOW Detail Compensation Received: $475 per hour CATEGORIES OF EXPENDITURES Food and Beverage: $0 $0 Entertainment: 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$0 Communications: $0 Media Advertising: $0 Publications: $0 Travel: $0 Lodging: $0 Special Events: $0 CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE DATE REPRESENTATION ENDED: OATH State of Florida ` County of Miami-Dade I,the undersigned lobbyist,do hereby depose under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 informatio disclosed_herei nd an `ttachment hereto are true and correct. • t_�,. \ . byis Signature SIGNATURE AND STAMP OF NOTARY: \Lx 9 Produced ID I Form of Identification Signature of Puhi' Notary—State of Florida Sworpp and su lscribed before me Personally known This day ofjfialy0 I • T.)/ ../A 44"°gat Notary Public State of Florida Diana Ramos - j My Commission FF 207719 !'nr Fed' Expires 04/10/2019